The ADA Seal of Acceptance

When you're shopping the oral healthcare aisle at your local market, you will notice most products bear the "ADA Seal of Acceptance." This logo indicates that the American Dental Association stands behind the item's efficacy and ability to improve your overall oral health. However, it is important to understand exactly what the seal means and how you can use it to inform your product choices. 

When a product earns the ADA seal of acceptance, it means that it contains an attribute that is scientifically proven to maintain or improve oral health. For toothpastes, it might be a therapeutic dose of fluoride. For mouth guards, it might mean a minimum level of shock/impact protection. To earn this endorsement, manufacturers have to apply to the ADA. The seal is not a legal or regulatory requirement to designate an "effective" product. Therefore, items without the seal of acceptance aren't necessarily lacking these important attributes. For example, lesser known brands of toothpaste may contain an appropriate amount of fluoride, but still do not have the seal. With that being said, shopping without the seal of acceptance can place you at risk of purchasing a less effective product. Fluoride free toothpastes, charcoal whitening powders and flimsy mouth guards all lack the ADA seal, and for good reason: they probably won't do you much good!

On the opposite side, just because a product contains the seal of acceptance does not automatically indicate it is the right one for you. For example, Listerine mouth rinse bears the ADA seal of acceptance due to it's ability to aid in the treatment of periodontal disease. However, if you struggle more with tooth decay than gum disease, a fluoride rinse like ACT with fluoride (which also bears the seal) would be far more advantageous. At the end of the day, you should be reading packaging for active ingredients, what they accomplish and decide if it fits in with your oral health needs. 

We know that there are many types and varieties of products available to keep your mouth happy and healthy. If you have any questions about toothpastes, toothbrushes, floss or the seal of acceptance, please give our office a call!

Organic Toothpaste

If you shop at a natural market like Whole Foods or Sprouts, you have probably seen the organic toothpastes available in the cosmetics aisle. Companies like Toms of Maine and Jason all sell numerous types and flavors of toothpaste with varying promises. No matter what the packaging claims about being anti-cavity or enamel strengthening, all toothpastes have to have fluoride to protect against oral disease.

The protective factor of brushing your teeth comes from the mechanical action of scrubbing the enamel and the remineralizing effect of fluoride. Fluoride works by increasing the rate of enamel mineralization and interfering with bacteria's ability to colonize your teeth. Years of research and clinical trials have shown that using fluoride is safe, effective and significantly lowers your risk of developing cavities.  If you aren't using fluoride toothpaste, you are missing out these great benefits. Other ingredients, such as baking soda or triclosan may add to the protective factors but are not effective enough on their own to fight cavities. 

If you are interested in switching to an organic or specialty toothpaste, simply check the packaging for added fluoride (all active ingredients have to be disclosed by law). Specifically, Toms of Maine sells a version of their organic toothpaste with fluoride. If you have any more questions about fluoride, toothpaste, or oral hygiene, please give our office a call! 

Dental Questions: Does the order of brushing and flossing matter?

One of the most common oral health questions dentists receive from patients is the proper order of brushing and flossing. We are here to assure you that there is no recommended order to a standard oral health regimen. As long as you are brushing twice a day for two minutes with fluoride toothpaste and flossing daily, you are experiencing all the benefits of basic home oral hygiene. Dentists typically recommend brushing once in the morning and (definitely) once right before going to sleep/after your last meal. Flossing can take place at any point throughout the day, so long as it happens before you go to sleep. 

Beyond these suggestions, you may want to consider these options as well:

-Brush in the morning before breakfast. Brushing right after a meal can actually damage dental enamel due to the acidic affects of digested carbohydrates and the abrasive nature of toothpastes. 

-Using an alcohol rinse like Listerine after brushing can limit the fluoride activity of toothpaste. If you are at a high risk for developing cavities, consider switching to a fluoride rinse like ACT. 

-Chronic non-flosser? Consider keeping a bag of handle flossers in your car. It's a great reminder to keep those teeth clean!

-While sugar-free chewing gum can help clean/protect teeth, it is no replacement for brushing and flossing. However, a sick of gum after lunch or dinner can help dislodge food and stimulate protective salivary flow. 

