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EFFECTIVENESS OF A NEW TOOTHBRUSH DESIGN VERSUS A CONVENTIONAL TONGUE SCRAPER IN IMPROVING BREATH ODOR AND REDUCING TONGUE MICROBIOTA

Identifieur interne : 003002 ( Pmc/Curation ); précédent : 003001; suivant : 003003

EFFECTIVENESS OF A NEW TOOTHBRUSH DESIGN VERSUS A CONVENTIONAL TONGUE SCRAPER IN IMPROVING BREATH ODOR AND REDUCING TONGUE MICROBIOTA

Auteurs : Luciana Assirati Casemiro [Brésil] ; Carlos Henrique Gomes Martins [Brésil] ; Tatiane Cruz De Carvalho [Brésil] ; Heitor Panzeri [Brésil] ; Marco Aurélio Sichirolli Lavrador [Brésil] ; Fernanda De Carvalho Panzeri Pires-De-Souza [Brésil]

Source :

RBID : PMC:4327536

Abstract

For centuries, specific instruments or regular toothbrushes have routinely been used to remove tongue biofilm and improve breath odor. Toothbrushes with a tongue scraper on the back of their head have recently been introduced to the market. The present study compared the effectiveness of a manual toothbrush with this new design, i.e., possessing a tongue scraper, and a commercial tongue scraper in improving breath odor and reducing the aerobic and anaerobic microbiota of tongue surface. The evaluations occurred at 4 moments, when the participants (n=30) had their halitosis quantified with a halimeter and scored according to a 4-point scoring system corresponding to different levels of intensity. Saliva was collected for counts of aerobic and anaerobic microorganisms. Data were analyzed statistically by Friedman's test (p<0.05). When differences were detected, the Wilcoxon test adjusted for Bonferroni correction was used for multiple comparisons (group to group). The results confirmed the importance of mechanical cleaning of the tongue, since this procedure provided an improvement in halitosis and reduction of aerobe and anaerobe counts. Regarding the evaluated methods, the toothbrush's tongue scraper and conventional tongue scraper had a similar performance in terms of breath improvement and reduction of tongue microbiota, and may be indicated as effective methods for tongue cleaning.


Url:
DOI: 10.1590/S1678-77572008000400008
PubMed: 19089259
PubMed Central: 4327536

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PMC:4327536

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<p>For centuries, specific instruments or regular toothbrushes have routinely been used to remove tongue biofilm and improve breath odor. Toothbrushes with a tongue scraper on the back of their head have recently been introduced to the market. The present study compared the effectiveness of a manual toothbrush with this new design, i.e., possessing a tongue scraper, and a commercial tongue scraper in improving breath odor and reducing the aerobic and anaerobic microbiota of tongue surface. The evaluations occurred at 4 moments, when the participants (n=30) had their halitosis quantified with a halimeter and scored according to a 4-point scoring system corresponding to different levels of intensity. Saliva was collected for counts of aerobic and anaerobic microorganisms. Data were analyzed statistically by Friedman's test (p<0.05). When differences were detected, the Wilcoxon test adjusted for Bonferroni correction was used for multiple comparisons (group to group). The results confirmed the importance of mechanical cleaning of the tongue, since this procedure provided an improvement in halitosis and reduction of aerobe and anaerobe counts. Regarding the evaluated methods, the toothbrush's tongue scraper and conventional tongue scraper had a similar performance in terms of breath improvement and reduction of tongue microbiota, and may be indicated as effective methods for tongue cleaning.</p>
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</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Casemiro</surname>
<given-names>Luciana Assirati</given-names>
</name>
<xref ref-type="aff" rid="aff01">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c01"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martins</surname>
<given-names>Carlos Henrique Gomes</given-names>
</name>
<xref ref-type="aff" rid="aff02">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Carvalho</surname>
<given-names>Tatiane Cruz</given-names>
</name>
<xref ref-type="aff" rid="aff03">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Panzeri</surname>
<given-names>Heitor</given-names>
</name>
<xref ref-type="aff" rid="aff04">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lavrador</surname>
<given-names>Marco Aurélio Sichirolli</given-names>
</name>
<xref ref-type="aff" rid="aff05">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pires-De-Souza</surname>
<given-names>Fernanda de Carvalho Panzeri</given-names>
</name>
<xref ref-type="aff" rid="aff06">
<sup>6</sup>
</xref>
</contrib>
<aff id="aff01">
<label>1</label>
DDs, MsC, PhD, Professor, Dental School, University of Franca, Franca, SP, Brazil</aff>
<aff id="aff02">
<label>2</label>
DDs, MsC, PhD, Professor, Laboratory of Applied Microbiology, University of Franca, Franca, SP, Brazil</aff>
<aff id="aff03">
<label>3</label>
DDs, Laboratory of Applied Microbiology, University of Franca, Franca, SP, Brazil</aff>
<aff id="aff04">
<label>4</label>
DDs, MsC, PhD, Full Professor, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil</aff>
<aff id="aff05">
<label>5</label>
DDs, MsC, PhD, Associate Professor, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil</aff>
<aff id="aff06">
<label>6</label>
DDs, MsC, PhD, Associate Professor, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil</aff>
</contrib-group>
<author-notes>
<corresp id="c01">
<bold>Corresponding address:</bold>
Profa. Dra. Luciana Assirati Casemiro, Avenida Caramuru, 2100 ap.901, Ribeirão Preto - SP - 14030-000 - Phone:
<phone>+55-16-3620-6716</phone>
. Fax:
<fax>+55-16-3620-6716</fax>
- e-mail:
<email>lucianacasemiro@hotmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub-ppub">
<month>8</month>
<year>2008</year>
</pub-date>
<pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub">
<month>8</month>
<year>2008</year>
</pub-date>
<volume>16</volume>
<issue>4</issue>
<fpage>271</fpage>
<lpage>274</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>4</month>
<year>2007</year>
</date>
<date date-type="rev-recd">
<day>03</day>
<month>9</month>
<year>2007</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>4</month>
<year>2008</year>
</date>
</history>
<permissions>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>For centuries, specific instruments or regular toothbrushes have routinely been used to remove tongue biofilm and improve breath odor. Toothbrushes with a tongue scraper on the back of their head have recently been introduced to the market. The present study compared the effectiveness of a manual toothbrush with this new design, i.e., possessing a tongue scraper, and a commercial tongue scraper in improving breath odor and reducing the aerobic and anaerobic microbiota of tongue surface. The evaluations occurred at 4 moments, when the participants (n=30) had their halitosis quantified with a halimeter and scored according to a 4-point scoring system corresponding to different levels of intensity. Saliva was collected for counts of aerobic and anaerobic microorganisms. Data were analyzed statistically by Friedman's test (p<0.05). When differences were detected, the Wilcoxon test adjusted for Bonferroni correction was used for multiple comparisons (group to group). The results confirmed the importance of mechanical cleaning of the tongue, since this procedure provided an improvement in halitosis and reduction of aerobe and anaerobe counts. Regarding the evaluated methods, the toothbrush's tongue scraper and conventional tongue scraper had a similar performance in terms of breath improvement and reduction of tongue microbiota, and may be indicated as effective methods for tongue cleaning.</p>
</abstract>
<kwd-group>
<kwd>Tongue biofilm</kwd>
<kwd>Tongue scraper</kwd>
<kwd>Toothbrush</kwd>
<kwd>Salivary bacterial count</kwd>
<kwd>Halimeter</kwd>
</kwd-group>
<counts>
<fig-count count="0"></fig-count>
<table-count count="2"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="25"></ref-count>
<page-count count="4"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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