A review of research literature led to the realisation that conventional
toothbrushes serve as a haven where pathogenic microorganisms (disease-causing
bacteria) of human and environmental origin can accumulate, and the
humid environment of the bathroom is ideally suited to their culture.
This has long been recognised as a source of infection by eminent
researchers such as Dr. Glass, Professor of Oral Pathology University
of Oklahoma, et al, who have established that, not only are they responsible
for oral disease, but are also associated with respiratory, gastrointestinal,
cardiovascular and kidney disease.
In spite of the foregoing, no toothbrush had hitherto been developed
that was both biologically sound and commercially viable. Noel Hensey
opted to address this problem and has developed the Bac-free brush,
which not only provides a practical and powerful solution to the serious
problem of contamination, but also affords the facility to brush the
teeth, anywhere and at anytime, tooth paste not essential.
Arising out of a quest for a suitable sanitising
system, the following study was commissioned:-
EFFICACY OF ANTIBACTERIAL
MOUTHWASH FOR SANITISATION OF TOOTHBRUSHES.
a study by
The INDEPENDENT PHARMACEUTICAL RESEARCH UNIT
(TRINITY COLLEGE, DUBLIN).
INTRODUCTION
A device has been invented by Mr.
Noel Hensey which will contain antibacterial mouthwash and will
be used to store toothbrushes between washing. IPRU was requested
to measure total viable bacterial counts (TVC)
in colony forming units (CFU) at two temperatures on toothbrushes
stored in air between brushing and to compare the results with those
obtained from toothbrushes stored in antibacterial mouthwash between
brushing. The TVC at 22°C give counts of environmental bacteria, whereas
the TVC at 37°C give those of environmental origin which grow at 37°C
together with coliforms of animal/human origin.
EXPERIMENTAL DESIGN
Six volunteers were recruited for this study.
They were all healthy males between 22 and 48 years. None suffered
from current oral disease. They were requested
to rinse their toothbrush, which had been stored in air for
at least 12 hours in 25ml distilled water in a sterile container (Pre-treatment).
They were then instructed to wash their teeth
and store their toothbrush in 25ml "Actibrush" (Colgate Palmolive
Ltd. U.K.) antibacterial mouthwash overnight. The toothbrushes were
rinsed in cold tap water to remove any residual
mouthwash in the morning. They were then rinsed in 25ml distilled
water in a sterile container (Post-treatment). The water samples were
tested for TVC at 22°C and 37°C according to the method No.: 9215C
(Spread Plate Method for Heterotrophic Plate Count) in Standard Methods
for the Examination of Water and Waste Water, 1989 17th Ed. APHS-AWWA-WPCF.
The Table below summarises the statistical analysis
employed using the Wilcoxon Signed Rank Test and it can be seen that
the total viable bacterial count at
both 22°C and 37°C are significantly reduced
following storage of the toothbrush in antibacterial mouthwash (p<0.05).
TEST |
Pre-treatment
(Mean CFUxl0 /ml + SEM) |
Post-treatment
(Mean CFUx10 /ml + SEM) |
Factor |
TVC @ 22°C
TVC @ 37°C |
105.9 +/- 47.40
177.9 +/- 79.12 |
1.79 + 0.80*
1.07 + 0.34* |
59
166
|
* p < 0.05 (Pre- versus Post-treatment).
CONCLUSION
The results suggest that storing toothbrushes
in antibacterial agents significantly reduce bacterial contamination
compared to storing them in air.
The evidence provided by Trinity College led
the inventor to adopt mouthwash as an integral element of the Bac-free
brush.
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