Microbiological evaluation of the effectiveness of an antibacterial toothbrush - in vivo study
Avaliação microbiológica da efetividade de uma escova antibacteriana: um estudo in vivo
Camargo, Roberta Araujo; Schimim, Sasha Cristina; Alves, Fabiana Bucholdz Teixeira; Chibinski, Ana Cláudia Rodrigues
http://dx.doi.org/10.1590/S1807-25772013000100010
Rev. odontol. UNESP, vol.42, n1, p.54-58, 2013
Abstract
This in vivo study aimed to evaluate the effectiveness of antibacterial toothbrushes compared to conventional toothbrushes in reducing microorganisms contamination. Methodology: Thirty children, 10 to 12 years-old, brushed their teeth with conventional and antibacterial toothbrushes two times a day without toothpaste, during two experimental periods of 5 days. The research was designed as a cross-over study with a wash‑out period of nine days between the different toothbrushes. After each trial period, the brushes were immediately immersed in individual flasks containing sterile saline solution. After agitation, the solution was seeded on plates containing the culture medium of Brain Heart Infusion, at concentrations of 10–2 e 10–3, to obtain total viable microorganisms. The plates were incubated for 24 hours at 37 °C under aerobiosis and colony-forming units were counted by means of a specific software. Result: In conventional toothbrushes group, median and interquartile values were 105 (27-564.5), while for the group of antibacterial toothbrushes were 53 (4.5-333.5). After analyzing the data, we observed no statistical differences between groups (p = 0.145). Conclusion: It was concluded that the antibacterial toothbrushes exhibited bacterial contamination similar to conventional toothbrushes.
Keywords
Toothbrushing, contamination, microbial viability.
Resumo
Este trabalho consistiu em um estudo in vivo para avaliar microbiologicamente a efetividade de uma escova antibacteriana comparada à de uma escova convencional. Metodologia: Trinta crianças de dez a 12 anos utilizaram escovas dentais convencionais e antibacterianas por dois períodos experimentais de cinco dias, com duas escovações diárias supervisionadas, sem dentifrício. O desenho do estudo foi cruzado com wash-out de nove dias entre as diferentes escovas. Ao término de cada período, as escovas foram imediatamente imersas em solução salina estéril e agitadas; o caldo produzido foi semeado em ágar BHI, nas concentrações de 10–² e 10–³. Após um período de incubação de 24 horas a 37 °C em aerobiose, foi realizada a contagem das unidades formadoras de colônias (UFC/mL) por meio de um software específico. Resultado: No grupo de escovas convencionais, a mediana e intervalos interquartis foi de 105 (27-564,5); já para o grupo de escovas antibacterianas, foi de 53 (4,5‑333,5). Após análise dos dados, observou-se ausência de diferenças estatísticas entre os grupos (p = 0,145). Conclusão: Concluiu‑se que as escovas de dentes antibacterianas exibiram contaminação bacteriana semelhante à das escovas de dentes convencionais.
Palavras-chave
Escovação dentária, contaminação, viabilidade microbiana.
References
1. Ankola AV, Hebbal M, Eshwar S. How clean is the toothbrush that cleans your tooth? Int J Dent Hyg. 2009;7:237-40. PMid:19832908. http://dx.doi.org/10.1111/j.1601-5037.2009.00384.x
2. Saravia ME, Nelson-Filho P, da Silva RA, Faria G, Rossi MA, Ito IY. Viability of Streptococcus Mutans toothbrush bristles. J Dent Child. 2008;75:29-32.
3. Sato S, Ito IY, Lara EH, Panzeri H, Albuquerque Junior RF, Pedrazzi V. Bacterial survival rate on toothbrushes and their decontamination with antimicrobial solutions. J Appl Oral Sci. 2004;12:99-103. PMid:21365129. http://dx.doi.org/10.1590/S1678-77572004000200003
4. Beneduce C, Baxter KA, Bowman J, Haines M, Andreana S. Germicidal activity of antimicrobials and violight personal travel toothbrush sanitizer: an in vitro study.J Dent. 2010;38:621-5. PMid:19781590. http://dx.doi.org/10.1016/j.jdent.2009.08.011
5. Balappanavar AY, Nagesh L, Ankola AV, Tangade PS, Kakodkar P, Varun S. Antimicrobial efficacy of various disinfecting solutions in reducing the contamination of the toothbrush - a comparative study. Oral Health Prev Dent. 2009;7:137-45. PMid:19583039.
6. Warren DP, Goldschmidt MC, Thompson MB, Adler-Storthz K, Keene HJ. The effects of toothpastes on the residual microbial contamination of toothbrushes. J Am Dent Assoc. 2001;132:1241-5. PMid:11665348.
7. Lock G, Dirscherl M, Obermeier F, Gelbmann CM, Hellerbrand C, Knöll A, et al. Hepatitis C - contamination of toothbrushes: myth or reality? J Viral Hepat. 2006;13:571-3. PMid:16907842. http://dx.doi.org/10.1111/j.1365-2893.2006.00735.x
8. Barros OB, Pernambuco RA, Tomita NE. Escovas dentais. Rev Fac Odontol São José dos Campos. 2001;4:32-7.
9. Sato S, Pedrazzi V, Guimarães Lara EH, Panzeri H, Ferreira de Albuquerque R Jr, Ito IY. Antimicrobial spray for toothbrush disinfection: An in vivo evaluation. Quintenssence Int. 2005;36:812-6. PMid:16261797.
