TheMyths,LegendsandRealitiesofOTCproducts

ByJudyBenditRDH,BS

JudyBendit.com

Judy@JudyBendit.com

LikemeonFacebookat:JudyBenditRDH,BS

Sponsored by:

***Iwillonlybepresentingpartofthisprogram,butwantedyoutohaveallthenotes***

DiscussiononWhatisaMyth?UrbanLegend?Wivestale?Anecdote?

andhowtheyrelatetodentistry

Howtostaycurrentonallthenewtechnologies

Journals,websites,conventions,localreps,manufacturersreps

PLEASEgotothenextconventionandstopateverybooththatsellsproductsthatyouuse.Askquestions,getsamplesanddoyourownresearchonyourpatients.

Evidencevs.Eminence??

Wheretogoforthebestinformation?

ADAwebsite:

http://ebd.ada.org/

TryGoogleScholar

http://scholar.google.com/

Cochranewebsite:

http://www2.cochrane.org/reviews/

Manufacturerswebsites:Lookinprofessionaltabsthatreviewtheliteratureandresearch

BESKEPTICAL

ASKHARDQUESTIONOFTHECOMPANIES

DEMANDGOODSCIENCE

DEMANDGOODEVIDENCE

Technologiesinmouthwashes

http://www.judybendit.com/focus_on_mouthrinses_0415.pdf

(DimensionsofDentalHygieneApril2015)

Lookatmechanismofactionandwhattheykill

EssentialOils

Listerine

CPC(cetylpyridiniumChloride)&StannousFluoride

CrestPro-Health

ColgateAdvancedPro-Shield

Chlorhexidine0.12%Withandwithoutalcohol

Pink=AlcoholfreebySunstarButler

Blue=Allotherproducts

NewAlcoholFreeCHXinnowcalledPeroex(http://us-professional.gumbrand.com/gumr-chlorhexidine-gluconate-oral-rinse-4.html)

DelmopinolHydrochloride-PerioShieldbySunstarButler(http://us-professional.gumbrand.com/catalogsearch/result/?q=Delmopinol+hydrochloride&order=relevance&dir=desc)

ChlorineDioxide-CloSYS®(withandwithoutFluoride)

SynedentwithChitasanhttps://prisyna.com

Forcompletelist,seeDrymouthproductsatendofhandout.

PLEASEconsiderwhyyouwanttousemouthwash…

1.Isitforplaquecontrol?

2.Malodor?

3.Caries?

4.Softtissuemanagement?Gingivalinflammation?

5.Fungalissues?

6.Pre-proceduralrinsing?

7.Cancer/xerostomiacare?

ToothpasteTechnologies

http://www.judybendit.com/1015_focus_on_toothpaste.pdf

(DimensionsofDentalHygieneOctober2015)

Fluoride-Stannousvs.Sodium

Sodium-Caries

Stannous-Caries,Hypersensitivity,plaque,gingivitis,whitening

Stannous&Hexametaphosphatevs.ZincCitrate(asanti-tarteragent)Pro-HealthvsProHealthadvanced(considerwaterbasedbylowwatercontent)(https://crest.com/en-us/products/compare/pro-health)

Stannous&ZincPhosphate(https://www.colgateprofessional.com/products/total)

Stannous&SodiumTripolyphosphate(STP)Parodontax(https://www.parodontax.com/gum-health/the-parodontax-difference/how-parodontax-works/)

ADAsealhttp://www.ada.org/en/science-research/ada-seal-of-acceptance/ada-seal-products

RDAlist-http://c2-preview.prosites.com/131248/wy/docs/131248_rdh%20sheet.pdf

JADAsupplement11/17BakingSodaDentifricesandOralHealth-http://jada.ada.org/issue/S0002-8177(17)X0002-0

Arm&HammerBrightandStrong-TrulyRadiant

https://www.armandhammer.com/oral-care/toothpastes/whitening/bright-and-strong-truly-radiant-toothpaste-43-oz

