Podcast
Questions and Answers
What is one potential consequence of increased abrasive action in whitening toothpastes?
What is one potential consequence of increased abrasive action in whitening toothpastes?
- Increased sensitivity in some individuals (correct)
- Improved dental enamel strength
- Enhanced stain removal
- Reduced plaque accumulation
Which of the following agents is NOT associated with whitening toothpastes?
Which of the following agents is NOT associated with whitening toothpastes?
- Charcoal
- Calcium Pyrophosphates (correct)
- Sodium Bicarbonate
- Carbamide Peroxide
Which ingredient is commonly claimed to interfere with the mineralization of plaque?
Which ingredient is commonly claimed to interfere with the mineralization of plaque?
- Charcoal
- Silica
- Sodium Hexametaphosphate (correct)
- Sodium Bicarbonate
What must be done to remove established calculus deposits?
What must be done to remove established calculus deposits?
Which of the following is a possible characteristic of natural/herbal toothpastes?
Which of the following is a possible characteristic of natural/herbal toothpastes?
In investigating toothpaste options, what should be considered when recommending a toothpaste to a patient?
In investigating toothpaste options, what should be considered when recommending a toothpaste to a patient?
What is one primary function of toothpaste?
What is one primary function of toothpaste?
Which ingredient in toothpaste is most commonly associated with cavity prevention?
Which ingredient in toothpaste is most commonly associated with cavity prevention?
How did toothpaste commonly take form in the 19th Century?
How did toothpaste commonly take form in the 19th Century?
What is a potential risk when large amounts of toothpaste are swallowed?
What is a potential risk when large amounts of toothpaste are swallowed?
Why is there a need for health care professionals to stay updated on toothpaste trends?
Why is there a need for health care professionals to stay updated on toothpaste trends?
Which of the following ingredients can possibly substitute for commercial toothpaste?
Which of the following ingredients can possibly substitute for commercial toothpaste?
Which of the following was NOT an ingredient in early tooth powders from Victorian Britain?
Which of the following was NOT an ingredient in early tooth powders from Victorian Britain?
What was a key selling point of the toothpaste market for consumers?
What was a key selling point of the toothpaste market for consumers?
What are non-active ingredients in toothpaste primarily used for?
What are non-active ingredients in toothpaste primarily used for?
What is the primary function of fluoride in toothpaste?
What is the primary function of fluoride in toothpaste?
Which of the following is considered a non-active constituent in toothpaste?
Which of the following is considered a non-active constituent in toothpaste?
What role do detergents serve in toothpaste?
What role do detergents serve in toothpaste?
What is one of the purposes of humectants in toothpaste?
What is one of the purposes of humectants in toothpaste?
What is the primary purpose of preservatives in toothpastes?
What is the primary purpose of preservatives in toothpastes?
Which ingredient would contribute to achieving desensitizing action in toothpaste?
Which ingredient would contribute to achieving desensitizing action in toothpaste?
Which of the following is NOT a commonly used sweetener in toothpaste?
Which of the following is NOT a commonly used sweetener in toothpaste?
What role do flavorings play in toothpaste formulations?
What role do flavorings play in toothpaste formulations?
What is the typical percentage range for humectants in toothpaste?
What is the typical percentage range for humectants in toothpaste?
What is a potential drawback of foaming agents such as Sodium Lauryl Sulphate?
What is a potential drawback of foaming agents such as Sodium Lauryl Sulphate?
Which of the following is an example of a commonly used humectant?
Which of the following is an example of a commonly used humectant?
What function do emulsifiers/binding agents serve in toothpaste?
What function do emulsifiers/binding agents serve in toothpaste?
Which active ingredient is most commonly found in toothpaste to help prevent caries?
Which active ingredient is most commonly found in toothpaste to help prevent caries?
What is the primary function of polishing agents in toothpaste?
What is the primary function of polishing agents in toothpaste?
Which ingredient primarily helps improve the appearance of teeth?
Which ingredient primarily helps improve the appearance of teeth?
What is a common example of a binding agent used in toothpaste?
What is a common example of a binding agent used in toothpaste?
Which of the following compounds is often used as a coloring agent in toothpastes?
