Effect of polyethylene terephthalate tongue scraper in removing tongue coating
DOI:
https://doi.org/10.33448/rsd-v13i8.46683Keywords:
Halitosis; Tongue; Polyethylene terephthalate.Abstract
The objective of this research was to compare a tongue scraper obtained from polyethylene terephthalate (PET) bottles with a commercial model (COM). A parallel, controlled and randomized design was used. Of the 61 volunteers from the Department of Dentistry at the Federal University of Sergipe, 30 met the inclusion and exclusion criteria for random distribution into 2 groups: PET (n=15) and COM (n=15). At the initial appointment, the Winkel Tongue Coating Index (ISL-W) was measured before (T0) and immediately after (T1) removal of the tongue coating carried out by the professional, who provided instructions for home use of the scraper twice a day. After 14 days, ISL-W was measured at T0 and T1, with the participant removing the coating. Of the 30, 1 in the COM group did not return for a 14-day appointment. Data obtained at T0 and T1 were subjected to the paired Student's t-test (α=0.05). The differences between T0 and T1 were transformed into percentage values and analyzed with the unpaired Student's t- test (α=0.05). T0 data from the initial appointment and after 14 days were subjected to the paired Student's t-test (α=0.05). The results indicated that the 2 scrapers significantly reduced ISL-W (P<0.05), with similar reduction percentages: PET (34±36%) and COM (32±22%); there was a significant reduction in ISL-W after 14 days of home use of tongue scrapers (P<0.01). It was concluded that the PET tongue scraper was able to remove the tongue coating, with similar results to COM, reducing ISL-W after 14 days of home use.
References
Beekmans, D. G., Slot, D. E., & Van der Weijden, G. A. (2017). User perception on various designs of tongue scrapers: an observational survey. International journal of dental hygiene, 15(4), e1–e8. https://doi.org/10.1111/idh.12204
Bollen, C. M., & Beikler, T. (2012). Halitosis: the multidisciplinary approach. International journal of oral science, 4(2), 55–63. https://doi.org/10.1038/ijos.2012.39
Calil, C., Liberato, F. L., Pereira, A. C., de Castro Meneghim, M., Goodson, J. M., & Groppo, F. C. (2009). The relationship between volatile sulphur compounds, tongue coating and periodontal disease. International journal of dental hygiene, 7(4), 251–255. https://doi.org/10.1111/j.1601-5037.2009.00366.x
Chérel, F., Mobilia, A., Lundgren, T., Stephens, J., Kiger, R., Riggs, M. & Egelberg, J. (2008). Rate of reformation of tongue coatings in young adults. International Journal Of Dental Hygiene, 6(4), 371-375. https://doi.org/10.1111/j.1601-5037.2008.00306.x
Choi, H. N., Cho, Y. S. & Koo J. W. (2022). The Effect of Mechanical Tongue Cleaning on Oral Malodor and Tongue Coating. Int. J. Environ. Res. Public Health, 19(1), 108. https://doi.org/10.3390/ijerph19010108
Cultura Mix. (2024). Tudo Sobre o Mau Hálito. Disponível em. https://www.culturamix.com/saude/tratando-mau-halito/
Danser, M. M., Gómez, S. M., & Van der Weijden, G. A. (2003). Tongue coating and tongue brushing: a literature review. International journal of dental hygiene, 1(3), 151–158. https://doi.org/10.1034/j.1601-5037.2003.00034.x
De Geest, S., Laleman, I., Teughels, W., Dekeyser, C., & Quirynen, M. (2016). Periodontal diseases as a source of halitosis: a review of the evidence and treatment approaches for dentists and dental hygienists. Periodontology 2000, 71(1), 213–227. https://doi.org/10.1111/prd.12111
Dudzik, A., Sozkes, S., Michalak, E. & Olszewska-Czyz, I. (2021). Efficacy of a Zinc Lactate Mouthwash and Tongue Scraping in the Reduction of Intra-Oral Halitosis: A Single-blind, Controlled, Crossover Clinical Trial—A Pilot Study. J. Clin. Med, 10(23), 5532. https://doi.org/10.3390/jcm10235532
Dwivedi, V., Torwane, N. A., Tyagi, S., & Maran, S. (2019). Effectiveness of Various Tongue Cleaning Aids in the Reduction of Tongue Coating and Bacterial Load: A Comparative Clinical Study. The journal of contemporary dental practice, 20(4), 444–448.
Estrela, Carlos. (2018). Metodologia científica: ciência, ensino, pesquisa. (3.ed.). São Paulo: Artes Médicas.
