Download PDF - Dental Learning

More documents

Recommendations

Info

A Guide to Dentifrices ABSTRACT A vast selection of dentifrices is currently available, with various active ingredients for therapeutic benefits and many inactive ingredients that provide for nontherapeutic benefits and properties. Since the introduction of fluoride dentifrices, many additional agents have been introduced and increasingly multi-benefit dentifrices have become available. When recommending a dentifrice for specific patients, it is important to understand the function of ingredients, their efficacy in specific dentifrices and other factors that could influence dentifrice selection and recommendation. Introduction Basic requirements for a dentifrice include the ability to control and prevent dental diseases and conditions – in various combinations caries, sensitivity, gingivitis (periodontal disease), and halitosis; and to control and/or remove dental plaque and stain. Increasingly, patients regard whitening as a basic requirement for a dentifrice and Copyright 2012 by Dental Learning, LLC. No part of this publication may be reproduced or transmitted in any form without prewritten permission from the publisher. January 2012 LEARNING OBJECTIVES The overall objective of this article is to provide the participant with information on dentifrice ingredients and their functionality. Upon completing this course, the participant will be able to: • Delineate the difference between active and inactive ingredients • List and describe the categories of active ingredients and their mechanisms of action • Describe and review the types of abrasives present in dentifrices • Review the types of inactive ingredients and their functions ABOUT THE AUTHOR SPONSOR/PROVIDER: This is a Dental Learning, LLC, continuing education activity. Dental Learning is a California Provider. The California Provider number is RP5062. This course meets the Dental Board of California’s requirements for 2 units of continuing education. DESIGNATION STATEMENTS: Dental Learning LLC is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Dental Learning is also designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership, and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 2/1/2012 - 1/31/2016. Provider ID: # 346890 EDUCATIONAL METHODS: This course is a self-instructional journal and web activity. Information shared in this course is based on current information and evidence. REGISTRATION: The cost of this CE course is $29.00 for 2 CE credits. PUBLICATION DATE: February, 2012. EXPIRATION DATE: January, 2015. REQUIREMENTS FOR SUCCESSFUL COMPLETION: To obtain 2 CE credits for this educational activity, participants must pay the required fee, review the material, complete the course evaluation and obtain a score of at least 70%. COMMERCIAL SUPPORTER: This course was made possible through an unrestricted educational grant from Church & Dwight. IMAGE AUTHENTICITY STATEMENT: The images in this course have not been altered. SCIENTIFIC INTEGRITY STATEMENT: Information shared in this continuing education activity is developed from clinical research and represents the most current information available from evidenced-based dentistry. KNOWN BENEFITS AND LIMITATIONS: Information in this continuing education activity is derived from data and information obtained from the reference section. EDUCATIONAL DISCLAIMER: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise. PROVIDER DISCLOSURE: Dental Learning does not have a leadership position or a commercial interest in Church & Dwight, or any products or services discussed or shared in this educational activity. No manufacturer or third party has had any input into the development of course content. CE PLANNER DISCLOSURE: The planner of this course, Colleen Platt, does not have a leadership or commercial interest with Church & Dwight, or any other products or services discussed in this educational activity. She can be reached at colleenp@dentallearning.net. TARGET AUDIENCE: This course was written for dentists, dental hygienists, and assistants, from novice to skilled. CANCELLATION/REFUND POLICY: Any participant who is not 100% satisfied with this course can request a full refund by contacting Dental Learning, LLC, in writing. Go Green, Go Online to take your course. DENTAL LEARNING 10106 E. 79th St., Suite A, Tulsa, OK 74133 Fiona M. Collins, BDS, MBA, MA Dr. Fiona M. Collins has authored and presented CE courses to dental professionals and students in the US and internationally, and is a consultant in the dental industry. She is a member of the American Dental Association and the Organization for Asepsis, Safety and Prevention. Fiona earned her dental degree from Glasgow University and holds an MBA and MA from Boston University. AUTHOR DISCLOSURE: Dr. Collins does not have a leadership position or a commercial interest with Church & Dwight, the commercial supporter of this course or with products and services discussed in this educational activity. Dr. Collins can be contacted by emailing fionacollins@comcast.net President ALDO EAGLE CE Content Manager COLLEEN PLATT Creative Director MICHAEL HUBERT 3