Which of the following compounds is often used as a coloring agent in toothpastes?
How do active ingredients like fluoride benefit tooth enamel?
How do active ingredients like fluoride benefit tooth enamel?
Which of the following preservatives is used in toothpaste?
Which of the following preservatives is used in toothpaste?
What is the function of humectants in toothpaste?
What is the function of humectants in toothpaste?
What is the recommended fluoride level for children aged 3-6 years?
What is the recommended fluoride level for children aged 3-6 years?
Which desensitizing agent is NOT mentioned as being used in toothpastes?
Which desensitizing agent is NOT mentioned as being used in toothpastes?
What is the active purpose of anti plaque/antimicrobial agents in toothpaste?
What is the active purpose of anti plaque/antimicrobial agents in toothpaste?
Which of the following fluoride types is recommended for high-risk adults?
Which of the following fluoride types is recommended for high-risk adults?
Which whitening agent's effect is often minimal compared to its claims?
Which whitening agent's effect is often minimal compared to its claims?
The recommended fluoride level for adolescents and adults is:
The recommended fluoride level for adolescents and adults is:
Which of these isn't listed as an anti plaque agent in toothpastes?
Which of these isn't listed as an anti plaque agent in toothpastes?
What type of fluoride should children aged 0-3 years use?
What type of fluoride should children aged 0-3 years use?
Which technique is advised after brushing with fluoride toothpaste?
Which technique is advised after brushing with fluoride toothpaste?
What is the function of TRICLOSAN in toothpaste?
What is the function of TRICLOSAN in toothpaste?
Flashcards
Toothpaste function
Toothpaste function
Toothpaste cleans teeth, maintains their appearance, and promotes oral health.
Toothpaste ingredients
Toothpaste ingredients
Toothpaste contains abrasive materials, active ingredients (like fluoride), and inactive ingredients.
Active ingredients role
Active ingredients role
Active ingredients, such as fluoride, help prevent tooth decay and gum disease.
Inactive ingredients role
Inactive ingredients role
Inactive ingredients in toothpaste have various functions, often contributing to taste or texture (e.g., flavorings).
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Toothpaste History
Toothpaste History
Toothpastes evolved from tooth powders in 19th-century Britain, with earlier forms appearing in ancient Egypt and Rome.
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Toothpaste composition
Toothpaste composition
Toothpaste is a paste or gel containing abrasives, active ingredients (like fluoride), and inactive ingredients.
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Toothpaste evolution
Toothpaste evolution
Toothpaste has seen a variety of forms and ingredients over time, with constant updates to formulas.
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Patient toothpaste choice
Patient toothpaste choice
Patient choices on toothpaste are influenced by many factors, including advertising, and recommendations from others.
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Toothpaste safety
Toothpaste safety
Large amounts of swallowed toothpaste can be harmful due to the presence of potentially toxic substances like fluoride.
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What do humectants do?
What do humectants do?
Humectants help toothpaste retain moisture, which keeps it smooth and prevents drying out.
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What's the purpose of preservatives in toothpaste?
What's the purpose of preservatives in toothpaste?
Preservatives protect toothpaste from bacteria, extending its shelf life and keeping it pure for use.
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Why are sweeteners added to toothpaste?
Why are sweeteners added to toothpaste?
Sweeteners are non-fermentable sugars that improve the taste of toothpaste, making it more enjoyable to use.
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What do flavorings do in toothpaste?
What do flavorings do in toothpaste?
Flavorings mask unpleasant tastes from other ingredients, creating a more pleasant flavor.
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Why are coloring agents included in toothpaste?
Why are coloring agents included in toothpaste?
Coloring agents enhance the visual appeal of toothpaste, making it more eye-catching.
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What is the function of polishing agents?
What is the function of polishing agents?
Polishing agents gently remove surface stains and polish teeth.
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What is the most common active ingredient in toothpaste?
What is the most common active ingredient in toothpaste?
Fluoride is the most common active ingredient, helping prevent tooth decay and strengthen teeth.
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How does fluoride prevent cavities?
How does fluoride prevent cavities?
Fluoride makes teeth more resistant to acid attacks and helps remineralize weakened enamel.
