Toothpaste for periodontal disease and bleeding gums

From this article you will learn:

• 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).

Children's range of Parodontal pastes

Oral care products for children have a hypoallergenic composition. They do not contain sugars, parabens, fluoride and sodium lauryl sulfate. The gels contain soft abrasives that do not damage the enamel of baby teeth. All children's products of Parodontol products have a pleasant taste (ice cream, chewing gum, fruit) and are characterized by a complex effect: anti-inflammatory, anti-caries. The line of children's products has no age restrictions.

Disney Babyc 0

The gel has no contraindications due to age. Children should brush their teeth under adult supervision. A small amount of gel (no more than a pea) should be used per procedure. The series has several flavors: strawberry, bubble gum, fruit ice cream. Cleansing with the paste should be performed 2 times a day for 2 minutes.

Parodontol Kidz 3–7

The main purpose of the drug is the prevention of caries in preschool children. The soft cleaning system does not harm the fragile enamel of milk elements. The child can easily get used to hygiene procedures thanks to the pleasant and light taste of the gel.

The active components of the paste have several actions:

• strengthening enamel;
• relieving inflammation from gums;
• cleansing from caries;
• removal of dental plaque.

Parodontol Junior 7+

The drug is intended for oral care in children over 7 years of age. It has a pleasant mint taste.

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.

Reviews from dentists and patients about the paste

Pediatric dentist, Ilona Andreevna. All products of Parodontol pastes are distinguished by their multifunctional action. I would especially like to note the line of products for children, which does not contain sugars and fluoride, because to maintain the health of baby teeth, you should not use gels with such constituent substances again.

Alina, 28. I especially love Parodontol Sensitive paste. Using it when signs of periodontitis begin. However, I try to constantly change the series of products from the manufacturer so that I don’t get used to any one product.

Marina, 31. I suffered from bleeding gums for several years until I tried Parodontol Prof paste with silver water. I noticed the effect of using the drug already on the 3rd day, and after a week the gums stopped bleeding completely.

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.

Information about the paste and manufacturer

The main task of oral care products for therapeutic and prophylactic purposes is the effective removal of soft plaque. Some pastes can soften tartar, but such products should be chosen only on the recommendation of a dentist. Compositions that can dissolve hard dental deposits can negatively affect the condition of tooth enamel and cause irritation of the mucous membranes of the mouth.

And also, means for carrying out hygiene procedures must be safe for the human body. Not all pastes that have a complex effect can be classified as safe drugs. For example, gels with a whitening effect often contain acids and abrasive particles that injure and destroy enamel. The enamel surface is strengthened using fluoride, which is dangerous for people living in regions with fluoridated water.

The “efficacy-safety” criterion is optimally met by Parodontol toothpaste. It is worth noting another advantage of the product - the variety of assortments. Thanks to this, each customer will be able to choose a specific type of paste that is suitable for them to solve individual problems.

Parodontol paste is produced in Russia. The company has been producing cosmetics and oral care products for about 50 years. The manufacturer's products are popular among customers due to their low cost and effectiveness. People with chronic gum disease and allergic reactions are allowed to use Parodontol paste.

Another advantage of the gel is that it can be used by people of all ages. has developed a special line of products for small consumers. It is distinguished by a softer composition and the absence of rough components in the composition. You can buy the drug in almost any store or pharmacy.

Periodontal disease is...

A disease such as periodontal disease, which affects the periodontal tissue (periodontium), is quite rare - in 1 - 8% of patients visiting dental clinics. However, for those who experience it, it can cause a lot of problems, both physical and emotional. The main difficulty in treating this disease is that diagnosing the disease at the beginning of its progression is very difficult, if not impossible.

Periodontal disease is characterized by gradual atrophy of the dental canals, reduction in the size of the interdental septa, which precedes the loosening and loss of teeth.

With this disease, a burning sensation, itching and pulsation in the gums are clearly felt in the oral cavity, they bleed every time you brush your teeth, there is a repulsive odor from the mouth, and painful sensations when chewing food while eating.

Indications for use of Parodontol toothpaste

Toothpastes are an integral part of complex therapy for periodontal disease. They eliminate plaque and prevent the active proliferation of bacteria, which cause inflammatory reactions. Find more information about anti-tartar toothpastes here. Also, these products have a pronounced healing and anti-inflammatory effect. They contain nitrates, citrates, potassium tetrapyrophosphates, strontium chloride. The action of these components is aimed at eliminating deposits and reducing enamel sensitivity. In each individual case, the doctor prescribes a specific paste, taking into account the degree of development of the pathology.

The Parodontol formula provides comprehensive oral care, restores enamel, and soothes gums. It has a natural composition, an affordable price and is represented by a whole line of drugs (each type solves certain problems). Main indications for use:

• bleeding and bad breath;
• soft plaque, tartar;
• bad breath;
• weak enamel (sensitive, cracking);
• sore gums;
• symptoms of periodontal disease.

"Parodontol", like any toothpaste, thoroughly cleans the enamel of plaque. Another advantage of the product is complete safety in use.

Among the products in the series there are children's lines with flavors, berries, and ice cream. The formulas do not contain abrasive particles; fluorine is not present in all products.

The most popular toothpastes that do not contain fluoride

Consumer reviews and expert advice helped us create a rating of fluoride-free toothpastes.

Paradontox

• produced by the Glaxo Smih Klin group of companies (Slovakia);
• active ingredients: sodium bicarbonate (soda), mineral salts;
• cost 170-200 rubles.

Paradontax toothpaste without fluoride has a salty taste and an unusual color (pink-brown), which is due to its natural composition: it contains extracts of sage, mint, myrrh, chamomile, echinacea, and ratania. Dentists recommend using it for people with bleeding gums and for the treatment of stomatitis.

Advantages:

foams well, removes plaque, effectively fights periodontal disease.

Flaws:

It has a unique taste that takes some time to get used to.

President Unique

• produced by the Italian company Betafarma SPA;
• contains: calcium lactate, calcium pantothenate, calcium glyceroformate;
• cost: from 180 to 250 rubles.

In addition to 3 active components containing calcium, this paste contains the enzyme papain, which easily destroys and removes plaque, and xylitol, which neutralizes the acidic environment in the oral cavity. Recommended for the prevention of caries and inflammatory processes in the oral cavity.

Advantages:

protects against caries and sensitivity of tooth enamel, prevents inflammation of the gums, enhances the shine of the enamel.

Flaws:

It is not recommended for daily use, since the pain-relieving additives contained in its composition do not allow timely diagnosis of caries.

Neobio

• manufactured by Neobio (Germany);
• active substance: calcium carbonate;
• cost: 150-200 rub.

Neobio fluoride-free toothpaste does not contain chemical components; silicic acid is used as an abrasive and carrageenan from seaweed is used as a thickener. It contains herbal components that protect against gum inflammation: witch hazel, rosemary, chamomile, sage, myrrh, peppermint oil.

Advantages:

a natural product that effectively removes plaque and protects against gum inflammation, has a pleasant taste, and freshens breath well and for a long time.

Flaws:

not noticed.

ROCS 1 Calcum

• made in Russia;
• active ingredients: calcium glycerophosphate, magnesium chloride, bromelain;
• cost 230-250 rub.

Active components protect the oral cavity from harmful microorganisms, protect the enamel from destruction by increasing its acid resistance, normalize the microflora and prevent plaque from forming on the teeth during the day.

Advantages:

can be used if the enamel is overly sensitive, since it does not contain abrasive substances;

Flaws:

cost, liquid consistency.

Rating of the best toothpastes for periodontitis and periodontal disease