Review Article

Experimental Models of Oral Biofilms Developed on Inert Substrates: A Review of the Literature

Table 1

Interests and limits of various experimental models of biofilms.

InterestLimits

Saliva
 Human(i) Contains a complex & complete blend of proteins, glycosaminoglycans, and ions that form a pellicle on tooth surface(i) Quality: need healthy volunteers
(ii) Quantity: need many volunteers
(iii) Limited reproducibility
 Artificial(i) Reproducibility
(ii) Low cost
(i) Less complex blend of molecules
(ii) Do not mimic in vivo conditions

Substrates
 Glass(i) Allows a simple and fast screening
(ii) Low cost
(i) Direct bacterial adherence: no EAP creation
(ii) Scoring could be operator dependent
 Dentin/enamel(i) Study of cariogenic, periodontal, endodontic, and Dentin/Composite interface specific biofilms
(ii) Close to in vivo condition
Need for human or bovine teeth
 Polystyrene (96-well plates)(i) Can be coated with collagen, saliva, and/or different substances
(ii) Allows many simultaneous studies: comparison of different stains, media, and substances in the same array
(i) When not coated: only direct bacterial adherence
(ii) Far from in vivo conditions
 Hydroxyapatite(i) Best synthetic substrate mimicking human dental tissues
(ii) Avoid the search of extracted teeth and their sterilization
(iii) Can be coated with collagen, saliva & different substances
(i) Cost
(ii) When not coated: only direct bacterial adherence (no EAP creation)

Incubation conditions
 Batch models(i) Multispecies biofilms
(ii) Allows the study of interactions in bacterial communities and the effect of various substances
(i) Far from in vivo conditions: does not integrate the changing environmental conditions occurring during biofilm growth
 Continuous culture
  Constant depth fermentor(i) Allows the control of environmental factors: gas flow, real time medium and waste monitoring, biofilm thickness, temperature, and pH
(ii) Allows the formation of multispecies biofilms
(i) Cost
(ii) Complexity of protocol
(iii) No vast simultaneous studies allowed
(iv) Can only handle up to 2 experiments at a time
  Flow cell chamber(i) Allows the control of environmental factors
(ii) Allows real time microscope observation

Biofilm collection
 ScrappingAllows the removal of almost all the biofilm(i) Operator-dependent
 Vortexing & sonification(i) Reproducibility
(ii) Fast and easy
The first (deeper) bacterial layer can remain on the medium

Biofilm analysis
 Cultivation on agar media(i) Simple
(ii) Allows further identification methods
(iii) Selection of sustainable strains
(i) Delayed results
(ii) Only for culturable species
(iii) Time consuming
 Gram staining(i) Low cost
(ii) Fast and easy
(i) Limited identification based on colony and bacterial morphology
 FISH(i) Can focus on targeted bacteria in a multispecies biofilm
(ii) Possible to combine consecutive FISH with multiple rRNA
(iii) Can be combined with CLSM and PCR
(i) Cost
(ii) Complexity of protocol
(iii) Inability to discriminate live and dead bacteria
 CLSM(i) Allows discriminating between live and dead bacteria
(ii) Can determine the distribution of all the different species within the biofilm at different development times
(iii) Can be combined with FISH and PCR
(i) Cost
(ii) Complexity of protocol
(iii) Inability to discriminate stains (only on morphology)
(iv) Inability to assess gene expression
 SEM(i) Can determine the distribution of all the different species within the biofilm(i) Cost
(ii) Complexity of protocol
(iii) Inability to discriminate live and dead bacteria
 PCR(i) Allows identifying and counting bacterial stains directly
(ii) Can be combined with culture on specific media
FISH: better results than CFU counts
CLSM
(i) Cost
(ii) Multispecies biofilms need a cultivation and isolation of every colony prior to PCR
(iii) Inability to discriminate live and dead bacteria