NOTtobeconfusedwithStrongandbrightbySensodyne

https://www.pronamel.us/products/strong-bright-mint-whitening-toothpaste/

Theodent-

http://www.theodent.com/

Aloesensetoothpaste

http://www.aloesense.com/

Tom’sofMaine

http://www.tomsofmaine.com/oral-care/toothpaste

Livionexdentalgel

http://www.livionexdental.com/

SquigleToothpaste

http://www.squigle.com/squigle.html

EnamelonbyPremier(StannousFluoride+ACP)

http://www.premusa.com/dental/newproducts.asp

HelloProducts

http://www.hello-products.com/

PlaqueHD

http://www.plaquehd.com/

BlackisWhite

http://www.black-is-white.com

Colgate®Essentials™DailyToothpastewithCharcoal&CoconutOil

Noinfoavailableoninternet…Notbeingsoldthrudentaloffices(canbeboughtatCVS,RiteAid,Walmart,Target,ShopriteandAmazon)

ToothbrushTechnologiesandcontroversies-

Minimumrequirements:

Soft/ultraBristles

Headsize

Tufts

Handle

Numberofbristles

http://www.dimensionsofdentalhygiene.com/2015/05_May/Features/Focus_on_Toothbrushes.aspx

Manual(Lookatthethicknessofthebristle)

Newtoothbrushideas:

MDBrush-https://www.mdbrush.com/

Curaprox-http://www.curaproxusa.com/

ArmorDental-(MouthMates)http://www.armor-dental.com

Powered

CochraneReviewarticlestoread:

http://summaries.cochrane.org/CD002281/ORAL_poweredelectric-toothbrushes-compared-to-manual-toothbrushes-for-maintaining-oral-health

Reviewofpatientacceptance

Dispensevs.Prescribe

UseofAppsforcertainpopulations…https://www.ncbi.nlm.nih.gov/pubmed/25799001

Beam-http://www.beamtoothbrush.com/

Grush-https://www.grushgamer.com

Newpowerproductstoevaluate:Notendorsing,justinforming…

Burst:https://www.burstoralcare.com

Amabrush:https://www.amabrush.com

Goby:https://www.goby.co

Quip:https://www.getquip.com

TripleBristle:https://www.triplebristle.com

Brillianttoothbrush:https://shop.compacind.com/mobile/powered-toothbrushes-c62.aspx

30secondSmile:https://www.30secondsmile.com

Dry Mouth Products 2019 Moisturizing Gel for Dry Mouth Available on-line or OTC

GC Dry Mouth Gels-available in many flavors for those that cannot tolerate minty flavors (http://www.gcamerica.com/products/preventive/GC_Dry_Mouth_Gel/)

AO ProVantage Gel PerioSciences (https://www.periosciences.com/product/rinse_h_10)

Dry Mouth AO ProGel (optimized for dry mouth)

PerioSciences TuGelclair Bioadherent Oral rinse gel http://gelclair.com

Stellalife Gel (https://stellalifehealing.com)

Spry Dry mouth Gel (http://www.xlear.com/spry-dental-defense/) Biotene Oral Balance (https://www.biotene.com) OraCoat XyliGel (https://www.oracoat.com) Sunstar GUM Canker-X (http://www.gumbrand.com/gum-canker-x-gel-1772ra.html) CTx4 Gel (http://carifree.com/patient/shop/products.html)

Moisturizing Sprays for Dry Mouth Spry Moisturizing mouth Spray by Xlear (http://www.xlear.com/spry-dental-defense/) CTx2 Spray (http://carifree.com/patient/shop/products.html) Biotene Dry Mouth Moisturizing spray (https://www.biotene.com) All Day –Epic 100% xylitol-sweeteded spray (http://www.elevateoralcare.com/dentist/Allday)

Moi-Stir (http://www.moi-stir.com) Moisyn by Prisyna (https://prisyna.com) Artificial Saliva (does not stimulate salivary gland production)

Entertainer's Secret® spray (http://www.entertainers-secret.com/product-overview/ingredients) Glandosane® Spray (Kenwood/Bradley) (https://livebetterwith.com/products/glandosane-

artificial-saliva-spray/) Moi-Stir® (http://www.kingswood-labs.com/products.html) spray, swabs MouthKote® spray (http://www.parnellpharm.com/mouthkote.htm)

