Whenever you stroll down the dental care aisle at the drug store or the supermarket, aren't you amazed at the variety of toothpastes available?!  All of them promise the world - whitening, sensitivity protection, anti-gingivitis, cavity protection, etc.  What you may not know is that many of the toothpaste products on the market actually are more abrasive than they need to be.

The particles in toothpaste that are the primary abrasive are generally harder than enamel, and microscopically the particles are jagged in shape.  If you buy a toothpaste with too high of a concentration of those particles, or if you use too much toothpaste (more than a pea-size portion), you run the risk of doing damage to your teeth and dental restorations over time.  Especially susceptible to the damage from over-abrasive toothpastes are root surfaces exposed from gum recession.  Those root surfaces can then become more sensitive to extremes in temperature.  Tooth-colored dental restorations can also become damaged and lose their tooth-like luster when the wrong toothpaste is used. Some dental restorations made of porcelain can even stain more easily when too abrasive of toothpaste is used for more than a few days.

What should you use?  As a rule, you should be wary of long-term use of any toothpaste product that promises "whitening", as these toothpastes are generally more abrasive.  And, remember that "less is more." Don't use too much toothpaste when you brush.  A little, pea-sized amount is all you need.

In case you're wondering, our personal favorite toothpaste is CloSYS.  It has low abrasiveness, and it is excellent in fighting gum disease.  If you have a moderate to high risk of developing cavities, we recommend using Clinpro 5000 toothpaste at least once per day, which is available in-office or by prescription.

We recommend steering clear of any toothpaste product with abrasiveness rating (RDA) over 100. Here is a list showing the abrasiveness of different toothpastes:

Straight Baking Soda

7

Arm & Hammer Tooth Powder

8

Arm & Hammer Dental Care

35

Oxyfresh

45

Tom’s of Maine Sensitive

49

Arm & Hammer Peroxicare

49

Rembrandt Original

53

CloSYS

53

Tom’s of Maine Children’s

57

Colgate Regular

68

Colgate Total

70

Sensodyne

79

Aim

80

Colgate Sensitive Max. Strength

83

Aquafresh Sensitive

91

Tom’s of Maine Regular

93

Crest Cavity Protection

95

Mentadent

103

Sensodyne Extra Whitening

104

Colgate Platinum

106

Crest Sensitivity

107

Colgate Herbal

110

Aquafresh Whitening

113

Arm & Hammer Tartar Control

117

Arm & Hammer Advance White Gel

117

Close-Up (with Baking Soda)

120

Colgate Whitening

124

Crest Extra Whitening

130

Ultra-Brite

133

Crest MultiCare Whitening

144

Colgate Baking Soda Whitening

145

Pepsodent

150

Colgate Tartar Control

165

Colgate 2-in-1 Tartar Control/White

200

Dr. Kim Dr. Kim

Dr. Kim Okamura

I'm Dr. Kim Okamura and this blog is a product of my love of dentistry. I dedicate it to all the patients I have served so that they may better understand my craft. The information here will give you and others the power to maintain and protect one of your most priceless gifts ... your SMILE.