11 best toothpastes for tartar and plaque - rating for 2021

Many people face the problem of plaque and tartar formation. The modern rhythm of life is such that a person often consumes simple carbohydrates or black coffee on the run, and bad habits such as smoking aggravate this problem even more.

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Tartar is mineralized microbes deposited on the enamel of teeth. The advanced stage of this problem can provoke an inflammatory process and cause serious harm to the gums. The first cause of plaque, and then tartar, is insufficient oral care. Choosing quality toothpaste is a very important point in the matter of daily hygiene.

Anti-plaque toothpastes are divided into two main groups:

• Hygienic.
  Carrying out mechanical cleaning of dental plaque.
• Therapeutic and prophylactic.
  Designed for the prevention of various diseases and can solve the problem of tartar, among other things.

An important point when choosing a toothpaste is its abrasiveness. It depends on the number and size of abrasive particles included in the product. The larger the particles, the more they polish the enamel. The whitening effect is higher, but highly abrasive toothpastes are not suitable for sensitive or damaged enamel.

The abrasiveness index is always indicated on the packaging and written as RDA. There are:

• RDA 20-50 - low abrasive pastes.
• RDA 50-80 - moderately abrasive pastes.
• RDA 80-110 - polishing pastes.
• RDA over 120 - pastes with intense brightening effects.

Of course, you definitely need to pay attention to the composition of the toothpaste. Many manufacturers use thickeners for their products. It is important that the product is not only effective, but also safe.

To solve the problems of plaque formation and prevent its mineralization into tartar, the following active components are well suited:

• Pyrophosphates.
• Urea peroxide.
• Xylitol.
• Hydroxyapatite.
• Papain, bromelain.
• Zinc citrate.

We present the rating of toothpastes against tartar and plaque 2022. The best 11 products that were selected by our experts based on user reviews and ratings.

There are contraindications, be sure to consult your doctor!

Which toothpaste is better to choose?

When choosing a toothpaste, it is important to consider the characteristics of your oral cavity, as well as the needs of all members of your family.

• If you have problems with hypersensitivity, this problem must be solved first. Sensodyne Complete Protection toothpaste for sensitive teeth is ideal for solving this problem and is suitable for regular use.
• If there is damage to the enamel and a tendency for it to appear, a product with medical hydroxyapatite is suitable, restoring problem areas and strengthening teeth in general. These pastes include Sangi Apadent Total Care and Biorepair Active Shield.
• If whitening is primarily needed, you should pay attention to products such as Blend-a-med 3D White Deep cleaning with charcoal from a more budget category or LACALUT White, which is more expensive.
• If you need daily care suitable for the whole family, Perioe Pumping Citrus paste is ideal. Large packaging with a dispenser, pleasant taste and light gel texture will appeal to both children and adults.

Even the most effective toothpaste will be powerless against tartar or plaque if your oral hygiene is insufficient. Therefore, to prevent the formation of tartar, it is important to follow some rules:

• Teeth should be brushed at least twice a day. Only in this case is it possible to fulfill the promises of manufacturers.
• Cleaning time should be at least 2-3 minutes.
• Each tooth should be brushed for at least 10 seconds, using approximately 20 circular motions.
• Don't forget to clean your cheeks and tongue, where harmful bacteria also accumulate.
• It is important to choose the right toothbrush and remember to change it every 3-4 months.

By following these simple rules, you will be able to evaluate all the effects that manufacturers promise and maintain the health of your teeth.

Enjoy the shopping!
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Despite the development of modern dentistry and the widespread use of fluoride-containing toothpastes, the prevalence of caries and dental hypersensitivity continues to increase. Among the reasons for increased tooth sensitivity are non-carious lesions (wedge-shaped defects and erosions) (Fig. 1 a, b), exposure of tooth roots due to periodontopathy (Fig. 2), professional whitening (Fig. 3) and, of course, caries (Fig. 4).

Traditionally, to eliminate sensitivity, drugs containing fluoride ions, desensitizers and toothpastes aimed at reducing sensitivity are used [1]. However, the effect of most of them is temporary and after some time sensitivity appears again. Due to the fact that increased tooth sensitivity interferes with adequate tooth brushing and promotes the formation of a mature biofilm, the issue of eliminating sensitivity is directly related to the prevention of inflammatory periodontal diseases and caries.

Currently, the most effective drug for eliminating or reducing dental hypersensitivity, regardless of its cause, is hydroxyapatite. A number of manufacturers introduce hydroxyapatite in nanoform (nano-HAP) into toothpastes for home and professional use. Toothpastes with nano-HAP have become widespread in Japan. Recent research by the well-known company Sangi has made it possible to develop and introduce Apadent toothpaste, the active ingredient of which is medical nano-HAP, whose high preventive effectiveness is based on the fact that about 97% of tooth enamel and 70% of dentin contain hydroxyapatite. Therefore, when applied topically, hydroxyapatite nanoparticles contained in toothpastes and gels help restore the mineral density of the surface and subsurface layers of enamel, ensuring the smoothness of its surface and preventing the development of caries [2]. Interacting with dentin, nano-HAP clogs dentinal tubules, incl. forming HAP-protein complexes. This completely prevents vibrations of the dentinal fluid, so increased tooth sensitivity is significantly reduced or disappears. Analyzing scanning electron microphotographs of dentin after bleaching and treatment with a paste containing nano-HAP, R. Takikawa et al. (2007) found that nano-HAP particles not only clog the openings of the dentinal tubules, but also form a pronounced protective layer [7]. H. Kawamata et al., studying the surface of teeth treated with nano-HAP, fully confirmed this, finding not only complete occlusion of open dentinal tubules, but also a protective layer 1.8 microns thick located on the surface of dentin [3]. W. Browning et al. Based on the analysis of data obtained using a visual analogue scale, it was found that nano-HAP quickly eliminates tooth sensitivity that occurs after whitening procedures [2].

