Why is tongue sanitization useful or necessary?
“The mouth is the entrance of the body and the cause for all suffering”. (Chinese proverb)
The structure of the tongue can be compared to a deep-pile carpet. The bacteria settle in particular in the crypts (depressions) between the papillae. The tongue forms a particularly complex ecosystem. Thanks to its large surface and the special papillae structure, it is able to retain food residue and host a diverse tongue flora, the tongue coating. There, organic substances are broken down by anaerobic gram-negative bacteria, which means that more than 60 percent of all bacteria in the oral cavity can be found on the tongue.
Why is the TS1 Tongue Sanitizer more suitable for tongue sanitization than a conventional brush?
Until now, we removed the tongue coating mechanically with the aid of rotating brushes, tongue brushes and scrapers. Chemical additives were then able to reduce the number of gram-negative bacteria. The use of a rotating brush which is attached to an angled section carries a large risk of injury to the papillae. Accessibility to the rear third of the tongue, where the largest amount of tongue coating is found, is also extremely restricted due to the height of the brush. Subsequently scraping the tongue coating from the tongue only removes the coating above the papillae. An innovative technology now enables professional tongue sanitization through effective and gentle suctioning of the tongue coating.
With which patients can I use the TS1 Tongue Sanitizer?
The TS1 Tongue Sanitizer should generally be used with all patients as part of professional teeth cleaning or individual oral health coaching (I-MC). With corresponding gels, use of the TS1 is also recommended with Full Mouth Disinfection and halitosis treatment.
Can I reuse the TS1 Tongue Sanitizer in the clinic?
The TS1 Tongue Sanitizer is a disposable product and may not be reused in the clinic. It is also not possible to sterilize it.
May I give the TS1 Tongue Sanitizer to the patient to use at home after the treatment? What information do I need to provide?
The TS1 handle has been available since June 2016. The TS1 can be inserted onto this and the patient can take it home with them and use the TS1 at home as a tongue scraper, actively following up the topic of tongue cleansing in the area of home care.
Should I use the TS1 Tongue Sanitizer with or without gel?
The TS1 Tongue Sanitizer can be used with and without gel. For use as part of a Full Mouth Disinfection or a halitosis treatment, gels are available from various suppliers. The TS1 Gel was launched in June 2016, which is suitable for general use in professional teeth cleaning without a special focal area of treatment. The TS1 Gel can also be given to the patient for use together with the TS1 on the handle at home.
Which gels can I use?
A tongue cleansing gel with the active ingredients zinc lactate (GABA), tin fluoride, zinc acetate (CB12), lends itself to use for professional teeth cleaning and halitosis therapy. Zinc lactate neutralizes volatile sulfur compounds (VSC), which arise through the breakdown of amino acids like cysteine and methionine. Zinc ions form insoluble sulfides, which effectively neutralize VSC.
Aroma-based oral malodor counteractives (OMC) inhibit the enzymes of the odor-active bacteria. In this way, amino acids (Methionin) cannot be broken down as much into VSC. An anti-bacterial agent like CHX lends itself to Full Mouth Disinfection (FMD).
After treatment with the TS1 Tongue Sanitizer, some patients still feel like their tongue has a "coating". Why is this?
The suctioning effect of the TS1 causes the papillae to rise up, like a deep-pile carpet. This initially feels rough for the patient. Over time, more epithelium forms on the tongue (furry tongue) on the papillae, particularly to the rear. The epithelium is reduced through regular tongue cleansing both professionally and at home and through food that requires a lot of chewing. The tongue therefore sometimes looks as if it has a coating. The light part of the tongue, however, is not a coating but rather epithelium.
What level of success can I achieve with the TS1 Tongue Sanitizer with coatings caused by smoking?
Similar to the callused tongue (furry tongue) an increased amount of protective epithelium forms on the tongues of smokers. The discolorations through smoking settle in the epithelium of the papillae. The epithelium is reduced through regular tongue cleansing both professionally and at home and the discoloration disappears.
To help with this, preparations from the agent myrrh (Myrrhinil) can be given.
Can I bill the use of the TS1 Tongue Sanitizer?
Treatment with the TS1 Tongue Sanitizer can be invoiced with German health insurance. You can find an example invoice, created in cooperation with the DAISY Akademie und Verlag GmbH here for downloading (PDF, 176 KB).
My patient is afraid to use the TS1. What arguments can I use to convince them of the TS1 Tongue Sanitizer?
Many patients are unfamiliar with the topic of tongue cleansing or have had bad experiences with previous tongue cleansing with polishing brushes, etc. Patients are often afraid of the gag reflex caused by the former methods. Test persons so far report that the TS1 Tongue Sanitizer does not trigger the gag reflex. All participants had an above-average feeling of freshness and cleanliness after the tongue cleansing, which often lasted the whole day. Once the patient has been familiarized with the topic of tongue cleansing, they can perform this at home with the TS1 handle, achieving the feeling of special cleanliness every day anew.
Why is it worth tongue cleansing when I am going cause a coating to build up through food and drink after the treatment anyway?
The tongue is like a larder for bacteria. Anaerobic bacteria can settle in the crypts, whose excretions acts as pathogens. These anaerobic bacteria do not cause periodontitis on the tongue, but they increase the number of pathogenic germs which, in turn, increases the risk of a reinfection at the gingiva and at the teeth. Additionally, carbohydrates remain on the tongue, which act as a larder for the anaerobic bacteria. The aim is to decrease the different populations of germs on the tongue and thus in the entire oral cavity. We achieve this by regularly removing the biofilm on the tongue.
Just as care at home is important after professional teeth cleaning, it is, of course, important to continue tongue cleansing at home following treatment in the clinic in order to reduce the risk of gingivitis/periodontitis and caries on the long-term.