The effect of tongue cleaner-equipped manual toothbrush on tooth and tongue cleanness and malodor index

혀 세정기가 부착된 수동칫솔이 치아와 혀의 세정도 및 구취 관리도에 미치는 영향

  • Kim, Tae-Il (Department of Periodontology, School of Dentistry, Seoul National University) ;
  • Hong, Sam-Pyo (Department of Oral Pathology, School of Dentistry, Seoul National University) ;
  • Lee, Shin-Jae (Department of Orthodontics, School of Dentistry, Seoul National University) ;
  • Kang, Bong-Sun (Clinical Dental Institute, Seoul National University Dental Hospital) ;
  • Oh, Young-Sang (Department of Periodontology, School of Dentistry, Seoul National University) ;
  • Kim, In-Kyung (Clinical Dental Institute, Seoul National University Dental Hospital) ;
  • Oh, Mi-Hyun (Clinical Dental Institute, Seoul National University Dental Hospital)
  • 김태일 (서울대학교 치의학대학원 치주과학교실) ;
  • 홍삼표 (서울대학교 치의학대학원 구강병리학교실) ;
  • 이신재 (서울대학교 치의학대학원 치과교정학교실) ;
  • 강봉선 (서울대학교치과병원 임상치의학연구소) ;
  • 오영상 (서울대학교 치의학대학원 치주과학교실) ;
  • 김인경 (서울대학교치과병원 임상치의학연구소) ;
  • 오미현 (서울대학교치과병원 임상치의학연구소)
  • Published : 2008.12.31

Abstract

Purpose: The aim of this study was to investigate the effect of tongue cleaner-equipped manual toothbrush on tooth cleanness, tongue cleanness and malodor index. Materials and methods: 504 subjects were included in this study. At 1st visit, basic information such as age, sex, smoking amount and alcohol consumption was recorded. Self assessment by individual subjects was performed regarding satisfaction to old toothbrush and toothbrushing habit. Tooth cleanness, tongue cleanness and malodor index was assessed by professional researcher. Tongue cleaner-equipped manual toothbrush was given to each subject with proper toothbrushing instruction. After 1 month passed, self assessment and researcher assessment regarding the same index were performed and analyzed statistically by chi-square test. Results: At 1st visit subjects seem to ignore tongue cleansing and showed poor tooth cleanness index, tongue cleanness index and malodor index, however the same subjects were motivated to clean their tongue and teeth and presented statistically improved distribution pattern in tooth cleanness index, tongue cleanness index and malodor index after using tongue cleaner-equipped manual toothbrush(p<0.01). Satisfaction to tongue cleaner-equipped manual toothbrush was 98%. Conclusion: Tongue cleaner-equipped manual toothbrush would be an effective tool for maintaining good oral hygiene through improving tooth and tongue cleanness and preventing malodor formation.

Keywords

References

  1. Albandar JM, Rams TE. Global epidemiology of periodontal diseases: an overview. Periodontol 2000 2002;29:7-10 https://doi.org/10.1034/j.1600-0757.2002.290101.x
  2. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's Clinical Periodontology, 10th ed. Philadelphia: Saunders Elsevier; 2006:452-466
  3. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005;19:1809-1820
  4. Lang NP, Cumming BR, Loe H. Toothbrushing frequency as it relates to plaque development and gingival health. J Periodontol 1973;44:396-405 https://doi.org/10.1902/jop.1973.44.7.396
  5. Loe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol 1965;36:177-187 https://doi.org/10.1902/jop.1965.36.3.177
  6. Axelsson P, Nystrom B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol 2004;31:749-757 https://doi.org/10.1111/j.1600-051X.2004.00563.x
  7. Danser MM, Gomez SM, Van der Weijden GA. Tongue coating and tongue brushing: a literature review. Int J Dent Hyg 2003;1:151-158 https://doi.org/10.1034/j.1601-5037.2003.00034.x
  8. Velden U, Winkelhoff AJ, Abbas F, Graaff J. The habitat of periodontopathic micro-organisms. J Clin Periodontol 1986;13:243-248 https://doi.org/10.1111/j.1600-051X.1986.tb01467.x
  9. Tanner ACR, Paster BJ, Lu SC, et al. Subgingival and Tongue Microbiota during Early Periodontitis. J Dent Res 2006;85:318-323 https://doi.org/10.1177/154405910608500407
  10. Sopapornamorn P, Ueno M, Shinada K, Yanagishita M, Kawaguchi Y. Relationship between total salivary protein content and volatile sulfur compounds levels in malodor patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:655-660 https://doi.org/10.1016/j.tripleo.2006.08.023
  11. Bosy A, Kulkarni GV, Rosenberg M, McCulloch CA. Relationship of oral malodor to periodontitis: evidence of independence in discrete subpopulations. J Periodontol 1994;65: 37-46 https://doi.org/10.1902/jop.1994.65.1.37
  12. Chen ZL. Brief history of tongue inspection. Chin Med J 1987;100:38-44
  13. Gross A, Barnes GP, Lyon TC. Effects of tongue brushing on tongue coating and dental plaque scores. J Dent Res 1975;54:1236-1237 https://doi.org/10.1177/00220345750540062601
  14. Miyazaki H, Sakao S, Katoh Y, Takehara T. Correlation between volatile sulphur compounds and certain oral health measurements in the general population. J Periodontol 1995;66:679-684 https://doi.org/10.1902/jop.1995.66.8.679
  15. Winkel EG, Roldan S, Van Winkelhoff AJ, Herrera D, Sanz M. Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis. A dual-center, double-blind placebo-controlled study. J Clin Periodontol 2003;30:300-306 https://doi.org/10.1034/j.1600-051X.2003.00342.x
  16. Mantilla Gomez S, Danser MM, Sipos PM, Rowshani B, van der Velden U, van der Weijden GA. Tongue coating and salivary bacterial counts in healthy/gingivitis subjects and periodontitis patients. J Clin Periodontol 2001;28:970-978 https://doi.org/10.1034/j.1600-051x.2001.028010970.x