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Medical Forum / General / Dentistry / October 2004

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Fluoride concentration in ACT mouthwash vs. toothpaste??

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Ano Neemus - 13 Oct 2004 18:16 GMT
Why can't I just swoosh toothpaste around in my mouth for a minute, in
lieu of buying ACT mouth wash?  Am I not mistaken in thinking
toothpaste has a lot higher concentration of fluoride....?
Dr Steve - 13 Oct 2004 18:36 GMT
wrong

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

> Why can't I just swoosh toothpaste around in my mouth for a minute, in
> lieu of buying ACT mouth wash?  Am I not mistaken in thinking
> toothpaste has a lot higher concentration of fluoride....?
Ano Neemus - 18 Oct 2004 21:47 GMT
>wrong

Yeah, that was real useful.

Act mouthwash: sodium fluoride .05%
Colgate Total: .24%

Care to expand on that....?
W_B - 18 Oct 2004 22:11 GMT
>>wrong
>
[quoted text clipped - 4 lines]
>
>Care to expand on that....?

Nope.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Dr Steve - 18 Oct 2004 23:38 GMT
If you have already made up your mind, why bother asking us?  Do as you
please.  Put away some money for dental treatment though.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>wrong
[quoted text clipped - 5 lines]
>
> Care to expand on that....?
Ano Neemus - 19 Oct 2004 17:26 GMT
>If you have already made up your mind, why bother asking us?  Do as you
>please.  Put away some money for dental treatment though.

What the fark is wrong with you?  I'm asking a question that seems
reasonable enough, and you're acting like a jerk.
Adenosine - 19 Oct 2004 17:58 GMT
>>If you have already made up your mind, why bother asking us?  Do as you
>>please.  Put away some money for dental treatment though.
>
>What the fark is wrong with you?  I'm asking a question that seems
>reasonable enough, and you're acting like a jerk.  

Don't let the locals scare you off! Lots of people come here to
confirm what they already think instead of asking for and using
advice. I imagine that it would make one a bit jaded after a while.

My question is, how do you plan to 'swish' toothpaste around? It
doesn't seem like it has the necessary viscosity. It's not like ACT
mouthwash is exceptionally expensive, especially if you used the same
VOLUME of toothpaste as you would mouthwash. Just the thought of
swishing around a few fluid ounces of toothpaste is enough to make me
gag.

Adenosine
Dr Steve - 19 Oct 2004 19:27 GMT
Hey Adenosine,

You seem like a noble and sincere person.  Thank you for hanging around
here.

The poster reminds me of a "Troll".  Hopefully I got the wrong impression
and I hope to have the need to apologize for thinking that.

A question was asked if swishing toothpaste would have the same effect as
purpose designed fluoride rinses since toothpaste has more fluoride (by
percentage of volume).  I replied "NO"  and was treated rudely for [what
seemed to be] not saying what he/she expected to hear.  That either implies
that the poster had already decided that it has to be just as good or better
than using ACT, and that anyone replying differently is wrong.  Next, this
person will call me a liar.    <G>

~~~~~~~~~~
Jerk???  I like that, thanks.
~~~~~~~~~~

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>>If you have already made up your mind, why bother asking us?  Do as you
[quoted text clipped - 15 lines]
>
> Adenosine
Adenosine - 19 Oct 2004 19:45 GMT
>Hey Adenosine,
>
>You seem like a noble and sincere person.  Thank you for hanging around
>here.

Thank you for the kind words!

>The poster reminds me of a "Troll".  Hopefully I got the wrong impression
>and I hope to have the need to apologize for thinking that.

Sometimes you have to put on asbestos socks and  feed the trolls. I've
known a lot of people who were just new to the Internet that asked a
bunch of stupid questions, and in general acted like a troll, but it
turned out it was sheer ignorance.

>A question was asked if swishing toothpaste would have the same effect as
>purpose designed fluoride rinses since toothpaste has more fluoride (by
[quoted text clipped - 7 lines]
>Jerk???  I like that, thanks.
>~~~~~~~~~~

Maybe it's my newocity to usenet, but if the same initial dialogue
happened on IRC, I would just assume a clueless newbie and explain
slowly and carefully one time. After the first time, they can bother
somebody else!

