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Dental Tribune Middle East & Africa Edition

T he variety of toothpastes available means that many patients choose a brand based on how effective it is at targeting some of the most common dental problems such as stain- ing, bad breath, sensitivity, and gum dis- ease. They probably do not even give a sec- ond thought to the ingredients and the ef- fect they may be having on their teeth and overall oral health. Many may be under the false impression that to remove stains caused by drinking tea, coffee, red wine or tobacco, and regain a bright, white smile, they need to resort to costly teeth whitening treatment, harsh ac- ids and abrasives, or home bleaching kits. This isn’t the case. Ingredientsforeffective stainremoval With stain removal toothpastes now firmly under the spotlight, it’s important that pa- tients are aware of the effective toothpastes available, which are clinically proven to work. Such toothpastes contain ingredients that can remove deep and surface stains as part of your patient’s daily, oral health care regimes, to brighten, lighten and whiten teeth, such as: – Hydrated Silica, which is a low abrasive polishing ingredient, frequently combined with the softer Calcium Carbonate, to pro- vide a smooth gel-like quality that works hard to remove plaque and stains and whit- en the teeth. It provides no distinctive taste or odour, and may also be labeled as amorphous silicon dioxide, silicic acid, or silica gel. This mild abrasive is harmless and is even listed by the US Food and Drug Administration as “Generally Recognised as Safe”. – The stain-dissolving agent, Pentaso- dium Triphosphate, which prevents food particles settling on the teeth, effectively keeping teeth whiter for longer. – For extra stain removal, the anti-tartar ingredient, Tetrasodium Pyrophosphate coats the surface of teeth to prevent bacte- ria forming, leaving your teeth feeling and appearing brighter all day. Whiterteeth,quickly andeffectively A UK Dental School performed an in-vitro laboratory study, which aimed to measure stain removal and discover how effective var- ious toothpastes were at removing dietary stains from Perspex, compared to water. The assessment involved obtaining stim- ulated saliva from two volunteers, who had not eaten or drank anything, other than water, for two hours. Approximate- ly 100ml was used for the 10 staining cy- cles (10/15ml per cycle). All Perspex sam- ples were immersed in human saliva for two minutes; 20ml of 0.2% Chlorhexidine based mouthwash for two minutes; and 10ml tea solution for 60 minutes, before be- ing removed and rinsed in distilled water. Toothpaste slurry was prepared by mixing a ratio of 3g toothpaste: 10ml distilled wa- ter for each cycle. Fresh saliva proceeded to be collected from a single source, and the tea and Chlorhex- idine solutions changed after each stain- ing cycle. Perspex blocks were measured before and after immersion in toothpaste slurries, for periods of between one and five minutes, and the stain removal per- centage calculated. The laboratory tests revealed that stain re- moval was performed after just one min- ute. Of the products tested, Beverly Hills Formula Natural Whitening Expert (see Fig. 1) toothpaste proved most effective at removing stains when compared with oth- er leading brands of whitening toothpastes and toothpolishes, with over 91% of stains removed over a five-minute period. Other products within the range also scored exceptionally well with Bever- ly Hills Formula Perfect White (coded as “PLMO/1x1158 Stain Removal” in the study) removing nearly 91% of stains and Beverly Hills Formula Dentists' Choice Gum & Whitening Expert toothpaste re- moving over 88%. Meanwhile, other lead- ing brands of whitening toothpastes and toothpolishes scored as low as 41%, a re- markably low percentage, considering wa- ter alone removes 48% of staining. AbrasionLevels– HowLowCanYouGo? All toothpastes contain abrasives; they pro- vide the cleaning power needed to keep teeth clean and help prevent gum disease by removing plaque, stains and debris. Howev- er, in the search for the right toothpaste, it’s important to find one that does “all of the above” but is not so harsh that the abrasives attack the enamel. The development of toothpaste and its abra- sive qualities date back as far as the Egyp- tians in 4th Century AD and the Romans, when the most effective recipes included crushed flowers, bones and oyster shells. Today, abrasive ingredients include par- ticles of