Targeting mixed-species biofilms of Streptococcus mutans and Candida albicans on clear aligners: boron-based natural substance combinations for enhanced antibiofilm efficacy

In orthodontic treatment, insufficiently cleaned clear-aligners can serve as reservoirs for biofilms. This study evaluates in-vitro biofilm models and investigates the antibiofilm efficacy of boron-based formulations with natural substances. Minimum inhibitory concentrations (MICs) were determined by microdilution, and Fractional inhibitory concentration by checkerboard methods. Biofilm inhibition was assessed at sub-MIC levels, and mature biofilm-eradication at supra-MICs. Time-kill assays were performed on mixed-biofilms of