DENTIFRICES AND MOUTHWASHES

Accepted

Typically given to toothpastes and mouthwashes

Acceptable

Typically given to toothbrushes and water irrigators

Provisionally accepted

-reasonable evidence of safety and effectiveness, but lacks sufficient evidence to justify being accepted

Unacceptable

No substantial evidence of effectiveness, or a question of safety exists

ADA Seal of Acceptance

Seal provides scientific evidence demonstrating safety and efficacy

Dentrifice

A powder, paste or liquid for cleaning the teeth

1930s: Klein and Palmer epidemiological study

-fluoride levels associated with lower incidence of dental caries

1956: 1st successful fluoride dentifrice was launched

-clinical studies shows a 49% mean caries reduction in children

1960

ADA awarded Seal of Approval

Detergents (surfactants)

Foaming agent, typically SLS (Inactive ingredients “non-therapeutic”)

Abrasives and/or polish (non-therapeutic)

Stain removal

Binders (non-therapeutic)

Provide texture

Humectant (non-theapeutic)

Helps to retain moisture

Therapeutic

• caries- fl2

• Gingivitis- fl2

• Sensitivity- KN03

Cosmetic

• Whitening-abrasives

• Anti-halitosis-flavoring agents

• Tartar protection-zinc salts

• Caries control- fluoride

• Gingivitis prevention

• Dentinal hypersensitivity/erosion- works either by occluding dentinal tubules(Stannous Fluoride) or chemical nerve depolarization (Potassium Nitrate)

• Cosmetic- Tartar control, Oral Malodor, Whitening

• Dry Mouth (xerostomia)- Biotene (SLS free, alcohol-free, sugar-free)

Purpose and uses of mouthwash

-Dental office - pre-rinses

• Pre-operative

• Impression procedures

  -At Home

• Post operative

• Treatment

• Cosmetic

• Caries Prevention

Isotonic sodium chloride

A mouthwash that has same molecular concentration to salt in saliva and tissue

Hypertonic Sodium Chloride

-a mouthwash with higher concentration to aid fluid drawn out of tissue and reduces edema.

Sodium bicarbonate

-self prepared mouthwash that has baking soda

Sodium chloride/ sodium bicarbonate

A self prepared mouthwash that has salt, baking soda combination

Surface active agents

Facilitates cleaning (this is in commercial mouthwashes)

Flavoring

A commercial mouthwash that is to be palatable to the consumer

Alcohol

A commercial mouthwash that has more than 10% of this ingredient that can irritate the tissue

Water

Largest percentage of composition

Sweetening agents

Non-cariogenic

Oxygenating Agents

-Amosan (68.5% Sodium Perborate)

-Hydrogen Peroxide (50/50)

-Peroxyl (mint peroxide for taste)

Astringents

-Lavoris (clove oil, citric acid and zinc chloride)

Alleviates pain

-Chloraseptic (phenol 1.4%)

-Pain-A-Lay (cresol)

Buffering Agents

-Baking Soda

Deodarizing agents

-Baking Soda

-Green mint (chlorophyll in)

Tartar control agents

-Colgate mouth rinse (tetra potassium pyrophosphate)

Anti-plaque Agents

-Colgate play (0.5% CPC)

-Peridex 9.12 chlorhexodone gluconate)

-Listerine (eucalyptol,menthol, thymol

Fluoride

Commercial Active Ingredient

-ACT (0.5% sodium fluoride)

-Fluoriguard (0.5% sodium fluoride)

-Listerine Total Care (0.2% sodium fluoride)

-Listerine Smart Rinse (0.2 sodium fluoride)