Adenosine
Dr Steve - 19 Oct 2004 19:51 GMT
Some people only post so someone else can have the opportunity to tell them
"Yes you are very right! The rest of the world is stupid."  You get tired of
games.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>Hey Adenosine,
[quoted text clipped - 32 lines]
>
> Adenosine
Joel M. Eichen - 19 Oct 2004 20:39 GMT
>Some people only post so someone else can have the opportunity to tell them
>"Yes you are very right! The rest of the world is stupid."  You get tired of
>games.

This is true. Whenever Jan Drew posts, all we can say is ....

"Yes you are so right ...." YEAH!
Ano Neemus - 22 Oct 2004 05:52 GMT
>A question was asked if swishing toothpaste would have the same effect as
>purpose designed fluoride rinses since toothpaste has more fluoride (by
>percentage of volume).  I replied "NO"  and was treated rudely for [what

No, you replied by saying "wrong", which actually isn't an answer but
just a rude remark.  Particularly since it wasn't qualified by any
sort of additional information.

What the fark do you expect?  If you ask someone for information in
public, like "if I take this blue taxi will I be able to get to my
destination the same as I take the yellow?" - a seemingly sensible
question - and a person just goes "wrong!" - with no other explanation
-  you would likely be agitated as well.

>that the poster had already decided that it has to be just as good or better

Look here Mr. Pretense, YOU have already decided what *I* am thinking,
when in reality you have no basis for assuming to know *what* I'm
thinking.   I was asking what (again) appears to be a STRAIGHT FORWARD
AND SENSIBLE question, and you want "wrong" to be a satisfactory
answer as if it's a voice from on high that shouldn't be questioned.  

WRONG.

>than using ACT, and that anyone replying differently is wrong.

Ok, again... WHY would it not be as good as using ACT, if it has a
higher flouride concentration?

>person will call me a liar.    <G>

No, but I will call you a reflexively pompous jerk.

Again, for anyone who has a coherent answer for me:  if I can apply
toothpaste, which has a higher concentration of flouride than ACT
mouthwash, for an equivalent length of time, would this be as good as
using ACT?

If not, *why* not?  

..And no, just saying "wrong" isn't an answer....
Advocate147 - 22 Oct 2004 08:13 GMT
"Does swishing toothpaste have the same effect as purpose designed flouride
rinses since toothpaste has more fluoride "
Not a dentist, but did try that method of swishing fluoride toothpaste.   It
mottled the teeth, producing large circled areas of discoloration.   Stopped
the toothpaste rinses and mottling disappeared.
There are fluoride rinses bought in Walgreen drug stores, or probably
elsewhere, (color green) that hygienist recommends using for swishing the mouth
for one minute after brushing.
Not sure, but they may appear to tend to make the teeth yellow.
But still better than the toothpaste, which I would not recommend at all.
Not a dentist, just the opinion of a layperson.

Gail Michael
Dr Steve - 26 Oct 2004 14:24 GMT
Well. fluoride uptake by enamel differs by concentration of the fluoride, by
acidity of the delivery medium, by what compound form the fluoride is
manufactured in, by the ability of the delivery medium to "wet" a smooth
surface, by the ability of the delivery medium to penetrate into deep
grooves and pits, by the ability of the delivery medium to "wet" the surface
between two teeth.  Then, there is a potential issue of interaction between
dentifrice abrasive and the fluoride formulation. There was a problem with
this years ago and Crest had to change from SnFl to MFP to avoid the
fluoride ions interacting with the diametacious (sp?) earth abrasive.  Tooth
paste fluoride is designed to penetrate to the depth at which the abrasive
will interact with, while rinses are designed to penetrate deeper.
Toothpaste has higher fluoride concentrations than rinses because the
fluoride has to compete with many more ingredients.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

> "Does swishing toothpaste have the same effect as purpose designed
> flouride
[quoted text clipped - 13 lines]
>
> Gail Michael
W_B - 26 Oct 2004 18:25 GMT
>rest had to change from SnFl to MFP to avoid the
>fluoride ions interacting with the diametacious (sp?) earth abrasive.

