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Choosing toothpaste

When choosing oral care products, we must remember that we choose medicine for ourselves. This applies primarily to toothpaste.
Healthy and beautiful teeth want to have everything. Dazzling smile can work wonders in communicating with people: at work, with friends. Every sensible person takes care of his teeth and gums to the best of his abilities and knowledge. However, it is regrettable, but this knowledge is often superficial or, even worse, incorrect. Misconceptions about oral care often cause problems: from bad breath and poor enamel color to serious diseases such as caries, periodontitis and others. That is why it is important to go to the dentist and only with him to choose the means of oral hygiene. The state of dental health of each person is unique, which is why an individual approach is important.  

However, everyone should be sufficiently enlightened in matters of personal hygiene, especially since in most cases we choose the items and personal care products for our health. If in choosing soap, shampoo, shower gel, and other hygiene products, we are guided solely by personal preferences, when choosing oral care products, we must remember that we choose medicine for ourselves. This concerns, first of all, toothpaste, the wrong choice of which not only does not solve the existing problems, but also creates new ones.  

Toothpaste Composition 

Toothpaste is a multi-ingredient blend where each ingredient is important. The basis of toothpaste is an abrasive substance that can mechanically remove plaque and polish the enamel surface. Historically, the first abrasive was natural chalk, or calcium carbonate. Today it is used extremely rarely because of its high aggressiveness towards enamel. Calcium carbonate and calcium phosphate toothpastes are contraindicated for people with hypersensitivity and abnormal abrasion of teeth. Most modern toothpastes use silica. It has a microroughness that ensures the removal of dental plaque without damaging the enamel. Aluminum hydroxide is also added to many toothpastes, which, in addition to its mildly polishing effect, has adsorbing properties, 

I must say that the abrasiveness of the particles of the paste is quite variable. It is extremely difficult to regulate. 

Surface active substances, or detergents, are included in the composition of the paste for better foaming, uniform application to all surfaces of the teeth. In addition, they have a cleansing and antibacterial effect. 
Modern toothpaste is difficult to imagine as a thick mass, hardly squeezed out of a tube that has an unpleasant smell and color. But a few years ago, this was exactly the case! Now special binding components and moisturizers, flavors and fragrances give toothpaste a pleasant smell, color and texture. 
The absolute majority of toothpastes today contain certain medicinal additives. Calcium and fluoride ions are included in the enamel and increase resistance to caries. Herbal extracts have anti-inflammatory effects. Antiseptic and antibacterial components are designed to destroy pathogens. Some salts improve metabolic processes in diseased gums. Enzymes prevent the formation of plaque. This is only a partial list of components that provide diverse therapeutic properties of toothpastes.  

Types of toothpastes 

All toothpastes can be divided into hygienic and therapeutic and prophylactic. Hygienic pastes become the choice of those who do not suffer from any diseases of the oral cavity: no caries, inflammatory or dystrophic periodontal diseases. Among the adult population of Ukraine there are no such people. Therefore, in pharmacies (and there it is necessary to buy toothpaste) there are hygienic pastes only for children. This paste contains almost no therapeutic components and is intended only for the mechanical removal of dental plaque. 

Treatment-and-prophylactic toothpastes include anti-inflammatory, anti-caries, salt, whitening, for sensitive teeth, enzyme-containing, with biologically active additives. Let us dwell on each form. 

Such pastes usually contain extracts of medicinal plants, such as sage, tutsan, peppermint, myrrh, green tea, coniferous plants (fir, pine, juniper) and many others. Aluminum hydroxide is additionally used as an abrasive component. These toothpastes are recommended for people with bleeding gums. They can be effective in combating bad breath, if caused by inflammation of the gums. Pastes from this group of Lacalut Aktive, President Active, Parodontax have proven themselves well. 

This group includes calcium-phosphorus and fluoride toothpastes. These pastes allow you to effectively fight tooth decay. Fluorine-containing pastes that can be used even for children with milk teeth are most effective and popular. However beware! We strongly advise against using fluoride-based pastes for people who already have caries. Otherwise, they will not stop the process, but only make it hidden, which is fraught with complications. It is important to remember - anti-caries toothpastes (especially fluorine-containing) are a means of prevention, not treatment. In the Russian market, this group of toothpastes is represented most extensively. These include pasta Lacalut Fluor, Colgate Protection against caries, Blend-a-med Komplit 7. 

