Toothbrushing versus toothbrushing plus tongue cleaning in reducing halitosis and tongue coating: A systematic review and meta-analysis

Nursing Research

Volumn 62, Issue 6, 2013, Pages 422-429

  Kuo, Ya Wen ^a,b   Yen, Miaofen ^a   Fetzer, Susan ^c   Lee, Jiann Der ^d,e  

^a NATIONAL CHENG KUNG UNIVERSITY   (Taiwan)

^b CHANGHUA CHRISTIAN HOSPITAL   (Taiwan)

^c UNIVERSITY OF NEW HAMPSHIRE   (United States)

^d CHANG GUNG UNIVERSITY COLLEGE OF MEDICINE   (Taiwan)

^e CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

Author keywords

halitosis; oral hygiene; tongue cleaning; toothbrushing

Indexed keywords

MOUTHWASH;

ADOLESCENT; ADULT; AGED; COMPARATIVE STUDY; DENTAL DEVICE; FEMALE; HALITOSIS; HUMAN; MALE; META ANALYSIS; MIDDLE AGED; REVIEW; TONGUE; TOOTH BRUSHING; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; DENTAL DEVICES, HOME CARE; FEMALE; HALITOSIS; HUMANS; MALE; MIDDLE AGED; MOUTHWASHES; TONGUE; TOOTHBRUSHING; YOUNG ADULT;

EID: 84887235614     PISSN: 00296562     EISSN: 15389847     Source Type: Journal    
DOI: 10.1097/NNR.0b013e3182a53b3a     Document Type: Review

References (44)

