The use of dental implants has been increasing even though failures do occur. The presence of wear debris
and oral microorganisms can contribute to infections and jeopardize implant integration. The aim of this work
was to study the influence of mixed biofilms in the tribological behaviour of commercially pure titanium for
dental implants under different concentrations of fluoride. Samples of titanium with two different surface
topographies were used. Mixed biofilms of Candida albicans and Streptococcus mutans were formed on both
surfaces at 37 °C in a tryptic soy broth containing mucin, peptone, yeast extract and sucrose. After 8 days,
biofilm biomass was analysed by crystal violet staining method. Biofilm biomass was significantly higher for
the samples with higher roughness. Some samples with biofilms were analysed under friction (using a force
of 100 mN) in an artificial saliva solution (Fusayama) without or with different concentrations of fluoride
(30 and 227 ppm). It was verified that the coefficient of friction (COF) decreased in the presence of biofilms.
Moreover, samples with more biomass (0.4 μm of roughness) presented the lowest values of COF. Concerning
the effect of the presence of fluoride, although there were no significant differences on the COF for 30 ppm,
for 227 ppm a transition regimen was observed. These results were confirmed by sample observation under
scanning electron microscopy.
In conclusion, it can be highlighted that biofilm formation on dental implants can significantly affect the
tribological behaviour of titanium, namely, the presence of biofilms reduces the release of wear debris