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What are active ingredients?
What are active ingredients?
Active ingredients are added to toothpaste to provide specific benefits, like protecting against cavities.
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What's the difference between active and inactive ingredients?
What's the difference between active and inactive ingredients?
Active ingredients have a direct effect on oral health, while inactive ingredients enhance taste, texture, or appearance.
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Toothpaste's primary job
Toothpaste's primary job
Toothpaste's main goal is to prevent cavities by applying fluoride to teeth.
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Toothpaste's secondary function
Toothpaste's secondary function
Besides preventing cavities, toothpaste helps remove plaque and surface stains from teeth.
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How toothpaste protects gums
How toothpaste protects gums
Some toothpastes contain antimicrobials which can help prevent gum inflammation.
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Toothpaste for sensitive teeth
Toothpaste for sensitive teeth
Toothpastes can include desensitizing agents to help reduce pain in sensitive teeth.
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Toothpaste for a whiter smile
Toothpaste for a whiter smile
Some toothpastes contain whitening agents to help make teeth appear brighter.
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Toothpaste's confidence boost
Toothpaste's confidence boost
Toothpaste can help improve breath, leading to increased confidence.
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Pleasurable brushing experience
Pleasurable brushing experience
Certain ingredients in toothpaste can make the brushing experience more enjoyable.
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Toothpaste ingredient categories
Toothpaste ingredient categories
Toothpaste ingredients are divided into active ingredients, which have a specific effect on your teeth and gums, and inactive ingredients which provide texture and stability.
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Binding agents in toothpaste
Binding agents in toothpaste
Binding agents, such as carrageenans, keep all the toothpaste ingredients together and prevent them from separating.
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Foaming agents in toothpaste
Foaming agents in toothpaste
Foaming agents like sodium lauryl sulphate create bubbles and help distribute the toothpaste.
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Optical brighteners
Optical brighteners
These ingredients make teeth appear whiter by reflecting more light, but they don't actually remove stains.
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Abrasive action
Abrasive action
This refers to how toothpaste physically removes plaque and stains through small particles that scrub the teeth.
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Anti-calculus agents
Anti-calculus agents
These ingredients try to stop tartar buildup by interfering with mineralisation of plaque.
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Sodium Hexametaphosphate
Sodium Hexametaphosphate
An ingredient that helps prevent tartar formation by interfering with the crystallization of plaque.
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RDA value
RDA value
Relative Dentin Abrasion - measures how abrasive a toothpaste is. Higher RDA means more abrasive.
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SLS-free
SLS-free
Sodium Lauryl Sulfate is a foaming agent, often found in toothpaste. SLS-free means the toothpaste doesn't have this ingredient.
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Fluoride types in toothpaste
Fluoride types in toothpaste
There are three main types of fluoride used in toothpastes: Sodium Monofluorophosphate (MFP), Sodium Fluoride (NaF), and Stannous Fluoride (SnF2).
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Fluoride concentration for children
Fluoride concentration for children
Children aged 0-3 years should use a smear of toothpaste with over 1000 ppm fluoride. Children aged 3-6 years should use a pea-sized amount of toothpaste with 1350-1500 ppm fluoride.
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Fluoride concentration for adults
Fluoride concentration for adults
Adults over 6 years old should use toothpaste with 1350-1500 ppm fluoride. High-risk individuals over 10 years old may be prescribed toothpaste with 2800 ppm, and very high-risk adults may be prescribed toothpaste with 5000 ppm.
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Spit and don't rinse technique
Spit and don't rinse technique
This technique involves spitting out the toothpaste after brushing but avoiding rinsing with water. It maximizes fluoride exposure to teeth for better protection.
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Desensitising agents
Desensitising agents
These agents are added to toothpastes to help with dentine sensitivity. Examples include Strontium Chloride, Potassium Chloride, Potassium Nitrate, Sodium Citrate, Strontium Acetate, and Calcium Sodium Phosphosilicate (Novamin).
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Anti-plaque agents
Anti-plaque agents
These agents help prevent plaque buildup and development by inhibiting bacterial growth. Triclosan is a common example.
