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Patient Care III > Dentifrices > Flashcards

Dentifrices Flashcards

1
Q

Patient presents to your office….what do you potentially suspect?

A
  • could be a sensitivity reaction to a toothpaste
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2
Q

What are the components of dentifrices?

A
  • Fluoride
  • Abrasive
  • Humectant
  • Binder
  • Surfactant
  • Flavoring Agent
  • Sweeteners
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3
Q

What are abrasive agents in dentifrices?

A
  • silicas
  • carbonates
  • phosphates
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4
Q

What are polishing agents in dentifrices?

A
  • aluminum
  • calcium
  • tin
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5
Q

What are humectants in dentifrices?

A
  • sorbitol
  • manitol
  • glycerin
  • propylene glycol
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6
Q

What is the job of the humectants in dentifrices?

A
  • Maintain moisture
  • Prevent evaporation/hardening
  • Increase shelf life
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7
Q

What are binders in dentifrices?

A
  • natural gums (seaweed extracts)
  • synthetic (cellulose)
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8
Q

What is the job of binders in dentifrices?

A
  • Thickening Agent
  • Stabilizes (Prevents solids from settling out)
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9
Q

What is the required of flavoring agents in dentifrices?

A

▪Pleasant
▪Immediate
▪Long lasting

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10
Q

What are the synthetic options for flavoring agents in dentifrices?

A

▪Mint options
▪Cinnamon
▪Vanilla
▪Citrus

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11
Q

What essential oils are used as flavoring agents in dentifrices?

A

▪Thymol
▪Menthol
▪Eucalyptol
▪Methyl Salicylate

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12
Q

What are the non-cariogenic sweetening agents in dentifrices?

A

-Saccharin
-Cyclamate
-Sorbitol*
-Mannitol*
-Glycerin*
-Xylitol

*Agents that serve as humectants

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13
Q

What are the properties of detergents or surfactants (foaming agents) in dentifrices?

A

▪ Stable/compatible
▪ Some antibacterial properties
▪ Flavor easy to mask
▪ Low surface tension

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14
Q

What is the most common surfactant (foaming agent) in dentifrices?

A

sodium lauryl sulfate

  • products are available without SLS
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15
Q

What are the categories of toothpaste?

A
  • therapeutic options
  • other
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16
Q

What are the therapeutic options for toothpaste?

A

▪ Anti-caries
▪ Anti-gingivitis
▪ Anti-hypersensitivity

17
Q

What are other options of toothpaste that are not therapuetic?

A

▪ Baking Soda
▪ Hydroxyapatite
▪ Anti-calculus
▪ Whitening
▪ Natural

18
Q

What does the ADA accepted toothpastes contain in terms of fluoride?

A

All ADA Accepted toothpastes contain Fluoride

19
Q

What does the ADA accepted toothpastes contain in terms of sugar?

A

No ADA Accepted toothpaste contains sugar

20
Q

What do therapeutic anti-caries toothpastes contain?

A

▪ Fluoride
— Sodium fluoride (NaF) - 0.22% at 1,000 ppm
— Sodium monofluorophosphate (MFP) – 0.76% at 1,000 ppm
— Stannous fluoride (SnF2) – 0.4% at 1,000 ppm

▪ Most OTC toothpastes are 1,000 ppm

21
Q

Most over the counter toothpastes contain how much fluoride?

A

1,000 ppm

22
Q

What do therapeutic anti-gingivitis toothpastes contain?

A

Stannous Fluoride

23
Q

What does stannous fluoride have reported activity against?

A

▪ Caries
▪ Plaque (Antimicrobial)
▪ Gingivitis (Gingival bleeding)
▪ Calculus control
▪ Sensitivity

24
Q

What do therapeutic anti-hypersensitivity toothpastes contain?

A

▪ Potassium Nitrate
— Penetrates through the length of dentinal tubules
— depolarizes sensory nerve endings
▪ Stannous Fluoride
— Blocking of exposed dentinal tubules

25
Q

Do anti-hypersensitivity toothpastes have the ADA seal?

A

yes

26
Q

What do baking soda toothpastes contain?

A
  • Sodium bicarbonate
  • Silicate
  • Fluoride
27
Q

Baking soda toothpastes are _________ effective than regular toothpaste

A

no more

28
Q

Can baking soda toothpastes have the ADA seal?

A

Yes, but not due to baking soda effects

29
Q

What are the characteristics of toothpastes with hydroxyapatite?

A
  • Newer ingredient
  • Lab generated
  • Non-toxic
  • Biocompatible
  • May be used in conjunction with fluoride
  • Often paired with xylitol
30
Q

What is the mode of action of anti-calculus dentifrices?

A

▪ Crystalline growth inhibitors interrupt process of mineralization
▪ Soluble pyrophosphates

31
Q

Can anti-calculus dentifrices have the ADA seal?

A

Yes, but not awarded for anti-calculus claim

32
Q

How do whitening toothpastes control stain?

A
  • Physical Methods
  • Chemical Mechanisms
33
Q

What are the physical methods of whitening toothpaste?

A
  • Abrasives
    —Hydrated silica
    —Titanium dioxide
    —Activated charcoal
34
Q

What are the chemical methods of whitening toothpaste?

A
  • Surface active agents or bleaching/oxidizing
    agents
    —Hydrogen peroxide
    —Carbamide peroxide
35
Q

What is the active ingredient of anti-calculus dentifrices?

A

Soluble pyrophosphates

Patient Care III (33 decks)

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