RT Journal Article T1 Characterization and application of a flow system for in vitro multispecies oral biofilm formation A1 Blanc, Vanessa A1 Isabal, Sergio A1 Sánchez Beltrán, María Del Carmen A1 Llama Palacios, María Arantxazu A1 Herrera González, David A1 Sanz Alonso, Mariano A1 León, Rubén AB Background and objective: Bacteria in the oral cavity grow in the form of biofilms; these structures are subject to constant saliva or gingival crevicular fluid flow conditions. The aims of this study were: (i) to develop and to characterize an in-vitro biofilm model with oral bacteria growing under flow and shear conditions; and (ii) to demonstrate the usefulness of the model for evaluating the activity of three antiplaque agents.Material and methods: We used a bioreactor to grow the oral bacteria Streptococcus oralis, Actinomyces naeslundii, Veillonella parvula, Fusobacterium nucleatum, Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis under planktonic conditions. Biofilms were established using a modified Robbins device on hydroxyapatite (HAP) discs. Three- to 7-d-old biofilms were analysed using culture methods, scanning electron microscopy, Live/Dead staining and fluorescence in-situ hybridization (confocal laser scanning microscopy). Finally, we assessed the antimicrobial activity of three mouthrinses [0.12% chlorhexidine (CHX), 0.12% chlorhexidine and sodium fluoride (CHX+NaF) and 0.12% chlorhexidine and 0.05% cetylpyridinium chloride (CHX+CPC)] using a planktonic test (short interval-killing test) and in our 4-d biofilm model.Results: The viable cell counts showed that each species was consistently found in the biofilms throughout the study. The architecture and cell distribution were similar to those described for biofilms in situ, with the exception of a thin layer of living cells that was found close to the HAP. The effectiveness test of the mouthwashes demonstrated that cells in biofilms showed more tolerance compared with planktonic cells. Moreover, it was observed that in 4-d biofilm formed in vitro, CHX+CPC caused significantly higher mortality compared with CHX (p = 0.003) and CHX+NaF (p < 0.001).Conclusion: Our results suggest that we have a highly reproducible system for multispecies oral biofilm formation and that it is a useful tool for assessing antibacterial molecules before their clinical evaluation. It also has great potential to be used in basic research on supragingival and subgingival biofilms. PB Wiley SN 0022-3484 YR 2014 FD 2014-06 LK https://hdl.handle.net/20.500.14352/109004 UL https://hdl.handle.net/20.500.14352/109004 LA eng NO Blanc V, Isabal S, Sánchez MC, Llama-Palacios A, Herrera D, Sanz M, León R. Characterization and application of a flow system for in vitro multispecies oral biofilm formation. J Periodontal Res. 2014 Jun;49(3):323-32. doi: 10.1111/jre.12110 NO Centro para el Desarrollo Tecnológico Industrial (España) DS Docta Complutense RD 31 dic 2025