Salivary Gland Stimulants: (OTC) Salese (Nuvora.com) Lozenges Xylimelts® (https://www.oracoat.com/products/xmdm) time release oral disc SalivaSure- Scandinavian Formulas (http://www.scandinavianformulas.com/consumer-products/salivasure/) Salivix- Galen (https://livebetterwith.com/products/salivix-sugar-free-saliva-stimulant-pastilles/)

Prescription Salivary Gland Stimulants NeutraSal-Supersaturated Calcium Phosphate Rinse (http://www.neutrasal.com) SalivaMAX™-Supersaturated Calcium Phosphate Rinse

(http://www.forwardscience.com/salivamax) Salagen: Stimulates residual salivary glands, solution, gel or tablet form

(http://www.empr.com/salagen/drug/559/) Cevimeline: Increases exocrine gland secretions, tablets

(https://medlineplus.gov/druginfo/meds/a608025.html) Anathole trithione: Simulates exocrine gland secretions (Sialor)

Lozenges and Discs (listed above in stimulants too) (mostly available on line) Oramoist™ dry mouth treatment patch (http://www.dentek.com/ora-moist) Salese™ dry mouth lozenges (http://nuvorainc.com) Xylimelts™ moisturizer and salivary stimulant (https://www.oracoat.com/products/xmdm) H-B12 Melts for mouth sores (https://www.oracoat.com/products/h-b12) MedActive Lozenges for Dry Mouth (https://www.medactive.com) Smart Mouth Dry Mouth Mint – Epic (https://www.epicdental.com)or

(http://www.elevateoralcare.com/dentist/Xylitol-Gum) Act Dry Mouth Lozenges (http://www.actoralcare.com/products/act-dry-mouth/act-dry-mouth-

lozenges/) XyliPOPS-Hager (http://www.dentalproductshopper.com/xylipops) will be available on Amazon

soon. MighTeaFlow Lozenges (https://www.camellix.com/products/mighteaflow-oral-care)

SalivaSure- Scandinavian Formulas (http://www.scandinavianformulas.com/consumer- products/salivasure/)

Salivix- Galen (https://livebetterwith.com/products/salivix-sugar-free-saliva-stimulant-pastilles/)

Salix® Saliva Stimulating Lozenge (http://www.eurohealth.ch/files/1129557979_Salix_fs_en_051007.pdf) Tablets

Synedent by Prisyna (https://prisyna.com)

Wound Dressing

OraSoothe® liquid oral gel (oral hydrogel wound rinse) (https://www.orasoothe-hygiene.com) Sockit® (oral hydrogel wound dressing) (http://www.sockitgel.com)

Decay (Cavity) Prevention

Rx. Prevident 5000® (Colgate) Prescription level fluoride toothpastes, 1.1% Sodium Fluoride–

available in 4 options: Sensitive, Dry Mouth (only one without SLS’s) Enamel Protect, Booster.

ClinPro5000® (3-M ESPE) Prescription level Fluoride, 1.1% Sodium Fluoride Dentifrice (with Tri-Calcium Phosphate)

MI Paste (http://www.mi-paste.com) Professionally dispensed amorphous calcium phosphate paste, follow-up self application in custom trays

FluoriMax™ 5000 (Elevate Oral Care) contains 10% xylitol, 2.5 Sodium Fluoride OTC 1% Stannous Fluoride Rinse- (MedActive) Stannous Fluoride OTC (on-line or in dental office) Enamelon Gel® (http://www.enamelon.com) OTC gel with Stannous Fluoride, ACP, Ultramulsion & Spilanthol

Antibacterial MouthRinses/MouthWashes

Rx.

Peroex®-Chlorhexidine Gluconate Oral Rinse (http://us-professional.gumbrand.com/gumr-chlorhexidine-gluconate-oral-rinse-4.html) The only alcohol free chlorhexidine rinse on the market.

