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Modern toothpaste gel
'Toothpaste' is a
paste or
gel dentifrice used to clean and improve the aesthetic appearance and health of
teeth. It is almost always used in conjunction with a
toothbrush. Toothpaste use can promote good
oral hygiene: it can aid in the removal of
dental plaque and
food from the teeth, it can aid in the elimination and/or masking of
halitosis, and it can deliver active ingredients such as
fluoride to prevent tooth and gums (
Gingiva) disease. Most people in
developed countries consider toothpaste a necessity and use it at least twice a day.
History
The earliest known reference to a toothpaste is in a manuscript from
Egypt in the
4th century A.D., which prescribes a mixture of powdered
salt,
pepper,
mint leaves, and
iris flowers. The Romans used toothpaste formulations based on human
urine.
[1] An 18th century American toothpaste recipe containing burnt bread has been found. Another formula around this time called for
dragon's blood (a resin),
cinnamon, and burnt
alum.
[2]
However, toothpastes or powders did not come into general use until the
19th century in Britain. In the early
1800s, the toothbrush was usually used only with water, but tooth powders soon gained popularity. Most were home made, with
chalk, pulverized
brick, and
salt being common ingredients. An 1866 Home Encyclopedia recommended pulverized
charcoal, and cautioned that many patented tooth powders then commercially marketed did more harm than good.
In 1892, Dr. Washington Sheffield of New London, Connecticut manufactured toothpaste into a collapsible tube. Sheffield's toothpaste was called Dr. Sheffield's Creme Dentifrice. He first came up with the idea of toothpaste in a collapsible tube after his son travelled to Paris and saw painters using paint from tubes. In 1896, Colgate Dental Cream was packaged in collapsible tubes imitating Sheffield.
By
1900, a paste made of
hydrogen peroxide and
baking soda was recommended. Pre-mixed toothpastes were first marketed in the 19th century, but did not surpass the popularity of tooth-powder until
World War I. In
New York City in
1896,
Colgate & Company manufactured toothpaste in the first collapsible tube, similar to that recently introduced for artists' paints.
Fluoride was first added to toothpastes in 1914, and was criticized by the American Dental Association (ADA) in 1937. Fluoride toothpastes developed in the
1950s received the ADA's approval. Countries limit and suggest different amounts acceptable for health. Much of
Africa has a slightly higher percent than the
U.S.
In
June,
2007, the US
Food and Drug Administration and similar agencies in
Panama,
Puerto Rico and
Australia advised consumers to avoid, return, or discard certain brands of toothpaste manufactured in
China, after batches of Chinese made toothpaste were found to be contaminated with the poisonous chemical
Diethylene glycol, also called
Diglycol or
Diglycol stearate, (or labelled as "DEG" on the tube). The chemical is used in
antifreeze as a solvent and is potentially fatal.
[1]
Toothpaste is most commonly sold in flexible
tubes, though harder containers are available. The hard containers stand straight up, availing more of the toothpaste and saving shelf space.
Ingredients and flavors
Active ingredients
Fluoride in various forms is the most popular active ingredient in toothpaste to prevent cavities.
Sodium fluoride (NaF) is the most common form ; some brands use
sodium monofluorophosphate (Na
2PO
3F). Nearly all toothpaste sold in the United States has 1000 to 1100 parts per million fluoride ion from one of these active ingredients, in the UK the fluoride content is often higher, a NaF of 0.32% w/w (1450ppm fluoride) is not uncommon. This consistency leads some to conclude that cheap toothpaste is just as good as expensive toothpaste. When the magazine
Consumer Reports rated toothpastes in 1998, 30 of the 38 were judged excellent.
Fluoride has been used in toothpaste since the 1950s:
history of fluoride use.
A range of other ingredients are less commonly used.
Hydroxyapatite nanocrystals are used for
remineralization, as in the
Apagard and
BlanX brands.
A more recent family of active ingredients use
calcium phosphate for
remineralization.
