An ultrasonic tongue cleaner applying high intensity non-attenuated ultrasound pressure waves to the tongue concurrently with the mechanical scraping action is disclosed. The ultrasound component is operative to damage and deactivate odor causing bacterial chains on the surface and in the folds of the tongue. A silver based antimicrobial attachment further enhances the performance of the tongue cleaner. Various configurations are disclosed, including user removable and replaceable tongue cleaner heads with and without antimicrobial silver. A motorized version featuring sonic frequency orbital vibration of the tongue cleaner head is described.