Toothpaste for periodontal disease and bleeding gums

• best toothpaste for bleeding gums,
• selection of toothpastes for periodontal disease,
• Which toothpaste – Parodontax, Lacalut, etc. helps better.

The article was written by a dentist with more than 19 years of experience.

Therapeutic toothpaste for gums should contain special components that will reduce pain and bleeding when brushing your teeth, as well as a number of anti-inflammatory components. There are now a huge number of anti-inflammatory toothpastes on the market, which are very difficult for the average consumer to navigate. For example, despite the fact that all these toothpastes are positioned as “anti-inflammatory”, in fact they will act differently on such a symptom as bleeding gums.

Toothpaste for bleeding gums should first of all contain astringent components such as aluminum lactate or zinc lactate. The effectiveness of which you will notice after 1-2 applications. As for other components, anti-inflammatory toothpastes for periodontal disease usually include antiseptic chlorhexidine (0.05-0.25%), mineral salts, allantoin, bisabolol, thymol and eugenol, phenyl salicylate + medicinal plant extracts.

Bleeding gums -

One of the most famous remedies for inflammation and bleeding gums is Parodontax gum toothpaste. Below we will give detailed reviews of it, but in our rating it is far from 1st place. The rating was compiled based on an analysis of the composition of the products, as well as thanks to the 10 years of work experience of the author of the article - a periodontist (documents on advanced training of the state standard in the Periodontology program - can be viewed in the editorial section).

Also in this article we will look at the side effects of long-term use of toothpastes with antiseptics. You will be surprised, but in patients with cardiovascular pathology, they can even lead to increased blood pressure. It is also not unimportant that the use of toothpastes with sodium lauryl sulfate (SLS) is not compatible with antiseptic rinses with chlorhexidine solution. And we justify all this with references to clinical studies.

Choosing a toothpaste for gums – summary

If the main symptom of gum inflammation is bleeding, it is better to use pastes of the Lacalut and President brands, because they contain components such as aluminum lactate and zinc lactate. The latter very quickly reduce bleeding gums, but keep in mind that such toothpastes (as well as toothpastes with the antiseptic chlorhexidine) are ideally undesirable to use for more than 2 weeks. And after this period, it is worth switching to toothpaste without antiseptics and antibiotics, for example, Paradontax toothpaste.

But precisely during the period of acute manifestations, in order to quickly relieve inflammation in the gums, special gum rinses can be a good addition to anti-inflammatory toothpaste. Many of them contain high concentrations of anti-inflammatory components, which can eliminate bleeding gums even faster (than if you use only one toothpaste). Such rinses are also divided into those that can be used for a short course, and those that can be used on an ongoing basis.

Important: next, a very important point for patients who are going to use anti-inflammatory toothpaste for gums - in parallel with antiseptic mouth rinses with chlorhexidine solution. Clinical studies (source) have shown that chlorhexidine can be inactivated by the oral hygiene component sodium lauryl sulfate (SLS), which is present in most toothpastes.

This is of great importance because... rinsing the mouth with chlorhexidine solution is usually recommended after oral hygiene (morning and evening). Studies have found that after brushing your teeth with a paste containing sodium lauryl sulfate, ideally 2 hours should pass (at least 30 minutes, but this is not enough) so that lauryl sulfate does not affect the effectiveness of chlorhexidine. Therefore, if you are going to rinse your mouth with chlorhexidine at the same time, we recommend buying toothpaste without sodium lauryl sulfate (SLS).

Clinical researches

It has been clinically proven that the use of Asepta products helps reduce complaints of discomfort in the oral cavity and heal tissue. On the 7th day, complaints of bleeding gums went away in most patients. Upon examination, a decrease in hyperemia and swelling of the gums was noted, but bleeding persisted upon probing. On the 14th day, most patients had no complaints about bleeding gums when brushing their teeth; upon examination, a significant decrease in hyperemia and swelling of the gums was noted.

Improved dynamics of indicators allows us to recommend the Asepta line of products for local treatment and prevention of inflammatory periodontal diseases.

Sources:

1. Clinical experience in using the Asepta series of products Fuchs Elena Ivanovna Assistant of the Department of Therapeutic and Pediatric Dentistry State Budgetary Educational Institution of Higher Professional Education Ryazan State Medical University named after Academician I.P. Pavlova of the Ministry of Health and Social Development of the Russian Federation (GBOU VPO RyazSMU Ministry of Health and Social Development of Russia)
2. The use of drugs from the Asepta line in the complex treatment of inflammatory periodontal diseases (N.V. Berezina E.N. Silantyeva S.M. Krivonos, Kazan State Medical Academy. Kazan.) N.V. BEREZINA, E.N. SILANTIEVA, S.M. KRIVONOS Kazan State Medical Academy
3. The use of adhesive balm "Asepta®" in the treatment of inflammatory periodontal diseases L.Yu. OREKHOVA*, Dr. med. Sciences, Professor, Head of Department V.V. CHPP**, Dr. med. Sciences, Professor, Head of Department S.B. ULITOVSKY*, Dr. med. Sciences, Professor A.A. LEONTIEV*, dentist A.A. DOMORAD**, O.M. YAKOVLEV** SPbSMU named after. acad. I.P. Pavlova, St. Petersburg - *Department of Therapeutic Dentistry, **Department of Microbiology
4. Study of the clinical effectiveness of treatment and prophylactic agents of the Asepta line in the treatment of inflammatory periodontal diseases (A.I. Grudyanov, I.Yu. Aleksandrovskaya, V.Yu. Korzunina) A.I. GRUDYANOV, Doctor of Medical Sciences, Prof., Head of Department I.Yu. ALEXANDROVSKAYA, Ph.D. V.Yu. KORZUNINA, asp. Department of Periodontology, Central Research Institute of Dentistry and Maxillofacial Surgery, Rosmedtekhnologii, Moscow
5. Report on clinical trials of anti-inflammatory balm for gums "Asepta" adhesive, St. Petersburg State Medical University, 2007

