Toothpaste Use: Fluoride, Calcium, and Oral Hygiene Tips - Dentistry

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Toothpaste usage issues?


Hello, I have two questions for the doctor:
1.
Regarding toothpaste usage, there are various messages online.
Is it beneficial to hold the foam in the mouth for about 2-3 minutes after brushing to aid in fluoride remineralization and reduce the risk of cavities? Or is the fluoride concentration in toothpaste insufficient, making this practice meaningless?
2.
Some imported toothpastes from abroad do not contain fluoride and instead use high levels of calcium and phosphates.
Can these ingredients effectively prevent cavities?
3.
Some sources suggest rinsing with water after meals and waiting for a while before flossing or brushing.
Is this correct information? Thank you!

miao, 20~29 year old female. Ask Date: 2020/01/04

Dr. Zeng Guanghui reply Dentistry


1.
The fluoride concentration in toothpaste is not as high as that in professional fluoride treatments or fluoride varnishes, but if you brush your teeth for a longer duration while foaming, a protective fluoride layer can still form on the tooth surface.
However, to effectively reduce the risk of cavities, it is crucial to thoroughly remove all dental plaque from the tooth surface.

2.
Toothpaste that is rich in calcium and phosphate can help neutralize the acidic environment in the mouth, reducing bacterial activity, which may indirectly contribute to cavity prevention.

3.
After meals, it is important to use toothpaste and brush your teeth correctly, followed by rinsing with water.
Then, using dental floss to clean between the teeth will help completely remove dental plaque.

Reply Date: 2020/01/04

More Info


When it comes to oral hygiene, the use of toothpaste and the ingredients it contains play a crucial role in preventing dental issues such as cavities and gum disease. Let's address your questions one by one, providing a comprehensive understanding of fluoride, calcium, and phosphate in toothpaste, as well as best practices for oral hygiene.

1. Holding Toothpaste Foam in Your Mouth: The idea of holding toothpaste foam in your mouth for 2-3 minutes after brushing is based on the premise that fluoride can help remineralize tooth enamel and reduce the risk of cavities. While fluoride is indeed effective in strengthening enamel and preventing decay, the concentration of fluoride in regular toothpaste is not as high as that found in professional fluoride treatments. Therefore, while holding the foam may provide some benefit, it is not a substitute for proper brushing technique. The most critical factor in cavity prevention is the thorough removal of plaque and food particles from the teeth. After brushing, it is generally recommended to spit out the excess toothpaste rather than rinsing with water immediately, as rinsing can wash away the fluoride that remains on the teeth.

2. Toothpaste Without Fluoride: Some toothpaste products, particularly those marketed in certain countries, may contain high levels of calcium and phosphate instead of fluoride. These ingredients can help neutralize acids in the mouth and may contribute to the remineralization of enamel. However, the effectiveness of these toothpaste formulations in preventing cavities is still a subject of research. While they can provide some benefits, fluoride has a well-established track record for its efficacy in cavity prevention. If you are using a non-fluoride toothpaste, it is essential to maintain good oral hygiene practices, including regular brushing and flossing, to minimize the risk of cavities.

3. Rinsing After Meals: The recommendation to rinse with water after meals and wait before brushing or flossing is based on the idea that it allows saliva to neutralize acids produced by bacteria in the mouth. Saliva plays a vital role in oral health by helping to remineralize enamel and wash away food particles. However, it is generally advised to wait at least 30 minutes after eating before brushing your teeth, especially if you have consumed acidic foods or beverages. This waiting period allows your enamel to re-harden after being softened by acids, reducing the risk of enamel erosion during brushing. Flossing can be done after rinsing, but it is essential to ensure that you are not causing damage to your gums by being too aggressive.

In summary, effective oral hygiene involves a combination of using fluoride toothpaste, maintaining a proper brushing technique, and understanding the role of saliva in oral health. While non-fluoride toothpaste with calcium and phosphate can offer some benefits, fluoride remains the gold standard for cavity prevention. Additionally, timing your oral care routine after meals can help protect your enamel and maintain overall dental health. Regular dental check-ups are also crucial for monitoring your oral health and addressing any potential issues before they become more serious.

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