Toothpaste Revision GN PDF

Toothpaste  Assist the removal Prevent and reduce Prevent gingival inflammation of plaque and caries by applying by t...

Toothpaste  Assist the removal Prevent and reduce Prevent gingival inflammation of plaque and caries by applying by the inclusion of antimicrobials superficial stain fluoride to dentition Achieve desensitising Make tooth brushing Functions of toothpaste action by inclusion of experience more desensitising agents pleasureable Provide an increase in Achieve improvement in confidence by appearance by inclusion improving breath of whitening agents Fluoride advice to patients Toothpaste constituents 1. Brush twice a day with a fluoride toothpaste. 2. Fluoride amount; based on age, risk factors & other fluoride sources. 3. Use spit, don’t rinse technique. Non-active Emulsifier/binding agents 1-5% Sweeteners Hold all ingredients together Non fermentable sugars Prevents solid and liquid components separating Sweetens/enhances taste Increases stability and shelf life Xylitol, sorbitol, saccharin. Alginates, carboxymethyl cellulose, acacia gum. Flavourings Detergents/foaming agents 1-2% Masks flavour of other ingredients Provide bubbly foam & loosen debris Makes more palatable/pleasant Distributes paste around mouth Peppermint, spearmint, aniseed, eucalyptus, lemon, Create dryness and other issues menthol. Sodium lauryl sulfate, sodium N-lauryl sarcosinate. Colouring agents Humectants 10-30% More eye catching/appealing Keep paste moist & prevents hardening Chlorophyll, titanium dioxide. Water, glycerine, propylene glycol. Polishing agents/abrasives 20-40%+ Preservatives 0.05-1% Mild abrasive action Prevents contamination by bacteria Helps control superficial stain Maintains purity and shelf life Calcium carbonate, silica particles, sodium chloride, Alcohol, benzoates, phenols. zirconium silicate, calcium pyrophosphate, hydrated alumina.  Active Fluoride Helps prevent caries Encourages remineralisation All toothpastes used should have fluoride 3 main types: Sodium monofluorphosphate MFP, Sodium fluoride NaF, Stannous fluoride Sn F2. Children 0-3years: Children 3-6 years: Children over 6 & adults: Smear size Pea sized Pea size 1000ppm+ 1350-1500ppm 1350-1500ppm Children 16+ years: Children 10+ years: High dental caries risk High dental caries risk Dry mouth sufferers High cariogenic diet/medication High cariogenic diet Prescribed 2800ppm Head/neck radiotherapy Prescribed 5000ppm Desensitising agents Whitening agents Aid with dentine sensitivity Minimal effects - possible superficial stain Block dentine tubules removal Strontium chloride, potassium chloride, Additional abrasive action - increased sensitivity potassium nitrate, sodium citrate, strontium Charcoal, sodium bicarbonate, silica, carbamide acetate. peroxide. Anti plaque/microbial agents Anti calculus/tartar agents Helps restrict formation/development of plaque Very little evidence - supposed to interfere with biofilm plaque mineralisation Prevent bacteria from producing certain enzyme No effect on established calculus Triclosan, zinc citrate trihydrate, chlorhexidine, Calcium pyrophosphates, sodium sodium ricioleate. hexametaphosphate.