Many patients with floor languages that make it difficult to maintain a breath of fresh air and to reduce the sense of taste. Daily cleaning control language unpleasant smell from a mouth and can help maintain a healthy periodontal environment.
A. rationale for language cleaning
1. Language floor consists of bacteria and other decaying remnants, which manufactures of hydrogen sulfide and mercaptan.
2. Periodontal patients has been shown to have a significantly higher prevalence of language coverage .
3. Language coverage can also contribute to reducing the sense of taste. Tongue cleaning should be recommended for geriatric patients who have a low desire to eat because of depression taste sensations.
4. Most patients suffer control unpleasant smell from a mouth and therefore susceptible to the introduction of the tongue cleaning their own skin care. Practice for cleaning language can not only make the patient feel more confident, but actually can help in maintaining a healthy periodontal environment.
B. the role of volatile Sulfur compounds in halitosis.
1. Volatile sulfur compounds (VSC) are a family of gases that are responsible for bad breath.
2. Two members of the VSC family gases, hydrogen sulfide and mercaptan, have the main responsibility for breath. Mercaptan is produced primarily by periodontal pathogens. Some studies have shown that at low concentrations of these gases may be toxic to the tissues; however, research in this area is limited .
3. Tongue cleaning is recommended, because the bulk of bacteria and debris, especially periodontal pathogens that produce methyl mercaptan-accumulate mainly in the filiform papillae and on the back of the tongue.
4. Methylmercaptan gases been shown to increase the permeability intact mucous membrane and stimulate the production of cytokines associated with periodontal disease.
C. Administration Of The Language Cleaners. Manual language vacuum cleaners come in many different styles.
The two most common types are (1) specialized toothbrushes with a thin brush
Director and (2) tongue scrapers (Fig. 26-1).
1. Language brush or scraper is positioned as far to the language as possible.
2. After a brush or scraper is in position, he stretched out carefully on the language. This procedure is repeated two or three times, or until such time as the language is clean.
3. When first learning the language cleaning, many patients gag and find the process unpleasant.
a. In the beginning, to offer the patient the place cleaner where it is most convenient language.
B. Initially, it encourages the patient, reminding him about the benefits of cleaning language, as, for example, improvement of respiration, improvement of taste sensations, and, of course, better for oral health.
c. With regular use, most patients get used to the feeling language brush or scraper and can clean then back to the language. Over time, most patients become skilled tongue cleaning.