Periodontitis induced by chronic subgingival
infection is a ubiquitous disease that causes systemic inflammatory consequences and poses a negative impact on quality of life. The disease is treated and potentially prevented by patient's self-care aimed at eliminating the oral pathogens from the region. Currently available products for interdental self-care, including
dental floss and interdental brush, have limited ability to prevent the disease. Here, we report a coated
dental floss thread, termed "nanofloss," which uses
polyphenol-based nanocoating to functionalize the floss thread with therapeutic agents. Multiple
therapeutics can be integrated into the nanofloss including antibacterial small molecules and
proteins. Flossing with nanofloss-delivered therapeutic agents to the challenging subgingival region with long-term retention even against the
flushing action of the oral fluid in vivo. Our in vitro and in vivo studies demonstrate that
chlorhexidine gluconate-loaded nanofloss effectively treats the subgingival
infection by Porphyromonas gingivalis. Collectively, the nanofloss offers a promising and easily usable tool for targeted self-care of subgingival
infection against
periodontitis.