PerioGard® (Colgate)( http://www.colgateprofessional.com/products/colgate-periogard-rinse-rx-only/overview)

Peridex® (3-M ESPE)

OTC Crest Pro-Health Multi-Protection (P & G) (https://crest.com/en-us/products/crest-pro-health-

multi-protection-mouthwash) Colgate Hydris (https://www.colgateprofessional.com/products/hydris) Colgate Total® Advanced Pro-Shield™ (Colgate)

(http://www.colgatetotal.com/mouthwash/advanced-pro-shield) Closys (https://closys.com) with and without Fluoride and with and without flavoring

Biotene Dry Mouth oral rinse (https://www.biotene.com) Biotene Moisturizing Oral Rinse (https://www.biotene.com)

Act Dry mouth Mouthwash (http://www.actoralcare.com/products/act-dry-mouth/)

MighTeaFlow Moisturizing Oral Rinse (https://www.camellix.com/products/mighteaflow-oral-care)

On-Line or thru dentist PerioSciences Hydrating AO ProRinse (https://www.periosciences.com/product/rinse_h_10) Stellalife Vega Oral Rinse (https://stellalifehealing.com) CTx4 Treatment Rinse (http://carifree.com/patient/shop/products.html) PlaqueHD Rinse for Severe Dry mouth (PlaqueHD.com)

Gums and Candies

On-line or in some retail stores

Spry-(xlear) 100% xylitol gums and candies (http://www.xlear.com/spry-dental-defense/) Xylichew !00% xylitol gum (http://focusnutrition.com) Ice Chips 100% xylitol candies (https://www.icechipscandy.com) PUR Gum 100% xylitol gum (http://www.thepurcompany.com) Zellies 100% xylitol gums and candies (http://zellies.com) Epic 100% xylitol gum (http://www.epicdental.com/c-4-gum) Dr. Johns sweets 100% xylitol candy, chocolates, gum and candy’s (http://www.drjohns.com) MighTeaFlow Gum (https://www.camellix.com/products/mighteaflow-oral-care) CTx2 xylitol gum (http://carifree.com/patient/shop/products.html)

Thru dental office Hager Pharma xylitol dry mouth drops (http://www.hagerworldwide.com/HagerPharma/2013-11-26-

23-49-52/view/productdetails/virtuemart_product_id/304/virtuemart_category_id/6) xyliPOPs- Hager Miradent xylitol gums and candies 100% xylitol (Hager Worldwide) LoLoZ- licorice extract (http://www.loloz.com or http://www.elevateoralcare.com) Used for caries control Epic Gums, mints and sprays (http://www.elevateoralcare.com)

Natural Mouth Rinses

Toms of Maine (http://www.tomsofmaine.com/home) The Natural Dentist (http://www.bleedinggums.com) Spry Alcohol Free Mouthwash (http://www.xlear.com/spry-dental-defense/)

Considerations for any patient with severe xerastomia… Ask your dentist/hygienist to make sure you are using the proper toothbrush (soft or ultra soft), making sure you are using brush properly, and brush after every meal. Determine if you should be using floss, interdental brushes or water irrigator. Use a fluoride toothpaste daily. (Some will have discomfort/ tissue reactions from SLS’s, hexametaphosphates and Stannous Fluoride) Many patients will be given Rx for higher concentration of Fluoride with or without mouth guard.

Decrease intake of surgery snacks and frequency. If you need to eat or drink them, be sure to rinse with water or chew sugarless gum (xylitol if possible) to neutralize the pH. Also, watch your intake of carbohydrates, like bread and pasta and cookies, etc. which tend to hang around in the mouth. Avoid or decrease your intake of spicy, salty or very acidic foods, especially lemons and limes. Do not smoke. Avoid or decrease your intake of alcohol. Can burn tissues. Avoid or decrease your intake of caffeine-containing drinks and foods. Chew your food slowly and thoroughly, taking small sips of water/milk to aid in swallowing. Some patients should try yogurt/applesauce instead of water.

See your dentist/hygienist at least 3-4 times a year and have them routinely check you for evidence of early decay. Fluoride varnish is indicated at each visit.

Remember.. Flavorings can sometimes burn It can be trial and error-sometimes they work and sometimes they don’t…! Products and companies come and go. Check theirwebsitesfor

furtherinformation.