Toothpaste Too Abrasive?

Each and every toothpaste has a granular component that is added to aid in the removal of plaque and bacteria.  The primary issue and problem with the granular additive, along with the mechanism of the toothbrush bristles, is that over a period of time it can lead to a "notch-like" defect at the gum line.  These gum line defects occur at the junction where the protective enamel layer stops and the root surface begins.  The areas can be sensitive to thermal (temperature) changes, especially cold, as well as sweets.  Eventually, composite (white filling) material may be required to cover and protect these areas once the defects have occurred.

The latest research and literature supports the fact that the number one cause of these gum line defects is due to the abrasiveness of toothpastes.  The most destructive of the toothpastes are the ones that have whitening components in them as well as some that contain baking soda and tartar control properties.  Any toothpaste that has an abrasive level of 150 (RDA value) or below, we consider as being "safe" to use such as Crest regular or Colgate regular.  Others that are above the 150 abrasive level, we regard as being too abrasive.

We have compiled a current list of many of the commonly used toothpaste on the market today and their granular levels.  Ask us when you are in next for a copy to insure that what you are using at home is not too abrasive.

Canker Sore Relief

Canker sores (apthous ulcers) occur in approximately 20% of the population.  They are usually located under and/or on the tip of the tongue, inside the cheeks or lips or along the gum tissue.  These ulcers can vary in degree of painfulness and usually heal uneventfully in seven to ten days.  Occasionally, some may have a prolonged healing time.  The exact cause of canker sores is not known.  However, the following factors or conditions are probable causes associated with the development of the oral ulcers.  Stress, vitamin deficiencies, medications, diseases (celiac, Crohn's and lupus), trauma, food allergies and toothpaste containing sodium lauryl sulfate.

If you are someone who frequently suffers from canker sores, we have several over the counter topical medications or prescription medications as well as a nutritional recommendations available in relieving the outbreak stage, making eating and talking more comfortable.  We also suggest checking with us if you have unusually large or painful canker sores that do not seem to heal.

As there is no definitive cure for canker sores, we are confident in giving you recommendations which are based on the individual patient needs and the severity of the ulceration.  Feel free to consult one of us at your next visit or contact us regarding treatment options on canker sores.  Our goal is to keep you comfortable and provide you with the most up to date information on products and nutritional recommendations.

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