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Growing Smiles Toothpaste Guide

*Please note this is not exhaustive. Please contact us or your dental team for information on which toothpaste is best suited for your oral health. At the end of the toothpaste ingredients table you will find a key which will help you find toothpastes with different levels of fluoride, are fluoride free, those which are sodium lauryl sulphate free and those that have xylitol. We hope this helps. If you have any queries please contact us. 

The global oral care market is worth tens of billions of U.S dollars and with the UK toothpaste market worth 461 million pounds  in 2015 it’s not surprising that manufacturers are constantly developing ranges vying for your attention.  Many manufacturers work closely with the dental profession to ensure they support the profession in their efforts to improve oral health. This is how fluoride added to toothpaste has made the most significant impact in improving oral health in the last 75 years.  With so many options it can be a challenge knowing what is right for you and your family!

What do you use?

Whatever the wife/husband buys? Whatever Mum/Dad buys?

Your decision may be affected by cost, flavour, professional recommendation, advertising or something else but how many of us seriously think about what we put on our toothbrush?

Why bother?

Toothpaste can help to remove plaque biofilm from teeth and gums, reduce stain and apply agents (active ingredients) that can help improve tooth and gum health. Active ingredients can help manage tooth sensitivity, whiten teeth, or reduce gingivitis or tartar build-up.

So what should you use?

Your choice depends on your current oral health status and your risk of developing oral disease or problems. Keep in mind your risk of developing an oral condition will change throughout life, so it is important to visit the dentist regularly (as often as they recommend) to have your oral health reviewed. It is always best to prevent problems – and prevention starts at home 365 days a year. Your oral health is in your hands.

Toothpaste (dentifrice) is a paste or gel used to help clean teeth and improve oral health

What’s in the tube?

20 -42% of toothpaste is water!

Binders – thickens the paste and stabilises the formulation

e.g. Natural gums

Carageenan

Seaweed colloid

Synthetic cellulose

Humectants – helps keep paste moist and prevents it hardening

e.g. Xylitol

Glycerol

Sorbitol

Foaming agents/Detergents/Surfactants

help to penetrate and loosen surface deposits and contribute to foaming action of toothpaste.

e.g. Sodium lauryl sulphate (SLS)

Sodium nlauryl sarcosinate

Sodium Alkyl Sulphate

Note – some people who suffer from ulcers are sensitive to sodium laurly sulphate so avoiding SLS can help reduce ulcers

Preservatives – prevents germs growing, extends shelf life

e.g. Benzoates

Alcohol

Dichlorinated phenols

Cleaning/polishing agents

Pigments from foods, tobacco etc can stain the plaque biofilm on tooth surfaces. Polishing agents can help remove stained biofilm

e.g Calcium Carbonate

Phosphate salts

Hyrated aluminium oxide

Activated carbon

Silica

Sodium Hexametaphosphate.

Flavouring – gives a pleasant flavour/mask other ingredients

e.g. essential oils

Artificial sweeteners – Xylitol, Glycerol, Sorbitol

The Main Functions of Toothpaste

One of the main functions of toothpaste is to apply an agent/s to the teeth and gums that benefits oral health (the active ingredient). Most commonly these agents target one or more of the following –

Tooth decay

Gum disease

Sensitivity

Tartar control

Whitening

Acid erosion control – tooth surface loss/tooth wear

Fresh breath – halitosis/oral malodour

Dry mouth

Some toothpastes offer all round protection with an active ingredient/s e.g. Fluoride that has proven effect against one or more oral conditions. E.g tooth decay, gum inflammation, sensitivity and acid erosion. Other pastes has an active ingredient which targets a specific problem e.g. Novamin for Sensitivity. Selection of a toothpaste should be made with your dental team and is dependent on your risk/benefit of use.

Toothpaste Active Ingredients

Active ingredients are added to toothpaste to improve health or reduce negative symptoms

The most common active ingredients include –

Fluoride  – is found in toothpastes targeting tooth decay, gum disease and sensitivity.