Side effects of toothpastes with antiseptics -

We urge you to be careful when using toothpastes that contain the antiseptic chlorhexidine (especially if its content is 0.1% or higher). Providing an antimicrobial effect on certain types of pathogenic bacteria, chlorhexidine leads to a total change in the ratio of different types of microorganisms in relation to each other. Scientific studies (source) found that with long-term use of toothpastes with chlorhexidine, the number of bacteria in the oral cavity increased, which were characterized by more active production of lactic acid.

Accordingly, this led to an increase in the content of lactic acid in the oral fluid (saliva), and a shift in pH to the acidic side. At the same time, this led to a decrease in the buffer capacity of saliva, which reduces the ability of saliva to neutralize acids secreted by cariogenic bacteria. This is important because the acidic pH of oral fluid promotes demineralization of tooth enamel (leaching of calcium) and, accordingly, increases the risk of developing caries.

Important for patients with cardiovascular pathology –

Unfortunately, these are not all the side effects of chlorhexidine. The fact is that this antiseptic disrupts the ability of oral bacteria to convert nitrates (contained in foods) into nitrites. This bacterial activity is called “nitrate-reducing,” and it is one of the mechanisms that allows our body to maintain normal blood pressure. Nitrites produced by bacteria enter the blood, helping to lower blood pressure.

Accordingly, a decrease in the production of nitrites by oral bacteria will lead to an increase in blood pressure, which is especially dangerous for people with existing cardiovascular pathology. These data are confirmed by scientific research - “The increase in plasma nitrite after a dietary nitrate load is markedly attenuated by an antibacterial mouthwash. Nitric Oxide" (2008), authors – Mirco Govoni, Emmelie Å. Jansson, Eddie Weitzberg, Jon O. Lundberg. And if you wish (via the link above), you can familiarize yourself with this study using a browser translator.

Causes of periodontal disease

To combat periodontal disease, which is poorly recognized in the early stages of its occurrence, you need to know the reasons that contribute to its appearance. After all, if you try to eliminate them, the likelihood of this disease occurring will significantly decrease.

The main prerequisites for the appearance of periodontal disease are:

• heredity (genetic predisposition);
• diabetes;
• failure of the endocrine glands;
• low blood supply to gum tissue;
• problems with the gastrointestinal tract;
• problems in the functioning of the cardiovascular system;
• lack of vitamins C and P in the body.

Important instructions for use –

The cause of gum inflammation is soft microbial plaque and hard dental deposits.
If you decide to reduce inflammation in the gums only with the help of toothpaste (without removing plaque from the dentist), you will only get a temporary effect. You should not use toothpastes for inflammation in the gums or for bleeding gums on an ongoing basis, because they only mask the symptoms of inflammation. And in fact, the inflammation will continue, but only imperceptibly, leading to the gradual destruction of the periodontal attachment and the appearance of tooth mobility. Therefore, the best thing you can do for your gums is to have your teeth ultrasonic cleaned by your dentist. This procedure will remove supra- and subgingival dental plaque, which is the cause of gum inflammation. The use of anti-inflammatory toothpastes for periodontal disease (without removing dental plaque) will lead to sluggish chronic inflammation. At first it can only be gingivitis, which over time will certainly turn into chronic generalized periodontitis, in which tooth mobility and suppuration from periodontal pockets are already observed.

What should you pay attention to when choosing a product?

Toothpastes used for bleeding gums are aimed at eliminating the causes that cause this condition.

This could be a vitamin deficiency, infections, allergic diseases, or poor oral hygiene. To avoid these troubles, you need to choose the right paste.

It is recommended to consider:

• Pastes used for therapeutic purposes from preventive ones differ in the high content of active components of aggressive origin.

  Purpose. They can be therapeutic or prophylactic. Pastes used for therapeutic purposes differ from prophylactic ones in the large content of active components of aggressive origin.

• Active ingredients. For long-term use, preference should be given to products containing natural phytocomponents.

Among them, for this pathology, oak bark, aloe, ginseng, eucalyptus, calendula, sage, sea buckthorn, and sanguinaria are considered the most effective.

They are characterized by anti-inflammatory and astringent effects, tone weakened periodontal tissues and act as a natural antioxidant.

Therapeutic pastes contain chemicals that have a high therapeutic effect:

• triclosan;
• chlorhexidine;
• zinc and aluminum compounds;
• fluorine;
• hexetidine;
• bisabolol;
• allantoin.

Their high concentration does not allow long-term use. But at an advanced stage, you cannot do without medicinal pastes.

Rinse to strengthen teeth

According to dentists, many people make the mistake of ignoring this procedure for strengthening teeth. Even after high-quality teeth cleaning, plaque remains under the gums and in the spaces between teeth. Not to mention that not everyone can brush their teeth during the day. The solution is to use balms-rinses to strengthen teeth. The liquid perfectly washes plaque from hard-to-reach places.

To prevent diseases and strengthen teeth at home, we recommend universal rinses that remove bacterial plaque, freshen breath, preserve the natural color of teeth, and promote tissue regeneration. These include products from the brands Jason, Donfeel, Twin Lotus.

Comparison table