Article: Endocarditis after use of tongue scraper.(LETTERS)(Letter to the editor)

To the Editor: Tongue scraping is advocated as a therapy for managing halitosis and as a technique for preventing dental caries by reducing bacterial counts in the mouth (1). The practice has been in existence for centuries (2). A Cochrane review has concluded that tongue cleaning is marginally and temporarily more effective than use of a toothbrush in reducing a measurable marker for halitosis, exhaled volatile sulfur compounds (3). The use of tongue scrapers may not be limited to those with clinical halitosis, as 10%-30% of Americans report bad breath (4), and websites offer to solve the problem of "your bad breath" for a price. We report the case of a woman in whom ...

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