Fluoride is a naturally occurring mineral found in water in varying amounts, depending on where you live. Many people don’t know if their water supply is fluoridated – speak to your dental team if you are not sure. Only 10% of England’s population have fluoridated water at an optimum level. If in doubt, information can be obtained from your water supplier by quoting your residential postcode.

More information on water fluoridation in the UK can be found here https://www.nhs.uk/conditions/Fluoride/Pages/Introduction.aspx

Fluoride was first added to toothpastes in the 1890s. In 1955, Procter & Gamble launched Crest as its first clinically proven fluoride-containing toothpaste. On August 1, 1960, the American Dental Association reported that “Crest has been shown to be an effective anti-cavity (decay preventing) dentifrice (toothpaste) that can be of significant value when used in a conscientiously applied program of oral hygiene and regular professional care.”

Supported by more than half a century of research, the benefits of fluoride toothpastes are firmly established, reducing tooth decay, by about 24% on average, when compared with a non-fluoride toothpaste.

Everyone will benefit from using fluoride toothpaste at night time and one other time every day.

Twice a day use increases the benefit. 

Spit toothpaste out after brushing but don’t rinse – let the ingredients work!

Recommended level of fluoride in toothpaste –

0-3 years use a smear of paste with at least 1000ppm fluoride ( small children should not lick or eat toothpaste from the tube)

3 years and over a pea sized blob of paste 1350 -1500ppm fluoride

See picture to get an idea of how much a smear and pea sized blob actually are! 

toothbrushes showing toothpaste amount smear or pea sized blob

The list below is based on information in Delivering Better Oral Health (PHE 2017) and updated and amended by Growing Smiles August 2019. The list of ingredients will be on the toothpaste tube and will state in parts per million the amount of fluoride present.

*  TOOTHPASTE  IS  SODIUM LAURYL SULPHATE (SLS)  FREE

+  TOOTHPASTE HAS LOW FLUORIDE BUT FORMULATION AND/OR INGREDIENTS ARE EQUIVALENT TO REMINERALISING TOOTH SURFACES USING ~1350PPM FLUORIDE

# TOOTHPASTE CONTAINS XYLITOL – FIND OUT MORE ABOUT THE BENEFITS OF XYLITOL HERE https://growingsmiles.co.uk/healthy-tips-for-happy-teeth-and-oral-health/sugar-and-oral-health/

This is for guidance only and is not exhaustive of all toothpastes available. Brands, formulations and active ingredients may change. Please always check ingredients for possible individual allergens. Growing Smiles cannot be held responsible for any interaction to products an individual selects.

Higher concentration fluoride gives better protection against decay

Toothpastes containing 1,000-1,500ppm Fluoride (F)