1. Abe, S., Ishihara, K., Adachi, M., &Okuda, K. (2008). Tonguecoating as risk indicator for aspiration pneumonia in edentate elderly. Archives of Gerontology and Geriatrics, 47, 267Y275.
2. Almas, K., Al-Sanawi, E., &Al-Shahrani, B. (2005). The effect of tongue scraper on mutans streptococci and lactobacilli in patients with caries and periodontal disease. Odonto-stomatologie Tropicale, 28, 5Y10.
3. Armstrong, B. L., Sensat,M. L.,& Stoltenberg, J. L. (2010). Halitosis: A review of current literature. Journal of Dental Hygiene, 84, 65Y74.
4. Awano, S., Ansai, T., Takata, Y., Soh, I., Akifusa, S., Hamasaki, T., I Takehara, T. (2008). Oral health and mortality risk from pneumonia in the elderly. Journal of Dental Research, 87, 334Y339.
5. Ayers, K. M., &Colquhoun, A. N. (1998). Halitosis: Causes, diagnosis, and treatment. The New Zealand Dental Association, 94, 156Y160.
6. Bordas, A.,McNab, R., Staples, A.M., Bowman, J., Kanapka, J.,&Bosma, M. P. (2008). Impact of different tongue cleaning methods on the bacterial load of the tongue dorsum. Archives Oral of Biology, 53, S13YS18.
7. Bosy, A., Kulkarni, G. V., Rosenberg, M., &McCulloch, C. A. G. (1994). Relationship of oral malodor to periodontitis: Evidence of independence in discrete subpopulations. Journal of Periodontology, 65, 37Y46.
8. Brunner, F., Kurmann,M., &Filippi, A. (2010). The correlation of organoleptic and instrumental halitosis measurements. Schweizer Monatsschrift fü r Zahnmedizin, 120, 402Y408.
9. Casemiro, L. A., Martins, C. H. G., de Carvalho, T. C., Panzeri, H., Lavrador M. A. S., &de Carvalho Panzeri Pires-de-Souza, F. (2008). Effectiveness of a new toothbrush design versus a conventional tongue scraper in improving breath odor and reducing tongue microbiota. Journal of Applied Oral Science, 16, 271Y274.
10. Chen, X., He, T., Sun, L., Zhang, Y., &Feng, X. (2010). A randomized cross-over clinical trial to evaluate the effect of a 0.454% stannous fluoride dentifrice on the reduction of oral malodor. American Journal of Dentistry, 23, 175Y178.
11. Ç içek, Y., Orbak, R., Tezel, A., Orbak, Z., &Erciyas, K. (2003). Effect of tongue brushing on oral malodour in adolescents. Pediatrics International, 45, 719Y723.
12. Cortelli, J. R., Barbosa, M. D. S., &Westphal, M. A. (2008). Halitosis: A review of associated factors and therapeutic approach. Brazilian Oral Research, 22, 44Y54.
13. Curtin, F., Altman, D. G, &Elbourne, D. (2002). Meta-analysis combining parallel and cross-over clinical trials. I: Continuous outcomes. Statistics in Medicine, 21, 2131Y2144.
14. 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, 151Y158.
15. Drinka, P. J.,& El-Solh,A.A. (2010). The tongue, oral hygiene, and prevention of pneumonia in the institutionalized elderly. Journal of the American Medical Directors Association, 11, 465Y467.
16. Elbourne, D. R., Altman, D. G., Higgins, J. P. T., Curtina, F., Worthington, H. V., &Vail, A. (2002). Meta-analyses involving crossover trials: Methodological issues. International Journal of Epidemiology, 31, 140Y149.
17. El-Solh, A. A. (2011). Association between pneumonia and oral care in nursing home residents. Lung, 189, 173Y180.
18. Farrell, S., Baker, R. A, Somogyi-Mann, M., Witt, J. J., &Gerlach, R. W. (2006). Oral malodor reduction by a combination of chemotherapeutical and mechanical treatments. Clinical Oral Investigations, 10, 157Y163.
19. Faveri,M.,Hayacibara,M. F.,Pupio,G.C., Cury, J.A., Tsuzuki, C.O., & Hayacibara, R. M. (2006). A cross-over study on the effect of various therapeutic approaches to morning breath odor. Journal of Clinical Periodontology, 33, 555Y560.
20. Follmann, D., Elliott, P., Suh, I., &Cutler, J. (1992). Variance imputation for overviews of clinical trials with continuous response. Journal of Clinical Epidemiology, 45, 769Y773.
21. Fukui, Y., Yaegaki, K., Murata, T., Sato, T., Tanaka, T., Imai, T., &Kamoda, T. (2008). Diurnal changes in oral malodor among dental-office workers. International Dental Journal, 58, 159Y166.
22. Gross, A., Barnes, G. P., &Lyon T. C. (1975). Effects of tongue brushing on tongue coating and dental plaque scores. Journal of Dental Research, 54, 1236.
23. Haas, A. N., Silveira, E. M., &RPsing, C. K. (2007). Effect of tongue cleansing on morning oral malodour in periodontally healthy individuals. Oral Health &Preventive Dentistry, 5, 89Y94.
24. Jadad, A. R.,Moore, R. A., Carroll, D., Jenkinson, C., Reynolds,D. J., Gavaghan,D. J.,& McQuay,H. J. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17, 1Y12.
25. Kleinberg, I.,Wolff,M. S.,& Codipilly,D.M. (2002). Role of saliva in oral dryness, oral feel and oral malodour. International Dental Journal, 52, 236Y240.
26. Messadi, D.V., &Younai, F. S. (2003). Halitosis. Dermatologic Clinics, 21, 147Y155.
27. Miyazaki, H., Sakao, S., Katoh, Y., &Yakehara, T. (1995). Correlation between volatile sulfur compounds and certain oral health measures in the general population. Journal of Periodontology, 66, 679Y684.
28. Outhouse, T. L., Fedorowicz, Z.,Keenan, J. V.,& Al-Alawi, R. (2006). A Cochrane systemic review finds tongue scrapers have short-term efficacy in controlling halitosis. General Dentistry, 54, 352Y359.
29. Pedrazzi, V., Sato, S., deMattosM. d. G. C.,Lara, E. H.,& Panzeri,H. (2004). Tongue-cleaning methods: A comparative clinical trial employing a toothbrush and a tongue scraper. Journal of Periodontology, 75, 1009Y1012.
30. Porter, S. R.,& Scully, C. (2006). Oral malodour (halitosis). British Medical Journal, 333, 632Y635.
31. Quirynen,M., Avontroodt, P., Soers, C., Zhao, H., Pauwels,M., &Van Steenberghe,D. (2004). Impact of tongue cleansers on microbial load and taste. (2004). Journal of Clinical Periodontology, 31, 506Y510.
32. Quirynen, M., Zhao, H., Soers, C., Dekeyser, C., Pauwels, M., Coucke, W., &van Steenberghe, D. (2005). The impact of periodontal therapy and the adjunctive effect of antiseptics on breath odor-related outcome variables: A double-blind randomized study. Journal of Periodontology, 76, 705Y712.
33. Rosenberg, M. (1996). Clinical assessment of bad breath: Current concepts. The Journal of the American Dental Association, 127, 475Y482.
34. Schulz,K. F.,Altman,D.G.,& Moher,D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. Annals of Internal Medicine, 152, 726Y732.
35. Seemann, R., Kison, A., Bizhang, M., &Zimmer, S. (2001). Effectiveness of mechanical tongue cleaning on oral levels of volatile sulfur compounds. The Journal of the American Dental Association, 132, 1263Y1267.
36. Suarez, F. L., Furne, J. K., Springfield, J., &Levitt, M. D. (2000). Morning breath odor: Influence of treatments on sulfur gases. Journal of Dental Research, 79, 1773Y1777.
37. Takeshita, T., Tomioka, M., Shimazaki, Y., Matsuyama, M., Koyano, K., Matsuda, K., &Yamashita, Y. (2010). Microfloral characterization of the tongue coating and associated risk for pneumonia-related health problems in institutionalized older adults. Journal of the American Geriatrics Society, 58, 1050Y1057.
38. Tsai, C.C.,Chou,H.H.,Wu, T.L.,Yang, Y.H.,Ho,K. Y.,Wu, Y.M., &Ho, Y. P. (2008). The levels of volatile sulfur compounds in mouth air from patients with chronic periodontitis. Journal of Periodontal Research, 43, 186Y193.
39. van den Broek, A., Feenstra, L.,& de BaatC. (2008). A review of the current literature on management of halitosis. Oral Diseases, 14, 30Y39.
40. Willumsen, T., Fjaera, B., &Eide, H. (2010). Oral health-related quality of life in patients receiving home-care nursing: Associations with aspects of dental status and xerostomia. Gerodontology, 27, 251Y257.
41. Yaegaki, K.,& Sanada, K. (1992a). Biochemical and clinical factors influencing oralmalodor in periodontal patients. Journal of Periodontology, 63, 783Y789.
42. Yaegaki, K., &Sanada, K. (1992b). Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. Journal of Periodontal Research, 27, 233Y238.
43. Yaegaki, K., &Sanada, K. (1992c). Effects of a two-phase oilwater mouthwash on halitosis. Clinical Preventive Dentistry, 14, 5Y9.
44. Yonezawa, H., Takasaki, K., Teraoka, K., Asaka, T., Sato, C., &Tsuchiya, K. (2003). Effects of tongue and oral mucosa cleaning on oral Candida species and production of volatile sulfur compounds in the elderly in a nursing home. Journal of Medical and Dental Sciences, 50, 1Y8.