SnFl ?  

SnF --> Tin Fluoride ?

diatomaceous (sp?)
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 26 Oct 2004 18:36 GMT
>>rest had to change from SnFl to MFP to avoid the
>>fluoride ions interacting with the diametacious (sp?) earth abrasive.
>
>SnFl ?  
>
>SnF --> Tin Fluoride ?

It was the basis for the plot for the movie, "Pushing Tin."

>diatomaceous (sp?)
Peter Meiers - 26 Oct 2004 19:39 GMT


> >rest had to change from SnFl to MFP to avoid the
> >fluoride ions interacting with the diametacious (sp?) earth abrasive.
>
> SnFl ?
>
> SnF --> Tin Fluoride ?

SnF2 - Stannous (=Tin-II-)Fluoride
SnF4 - Stannic (=Tin-IV-) Fluoride

Both are "tin" fluorides.

> diatomaceous (sp?)

Yup. --

Peter

Signature

-History of fluorine, fluoride and fluoridation-:
--- http://PMeiers.bei.t-online.de/index.htm ---
----------------------------------------------------

Dr Steve - 26 Oct 2004 21:09 GMT
I remember when MFP came out.  Crest discovered that the stannous FL reacted
with diatomaceous earth and switched the formula.  All the generic
toothpaste at the local drug store and grocery store were re-packaged
stannous fluoride Crest for the next 4-5 years.  You could tell what it was
by reading the ingredients and comparing.  I thought it interesting that
Crest had enough dentifrice already in vats that it took two chains years to
sell it off in generic wrappers.  Crest knew the fluoride formula was not
"as good", but freely sold off what was left rather than dispose of it.  Of
course, disposing of vats full of dentifrice would be classified as
hazardous waste and would cost a fortune to dispose of.  Much cheaper to put
it in some one else's wrapper and distribute it for them.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> >rest had to change from SnFl to MFP to avoid the
[quoted text clipped - 14 lines]
>
> Peter
Peter Meiers - 27 Oct 2004 16:47 GMT
> I remember when MFP came out.  Crest discovered that the stannous FL reacted
> with diatomaceous earth and switched the formula.  All the generic
[quoted text clipped - 7 lines]
> hazardous waste and would cost a fortune to dispose of.  Much cheaper to put
> it in some one else's wrapper and distribute it for them.

Thank you for the contribution. Do you know when that was, or do you
possibly have a reference at hand?

I read somewhere that Procter & Gamble switched to MFP because the
stannous fluoride caused some bad discoloration of the teeth.

Anyway, it is interesting that Procter and Gamble had the discoverer of
MFP at their hand (Dr. Willy Lange) but was reluctant to use that stuff
in toothpaste even after the Rochester guys (Hodge, Hein, Shourie) found
it possibly useful for that purpose. There was also some opposition from
people in the "house that Crest built" at Indiana University: Muhler and
Co. claimed that MFP was ineffective against caries in their lab rats.

(For those interested: I posted a history of MFP at my homepage given
below.)

Peter

Signature

-History of fluorine, fluoride and fluoridation-:
--- http://PMeiers.bei.t-online.de/index.htm ---
----------------------------------------------------

Dr. Steve - 28 Oct 2004 00:17 GMT
>> I remember when MFP came out.  Crest discovered that the stannous FL reacted
>> with diatomaceous earth and switched the formula.  All the generic
[quoted text clipped - 25 lines]
>
>Peter

Sorry, I would have to go into the bad of the attic and search old
notes. this was going on when I was still in DS.  The switch to MFP
was due to the other formula interacting wit the abrasive. At least
that of what we were taught.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
Peter Meiers - 28 Oct 2004 19:51 GMT
Dr. Steve,

> Sorry, I would have to go into the bad of the attic and search old
> notes. this was going on when I was still in DS.  The switch to MFP
> was due to the other formula interacting wit the abrasive. At least
> that of what we were taught.

Thanks anyway. So I will have to look what I can find ...