ALDI – Dentitex – all types
AnOxident BalanceToothpaste for diabetics * #
Asda – Protect Big Teeth 6+, Total Care, Extreme Fresh, Whitening, Sensitive, Smart Price
Aquafresh – Active Cavity Protection, Fresh Breath, Active Whitening Fluoride, Big Teeth, 12 Hour Protection, Extreme Clean, Whitening, Fresh Minty, HS White Illuminating Mint, Tingling Mint, Iso-Active Fresh Mint Fluoride, Clean and Whiten, Little Teeth, Mild Minty, Milk Teeth – 3-5 years, Multi-action Whitening, Multi-Action Whitening, Multi Active Fluoride, Triple Protection, Whitening
Arm and Hammer – Advance White, Whitening, Whitening Sensitve, Brilliant Sparkle, Enamel Pro Repair Sensitive, Extra White, Original Coolmint
Beverley Hills Formula – Total Enamel Sensitve Expert, Perfect White
Biotene *
Boots – Smile Fresh Stripe, Total Care, Whitening, Sensitive, Expert Sensitive Whitening, Enamel Protection, Weekly Clean, Expert Orthodontic, Smile Kids 6+
Brush-BabyApplemint *, Tutti Frutti *
Brush Fresh Plastic free, Eco friendly Toothpaste Tablets from with 1450ppm fluoride
Corsodyl – Extra Fresh Original, Whitening *
Colgate – 2 in 1 Whitening, Icy Blast, Advanced White, Whitening, Whitening Go Pure, Fresh Minty Gel, Cavity Protection, Cool Stripe, Deep Clean Whitening, Sensitive Enamel Protect, Cavity Protection Great Regular, Max Beads Blue, Max Fresh Blue, Maxwhite, One, One Active, One Luminous, One Optic, Shine, Sensitive Enamel Protect, Sensitive and Whitening, Multi-protection, Plus Whitening, Pro-relief, Pro-relief and whitening, Pro-relief enamel repair, Pro-relief Multi-Protect, Kids 4-6, Kids 6+, Total,  Advanced, Clean, Freshening, Pro-Gum Health, Pro-Gum Health Whitening, Sensitive, Whitening, Inderdental, Triple Action, Whitening and Fresh breath
Co-operative – Freshmint, Whitening and total care, Sensitive and total care, Fluoridine, Janina , Ultra White Extra Strength, White Sensitive, Kingfisher, Mint with Fluoride, Fennel with fluoride, Kokomo, Peppa Pig
Curaprox – Enzycal
Macleans – Fresh Mint, Ice Whitening Toothpaste, Total Health and Whitening, White ‘n’ Shine, Whitening, Whitening Fluoride
Mentadent – Mentadent P with zine citrate, Mentadent SR
OpalesenceWhitening #
Oral B – Stages – Bubble gum, 1-2-3, 3D White Enamel Protect, White Brilliance, White Luxe Healthy Shine, Complete Extra Fresh, Extra White, mouthwash and whitening, ProExpert All Around Protection Clean Mint, All Around, Enamel Shield, Premium Gum Protection, Sensitive + Gentle Whitening, Whitening
OralieveUltra Mild *
OraNurse0-3years 1000ppm, 4years upwards 1450ppm
Pearl Drops – Pro White, InstantWhite, Restore White, Ultimate White, Everyday white
Sainsbury’s Own – Basics, Extracare Fresh and Whitening, Sensitive and Whitening, Freshmint, Gentle Whitening, Sensitive, Sensitive Enamel, Whitening, Kids Toothpaste 3-6
SandersonsOHP1450ppm
Sensodyne – Daily Care Original *, Complete Protection *, Daily Care *, Deep Clean gel, Extra Fresh *, Gentle Whitening *, Gum Protection, Iso Active Whitening *, Mint, Pronamel Daily Toothpaste, Daily Fluoride Children 6-12 years, Extra Freshness, Gentle Whitening *, Rapid Relief Mint, Repair & Protect Extra Fresh, Whitening, Total Care, Gentle Whitening
Smith Kline Beecham – Corsodyl Daily Extra Paste, Daily Whitening
Superdrug – Procare
Tesco’s Own – Everyday Value, Kids Strawberry, Freshmint, Sensitive, Whitening, Steps Toothpaste 0-2, Steps Toothpaste 3-, 6+, Pro-formula daily protection sensitive. All day protection complete, sensitive, complete whitening, Daily protection, enamel protect, Extreme whitening, freshmint
Tom’s of Maine – Fennel and Spearmint
WhitewashWhitewash Professional Whitening Toothpaste with silver particles, Whitewash Remineralising Whitening 
Wilkinsons – Wilko Whitening, Freshmint Fresh
Wisdom – XtraClean
Zohar – Kosher Toothpaste

Higher concentration fluoride gives better protection against decay

Toothpastes containing exactly 1,000ppm (F)

Asda – Protect 0-3 Milk Teeth
Aquafresh – Milk Teeth 0-2 years
Beverley Hills Formula – Total Protection Whitening, Sensitive Whitening, Dentist’s Choice
Boots – Essentials, White Glo 2 in 1, White Glo Coffee & Tea Formula, White Glo Extra Strength, Smile Kids 2-6Clinomyn – Smoker’s
Colgate – kids 0-3, Optic White
Oranurse0-3 years 1000ppm *
Dr Fresh – Thomas the Tank Engine
Kingfisher – Aloe Vera, Fennel with Fluoride, Tea Tree, Kokomo, Hello Kitty
Sainsbury’s Own – Kids Toothpaste 0-3
SandersonsOHP1000ppm
Tom’s of Maine – Fennel and Spearmint
Ultradex – previously Retardex – Low Abrasion , White Glo, Recalcifying & Whitening
Wilkinsons – Wilko Everyday Value

