Toothpaste

Kara

Kara Johansen BSRDH

The dental isle in the grocery store can be very overwhelming. Rows and rows of toothpastes, mouth rinses, and floss. We are here to help make that isle less confusing.  In a previous post Julie West BS RDH wrote about mouth rinses, thanks Julie! So here is the breakdown of toothpaste.

What is the purpose of toothpaste?

There are 4 reasons to use toothpaste. 1. Fluoride 2. Bacterial Plaque reduction 3. Tartar Inhibition 4. Desensitization. Here is the breakdown of each type of toothpaste.

Fluoride-

  • Fluoride has been the greatest public health venture in the United States. The most rampant form of disease in children is dental decay. Fluoride can cause a 20-30% decrease in decay (451, Wilkins). The fluoride remineralizes areas of decay that are in the beginning stages. When your dentist says they are going to “watch” a tooth it means that the he/she understands the decay can remineralize with good oral hygiene, great nutritional habits and fluoride use.
  • Here is a tip: switch up your oral hygiene routine.
  1. Mouthwash
  2. Floss
  3.  Brush for 2 min with fluoridated toothpaste.
  4. Walk away. Do not rinse after you brush. You want the fluoride to stay on your teeth and remineralize that weak spot that the dentist is watching.
  • Fluoride also helps with: tooth sensitivity, deceases tooth loss, promotes less frequency of periodontal diseases, overall bone health and bacterial reduction.

Bacterial Plaque Reduction-

  • There are different products in toothpastes to decrease the amount of bacteria in the mouth. Some of these products are: Triclosan, fluoride, Chlorhexidine, peroxide and bicarbonate, sanguinaria, and essential oils.
  • Brushing and flossing is the best way to reduce the majority of cavity causing bacteria in the mouth. Plaque is like pancake batter, it is sticky. Mechanical Removal will have the greatest affect on decreasing plaque levels in the mouth.

Dental plaque

http://mpkb.org/home/pathogenesis/microbiota/biofilm

Tartar Inhibition

  • The goal of these toothpastes are to reduce the production of tartar. These toothpastes however, do not have any effect on existing tatar. The toothpastes is meant to reduce the amount of tartar initially created. The only true way to get rid of tartar is mechanical removal by your dentist or hygienist. Come for you cleanings, they would love to help you out with that part. If you don’t love the scrapping do you part at home, brush with an electric toothbrush and floss two times per day.

pp002

http://colgate-sensitive-pro-relief.colgateprofessional.com.hk/patienteducation/Plaque-and-Periodontal-Disease/article

Desensitization

  • Sensitive teeth are no fun. Cold, hot , sweet foods or drinks, and mechanical forces can cause sensitivity.
  • How did I get sensitive teeth? This can be caused by multiple factors. The most common is tooth root exposure. When the gums recede a part of the tooth called dentin is exposed. It is a much more porous structure and sensitivity happens frequently.
  • pated_GingivalRecessionWithExposedRootDentine
  • colgateprofessional.com
  • When you are seeking out a toothpaste for sensitivity look for the active ingredients. Flip that tube of toothpaste over and take a peek. Potassium Nitrate calms down the nerve that is more sensitive with exposed dentin.  Sodium and stannus fluoride strengthen and occlude the more porous dentin.  A mix of Potassium Nitrate and fluoride is your best bet for desensitization.
  • MI Paste RECALDENT (CPP-ACP) has been found to help with sensitivity. Like fluoride it blocks the small porous openings of dentin. You can get a prescription for it from your dentist.
  • Other Products: Sensodyne, Pronamel, Colgate Sensitive Pro Relief, etc. Scan the dental isle.

images

http://www.recaldent.com

sensodyne-group-products-page-10_9_2013

pronamel-packshots_nonew-mock

us.sensodyne.com/products.aspx

Colgate-Sensitive-Pro-Relief-TP-triBox

http://www.colgatesensitiveprorelief.com.sg/products/toothpaste

What is in my toothpaste?

Cleaning and Polishing 20-40%

  • An abrasive is used to clean and the polish smooths the surface of the tooth. These agents help to decrease the adherence of stain and plaque buildup.
  • Possible agents: Calcium carbonate, IMP, dicalcium phosphate, hydrated aluminum oxide, and silica

Detergents 1-2%

  • Detergents make your toothpaste foam and are surfactants. They lower the surface tension, loosen stains, foam, and emulsify debris.
  • Possible agents: sodium laurel sulfate, sodium cocomonoglyceride sulfonate
  • Sodium Laurel Sulfate can cause sloughing of the tissue, make one more prone to canker sores and decreases healing time of mouth sores for some people. Patients who experience this should avoid Sodium Laurel Sulfate. Sensodyne does not use sodium laruel sulfate, this product would be a good choice for you.

