The short-term treatment effects on the microbiota at the dorsum of the tongue in intra-oral halitosis patients-a randomized clinical trial.

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The short-term treatment effects on the microbiota at the dorsum of the tongue in intra-oral halitosis patients-a randomized clinical trial.

Erovic Ademovski, Seida (author): Department of Oral Health Science, Section for Health and Society, Kristianstad University, Kristianstad, Sweden,Oral Health - Public Health - Quality of Life (OHAL),Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL)

Persson, G Rutger (author): Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Department of Oral Medicine, University of Washington, Seattle, WA, USA; Department of Periodontics, University of Washington, Seattle, WA, USA,University of Bern

Winkel, Edwin (author): Academic Centre for Oral Health, Department of Periodontology, University Medical Centre Groningen, Groningen, The Netherlands,University of Groningen

Tangerman, Albert (author): Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen, The Netherlands,Radboud University Nijmegen

Lingström, Peter, 1960 (author): Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Renvert, Stefan (author): Blekinge Tekniska Högskola,Sektionen för hälsa

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2012-05-10
2013
English.
In: Clinical oral investigations. - : Springer Science and Business Media LLC. - 1436-3771 .- 1432-6981. ; 17:2, s. 463-473

Related links:: https://gup.ub.gu.se...; show more...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

OBJECTIVES: This study aims to assess the effects of rinsing with zinc- and chlorhexidine-containing mouth rinse with or without adjunct tongue scraping on volatile sulfur compounds (VSCs) in breath air, and the microbiota at the dorsum of the tongue. MATERIAL AND METHODS: A randomized single-masked controlled clinical trial with a cross-over study design over 14days including 21 subjects was performed. Bacterial samples from the dorsum of the tongue were assayed by checkerboard DNA-DNA hybridization. RESULTS: No halitosis (identified by VSC assessments) at day14 was identified in 12/21 subjects with active rinse alone, in 10/21with adjunct use of tongue scraper, in 1/21 for negative control rinse alone, and in 3/21 in the control and tongue scraping sequence. At day14, significantly lower counts were identified only in the active rinse sequence (p<0.001) for 15/78 species including, Fusobacterium sp., Porphyromonas gingivalis, Pseudomonas aeruginosa, Staphylococcus aureus, and Tannerella forsythia. A decrease in bacteria from baseline to day14 was found in successfully treated subjects for 9/74 species including: P. gingivalis, Prevotella melaninogenica, S. aureus, and Treponema denticola. Baseline VSC scores were correlated with several bacterial species. The use of a tongue scraper combined with active rinse did not change the levels of VSC compared to rinsing alone. CONCLUSIONS: VSC scores were not associated with bacterial counts in samples taken from the dorsum of the tongue. The active rinse alone containing zinc and chlorhexidine had effects on intra-oral halitosis and reduced bacterial counts of species associated with malodor. Tongue scraping provided no beneficial effects on the microbiota studied. CLINICAL RELEVANCE: Periodontally healthy subjects with intra-oral halitosis benefit from daily rinsing with zinc- and chlorhexidine-containing mouth rinse.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)

Keyword

halitosis
microflora
randomized
clinical trial
tongue
Bacteria

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By the author/editor: Erovic Ademovski ...; Persson, G Rutge ...; Winkel, Edwin; Tangerman, Alber ...; Lingström, Peter ...; Renvert, Stefan

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

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By the university: University of Gothenburg; Malmö University; Kristianstad University College; Blekinge Institute of Technology

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