Researchers have built a toothbrush that makes its own electricity as the bristles bend, with no battery, and uses it to damage bacteria linked to cavities and gum disease. In a three-month trial, people using it had less plaque, less gum inflammation and less bleeding than people using ordinary nylon brushes, according to a study in the journal Science Advances reported by Live Science.
The work is early. An outside expert told Live Science it is a proof of concept, and larger studies are needed to show whether the brush offers a real advantage over regular ones.
The bristles are made of polyvinylidene fluoride, or PVDF, a plastic that produces an electrical charge when it flexes. Materials that do this are called piezoelectric. BigGo Finance, which cited the paper, said the team stretched and heated the polymer to give it this property. It compared the effect to the spark from a gas stove igniter.
When the bristles bend during brushing, the charge sets off chemical reactions in saliva and water. These produce reactive oxygen species, highly reactive molecules that can damage bacterial cells. BigGo reported that the bristles take the charge back up as they straighten, so no separate power source is needed. Live Science added that the bristles also carry a faint surface charge that helps keep bacteria from sticking to the brush head between uses.
On isolated bacteria, the electrified bristles killed about 53% of Streptococcus mutans, a microbe that contributes to tooth decay, according to BigGo. Nylon bristles killed 9%. Against Porphyromonas gingivalis, a bacterium linked to gum disease, the new bristles cut levels by up to 78%, Live Science reported, while nylon cut them by less than 8%.
The team also grew human dental plaque on cow tooth enamel. BigGo reported that after three minutes of brushing, the new bristles removed more than 99% of the plaque, against 80% for nylon. When researchers added an antioxidant that neutralizes reactive oxygen species, the antibacterial effect largely vanished. That suggests those molecules do most of the work, Live Science said.
Adults with gum inflammation or tooth decay were randomly assigned to use either the new brush or a nylon brush twice a day for three months. Live Science put the number of participants at 115, while BigGo Finance reported 109. The outlets differ on that figure.
Both reported better results for the electrified brush. BigGo said plaque, gum inflammation and bleeding fell by 40% in that group, compared with 15% in the nylon group. Plaque samples showed fewer disease-associated bacteria and more beneficial ones among users of the new brush. The researchers suspect disease-linked bacteria have more fragile membranes, but Live Science noted that idea needs more study.
Nicholas Jakubovics, an oral microbiologist at Newcastle University in the U.K. who was not involved, welcomed the idea of a brush surface that actively does something. He was not convinced by the team's explanation involving genes for bacterial nutrient pumps, saying the findings did not clearly show how those gene changes affected the bacteria.
He also pointed out that in lab tests, bacteria sit on the bristles and are exposed to electricity for hours. In a mouth, bristles touch teeth and tissue only briefly. Live Science said the human trial was relatively small.
On safety, the bristles kept their structure and electrical properties through three months of simulated use. Mouse cells exposed to the brush material showed no damage, and brushing did not roughen cow enamel. Live Science stressed that these tests cannot show whether long-term use is safe for people. BigGo said long-term safety and cost-effectiveness have not been verified.
For now, nothing changes at the bathroom sink. The sources describe an experimental brush, and neither reports a release date or a price. BigGo said large-scale trials on long-term safety, manufacturing cost and cavity prevention are still needed before commercialization.
The potential appeal is clear. BigGo noted that oral diseases affect half the world's population, and that bacteria can start regrowing within hours of brushing. Earlier ideas, such as bristles with silver or zinc nanoparticles or brushes using an electric current, had drawbacks, including uncertain long-term effects or the need for a battery.
Jakubovics said larger studies are needed to confirm whether the brush actually prevents problems such as cavities and tooth loss. Live Science noted that its article is informational and not medical advice.
Around Prague, based on reporting by Live Science, BigGo Finance