Binders 1-2%

  • Binders keep your the solid and liquid ingreadients together

Now the next time you walk down the dental isle hopefully you will know exactly what type of toothpaste is perfect for you and your needs. If you have more questions ask your dentist or dental hygienist.  Watch out for the next post on what type of floss to choose, its going to be a duesy. Happy brushing and don’t forget to floss.

 

Sources:

GC America Professional Dental Site. Frequently Asked Questions. Retrieved from http://www.mi-paste.com/faq.php

Wilkins, E. M. (1994). Clinical Practice of the Dental Hyginienist: Seventh Edition. Media, PA: Williams and Wilkins.

STOP IT!! These habits can harm your teeth!

photo

Ann Clark RDH

Enamel is the toughest substance of the body.  But teeth can still be vulnerable when it comes to neglect, abuse or misuse.

1) Chewing on ice, pencils- Harmless? think again.  This habit can chip or crack your tooth.  It can also irritate the inside of the tooth causing toothaches or sensitivity.

ice chewing

2)Sports without mouthguards-Many sports require a mouthguard, a molded piece of plastic protecting your teeth.  Without one you an chip or even knock one out.  Get a custom fit one from your friendly dentist.

3)Bedtime bottles-Giving baby juice, milk or formula at bed can lead to decay.  The remnants bathe the teeth in sugars over night.

getty_rf_photo_of_baby_with_bottle

4)Tongue piercing-Biting on a stud can crack a tooth.  Metal rubbing against gums can cause damage that may lead to tooth loss.  The mouth  is a haven for bacteria increasing the risk of infection.  Over time the metal can also wear down the enamel changing its shape.

piercing

5)Drinking coffee-The dark color and acidity can cause yellowing over time.  Fortunately, it’s one of the easiest to treat with a little whitening.

coffee-black

6)Smoking/tobacco products-These stain the teeth and lead the way to periodontal disease.  Tobacco can also cause cancer of the mouth, lips and tongue.

cigarette

7)Drinking wine-The acids in wines eat at the enamel creating rough spots.  A stained tooth is like sandpaper attracting more bacteria.  Red wine contains chromogen and tannins which help the color to stick…rinse with water, alcohol dries out your mouth.

8)Constant snacking- This produces less saliva than when eating a meal, leaving food bits in the teeth longer.  Snacks should be low in sugar/starch…try carrots.

9)Binge eating-Binging and purging(Bulemia) can do damage from acids found in vomit that erode enamel, leaving them brittle and weak.  Acids also cause bad breath.

10)Whitening too often- Chronic whitening or not following directions acn lead to gum irritation and increased sensitivity.

11) Bottled water- Most have little to no Fluoride as do home filtration units.  Fluoride remineralizes and strengthens tooth structure.

12)Grinding/Clenching-Bruxism wears the tooth down over a period of time.  If worn to the  inner dentin your teeth become sensitive.  Stress, boredom, and sleeping habits make it hard to control. Worn down teeth make you look older and cause pressure to fracture the teeth.

13)Medications-Oral contraceptives can change your hormones and lead to periodontal disease.  Cough drops are high in sugar content leading to decay.  Antihistamines asue dry mouth as do many meds.  We need our saliva to protect our teeth!

14)Drug Abuse(Meth)- Crystal Meth, an illegal and addictive drug can destroy your teeth.  Users crave sugary drinks and foods, clench and have dry mouth.  They notoriously lack in taking care of themselves.

15)Gummy candy-Sticky foods keep sugars and resulting acids in contact with your enamel for hours.  Eat them with a meal as more saliva is produced helping to rinse your mouth.

gummy bear

16)Sodas/Sports drinks/Fruit juice-Sodas have 11teas. of sugar per serving.  They also contain phosphorus and citric acids which eat at enamel.  Diet skips the sugar but adds more acid (artificial sweetners).  Don’t sip these beverages keeping the teeth bathed, chug them and rinse with water

17)Potato chips-Bacteria in plaque will break down starchy foods into acid.  This acid can attack teeth for 20+ minutes if stuck between the teeth…floss!

18)Using your teeth as a tool-It’s convenient to open a bottle or package this way but it canlad to a chip or crack and nail biting is full of germs and bacterias, don’t chew on them.

tooth tool

19) Brushing too much, too hard or with a hard bristle brush-This can erode enamel. Toothpaste can be abrasive, technique is important so as not to take away enamel.  Skipping check ups and not flossing will, of course, cause problems as well.

Being informed is your best defense!

Ann Clark RDH

 
Photo cited:
 
Cigarette  www.webmd.com
Baby bottle www.webmd.com
Gummy Bear www.markmatters.com
Tooth Tool www.webmd.com
Ice Chewing. www.personal.psu.edu