“…Biofilm formation progress by co-aggregation of a number of different additional species, depending on the surface properties, nutrient quality and availability, oxygen levels and microbial interactions including intra and inter-regnum interactions [ 53 ]. Although polymicrobial in-vitro models are reported in the literature [ 53 , 54 , 55 ], major technical limitations occur in mimicking the complexity of the peri-implant microbiota using reliable and reproducible in vitro biofilm models, encompassing the stringent culturing conditions of most of the oral microorganisms [ 56 , 57 ] and moving from two-dimensional to novel three-dimensional biofilm models [ 58 ]. Overall, further studies are needed to evaluate the long-term effectiveness and safety of R89BS coating in more complex environments, in in vivo conditions and finally in clinical settings.…”