Abstract

We clinicians assume that the clinical picture of dental disease is a net result of an interaction between the pathogenic dental plaque and host tissue response. Dental plaque biofilm cannot be eliminated. However, the pathogenic nature of the dental plaque biofilm can be reduced by reducing the bio-burden (total microbial load and different pathogenic isolates within that dental plaque biofilm) and maintaining a normal flora with appropriate oral hygiene methods that include daily brushing, flossing and rinsing with antimicrobial mouth rinse. This review is about the dental plaque and the association of microflora its symbiosis and dysbiosis in the oral niche.