(Low concentration) – limited/no protection against decay

Toothpastes containing less than 1,000ppm (F)

BiominBiominF +
Blanx – Advance Whitening , Intensive Stain Removal, Sensitive, White Shock
Boots – Smile Kids 0-2 
CuraproxBlack is White *, BeYou *
Kingfisher – Aloe Vera, Fennel with Fluoride, Tea Tree
Lidl – Dentalux for kids 0-6 
Oral B – Stages – Berry Bubble
SplatExtreme White

No fluoride – no protection against decay

Toothpastes containing no fluoride

Beverley Hills Formula – Natural Whitening 
Biomin – BiominC
Boots – Smile Non-Fluoride
Elgydium – Eucryl Powder, Euthymol 
Kingfisher – Fennel Fluoride Free, Baking Soda Fluoride Free, Mint with Lemon Fluoride Free, Aloe Vera, Tea Tree, Mint Fluoride 
Optima – AloeDent Triple Action, AloeDent Bambini
Oral B – Rembrandt Plus Fresh Mint, Sensodyne , Original 
SplatBiocalcium *
Tom’s of Maine – Many type of fluoride free

 

 

The most common types of fluoride added to toothpaste are –

Sodium Fluoride – 1350 – 1500ppm (parts per million)

Sodium monofluorophosphate

Stannous fluoride – Stannous fluoride has been shown to be more effective than sodium fluoride in reducing the incidence of dental caries and controlling gingivitis (bleeding gums), but may cause more surface stains. e.g. Oral B Pro Expert, Sensodyne Rapid Relief.

Check  fluoride concentration. Look for the parts per million of fluoride on ingredients label (ppmF-). Less than 1000ppmF- is a low concentration and offers limited or no protection against decay. 1450ppmF- is generally used in over-the-counter UK toothpastes and is recommended by the dental profession. Children’s formulas can contain lower levels.  Many people – especially those who brush well – don’t need extra active ingredients apart from fluoride.

Some toothpastes do not contain fluoride e.g. Sensodyne Original, Oral B Rembrandt Plus Fresh Mint, Euthymol.

High Fluoride Toothpastes

If you are considered high risk of tooth decay, your dentist (or Doctor) may prescribe a high fluoride toothpaste – in certain circumstances this may be a private prescription. Consider it an investment in your future dental health – regular use may prevent expensive dental treatment.

These toothpastes are prescription only medicines and either contain 2800ppm ( over 10 years of age) or 5000ppm ( over 16 years of age)  and their use is based on risk assessed need with your dentist.

Sodium fluoride 2,800 ppm toothpaste Indications: high caries risk patients aged 10 years and over.

http://www.colgateprofessional.co.uk/products/colgate-duraphat-2800ppm-fluoride-toothpaste/overview

Sodium fluoride 5,000 ppm toothpaste Indications: patients aged 16 years and over with high caries risk, present or potential for root caries, dry mouth, orthodontic appliances, overdentures, those with highly cariogenic diet or medication.

http://www.colgateprofessional.co.uk/products/colgate-duraphat-5000ppm-fluoride-toothpaste/overview

OTHER ACTIVE INGREDIENTS YOU MAY FIND IN TOOTHPASTE

Antibacterial agents – reduces plaque, inflamed and bleeding gums, and decay. Evidence suggests that toothpastes containing triclosan in combination with a copolymer or with zinc citrate are more effective than a fluoride only toothpaste in improving plaque biofilm control and gingival health. Triclosan is an antibacterial ingredient added to toothpaste sometimes with copolymer, which reduces the amount of triclosan  washed away by rinsing or saliva. Other anti-plaque agents include bromochlorophene zinc citrate, papain and sanguinaria extract.