Such slaughter pastes contain various mineral salts that help to improve blood circulation and stimulate metabolic processes in the gums. These pastes are usually very effective, but have an extremely specific taste. Salt paste recommended for those who suffer from periodontitis and periodontal disease. Examples of salt pastes: Pomorin (Neo-Pomorin, Herbal-Pomorin and others from this series), Balsam, Jubilee. 

Before buying a toothpaste marked White, think carefully. First, such pastes are extremely aggressive towards tooth enamel. Secondly, teeth can be whitened effectively only at a dental reception. Thirdly, such side effects of whitening, as pigmentation of teeth from coffee, smoking, wine, vegetables, appear after applying whitening pastes to the full. That is why it is recommended to pay attention to the choice of toothpastes of this group. Some representatives of this group: Lacalut White, pastes of the Rembrandt series.  
Toothpaste for sensitive teeth 

These pastes have a reduced abrasiveness of the particles, which reduces the discomfort during cleaning. In addition, they may have in their composition special substances - desensitizers, which form a thin film on the surface of the teeth, contributing to a decrease in sensitivity. These are toothpastes such as Lacalut sensitive, Sensitive Original, President Sensitive. 

Pastes containing enzymes and dietary supplements 

This group includes pastes that have strict medical indications, so they can only be prescribed by a dentist for the treatment of certain diseases, along with ointments, therapeutic applications and physiotherapy, therefore we will not dwell on them.  

We read information on a tube 

Toothpastes are distinguished by a variety of components that make up their composition. The appointment of each substance may not know even the most experienced dentists, but there are components that are recommended to pay attention to when buying:  

- parabens (usually methylparaben) should not be part of the paste, if you suffer from allergies; 

- fluorides (sodium monofluorophosphate (NaMFP), sodium fluoride (NaF), a combination of NaF and NaMFP, aminofluorides (AmF) and tin fluoride (SnF)) should be contained in a concentration of not more than 2%. The optimal fluoride content is 0.1-0.6% for adults and half as much for children (the main reason is the swallowing of the paste by children); 

Instead of the percentage of any element on a tube of toothpaste, you can often find ppm, which is also a unit of measure for concentration. As a percentage, this is expressed as: 10,000 ppm = 1%. For example, 1500 ppm says about 0.15% of the content of the specified element in toothpaste. 

- abrasiveness is measured according to the RDA standard. It should not exceed RDA 100. The optimal value of 70-80. For sensitive teeth, this figure should be even lower. 

The content of other components manufacturers indicate extremely rarely, since it is a commercial secret. However, you can not worry about your health - toothpaste, sold in a pharmacy, does not contain harmful components. In most cases, it is enough to focus on the mark in the name of the paste:  

- White - whitening pastes with high abrasiveness and content of acids and peroxides; 

- Sensitive - toothpaste for sensitive teeth; 

- Aktive - pastes used in periodontal diseases. They may also contain in the name of the particle "periodontal" or "parodont-"; 

- Fito - herbal-based pastes, usually for daily use. 

How often should I change toothpaste? 

Let us return to the postulate that toothpaste is a complete medicine for teeth and gums. Like any other medicine, it should be applied strictly courses. Course duration depends on the specific paste.  

Usually, medical paste, prescribed by the dentist, is used in the morning and evening for a month, after which the month is brushed with any other paste that does not have pronounced healing properties. Then the course is repeated until the desired effect is achieved (reduction of bleeding of the gums, breath, enamel brightening, etc.).  
There is another approach to the same issue. It involves the use of two pastes at once. In the morning they use almost any paste that satisfies any consideration (price, color of the tube, smell, taste, etc.), and in the evening they brush their teeth with the paste recommended by the dentist. 

We draw your attention to the fact that the paste for daily use (between courses in the first method or morning in the second) should not contain strong antibacterial substances (triclosan), strong peroxides with a whitening effect (carbamide peroxide), highly abrasive components (about them spoke earlier). 
Toothpaste is a medicine for everyone. Take note of the above recommendations and take care of your teeth and gums. However, do not overdo it and be sure to visit the dentist at least twice a year. Be healthy! 

Author: Stanislav Ilyinскачать dle 12.1

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