Dynamic removal of oral biofilms by bubbles.

A novel approach to the removal of biofilms from solid surfaces is to pass large numbers of air bubbles over the surfaces. Such a phenomenon occurs when teeth are brushed with some types of powered toothbrushes that accelerate bubbly fluid against or across teeth surfaces. Video recordings of air bubbles propelled against a mature biofilm of Streptococcus mutans showed that the bubbles removed the biofilm at the point of collision. A mathematical model of the removal process was proposed and was able to simulate the kinetics of the biofilm removal process. Removal rate was modeled to be proportional to the bubble footprint area and the number of collisions per time. The fraction of biofilm removed per bubble collision is on the order of 0.4, a value much larger than would have been expected based on previous research employing bubbles that moved slowly along a surface that was partially covered with adherent bacteria. The higher removal efficiency is attributed to fluid dynamic shear forces that occur in conjunction with the thermodynamic forces that pull bacteria from a surface as a bubble contacts the biofilm. Fast bubbly flow is expected to remove bacterial biofilm from hard surfaces such as teeth.