10. Cobb CM. Toothbrushes as a cause of repeated infections of the mouth. Boston Med Search Journal. 1920;183:263-4 http://dx.doi.org/10.1056/NEJM192008261830905
11. Frazelle MR, Munro CL. Toothbrush contamination: a review of the literature. Nursing Research and Practice. 2012; 1-6. PMid:22315679 PMCid:3270454. http://dx.doi.org/10.1155/2012/420630
12. Komiyama EY, Back-Brito GN, Balducci I, Koga-Ito CY. Evaluation of alternative methods for the disinfection of toothbrushes.Braz Oral Res. 2010;24:28-33. PMid:20339710. http://dx.doi.org/10.1590/S1806-83242010000100005
13. Chibinski AC, Grando K, Fanchin PT, Campagnoli E, Santos FA, Wambier DS. Descontaminação de escovas dentais utilizadas por crianças portadoras de necessidades especiais: análise microbiológica. RSBO. 2011;8:145-52.
14. Sanches MH, Peres SHCS, Peres AS, Bastos JRM. Descontaminação de escovas dentárias por imersão em soluções antissépticas. RGO. 2001;49:167-71.
15. Eguchi SY. Ativos antimicrobianos utilizados na indústria [citado em 2012 Jul 19]. Disponível em:
16. Coutinho PG, Bittar P, Ditterich RG, Rastelli MC, Romanelli M, Vasconcellos CMO, et al. Análise do acondicionamento e condições de escovas dentais utilizadas por pré-escolares. Rev Odonto Ciência. 2007;22:335-9.
17. Taji SS, Rogers AH. The microbial contamination of toothbrushes. A pilot study. Aust Dent J. 1998;43:128-30. PMid:9612987.
18. Chaves RAC, Ribeiro DML, Zaia JE, Alves EG, Souza MGM, Martins CHG, et al. Avaliação de soluções antibacterianas na descontaminação de escovas dentais de pré-escolares. Rev Odontol UNESP. 2007;36:29-33.
19. Quirynen M, De Soete M, Pauwels M, Gizani S, Van Meerbeek B, van Steenberghe D. Can toothpaste or a toothbrush with antibacterial tufts prevent toothbrush contamination? J Periodontol. 2003;74:312-22. PMid:12710750. http://dx.doi.org/10.1902/jop.2003.74.3.312
20. Goldsmith RN, Shey Z, Houpt MI, Fine D, Schreiner H, Greenberg B. Toothbrush bristlewear and bacterial adherence. Pediatr Dent. 2007;29:246-7.
21. Efstratiou M, Papaioannou W, Nakou M, Ktenas E, Vrotsos IA, Panis V. Contamination of a toothbrush with antibacterial properties by oral microorganisms. J Dent. 2007;35:331-7. PMid:17118507. http://dx.doi.org/10.1016/j.jdent.2006.10.007
22. Yokosuka N, Tanaka T, Ebisudani K, Iwai T. Studies of bacterial contamination of chlorhexidine coated filaments of the toothbrush. J Jap Assoc Period. 1989;31:960-9.
23. Turner LA, McCombs GB, Hynes WL, Tolle SL. A novel approach to controlling bacterial contamination on toothbrushes: chlorhexidine coating. Int J Dent Hyg. 2009;7:241-5. PMid:19832909. http://dx.doi.org/10.1111/j.1601-5037.2008.00352.x
24. Chen X, Schluesener HJ. Nanosilver: a product in medical application. Toxicology letters. 2008;176:1-12. PMid:18022772. http://dx.doi.org/10.1016/j.toxlet.2007.10.004
25. Klueh U, Wagner V, Kelly S, Johnson A, Bryers JD. Efficacy of silver-coated fabric to prevent bacterial colonization and subsequent device-based biofilm formation. J Biomed Mater Res. 2000;53:621-31. http://dx.doi.org/10.1002/1097-4636(2000)53:6<621::AID-JBM2>3.0.CO;2-Q
26. Jung WK, Koo HC, Kim KW, Shin S, Kim SH, Park YH. Antibacterial activity and mechanism of action of the silver ion in Staphylococcus aureus and Escherichia coli. Appl Environ Microbiol. 2008;74:2171-8. PMid:18245232 PMCid:2292600. http://dx.doi.org/10.1128/AEM.02001-07
27. Madigan MT, Martinko JM, Parker J. Brock. Biología de los microorganismos. 10a ed. Madrid: Pearson-Prentice Hall; 2003.
28. Al-Ahmad A, Wiedmann-Al-Ahmad M, Deimling D, Jaser C, Pelz K, Wittmer A, Ratka-Krüger P. An antimicrobial effect from silver-coated toothbrush heads. Am J Dent. 2010;5:251-4.
29. Sammons RL, Kaur D, Neal P. Bacterial survival and biofilm formation on conventional and antibacterial toothbrushes. Biofilms. 2004;1:123-30. http://dx.doi.org/10.1017/S1479050504001334