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ePaper created 2016-04-13, 11:38:23 | version 1.38.0
fresh breath, as has been shown in recentstudies.23,20 Inarecentclinical investigation, we showed that the combined use of a newly designed sonic tongue brush with an anti- microbial spray delivered a signifi- cantly superior reduction in breath odour than did the individual treat- ments. Philips Oral Healthcare has re- cently developed and launched a new sonic powered tongue brush and antibacterial spray combina- tion, Sonicare TongueCare+. The brush has been designed to pene- trate between the tongue papillae and to provide thorough mechani- cal biofilm removal. Bristle dimen- sionsandstiffnessparameterswere optimised based on analysis of the human tongue. The brush head consists of 240 flexible elastomer MicroBristles mounted on to a Sonicare power toothbrush handle, with 31,000 vibrations per minute tohelpbreakupanytonguecoating and sweep away debris and bacteria (Fig.3). TongueCare+ brush is used in combination with the BreathRx an- timicrobial tongue spray (Philips), which contains antimicrobial agents, such as CPC and zinc. In the firstproofofprincipleclinicalinves- tigation of this technology, it was shown that the organoleptic score andthetonguebacterialdensitycan be significantly reduced with a single use of TongueCare+ with BreathRx, measured up to 6 hours (Figs. 4a & b). This combined treat- ment reduces breath odour signifi- cantly more than using Tongue- Care+ alone or BreathRx alone, sup- porting the idea that a combined approach is likely more effective. Moreover, TongueCare+ has been shown to significantly decrease the tongue bacterial density, which is kept low for up to at least 6 hours, indicating that the root cause of breath odour is addressed with this approach. This, this combination provides a more effective and long- lasting treatment option for people sufferingfrombreathodour. Possibleoralhealth implications Overall, it is of key importance to integrate tongue cleaning into the oralhygieneroutineinordertohave fresh breath all day. Additionally, it has been suggested that the tongue can act as a reservoir of periodon- tal pathogens for the rest of the mouth,24, 25 which could colonise other areas and have an impact on oral health in general. Moreover, several studies have shown that VSCs, such as hydrogen sulphide and methanethiol, are toxic to pe- riodontal tissue even when present in very low concentrations, so it has been hypothesised that they can contribute to the progression of gingival diseases.26 Therefore, maintaining a goodtongue cleaning routine could have far-reaching implications. Editorial note: A list of references is avail- ablefromthepublisher. Conflict of interest: Dr Paola Gomez- Pereira is a senior scientist at Philips in CambridgeintheUK. 13Dental Tribune United Kingdom Edition | 3/2016 TRENDS&APPLICATIONS DrPaolaGomez- Pereira can be contacted at paola.gomez- pereira@philips.com. AD 4a 4b Fig. 4a: Average and 95 per cent confidence interval of the organoleptic score at baseline, and 1 hour,3 hours and 6 hours after each treatment.—Fig.4b:Totalanaerobesat baseline,and1hourand6hoursaftertreatment.Source:www.iopscience.iop.org DTUK0316_12-13_Pereira 12.04.16 12:07 Seite 2 DTUK0316_12-13_Pereira 12.04.1612:07 Seite 2