Hughes, F. J. & Mcnab, R. (2008). Oral malodour – a review. Archives Of Oral Biology, (53)1-7. https://doi.org/10.1016/S0003-9969(08)70002-5
Kim, J., Jung, Y., Park, K. & Park, J-W. (2009). A digital tongue imaging system for tongue coating evaluation in patients with oral malodour. Oral Diseases, 15 (8), 565-569. 10.1111/j.1601-0825. https://doi.org/10.1111/j.1755-3768.2009.01592.x
Laleman, I., Koop, R., Teughels, W., Dekeyser, C. & Quirynen, M. (2017). Influence of tongue brushing and scraping on the oral microflora of periodontitis patients. Journal of Periodontal Research, 53(1), 73-79. https://doi.org/10.1111/jre.12489
Leal, M. B., Góes, J. S., Dellovo, A. G., São Mateus, C. R. & Macedo, G. O. (2019). Effect of Polyethylene Terephthalate Tongue Scraper on Oral Levels of Volatile Sulfur Compounds: a randomized clinical trial. Brazilian Dental Science, 22(1), 31-38. https://doi.org/10.14295/bds.2019.v22i1.1671
Lee, C-H., Kho, H-S., Chung, S-C., Lee, S-W. & Kim, Y-K. (2003). The Relationship Between Volatile Sulfur Compounds and Major Halitosis Inducing Factors. Journal of Periodontology, 74(1), 32-37. https://doi.org/10.1902/jop.2003.74.1.32
Memon, M.A., Memon, H.A., Muhammad, F.E., Fahad, S., Siddiqui, A., Lee, K.Y., Tahir, M.J., Yousaf, Z (2023). Aetiology and associations of halitosis: A systematic review. Oral Diseases, 29(4):1432-1438. https://doi.org/doi: 10.1111/odi.14172
Miyazaki, H., Sakao, S., Katoh, Y. & Takehara, T. (1995). Correlation Between Volatile Sulphur Compounds and Certain Oral Health Measurements in the General Population. Journal of Periodontology, 66(8), 679-684. https://doi.org/10.1902/jop.1995.66.8.679
Motta, P. B., Gonçalves, M. L., Gallo, J. M. A. S., Sobra, A. P. T., Motta, L. J., Mayer, M. P. A., Kawamoto, D., Andrade, D. C., Santos, E. M., Fernandes, K. P. S., Mesquita-Ferrari, R. A., Deana, A. M., Horliana, A. C. R. T., Bussadori, S.K (2024). Short term effect of antimicrobial photodynamic therapy and probiotic L. salivarius WB21 on halitosis: A controlled and randomized clinical trial. PLoS One, 19(7):e0297351. https://doi.org/10.1371/journal.pone.0297351
Pedrazzi, V., Sato, S., de Mattos, M., Lara, E. H., & Panzeri, H. (2004). Tongue-cleaning methods: a comparative clinical trial employing a toothbrush and a tongue scraper. Journal of periodontology, 75(7), 1009–1012. https://doi.org/10.1902/jop.2004.75.7.1009
Quirynen, M., Avontroodt, P., Soers, C., Zhao, H., Pauwels, M., & van Steenberghe, D. (2004). Impact of tongue cleansers on microbial load and taste. Journal of Clinical Periodontology, 31(7), 506–510. https://doi.org/10.1111/j.0303-6979.2004.00507.x
Renvert, S., Noack, M. J., Lequart, C., Roldán, S., & Laine, M. L. (2020). The Underestimated Problem of Intra-Oral Halitosis in Dental Practice: An Expert Consensus Review. Clinical, Cosmetic and Investigational Dentistry, 12, 251–262. https://doi.org/10.2147/CCIDE.S253765
Seemann, R., Conceicao, M. D., Filippi, A., Greenman, J., Lenton, P., Nachnani, S., Quirynen, M., Roldan, S., Schulze, H., Sterer, N., Tangerman, A., Winkel, E. G., Yaegaki, K., & Rosenberg, M. (2014). Halitosis management by the general dental practitioner--results of an international consensus workshop. Journal of Breath Research, 8(1), 017101. https://doi.org/10.1088/1752-7155/8/1/017101
Seemann, R., Kison, A., Bizhang, M., & Zimmer, S. (2001). Effectiveness of mechanical tongue cleaning on oral levels of volatile sulfur compounds. Journal of the American Dental Association (1939), 132(9), 1263–1318. https://doi.org/10.14219/jada.archive.2001.0369
Seerangaiyan, K., Jüch, F., & Winkel, E. G. (2018). Tongue coating: its characteristics and role in intra-oral halitosis and general health-a review. Journal of breath research, 12(3), 034001. https://doi.org/10.1088/1752-7163/aaa3a1
Singh, S., Singh, D. & Macedo, M. B. L. (2022). Dispositivos para remoção da saburra lingual: revisão de literatura. Research, Society and Development, 11(6), e54411629554. http://dx.doi.org/10.33448/rsd-v11i6.29554
Timmesfeld, N., Kunst, M., Fondel, F., Güldner, C., & Steinbach, S. (2021). Mechanical tongue cleaning is a worthwhile procedure to improve the taste sensation. Journal of Oral Rehabilitation, 48(1), 45–54. https://doi.org/10.1111/joor.13099
Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. (2a ed.). Editora da UFRGS.
Winkel, E. G., Roldán, S., Van Winkelhoff, A. J., Herrera, D. & Sanz, M. (2003). Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis. Journal of Clinical Periodontology, 30(4), 300- 306. https://doi.org/10.1034/j.1600-051X.2003.00342.x
Zanotti, E., Feron, L., Butze, J. P. & Conde, A. (2016). Comparação da percepção do paciente em relação ao próprio hálito e o índice de saburra lingual. Brazilian Journal of Periodontology,26 , 7-12.
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Copyright (c) 2024 Ramon Victor Almeida de Jesus; Shalini Singh; Iandra Luah Souza Maia; Hallana Stephanie Soares de Araújo Freire; Guilherme de Oliveira Macedo; Mônica Barbosa Leal Macedo
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