Tartar control agents e.g. Pyrophosphates help reduce formation of tartar (calcified plaque biofilm). Other agents that have been shown to  reduce tartar – Zinc citrate.

Tartar control toothpastes will  not remove tartar – calcified plaque biofilm – from the tooth surfaces. It will slow down/prevent new tartar forming. Visit your dental team to have tartar removed professionally.

Desensitising agents Ingredients that can help with sensitivity by creating a barrier to nerve endings  relieving pain – Potassium nitrate, Calcium sodium phosphosilicate (NovaMin). Fluoride (Stannous or sodium fluoride), Arginine, Sodium chloride, Silver nitrate

If you find a desensitising toothpaste that works for you, you need to continue use long term or your sensitivity is likely to recur.

Remineralising agents – neutralise plaque acids, and help repair tooth enamel e.g Xylitol, Sodium fluoride, Sodium monofluorophosphate, Casein Phosphopeptide – Amorphous Calcium Phosphate (ACP), Arginine bicarbonate, calcium carbonate, Bioactive glass (Novamin) e.g. Enamelon, Colgate Maximum cavity protection, Sensodyne Repair and Protect.

Xylitol is a sugar alcohol that occurs naturally in plants and is used as a substitute for sugar. Sources are fruits, berries, mushrooms, lettuce, hardwoods and corn on the cob. The dental significance of xylitol was discovered in Finland in the early 1970s.

Xylitol has the ability to:Reduce dental plaque formation; Make plaque less adhesive; Neutralise plaque acids by decreasing the production of acids; Reduce the numbers of decay causing bacteria in the mouth; help reduce tooth decay; reduces gum tissue inflammation; help with dry mouth and bad breath. Xylitol also stimulates salivary flow. Increased salivary flow offers protection to both the oral soft tissues and the teeth. It has also been shown that a combination of fluoride and xylitol is more effective than fluoride alone. e.g. Brush Baby toothpaste

*GC Tooth Mousse and GC MI Plus Paste with Recaldent are effective remineralising agents for teeth. It is used as well as a toothpaste and is applied to the tooth surface and left – consider it a moisturiser for teeth! For more information see

Whitening agents/Stain removal  – Whitening toothpastes do not typically contain bleaches. Instead, they contain abrasive particles or chemicals that polish the teeth or attach to stains and help pull them off the tooth surface. Curaprox black is white toothpaste contains activated carbon and has an RDA of 59. 

Acid erosion prevention – Fluoride , Potassium nitrate, Zinc-hydroxyapatite, Amorphous calcium phosphate, casein phosphopeptide, Stannous Chloride e.g Sensodyne Pronamel, Oral-B Pro-Expert Enamel Regeneration.

Bad breath/Oral malodour/ Halitosis –  Active ingredients Zinc citrate, Zinc acetate, Stannous fluoride with sodium hexametaphosphate have been shown to reduce volatile sulphur compounds which contribute to bad breath

e.g. Ultradex.

Dry mouth – essential oils  e.g.Biotine, Bioxtra,  More to follow

Also consider Xylimelts

Acid erosion e.g. Pronamel  More to follow

Ulcers/sore mouth – avoid SLS (Sodium Lauryl Sulphate, a foaming agent),  e.g. Oranurse is SLS free and flavour free and non foaming.

Non foaming e.g. Oranurse. More to follow

Non fluoride e.g. some of the Splat range, Sensodyne original, Euthymol

Herbal/natural – e.g. Kingfisher (Vegan, gluten free, GM free), Aloe Vera. Often do not contain fluoride. More to follow.

Taste/flavour alternatives to mint

Tutti fruitti – Brush Baby

Applemint (1000ppm) Brush Baby

Oranurse flavourless

OHP1450 mild mint

Enamelon – menthyl

Abrasiveness RDA (Relative dentine abrasivity) – more to follow on how abrasive toothpastes a can be and how this can impact tooth surfaces. An abrasive toothpaste especially when used with a hard toothbrush can increase the wear on tooth surfaces. See image on page for a guide to RDA of many toothpastes. 

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