4 DENTAL LEARNING manufacturers have incorporated ingredients that may offer a whitening effect. Use of the dentifrice must also appeal to the senses for compliance with use, and it must have a consistency that makes brushing with it possible. To these ends, both active and inactive ingredients are incorporated in various combinations. Current dentifrices offer a plethora of choices and ingredients. One of the resulting challenges is understanding the role of the various ingredients in these dentifrices. Generally, patients look for products that clean and whiten their teeth – a quest that is thousands of years old – without understanding all of the functions that dentifrices can perform. As dental professionals, it is helpful to dissect the ingredients list and claims for dentifrices as a prelude to recommendations. Anatomy of a Dentifrice Label All dentifrices contain both active and inactive ingredients. The active ingredients are defined by the FDA as active drug ingredients. These offer specific therapeutic benefits and are listed first, followed by the list of inactive ingredients, which includes those responsible for the structure of the dentifrice and for sensory appeal. If more than one active ingredient is present, they are listed alphabetically. Similarly, inactive ingredients are listed in order of descending concentration. Packaging claims can include claims for caries prevention, enamel strengthening, anti-erosion, anti-plaque, anti-gingivitis, anti-calculus (anti-tartar), relief of sensitivity, whitening, anti-halitosis, and more general claims such as “freshens breath.” Marketing claims do not necessarily indicate superiority over another product, unless specifically stating so and having a scientific basis for doing so. Some dentifrices carry marketing claims based on a particular ingredient, while another dentifrice with the same ingredient may not carry that claim. Some dentifrices may not carry a second therapeutic claim that would make the dentifrice a dual drug and require www.dentallearning.net a lengthy process to go through the FDA. A dentifrice could also make a claim that, for instance, it was a polisher or whitener – while being as effective, no more effective, or less effective, than a dentifrice that does not make that claim. These facts relate to the importance of knowing what is in a particular dentifrice, what those ingredients do and the efficacy of those ingredients, preferably in the particular formulation that is being used or recommended. It is also important to check for the presence of ingredients that may be contraindicated or relatively contraindicated for a particular patient. Inactive Ingredients Inactive ingredients in dentifrices include surfactants, abrasives, humectants, thickening agents (binders), preservatives, buffering agents, sweeteners, coloring agents (dyes), flavoring agents, and water. Some abrasives provide additional benefits not associated with inactive ingredients; with the exception of abrasives and surfactants, all other inactive ingredients can be broadly categorized into ‘structural inactive ingredients’ and ‘sensory inactive ingredients.’ ‘Structural inactive ingredients’ A number of inactive ingredients provide for the structure of the dentifrice. These include humectants, binders, preservatives, buffering agents and water. • Humectants prevent the dentifrice from dehydrating and keep it moist. Examples include sorbitol, xylitol, propylene glycol, glycerol, and polyethylene glycol. The use of sorbitol or xylitol as a humectant also adds some sweetness to the dentifrice. • Buffering agents are used to maintain a favorable pH for dentifrices, preventing them from being too acidic or alkaline. • Preservatives are included to prevent microbial growth. Examples include sodium benzoate and methyl paraben. • Thickening agents (binders) thicken or bulk up the dentifrice and bind all of the ingredients together. Examples include car- VOLUME 1 | ISSUE 1
Page 1: WWW.DENTALLEARNING.NET Knowledge fo
Page 5 and 6: 6 DENTAL LEARNING Abrasives used in
Page 7 and 8: 8 DENTAL LEARNING remove extrinsic
Page 9 and 10: 10 DENTAL LEARNING phosphate ions i
Page 11 and 12: 12 DENTAL LEARNING two-year study o
Page 13 and 14: 14 DENTAL LEARNING 35 Sintes JL, Es
Page 15 and 16: 16 DENTAL LEARNING 17. _________ pr

Download PDF - Dental Learning

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?