Peter

Signature

-History of fluorine, fluoride and fluoridation-:
--- http://PMeiers.bei.t-online.de/index.htm ---
----------------------------------------------------

Joel M. Eichen - 26 Oct 2004 21:44 GMT
>> >rest had to change from SnFl to MFP to avoid the
>> >fluoride ions interacting with the diametacious (sp?) earth abrasive.
[quoted text clipped - 13 lines]
>
>Peter

TIN??? Would that be metal??

As in metal in the mouth????

JANster.

Where are you (with youir little links).
Ano Neemus - 28 Oct 2004 03:51 GMT
>Well. fluoride uptake by enamel differs by concentration of the fluoride, by
>acidity of the delivery medium, by what compound form the fluoride is
[quoted text clipped - 9 lines]
>Toothpaste has higher fluoride concentrations than rinses because the
>fluoride has to compete with many more ingredients.

Thanks, that was interesting and what I was looking for.
Ano Neemus - 22 Oct 2004 05:56 GMT
>>My question is, how do you plan to 'swish' toothpaste around? It

I don't neccessarily see a need to "swish" it around - if I'm supposed
to swish ACT around for a minute, I would think that just applying
toothpaste to my teeth for a minute would expose them to more flouride
in the same amount of time?

If not, *I do not see the reason*, which is why I'm asking here.  

>mouthwash is exceptionally expensive, especially if you used the same
>VOLUME of toothpaste as you would mouthwash. Just the thought of

I dunno, I would think I could quite liberally apply say a tooth
brush-head size amount directly to all of my teeth with a finger, and
the viscousity wouldn't matter if I'm dilligent about pressing it
between my teeth, etc.

What *I* would be concerned with would be the alcohol content,
saccharin/sugar alcohol content countering the effect - but that's
also in ACT... so again...

If not, *why* not....?
Adenosine - 22 Oct 2004 06:15 GMT
>>>My question is, how do you plan to 'swish' toothpaste around? It
>
>I don't neccessarily see a need to "swish" it around - if I'm supposed
>to swish ACT around for a minute, I would think that just applying
>toothpaste to my teeth for a minute would expose them to more flouride
>in the same amount of time?

How are you going to apply it in the areas between your teeth? Maybe
you'd be able to pack it in there, but I don't know....

>>mouthwash is exceptionally expensive, especially if you used the same
>>VOLUME of toothpaste as you would mouthwash. Just the thought of
[quoted text clipped - 9 lines]
>
>If not, *why* not....?

I'm not a dentist, can't tell you if one is more effective than the
other, HOWEVER --

If your primary concern is getting more fluoride on your teeth, have
you considered asking your dentist about a product such as Gel-Kam or
Omni Gel? The stuff is brush-on fluoride gel, .4%.

Adenosine
StovePipe - 23 Oct 2004 03:51 GMT
> >I don't neccessarily see a need to "swish" it around - if I'm supposed
> >to swish ACT around for a minute, I would think that just applying
[quoted text clipped - 3 lines]
> How are you going to apply it in the areas between your teeth? Maybe
> you'd be able to pack it in there, but I don't know....

FWIW, what I usually tell my patients is to brush, spit but don't rinse.
Immediately take the dental floss and use it. This way the interdental
spaces get a fluoride treatment as well as the easily-reached surfaces.

Why not try using both: brush and floss and rinse with this ACT stuff
(which I know not about) between meals?

Notice I don't tell my patients to rinse at nighttime. Just brush, spit,
floss, howl at the moon, bed.
SP
Signature

Not a real Addy, yet

Ano Neemus - 23 Oct 2004 05:37 GMT
>FWIW, what I usually tell my patients is to brush, spit but don't rinse.
>Immediately take the dental floss and use it. This way the interdental

Wouldn't it be better to floss first - getting whatever tartar/gunk
out - and *then* brushing with the flouride, allowing it to go where
it couldn't before?

>Why not try using both: brush and floss and rinse with this ACT stuff
>(which I know not about) between meals?

Yeah, I do...  I'm just thinking in terms of maximizing things - and
curious about the flouride concentration differences, as far as
wondering if it pays to pay for ACT (which does seem to work)...
Joel M. Eichen - 23 Oct 2004 13:36 GMT
>FWIW, what I usually tell my patients is to brush, spit but don't rinse.

Don't even go there .......
 
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