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Management of dental staining: can low-abrasive dentifrices play a role?

Dental staining, while always a significant problem, has become more important in recent years with the introduction and increased use of chlorhexidine-based mouthrinses. Not only do these rinses themselves cause staining, they also enhance staining from other sources, such as diet or tobacco use. An understanding of the etiologies of dental stains will help today's practitioners become more effective in managing dental stains in their practices. Important strategies for managing stain are patient education about the causes of staining, careful consideration of product recommendations for home use, and routine office visits for prophylaxis. Ideal products for patient use are those with effective stain-removal properties and low abrasivity, which minimizes tooth wear.

Anti-Infective Agents, Local↗

Effectiveness of two fluoride dentifrices to arrest root carious lesions.

PURPOSE: To compare the effectiveness of Prevident 5000 Plus (5,000 ppm F) and Colgate Winterfresh Gel (1100 ppm F) to arrest root carious lesions. MATERIALS AND METHODS: 201 subjects with at least one root carious lesion were recruited from dental school patients. They were randomly assigned to use either Prevident 5000 Plus (5000 ppm F) or Colgate Winterfresh Gel (1100 ppm F) as sodium fluoride in the same silica base. Measurements of lesion hardness, area, distance from the gingival margin, cavitation and plaque were recorded at baseline and after 3 months by a single examiner. RESULTS: After 3 months 38% of subjects using Prevident 5000 Plus and 10% using Winterfresh Gel had one or more lesions that had become hard (P < 0.001). Non-cavitated lesions at baseline were more likely to become hard than cavitated lesions. Compared to the Winterfresh group there was significant increase in the distance from the base of the lesion to the gingival margin and plaque scores were reduced in those using Prevident 5000 Plus.

Adult↗

Management of dental staining: can low-abrasive dentifrices play a role?

Dental staining, while always a significant problem, has become more important in recent years with the introduction and increased use of chlorhexidine-based mouthrinses. Not only do these rinses themselves cause staining, they also enhance staining from other sources, such as diet or tobacco use. An understanding of the etiologies of dental stains will help today's practitioners become more effective in managing dental stains in their practices. Important strategies for managing stain are patient education about the causes of staining, careful consideration of product recommendations for home use, and routine office visits for prophylaxis. Ideal products for patient use are those with effective stain-removal properties and low abrasivity, which minimizes tooth wear.

Animals↗

Applications of polymers in dentifrices and mouthrinses.

This review highlights the specific applications of polymers in oral hygiene products. Specific examples are provided to show how polymers can be used to improve retention and release of active agents for therapeutic effects in an oral environment where the residence time of the actives is low, owing to the continuous flow of saliva which washes them away. Polymers are uniquely suited as active therapy for intraoral applications and as replacement agents for augmenting the macromolecule's deficiency (saliva) caused in the aging mouth. It is expected that the next generation of products and delivery systems will be based on polymers derived from natural sources and will have functions such as enamel replacement agents for caries control, adhesion macromolecules for gingival tissue attachment to teeth, saliva mucin replacement, and the delivery of new active agents using biopolymers.

Animals↗

Surface changes on dental materials. II. The influence of two different dentifrices on surface roughness measured by laser reflexion and profilometer techniques.

Surface changes on eight different dental materials were investigated, using laser reflexion technique and a profilometer. The tested materials were: Acrylic veneers Isosit, Isosit N, K+B+, Multiplus and K+Bpaste Gold Sjödings C Titanium pure non-rolled titanium Ceram a potential ceramic direct filling material The materials were subjected to brushing in a brushing machine, with a toothpaste-water slurry. Two different toothpastes were used separately; Clinomyn and Colgate. The new ceramic material showed no measurable wear by the brushing. All the other materials were affected to some extent. On titanium increasing values of light intensity were obtained thus indicating a smoother surface. Among the veneer materials K+Bpaste was the most wear resistant.

Acrylic Resins↗

[Comparative studies on the removal of dental plaque by means of various dentifrices].

In order to demonstrate the cleaning effect of toothpastes which differed with regard to their percentage of polishing and wetting agents, we tested and compared different pastes ("W,X,Y,Z") to each other and with a placebo paste ("V") in 53 subjects. In a double blind trial, the Silness and Löe, Quigley and Hein plaque indices were determined, after establishing the initial values, and after two (interim measurement) and four weeks (final measurement) of application. Statistical evaluation showed that the toothpaste "w" with the components calcium phosphate, sodium laurylsulfate and sodium sulforicinoleate (in the given concentrations) cleans accessible dental surfaces from plaque and discolorations most intensively. All pastes were statistically significantly different from the control paste.

Calcium Carbonate↗