when it was discovered that the matrix was still stained with disclos-ing solution on a macro level, but the inhabitants had been vacated. The new Sonicare AirFloss is an interesting option too. Unveiled this spring, the AirFloss uses bursts of air mixed with water droplets directed between the teeth. Time will tell if this a viable option, early results look very promising. Using accurate language to describe the effects of brushing and flossing builds new synapses, which allows the brain to absorb other ways of reducing biofilm. In people with orthodontic appliances where unchecked biofilm activity can bring on disastrous affects, offering suggestions beyond brushing and flossing is imperative. Fruits and vegetables are a good way to increase nutrients within the human body, and isolating plant flavinoids may be a good way to increase options for people who cannot or will not succumb to brush and floss. Being a teenager requires a bravado that precludes them from injury and bravado is conceivably a develop-mental expression much like growing body hair in new loca-tions. Having options to achieve a goal is the key to better-than-satis-factory outcomes. 6. Hu CH, He J, Eckert R, Wu XY, Li LN, Tian Y, Lux R, Shuffer JA, Gelman F, Mentes J, Spackman S, Bauer J, Anderson MH, Shi WY. Development and evaluation of a safe and effective sugar-free herbal lollipop that kills cavity-causing bacteria. Int J Oral Sci. 2011 Jan;3(1):13-20. 7. Wittschier N, Faller G, Hensel A. Aqueous extracts and polysaccharides from liquorice roots (Glycyrrhiza glabra L.) inhibit adhe-sion of Helicobacter pylori to human gastric mucosa. J Ethnopharmacol. 2009 Sep 7;125(2):218-23. Epub 2009 Jul 14. 8. Sendamangalam V, Choi OK, Kim D, Seo Y. The anti-biofouling effect of polyphe-nols against Streptococcus mutans. Biofouling. 2011 Jan;27(1):9-13. 9. Percival RS, Devine DA, Duggal MS, Chartron S, Marsh PD. The effect of cocoa polyphenols on the growth, metabolism, and biofilm formation by Streptococcus mutans and Streptococcus sanguinis. Eur J Oral Sci. 2006 Aug;114(4):343-8. 10. Fitzgerald RJ, Jordan HV, Stanley HR. Experimental caries and gingival patho-logic changes in the gnotobiotic rat. J Dent Res. 1960 Sep-Oct;39:923-35. 11. Wu CD Grape products and oral health. J Nutr. 2009 Sep;139(9):1818S-23S. Epub 2009 Jul 29. 12. Sharma NC, Lyle DM, Qaqish JG, Galus-tians J, Schuller R. Effect of a dentalwa-ter jet with orthodontic tip on plaque and bleeding in adolescent patients with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2008Apr;133(4):565-71; quiz 628.e1-2. References 1. Trahan L, Mouton C. Selection for Strepto-coccus mutans with an altered xylitol transport capacity in chronic xylitol consumers. J Dent Res. 1987 May;66(5):982-8. 2. Miyasawa-Hori H, Aizawa S, Takahashi N. Difference in the xylitol sensitivity of acid production among Streptococcus mutans strains and the biochemical mechanism. Oral Microbiol Immunol. 2006 Aug;21(4):201-5. 3. Labrecque J, Bodet C, Chandad F, Grenier D. Effects of a high-molecular-weight cran-berry fraction on growth, biofilm forma-tion and adherence of Porphyromonas gingivalis. J Antimicrob Chemother. 2006 Aug;58(2):439-43. 4. Bodet C, Grenier D, Chandad F, Ofek I, Steinberg D, Weiss EI. Potential oral health benefits of cranberry. Crit Rev Food Sci Nutr. 2008 Aug;48(7):672-80. 5. Li LN, Guo LH, Lux R, Eckert R, Yarbrough D, He J, Anderson M, Shi WY. Targeted antimicrobial therapy against Streptococ-cus mutans establishes protective non-cari-ogenic oral biofilms and reduces subse-quent infection. Int J Oral Sci. 2010 Jun;2(2):66-73. www.orthodontics.com July/August 2011 15