Microbial colonization occurs on all available surfaces, and microorganisms can also penetrate epithelial tissues and cells. The microbiota assembles into biofilm communities on the abiotic and biotic surfaces. In health (left), eubiotic biofilms maintain a homeostatic balance with the host. In disease (right), caries and periodontitis ensue when biofilms become dysbiotic, resulting in increased levels and duration of low pH challenge and the induction of destructive inflammatory responses, respectively. EPS, extracellular polymeric substance; GCF, gingival crevicular fluid.