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An Innovative Oral Ex Vivo Biofilm Model for Antimicrobial Investigations
Stefan Kranz1, Markus Heyder1, André Guellmar1
1Department of Conservative Dentistry and Periodontology, University Hospitals Jena, An der Alten Post 4, 07743 Jena, Germany.
Pathogens (Basel, Switzerland)
|May 4, 2026
Summary
This study presents a reliable method for creating oral biofilms ex vivo. Blackcurrant extracts and chlorhexidine effectively inhibited biofilm formation, especially in early stages.
Area of Science:
- Microbiology
- Oral Biology
- Biotechnology
Background:
- Oral biofilms are complex microbial communities implicated in periodontal diseases.
- Developing reliable ex vivo models is crucial for studying biofilm formation and testing antimicrobial agents.
- Existing models may not fully replicate the in vivo oral environment.
Purpose of the Study:
- To establish a stable oral ex vivo biofilm model using human saliva and plaque.
- To characterize the development of ex vivo biofilms over time.
- To evaluate the inhibitory potential of blackcurrant fruit extracts and chlorhexidine on ex vivo biofilms.
Main Methods:
- Preconditioning cover slips with saliva supernatants and inoculating with crevicular plaque.
- Cultivating biofilms anaerobically for up to 72 hours.
- Characterizing biofilm formation using confocal laser scanning microscopy (cLSM).
- Assessing the inhibitory effects of blackcurrant extracts (AFJ, AFBS) and chlorhexidine (CHX) on biofilms at different ages.
Main Results:
- Ex vivo biofilms developed from scattered colonies at 1h to a dense, three-dimensional structure at 72h.
- All-fruit juice (AFJ) and chlorhexidine (CHX) demonstrated significant inhibition of biofilm growth.
- Early-stage biofilms (1h, 4h) were more susceptible to the inhibitory effects of AFJ and CHX compared to 24h biofilms.
- Alcoholic fraction from berry skins (AFBS) showed less inhibitory effect compared to AFJ and CHX.
Conclusions:
- A reproducible ex vivo oral biofilm model was successfully established.
- The model effectively demonstrates the antimicrobial properties of agents like blackcurrant extracts and chlorhexidine.
- This model serves as a valuable tool for screening and validating plaque-controlling agents.