aluminum hydroxide (Al(OH)3), calcium carbonate (CaCO3), various calci- um hydrogen phosphates, silicas and zeo- lites, and hydroxyapatite (Ca5(PO4)3OH), and can account for up to 60% of some brands of toothpaste. Patients should steer clear of highly abrasive toothpastes as they can damage the teeth and gums. As tooth enamel is worn away, the dentin beneath is more visible and teeth become more yellow in appearance. They can also remove the luster and polish of por- Stain removal and low abrasion toothpastes that do what they say on the tin! Eric Peterson, Founder of whitening toothpaste Beverly Hills Formula, has over 20 years experience within the oral health and beauty sector. With a pri- mary focus on delivering fast, yet safe, teeth whitening results, Eric has suc- cessfully introduced many innovative whitening toothpastes to the market. Contact Information Fig. 2. Certificate of Analysis, Toothpaste Abrasivi- ty (USA, 2012) Product % Stain removed following 5 minutes treatment Beverly Hills Formula Natural Whitening Expert toothpaste 91.8 PLMO/1 x 1158 Stain Removal (Beverly Hills Formula Perfect White toothpaste) 90.8 Beverly Hills Formula Dentist's Choice Gum & Whitening Expert Sensitive tooth- paste 88.9 Beverly Hills Formula Dentist's Choice Gum & Whitening Expert Sensitive tooth- paste 87.9 Colgate Max White One toothpaste 74.9 Beverly Hills Formula Natural White tooth- paste 72.5 Colgate Total Advanced Whitening tooth- paste 60.3 Beverly Hills Formula Sensitive Whitening toothpaste 59.6 Colgate Max White with Micro Crystals (Crystal Mint) toothpaste 54 Oral B Pro-Expert toothpaste 53.9 Arm & Hammer Advanced Whitening toothpaste 52.3 Colgate Sensitive Whitening toothpaste 51.7 Pearl Drops Daily Whitening toothpolish 48.7 Water 48.2 Oral B Pro-Sensitive toothpaste 47 Sensodyne Rapid Relief (Mint) toothpaste 46.8 Sensodyne Repair & Protect toothpaste 46.6 Colgate Sensitive Pro-Relief & Whitening toothpaste 44.1 Pearl Drops Hollywood Smile Whitening toothpolish 42.9 Sensodyne ProNamel Gentle Whitening toothpaste 41.2 Fig. 1. Stain Removal Study Results (UK leading Dental School, 2012) celain veneers and crowns, dulling an other- wise beautiful smile. Abrasive toothpastes can also cause teeth to be become sensitive and in the most severe of cases can result in infection and even tooth loss. AbrasionTesting The abrasiveness of toothpaste is measured according to the RDA (relative dentin abra- sivity) value, and any value over 100 is con- sidered to be “abrasive”. Unfortunately the RDA Value is often not included in the marketing or promotional information sup- plied with toothpaste products, masking what is a common problem. In July 2012, a USA-based independent test- ing laboratory tested the abrasion levels of 15 toothpastes. The results confirmed that Beverly Hills Formula’s whitening tooth- paste is less abrasive than other leading brands of both whitening and regular tooth- pastes. In fact, Beverly Hills Formula Total Breath Whitening scored as low as 90 on the Abrasivity Index Table, whilst some leading competitors have levels as high as 138. Bev- erly Hills Formula Perfect White scored 95; and Beverly Hills Natural Whitening Expert, 99 (see Fig. 2).These results signal a break- through in oral care and aesthetics. Remov- ing stains no longer requires harsh abrasives or bleach, as this new generation of whiten- ing toothpastes offer a more tooth-friend- ly solution, helping patients to restore their teeth to a natural white colour, quickly, safe- ly and effectively. Completetoothprotection Choosing the right toothpaste is impor- tant in the fight to ensure a healthy mouth and using the wrong type of toothpaste can lead to serious oral health issues. For peace of mind, the Beverly Hills Formula whit- ening range also contains fluoride to offer fast-acting, long-lasting protection against acid attack, whilst helping to strengthen, re-mineralise and harden tooth enamel for complete tooth protection. In today’s image conscious society, the power of a gleaming smile can never be un- derestimated, and it needn’t be at a huge expense. So why not recommend a tooth- paste which delivers professional whiten- ing results and leaves teeth feeling and ap- pearing brighter all day? For more information, please call +353 1842 6611; email info@beverlyhillsformula.com; or visit www. beverlyhillsformula.com. Follow us on Twitter: @BHF_Whitening 19DENTAL TRIBUNE Middle East & Africa Edition | Jan-Feb 2013 ORAL HYGIENE

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