We hope you found this guide helpful! If you have any other questions on oral hygiene, flossing, brushing or toothpaste choices, please give our office a call.

Irritants in Oral Health Products

Have you noticed a burning sensation after switching toothpastes? Dryness? Canker sores? These are very common problems stemming from both inactive and active ingredients in various oral health products. Take a look at what compounds are generally most problematic and how to avoid them!

One of the most common irritants in toothpaste is Sodium Lauryl Sulfate (SLS). This compound is used in some brands as a foaming agent, surfactant and detergent. While it is not an active ingredient, it theoretically helps the toothpaste create better contact with the teeth. Unfortunately, many patients are sensitive to this ingredient and can develop sores or tissue sloughing (outer layer of skin becomes irritated and loose) in response to its use. The most common sign of an SLS sensitivity is cracking/irritation at the corners of the mouth after switching toothpastes. 

Another common and problematic component in toothpastes is cinnamon flavoring. As a whole, cinnamon is a known irritant with a high potential for reacting with the oral mucosa. Applying it twice a day for two minutes (as with normal brushing) can cause burning and tissue sloughing in many patients. This varies greatly from person to person and has to be judged on an individual level. Some patients love cinnamon toothpaste and handle it just fine!

A final ingredient to pay attention to is alcohol in mouth rinses. Many common "Listerine-type" rinses use alcohol as a antimicrobial in controlling periodontal disease. Unfortunately, alcohol can irritate sensitive gums and dry out the teeth. Alcohol based rinses are still a good choice for patients suffering from gingivitis or periodontitis. However, many patients have a higher propensity towards tooth decay and would benefit more from a fluoride rinse like ACT with fluoride. 

If you start to notice burning, dryness or tissue sloughing in your mouth after starting a new product, discontinue it immediately and give our office a call. If you are having problems finding a toothpaste that doesn't irritate your gums, we suggest trying Biotene toothpaste or Tom's Clean and Gentle with Fluoride. Both of these products were created with sensitive tissue types in mind and are free of unnecessary compounds. If you would like to know more about toothpaste choices, brushing, flossing or dental home hygiene, please give our office a call!

Replace That Toothbrush!

Is your brush looking a little frayed? Its probably time to grab a new one! The ADA recommends replacing toothbrushes (or electric brush heads) every three to four months. Older brushes lose their ability to reach the fine areas of your mouth and harbor potentially harmful bacteria. If your brushes are wearing out sooner than the three month mark, it could be a sign of using too much pressure while brushing. Children's brushes will likely need more frequent replacement and should be monitored closely. 

We always recommend using a toothbrush with soft or extra soft bristles and a small head. Brushes with stiff bristles can actually do more damage than good and large heads make it difficult to navigate the narrow spaces in the back of the mouth. Also make sure you're pairing your new toothbrush with a fluoride toothpaste. Finally, if you plan on switching to a electric brush, make sure it has a pressure sensor and built in timer, along with readily available replacement heads. If you have any further questions about toothbrushes, oral hygiene or taking care of your teeth, please feel free to contact our office!

Dental Questions: Do sensitivity toothpastes actually work?

Many of our patients complain of "sensitive teeth" and are curious if products like Sensodyne, Crest Sensi-Releif or Colgate Sensitive actually work. With all the brands of toothpaste available on the market, their skepticism is very understandable.

The short answer is yes, these toothpastes will help make your teeth less hypersensitive to hot, cold and other stimulation. They typically contain an active ingredient called potassium nitrate that helps block the nerve endings on exposed dentin. Dentin is the material between enamel and dental pulp, and is often exposed in areas of recession. This is why patients who brush vigorously at their gum lines will frequently develop sensitivity problems. The abrasion of the toothbrush causes the gum tissue to recede, revealing exposed dentin underneath. 

However, it is important to note that sensitivity toothpastes will not address other kinds of dental pain. Inflamed gums, severely cold sensitive teeth and teeth with active decay will not improve with the use of these products. Furthermore, you will need to use these toothpastes twice a day for about two weeks before you start to notice improvements. It is important to keep in mind the capabilities of these products and likewise manage your expectations. If you have any further questions about sensitivity, toothpastes or other over the counter dental products, please give our office a call or email!