However, the effect of nano-HAP as a means of caries prevention is of greatest interest. In addition to the direct effect on the surface and subsurface layers of demineralized enamel, it was found that the caries-preventive effect of nano-HAP can be associated, incl. with its ability to sorb polysaccharides produced by Streptococcus mutans and lipoteichoic acid. This means that it is nano-HAP that reduces the adhesive ability of dental plaque and the ability of microorganisms to aggregate [4]. An important fact should be considered that toothpastes based on HAP have the lowest abrasiveness and practically do not damage the surface of the teeth, because nano-HAP is applied in the form of a gel or extremely fine particles [5].

The mechanism of action of nano-HAP allows us to recommend toothpastes containing it for both individual and professional use, due to the fact that in addition to the toothpaste for individual use Apadent, presented on the Russian market, our dentists now have access to toothpaste for professional use Apadent Pro .

Clinical example No. 1. Using professional toothpaste “Apadent Pro” to eliminate tooth sensitivity

Paste with nano-HAP was used in eight patients with wedge-shaped defects, in cases where the patients temporarily refused filling due to the small size of the defect (Fig. 5 a and b). To prevent the defect from deepening, patients were recommended to use an atraumatic cleaning technique and soft toothbrushes. In addition, it was recommended to refrain from taking sour juices; if it is impossible to refuse sour juices, rinse your mouth immediately after eating and start brushing your teeth no earlier than an hour later. The effectiveness of treatment with professional paste Apadent Pro was assessed based on the determination of the Schiff index, based on identifying the threshold of tooth sensitivity using an air jet according to Schiff [6]. The test was carried out as follows: air from the gun of the dental unit was supplied perpendicular to the cervical surface of the tooth from a distance of 1 cm for a second. Tooth sensitivity was assessed using the following criteria: 0 – no reaction; 1 – feeling of discomfort, but the patient does not insist on stopping the test; 2 – discomfort accompanied by a request to stop the test; 3 – severe pain reaction with pronounced motor reactions aimed at immediately stopping the test. The Schiff index was determined before treatment, immediately after treatment and a week later. If discomfort returned, patients were asked to come back for an appointment.

The results of the study showed that even a single treatment of the area of ​​wedge-shaped defects with Apadent Pro gave a lasting clinical effect. The Schiff index before treatment was 2.37±0.09. Immediately after treatment it decreased to 0.8±0.24. When determining the Schiff index after a week, we obtained 1.0±0.7. Within a month, none of the patients came for re-treatment. The patients were recommended to use Apadent toothpaste for daily use.

Clinical example No. 2

To evaluate the remineralization potential of Apadent Pro professional paste, we used it in patients with caries in the white spot stage. The patient complained that due to the rough surface of the white spots on teeth 43 and 44, he could not effectively remove plaque (Fig. 6).

Indeed, upon examination, the presence of caries in the white spot stage of teeth 43 and 44 was revealed. When dried, the surface does not shine, is rough upon probing, and the cervical area is covered with plaque. The algorithm for remineralizing therapy with nano-HAP included the removal of plaque from the tooth to be treated. Then the surface was dried and treated with antimicrobial treatment. For this, we used an ozone-air mixture generated by the ProZone device for 6 seconds, because treatment of the tooth surface with ozone gas prevents the formation of biofilm by strains of S. mutans and Lactobacillus acidophilus [3]. Exposure to the ozone-air mixture helped stop the leakage of gingival fluid or exudate of the gingival pocket. Apadent Pro professional paste was applied to the dried surface, and the procedure was carried out three times. For home use, Apadent paste was recommended and the mandatory use of plaque control by staining. When examined a week after completion of remineralization therapy, the color of the spots remained white, but its surface became smooth. The patient reported that now high-quality cleaning of teeth 43 and 44 is not difficult.

The given clinical examples clearly demonstrate the high effectiveness of the paste for professional use Apadent Pro, containing nano-HAP, as a means for remineralizing therapy of caries in the white spot stage and eliminating the sensitivity of teeth with wedge-shaped defects.

Apadent series for home use

The Japanese manufacturers of Apadent Pro paste have made sure that people of all age groups can benefit from medical hydroxyapatite. They included it in both professional dental pastes and self-care products for the oral cavity. They can be used at home in combination with office procedures.

There is a whole line of Apadent products:

• Apadent Total Care: effectively restores demineralized enamel, covers dentinal tubules, fights early caries,
• Apadent Sensitive: this paste is suitable for those with sensitive teeth. Effectively fights plaque, evens out and fills microscopic cracks in enamel,
• Apadent Perio: paste to reduce bleeding gums and relieve inflammation. In addition to the usual nano-hydroxyapatite, the composition also contains ocean salt,
• Apadent Kids: a toothpaste that has been specially developed for babies. It also contains nano-hydroxyapatite. It does not contain fluorine, parabens, dyes or sodium lauryl sulfate, so it is as safe as possible for both young children and teenagers.

These pastes are quite expensive - from a thousand rubles and more. Therefore, whether to use them or not at home is the decision of each individual person, which should be influenced by the condition of the teeth. We recommend that you undergo the remineralization procedure at the dentist, after which the doctor will be able to give recommendations on the advisability of using such drugs at home.