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Tooth Paste

related:  toothbrushes / how to brush / how to floss

The recent marketing blitz and subsequent proliferation of specialty toothpastes has caused quite a bit of confusion amongst patients, not to mention clogged supermarket shelves everywhere. We all know the basics - brushing with toothpaste helps remove plaque - a sticky, harmful film of bacteria and food debris that grows on your teeth and leads to decay and other bad things, but which toothpaste is the best? Or, do we just need a tube of everything ?  

Which Brand Is The Best?

As long as your toothpaste contains fluoride, it doesn't matter. Whether you use a gel, paste, or even powder, as long as it contains fluoride it will effectively fight plaque and cavities. Check for the ADA (American Dental Association) seal of approval; it sets the standard for safety and efficacy.

Fluoride is the true active ingredient at work in toothpaste. Some prefer tartar-control toothpastes, containing pyrophosphates. Recently, many brands have been promoted offering advanced whitening formulas aimed at removing stains to make teeth whiter and brighter. Unfortunately, as the saying goes, you get what you pay for. You may notice a slight improvement, but nowhere near the results your dentist can achieve with professional formulas.

Toothpastes vs. Gels

It's simply a matter of personal preference. The only difference between pastes and gels is in their packaging and flavor. Many people purchase gels under the false assumption that they’re less abrasive. When actually, gels can be more abrasive due to their higher silica (sand) concentration.

  In Bangladesh, children put their lost teeth in banana peels and float them down the river. Why? ... we have no idea.  

How Much Should I Use?

Contrary to what you've seen on commercials, you don't need to load your entire brush with toothpaste and make that nice little swirl at the end. The amount of paste or gel needed for effective cleaning is a pea-sized dab on the top half of your brush. Children under six, however, should only be given 1/2 this amount.

It’s Enough To Just Brush, Right?

Nope. Although brushing thoroughly after each meal helps, flossing your teeth every day to remove plaque and food particles between the teeth and at the gumline is just as important. Plaque begins to regrow within a matter of a few hours after brushing, even if your teeth are perfectly clean - it's a constant battle. Dentists recommended that you floss at least once a day.

Whitening Toothpastes

One must be careful when using these due to their abrasiveness. These should not be used exclusively but should be incorporated into a routine using a fluoride paste. Make sure you’re not using a whitening paste every time you brush; it’s recommended that you use these products at most only once every day or two. Certain brands can be more abrasive than others. The verdict is still out on their efficacy; at best, their results are questionable. Some patients claim to notice a brightening of a few shades, while others notice nothing at all. This difference is not surprising due to the variety of diets out there and due to the simple fact that all teeth were not created equal - some stain more readily than others. If you're at all serious about whitening your teeth, discuss the options with your dentist. The bottomline is that most whitening toothpastes simply don’t contain enough active ingredients to make much of a difference.

Tartar Control Toothpastes

Recent studies indicate that tartar control toothpastes really aren't doing quite the job they claim to do. They're not removing the tartar. However, whether or not they prevent the accumulation of additional tartar is still open for debate. What is known is that they do not reduce the tartar that forms below the gums, where periodontal disease occurs. They also usually contain more abrasives (silica) than standard toothpastes; use of these products can produce significant abrasion in a short period of time. If you already have some recession, your exposed roots will wear and abrade even faster than enamel (cementum is far easier to abrade than enamel). Be careful to brush very gently when using these products.

Smoker's Toothpastes

These types of toothpastes are generally not recommended because of their potential for causing gum recession and tooth abrasion. The most effective way to beat smoking stains is to stop smoking. But, in the meantime professional cleanings will offer you the greatest results.

Desensitizing Toothpastes

Actually, they have been quite successful for the majority of people using them. Generally, they are needed when a patient has some degree of gum recession. Exposed root surfaces can be very sensitive to temperature, touch, or sweet. There are a number of brands currently on the market. There's a fair amount of variety between the different ingredients between brands. If you're not happy with one, you might want to try another brand. However, if you’re experiencing sensitivity, be sure to have your dentist check it out first to make sure it's not a sign of a more serious dental problem.

Gum Care Toothpastes

Gum care toothpastes are a mixed bag. Instead of the usual sodium fluoride found in most brands of toothpastes, this new type contains stannous fluoride. While some studies show stannous fluoride may be helpful in reducing the incidence of gingivitis, it has also been suggested that it is not quite as effective at protecting against cavities as sodium fluoride. The bottomline, is that any toothpaste containing fluoride (stannous or not) is fine. If you have gingivitis, these may offer you a slight advantage over their conventional counterparts.

Baking Soda Toothpastes

There have been no conclusive studies that prove baking soda toothpastes significantly reduce cavities compared to other toothpastes. If you enjoy using this variety, great. The only problem that we're aware of with these brands is that many of them contain peroxides  which are irritating to the gums and oral tissues.

The Bottomline

Brush with the toothpaste of your choice (as long as it contains fluoride) for at least 2 minutes twice a day using a soft bristled toothbrush. The majority of people only brush their teeth for only 15-20 seconds once a day! Proper brushing technique is far more important than the brand or type of toothpaste used. Flossing at least once a day is also strongly recommended; it removes food debris and plaque from between teeth where your brush simply can't reach.

 

Note: It is important to note that before beginning any course of treatment you should see your dentist. Please note that without the benefit of a full dental examination, including a review of medical history, dental x-rays, and diagnostic aids, no attempt can be made to provide specific diagnosis or recommended courses of treatment. However, we will be happy to update our site to include topics you feel deserve mention. contact us

 

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