journal of periodontal research

Journal of Periodontal Research

Subject Area and Category

Periodontics

Blackwell Munksgaard

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00223484, 16000765

1946-1951, 1966-2023

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Influence of tongue brushing and scraping on the oral microflora of periodontitis patients

Affiliations.

1 Department of Oral Health Sciences, KU Leuven & Dentistry, University Hospitals Leuven, Leuven, Belgium.
2 Parodontologie Praktijk Twente, Enschede, the Netherlands.
PMID: 29044521
DOI: 10.1111/jre.12489

Objective: To examine the effect of tongue cleaning with a tongue scraper (TS) or toothbrush (TB) in patients with periodontitis.

Background: The tongue is a possible reservoir for bacterial (re)colonization of the periodontal tissues in patients with periodontitis. To date, it is not known what the influence of tongue cleaning is on the tongue coating of patients with periodontitis.

Material and methods: Eighteen systemically healthy, untreated moderate to severe adult patients with periodontitis with some degree of tongue coating were randomly assigned to the use of a TS or TB for cleaning the tongue. Microbial load of the saliva and tongue dorsum, amount of tongue coating and patient perception about tongue cleaning were studied at baseline and 2 weeks later.

Results: Two weeks of tongue cleaning with either a TB or a TS, did not influence the microbiological counts, neither in the saliva, nor in the tongue coating, even though tongue coating was significantly less. The patients themselves experienced no differences in breath odour or taste sensation after 2 weeks of tongue cleaning; however, they felt that their tongue was cleaner at the end of the study compared to baseline. No differences could be detected between the uses of a TS vs a TB.

Conclusion: In patients with periodontitis, tongue cleaning does not influence the bacterial load in the saliva or on the tongue dorsum.

Keywords: microbiology; periodontitis; tongue cleaning; tongue coating.

Publication types

Randomized Controlled Trial
Bacterial Load
Dental Devices, Home Care*
Middle Aged
Oral Hygiene / instrumentation
Oral Hygiene / methods*
Periodontitis / microbiology*
Saliva / microbiology*
Tongue / microbiology*

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Book Review
Published: 30 April 2024

Periodontal manifestations of local and systemic diseases: Color atlas and text

Philip M. Preshaw 1

Evidence-Based Dentistry ( 2024 ) Cite this article

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Metrics details

Periodontal Manifestations of Local and Systemic Diseases: Color Atlas and Text

George Laskaris,
Dimitris Tatakis &
Eleana Stoufi

As clinicians, we may commonly encounter unusual lesions presenting in the gingival and periodontal tissues, and there is clearly a close affiliation between the clinical speciality areas of Oral Medicine and Periodontology. This book, which is now in its second edition, provides an extremely comprehensive and richly illustrated atlas of the periodontal manifestations of local and systemic diseases that may be encountered in clinical practice.

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Professor of Periodontology and Dean of Dentistry, School of Dentistry, University of Dundee, Dundee, UK

Philip M. Preshaw

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Correspondence to Philip M. Preshaw .

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Preshaw, P.M. Periodontal manifestations of local and systemic diseases: Color atlas and text. Evid Based Dent (2024). https://doi.org/10.1038/s41432-024-01004-8

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Received : 28 March 2024

Accepted : 03 April 2024

Published : 30 April 2024

DOI : https://doi.org/10.1038/s41432-024-01004-8

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