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Other anti-plaque agents
Other anti-plaque agents
Apart from Triclosan, other anti-plaque agents include Zinc Citrate Trihydrate, Chlorhexidine, and Sodium Ricinoleate.
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Toothpaste whitening agents
Toothpaste whitening agents
While popular in recent years, whitening agents in over-the-counter toothpaste have a minimal effect on whitening teeth. They might remove superficial stains but for significant whitening, professional bleaching is required.
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Professional tooth whitening
Professional tooth whitening
For significant tooth whitening, bleaching procedures performed by a registered dental professional are necessary.
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Toothpastes
- Aim: To understand toothpaste components and their role in patient care.
- Intended Learning Outcomes:
- Understand the functions of toothpaste.
- Appreciate the role of non-active ingredients.
- Explore active ingredients in toothpaste and their role in patient treatment.
- What is a Toothpaste?: A paste or gel dentifrice used with a toothbrush.
- Promotes oral hygiene by removing plaque and food.
- Aids in reducing bad breath.
- Containing abrasives for superficial stain removal.
- Contains active ingredients like fluoride to prevent tooth decay and gum disease.
- Some commercial toothpastes contain salt or sodium bicarbonate instead or in addition to fluoride
- Large amounts of swallowed toothpaste can be toxic.
- History:
- Toothpastes, initially in the form of tooth powders, became common in 19th-century Britain.
- Ancient use in Egypt and Rome predates this.
- Early tooth powders used ingredients like salt, pulverized brick, chalk, and coal.
Toothpaste Constituents
- Divided into active and non-active ingredients.
Non-Active Constituents
- Emulsifier/Binding agents (1-5%): Hold ingredients together, preventing them from separating. Examples include carrageenans, alginates, carboxymethyl cellulose, colloidal silica, and acacia gum.
- Detergents/Foaming agents (1-2%): Create the bubbly foam in the paste and help to loosen debris. Examples include Sodium Lauryl Sulphate and Sodium N-lauryl Sarcosinate.
- Humectants (10-30%): Maintain moisture in the paste. Common examples include water, glycerine, and propylene glycol.
- Preservatives (0.05-1%): Prevent contamination by bacteria, increasing shelf-life. Examples include alcohol, benzoates, and phenols.
- Sweeteners: Enhance taste and acceptability (e.g., sorbitol, saccharin, xylitol).
- Flavourings: Mask the taste of other ingredients. Examples include peppermint, spearmint, aniseed, eucalyptus, lemon, and menthol.
- Colouring agents: Make the paste more visually appealing. Examples are chlorophyll and titanium dioxide.
- Polishing agents/Abrasives (20-40%): Mild abrasive action on teeth, control superficial stains. Examples include calcium carbonate, dicalcium phosphate, silica particles, sodium chloride, zirconium silicate, calcium pyrophosphate, and hydrated alumina.
Active Constituents
-
Fluoride (over 95% of toothpastes):
- Prevents tooth decay by making tooth surfaces resistant to acid attack and encouraging remineralisation.
- Types include Sodium Monofluorophosphate, Sodium Fluoride, and Stannous Fluoride.
- Fluoride levels recommended for different age groups range from a smear for children under two to a pea-sized amount for older children up to a higher dosage for adults.
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Anti-plaque/antimicrobial agents: (e.g., Triclosan): Prevent plaque formation and bacteria growth. Includes zinc citrate trihydrate and Sodium Ricioleate among others.
-
Desensitizing agents: Address dentin sensitivity. Examples include strontium chloride, potassium chloride, potassium nitrate, sodium citrate, strontium acetate, and calcium sodium phosphosilicate (Novamin).
-
Whitening agents: Typically minimal effect on superficial stains. Removal of more extensive stains requires professional treatments. Optical brightening effects, removal of stain by proteolytic enzymes, or additional abrasive action, are used. Agents such as charcoal, sodium bicarbonate, silica, and carbamide peroxide are commonly used examples.
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Anti-calculus (anti-tartar) agents: Little evidence of effectiveness beyond interfering with plaque mineralization. Includes Calcium Pyrophosphates and Sodium Hexametaphosphate.
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Other relevant information: Patient and age group considerations are necessary when prescribing toothpaste
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