Toothpaste and plaque removal

Plaque off, Fluoride on. Brushing your teeth really is that simple.
Image: Adam Drewes (CC BY-NC-SA 2.0)

This review of the efficacy of brushing with and without a toothpaste for plaque removal identified 10 trials involving a total of 444 patients. While the results suggest no differences other reviews have demonstrated clear oral health benefits from brushing with toothpaste.

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Arginine and caries prevention

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7 RCTs were included in this review of the caries prevention effects of arginine containing dental products. They provide insufficient evidence to support a caries preventive effect for arginine in toothpaste.

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Arginine in combination with calcium bases and fluoride in toothpaste may be better than fluoride alone

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Ten trials were included in this review of arginine in toothpaste. It found that arginine in combination with calcium bases (either Dical or calcium carbonate) and fluoride provided a superior effect compared with fluoride alone. However, 9 out of 10 of the trials were sponsored by a single company and the overall quality of the evidence was considered to be low.

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Xylitol in toothpaste may provide small additional benefit over fluoride toothpastes

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This Cochrane review included 10 studies and found low quality evidence that fluoride toothpaste containing xylitol may be more effective than fluoride-only toothpaste for preventing caries in the permanent teeth. The evidence for other xylitol products is insufficient to assess effectiveness.

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Root caries: review suggests potential benefits from 5000ppm fluoride, chlorhexidine and silver diamine varnishes

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The prevalence of root caries is expected to rise and this review looked at a range of agents for non-invasive management. While 30 studies were identified they consider a large number of agents. While the review suggested that 5000ppm fluoride dentifrice was effective the number of available trials for this and the other agent was small and of limited quality.

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Study finds that high-fluoride toothpaste can reduce white lesions around orthodontic brackets

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Failure to maintain good oral hygiene during fixed appliance orthodontic treatment can lead to the development of demineralised white lesions (DWLs) around the orthodontic brackets.  The incidence of this adverse effect of treatment has bee reported as being between 15-85.  A recent Cochrane review by Benson et al (see Dental Elf 27th Jan 2014) found [read the full story…]

Study suggests that dentifrices containing 1.5% arginine, an insoluble calcium compound provides additional benefit to fluoridated toothpastes

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Cochrane reviews have clearly documented the anti-caries benefits of fluoridated toothpastes (Marhino et al 2003, Walsh et al 2010). New agents to improve caries prevention would assist efforts to reduce the impact of caries, particularly on children. The aim of this study was to investigate the efficacy of two dentifrices containing 1.5% arginine, an insoluble [read the full story…]

Use of higher concentration fluoride toothpaste (5000 ppm F) had a beneficial effect on root caries

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The aim of this clinical trial was to test the effectiveness of high-fluoride toothpaste (5000 ppm F) on root caries lesions in adults and to test the hypothesis that high concentration fluoride tooth- paste would effectively improve the surface hard- ness in root caries lesions in adult patients. Adult patients (18-75yrs) with 10 or more [read the full story…]

Teaching toothbrushing with fluoride toothpaste – are we doing it well?

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Toothbrushing at least twice a day with fluoride toothpaste is an effective way of reducing caries. This is confirmed by good systematic review evidence, so teaching patient effective toothbrushing with fluoride toothpaste is a key preventive strategy.  The aim of this qualitative study was to explore oral health professionals (OHPs) perspectives regarding their strategies, considerations [read the full story…]

Trial suggests that regular brushing as effective as MI paste or fluoride varnish in reducing white spot lesions post orthodontic treatment

iStock_000002551343XSmall colourful braces on teeth

One of the adverse effects of orthodontic treatment is the development of white spot lesions (WSLs). The incidence of these early carious lesions has been reported to vary between 5-97% . The aim of this trial was to effectiveness of MI Paste Plus and PreviDent fluoride varnish (22,600 ppm of fluoride) with a standard oral [read the full story…]