Calcium phosphate technologies include:
★
NovaMin
★
Recaldent
★
SensiStat
★
Amorphous Calcium Phosphate
★ Nanit active
These are used both with and without fluoride.
Calprox is used in Supersmile.
Cuprident uses mono-copper
citrate (MCC).
Some toothpastes include ingredients to reduce sensitivity; they can either treat an underlying cause (if sensitivity is caused by demineralization, remineralization repairs this), or suppressing the symptoms by desensitizing the nerves.
Inactive ingredients
Many, though not all, toothpastes contain
sodium lauryl sulfate (SLS) or another of the sulfate family. SLS is found in other personal care products as well, such as shampoo, and is largely a foaming agent. SLS may cause a greater frequency of
mouth ulcers in some people as it can dry out the protective layer of oral tissues causing the underlying tissues to become damaged
[4]. Some brands include powdered white
mica. This acts as a mild abrasive to aid polishing of the tooth surface, and also adds a cosmetically-pleasing glittery shimmer to the paste. Many may include frustules of dead
diatoms, as a mild abrasive.
Ingredients such as
baking soda,
enzymes,
vitamins,
herbs,
calcium,
calcium sodium phosphosilicate,
mouthwash, and/or
hydrogen peroxide are often combined into base mixes and marketed as being beneficial. Some manufacturers add antibacterial agents, for example
triclosan or
zinc chloride. Triclosan is a very common ingredient in the UK.
Toothpaste comes in a variety of
flavors, most often being some variation on
mint (
spearmint,
peppermint, regular mint, etc). Other more exotic flavors include:
anise,
apricot,
bubblegum (marketed mostly to children),
cinnamon,
fennel,
neem,
ginger,
vanilla,
lemon,
orange,
pine. Flavors which have been introduced but discontinued due to poor reception include
peanut butter,
iced tea, and even
whisky. Some brands of toothpaste are unflavored, but many are both flavored and sweetened. Because
sugar can cause tooth decay, artificial sweeteners are generally employed for this purpose. The inclusion of sweet-tasting but highly toxic
diethylene glycol in Chinese-made toothpaste led to a multi-nation and multi-brand toothpaste recall in 2007.
Many toothpastes contain
colorings for better visual acceptance.
Toxicity
Toothpaste is not intended to be swallowed and may cause
nausea or
diarrhea; fluoride toothpaste is toxic when swallowed. Extended consumption while the teeth are forming can result in
fluorosis. This is why young children should not use fluoride toothpaste except under close supervision. There are several non-fluoride toothpaste options available in the market for those with no tolerance to fluoride.
Striped toothpaste
 How stripes are produced in toothpaste |
Striping of toothpaste is solely for the purpose of providing an alternative appearance; it provides no functional benefit to the consumer.
Striped toothpaste can be produced by including two different colored toothpastes in an unusual type of packaging. The collapsible
tube has two tanks, one filled with each color paste (see figure). Squeezing the tube pushes the two pastes out the opening. The tube nozzle layers the pastes to produce a striped pattern.
To keep the cost of packaging to a minimum, it is now common for tubes to be filled with striped paste (e.g. Aquafresh).[5] As the tube is squeezed, the stripes flow parallel to each other and do not mix. The patterned paste that gets dipensed is simply a narrower version of what is in the tube. Filling is done using a multi-nozzle filling head that dispenses a different colored stripe in each direction. To keep the stripes parallel to the axis of the tube, the head starts at the bottom and retracts as it fills, staying just above the level of the paste. Tubes with two compartments are generally reserved for toothpastes containing two formulas intended to react together and therefore kept isolated until dispensed (e.g. Colgate Simply White).
See also
★
Tooth whitening
★
Dental floss
★
Fluoride therapy
★
Sodium dodecyl sulfate
★
Toothbrush
★
List of toothpaste brands
References
1. [3]CNN: FDA: Throw away toothpaste made in China
External links
★
Fluoride toothpaste history