Efficacy of Different Sterilization Techniques for Toothbrush Decontamination: An Ex Vivo Study.

Background Contaminated toothbrushes can cause several oral and systemic illnesses. This study aimed to identify the most rapid, effective, and affordable method for toothbrush decontamination. In addition, the most prevalent bacterial species colonizing toothbrushes were determined. Methodology Toothbrushes were collected after two weeks of use by 55 volunteers. The bacterial count was measured before and after sterilization using 0.2% chlorhexidine gluconate, 0.1% Listerine, 70% white alcohol, 10% povidone-iodine, 1% sodium hypochlorite, 2% glutaraldehyde, ultraviolet radiation, microwave irradiation, 3% hydrogen peroxide, and 100% white vinegar, with tap water rinse as the control. Results A marked reduction in the bacterial count was observed pre- and post-sterilization. All sterilization methods were effective for toothbrush disinfection. Sterilization using 2% glutaraldehyde and 3% hydrogen peroxide solutions resulted in the most significant reduction in the mean bacterial count and percentage reduction in the total bacterial count, respectively. The toothbrush samples were also colonized by several different types of bacteria. The most common colonizing bacterial species included Bacillus subtilis (28% prevalence), Sacrina (26% prevalence),and Streptococcus pneumoniae (24% prevalence). Conclusions Because bacterial contamination cannot be eliminated and different species colonize toothbrush surfaces, cleaning and disinfection are essential to prevent disease transmission.