Analytical methods to study the complex dynamics of biofilm-biomaterial interfaces.

Biofilm-biomaterial interfaces have an important role in biofilm development and pose a critical challenge in healthcare, contributing to device failures and chronic infections that affect patient outcomes and healthcare economics. This review explores the complex dynamics of these interfaces, from initial protein adsorption through mature biofilm development, highlighting how bacteria and materials are involved in bidirectional interactions that determine both infection progression and material degradation. It also examines different advanced analytical methods for characterizing these dynamic biofilm-biomaterial interactions, with particular emphasis on the recent developments in electrochemical techniques (ion-selective electrodes, electrochemical impedance spectroscopy, and scanning electrochemical microscopy) that enable real-time monitoring of critical parameters such as pH, oxygen gradients, and metabolic activities, providing unique insights into biofilm heterogeneity and localized chemical changes. In addition, the review explores future developments in sensor technology and standardized protocols needed to accelerate biomaterial innovation, potentially transforming our approach to implant-associated infections through responsive surfaces that adapt to microbial challenges.