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Toothbrush Care,
Cleaning and
Replacement

 

Bacteria and Toothbrushes

You may have heard talk about bacterial contamination of toothbrushes and wondered if it is cause for concern. The mouth harbors hundreds of different types of microorganisms (germs), some of which are transferred to a toothbrush during use. Microorganisms in the environment also may become established on a stored toothbrush. Toothbrushes may have bacteria on them right out of the box, because they are not required to be sold in a sterile package. However, the human body is constantly exposed to potentially harmful microbes, and it usually can defend itself against germs and prevent infections. Although studies have shown that various microorganisms can grow on toothbrushes after use, evidence is lacking that bacterial growth on toothbrushes will lead to specific health problems. There is no clinical evidence that soaking a toothbrush in an antibacterial mouthrinse or using a commercially available toothbrush sanitizer has any positive or negative effect on health. Some cleaning methods, including use of a dishwasher or microwave oven, could damage the brush. Here are some common-sense things you can do:
4 don’t share toothbrushes;
4 thoroughly rinse the toothbrush with tap water after use to remove any     
    toothpaste and debris;
4 store the toothbrush in an upright position if possible and allow it to air-dry. When storing more than one brush, keep them separated so that germs are not transferred from one brush to another. Don’t routinely cover or store toothbrushes in closed containers. A moist environment helps the growth of most germs.

Toothbrush Sanitizers

Toothbrush sanitizers have not been shown to provide a health benefit. If a consumer chooses to use one of these devices, the ADA’s Council on Scientific Affairs recommends that he or she select one cleared by the U.S. Food and Drug Administration (FDA). Manufacturers of FDA-cleared products must provide the agency with information to support their marketing claims. Below are examples of FDA-cleared claims for toothbrush sanitizers on the market today.

4 The product is designed to sanitize toothbrushes.

4 The product is intended for use in reducing bacterial contamination that
    accumulates naturally on toothbrushes. Claims that go beyond   
    sanitizing the toothbrush or reducing bacterial contamination should be
    viewed critically.

Read the complete Council on Scientific Affairs’ statement on toothbrush care at the ADA’s Web site at http://www.ada.org/sections/scienceAndResearch/pdfs/patient_60.pdf

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John V. Bucher, DDS
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