Physical Disruption Of Oral Biofilms By Sodium Bicarbonate: An Invitro Study

ObjectivesSodium bicarbonate has been shown clinically to be efficacious at removing dental plaque; however, its effect of mechanism against biofilms has not been evaluated invitro. Here, we used a well-established invitro plaque biofilm model to investigate the disruption of dental plaque biofilms.MethodsBiofilms were grown in a constant depth film fermentor for up to 14days. The fermentor was inoculated with pooled human saliva and growth maintained with artificial saliva. After various time points, replicate biofilms were removed and subjected to treatment at varying concentrations of sodium bicarbonate. Disruption of the plaque was assessed by viable counts and microscopy.ResultsThe viable count results showed that younger biofilms were less susceptible to the action of sodium bicarbonate; however, biofilms of 7days and older were increasingly susceptible to the material with the oldest biofilms being the most susceptible. Sixty-seven percentage of sodium bicarbonate slurry was able to reduce the number of organisms present by approx. 3 log(10). These quantitative data were corroborated qualitatively with both confocal and electron microscopy, which both showed substantial qualitative removal of mature biofilms.ConclusionsThe results from this study have shown that sodium bicarbonate is able to disrupt mature dental plaque grown invitro and that its reported efficacy in maintaining oral hygiene may be related to this key factor.