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).

Toothpaste “PresiDENT Active” and “PresiDENT Extra Active”

• manufacturer: Italy.
• cost: about 250 rubles.

President Active and Extra Active toothpastes are Italian-made products that contain a fairly wide range of elements that significantly reduce the signs of inflammation and bleeding gums.

“Active” paste contains triclosan and zinc citrate, which provide healing of inflamed areas and protection against bacteria. At the same time, plant extracts of hawthorn and sanguinaria have a pronounced astringent and anti-inflammatory effect. The course of use of this paste is 2-3 weeks.

PresiDENT Active toothpaste

Extra Active toothpaste is intended for patients with severe gum problems. It contains a combination of aluminum lactate, oak bark extract and chlorhexidine - together they provide an antiseptic effect on the oral cavity and an astringent on the gums. It is recommended to use the paste for no more than a week, or as an additional means of enhanced action on the gums - apply a thin layer to the inflamed mucous membranes 2-3 times a day for a couple of minutes, then rinse the mouth thoroughly. This is one of the most effective remedies in the fight against increased bleeding gums.

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.

SIGNS OF BLEEDING GUM AND PERIODONTAL DISEASE

Periodontal disease is a chronic disease of periodontal tissues, in the last stage of which the roots of the teeth are exposed. Periodontium is the soft tissue around the tooth. In the initial stage, regular gum bleeding appears when brushing your teeth. Then the teeth gradually begin to become exposed, and tooth mobility develops. These are the main signs of bleeding gums. Often due to periodontal disease develop:

• infectious diseases
• gastritis
• stomach ulcer
• cirrhosis of the liver
• teeth may fall out

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.

Video about gum diseases

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gum disease

Consulting specialist

Orlova Elena Vladimirovna

Doctor rating: 9.5 out of 10 (2) Specialization: Dentist-therapist Experience: 33 years

What effect does toothpaste have on bleeding gums?

The most recommended formulations with proven effectiveness include ROCS PERIODONT toothpaste, which protects gums from bleeding and inflammation. This toothpaste contains active ingredients of plant origin:

• extracts of two types of honeysuckle;
• double aspen extract.

These components quickly reduce pain and bleeding, improving the overall health of the oral cavity.

Additionally, ROX PERIODONT contains:

• sodium bicarbonate – reduces discomfort, relieves swelling;
• calcium hydroxyapatite suspension 25% – relieves symptoms of dental hypersensitivity;
• calcium glycerophosphate and xylitol - reduce the activity of development of pathogenic microflora, protect against caries;
• calcium glycerophosphate – saturates the enamel with essential minerals, strengthens it, returns healthy shine and whiteness to teeth.

The paste does not contain fluoride.

The positive effect of using ROCS PERIODONT toothpaste against bleeding and inflammation is observed after the first use.

The best toothpastes for caries prevention

There are a huge number of manufacturers that produce pastes to protect against caries. We list the products recommended by dentists and chosen by customers:

• ROCS "Active calcium".
• Weleda with calendula.
• SPLAT Professional "Whitening Plus".
• Biorepair Plus Total Protection.
• CURAPROX Perio Plus Support.
• Apadent Perio.
• PERIOE Pumping Original.
• Marvis Orange Blossom Bloom.
• Dentissimo Complete care.
• Mirafluor C Toothpaste with Amine Fluoride.

Let us describe the main features of the pastes presented in the rating.

ROCS "Active calcium"

Contains a high concentration of calcium, which is built into the structure of tooth enamel due to a special activation system. After several weeks of using the paste, teeth become lighter. The main thing is that their resistance to caries increases. In addition to calcium, the composition includes phosphorus, silicon and magnesium, which ensure remineralization of enamel.

The paste contains xylitol, a natural component that prevents the proliferation of cariogenic microbes and maintains the balance of oral microflora. The abrasiveness of the composition is low, so this product can be used by people with increased sensitivity of the gums.

pros

• suitable for daily use;
• protects against bacteria and caries;
• saturates the enamel with minerals;
• very refreshing.

Minuses

slow whitening effect.

Weleda with calendula

A medicated toothpaste based on calcium carbonate, which effectively removes plaque from teeth and provides protection against caries. Contains calendula extract. It has an anti-inflammatory and calming effect. The paste does not contain mint; it contains fennel essential oil as a refreshing component. It can be used by people with individual intolerance to mint components. In addition, the paste contains no synthetic dyes, preservatives, flavors or bleaches.

pros

• anti-inflammatory effect;
• suitable for adults and children;
• not harmful if swallowed.

Minuses

• no fluoride in the composition.

SPLAT Professional "Whitening Plus"

SPLAT pastes are one of the most famous therapeutic and prophylactic dental care products. "Whitening Plus" is based on an innovative safe cleansing system. The composition includes rounded polishing particles, which, in combination with natural ingredients, lighten the enamel without harming it or the gums. The Polydon substance breaks down plaque in hard-to-reach places, making the surface of the teeth smooth.

The paste contains antibacterial components that prevent cariogenic microorganisms from multiplying. SPLAT Professional is ideal for tea and coffee lovers, as well as smokers. The fluoride content in the paste is 1000 ppm, which corresponds to a moderate therapeutic and prophylactic effect.

pros

• suitable for tooth sensitivity;
• cleans and polishes enamel;
• prevents plaque from settling.

Minuses

• Buyers note that this paste has no shortcomings.

Biorepair Plus Total Protection

A paste that reduces the hypersensitivity of enamel and gums, restores damaged dentin, creates a protective layer on the tooth surface, mineralizes the enamel and protects it from acids and microbes. Biorepair Plus Total Protection contains unique microRepair particles. Their composition is identical to hydroxyapatite, which is the basis of natural enamel and dentin. These particles have a needle-like structure, and therefore easily integrate into the surface of the tooth, filling cracks and restoring mineral balance. This ensures the prevention of caries.

pros

• the feeling of cleanliness lasts until the morning;
• polishes and cleans teeth;
• restores damaged areas of enamel;
• has an antibacterial effect.

Minuses

• high price.

This paste is used before and after dental surgery, for the treatment of periodontal diseases, to prevent gum damage, for tissue restoration and after the installation of orthodontic structures. CURAPROX Perio Plus Support also helps prevent caries. It is recommended to use it for no more than 6 months and as prescribed by a doctor.

The paste maintains the balance of oral microflora and has an antibacterial effect. After brushing your teeth, the process of plaque formation on the teeth slows down due to the formation of a protective film on the enamel. This ensures an anti-caries effect.

pros

• suitable for treatment and prevention;
• can be used after installing braces;
• has an antibacterial effect;
• does not change taste sensations;
• does not contain synthetic dyes.

Minuses

• high price;
• can be used for no more than six months.

This toothpaste is used not only to prevent caries, but also to treat it at the initial stage. The composition includes ocean salt, which has a calming effect. Apadent Perio is suitable for people with sore and bleeding gums. The paste contains antibacterial components that prevent the spread of cariogenic microbes. To strengthen the enamel throughout its depth, a bioactive mineral, which makes up human tooth enamel, is introduced into the composition. The paste has a pleasant minty-salty taste without the aftertaste of medicine.

pros

• suitable for dental hypersensitivity;
• pleasant to the taste;
• removes plaque and brightens enamel.

Minuses

• high cost.

PERIOE Pumping Original

One of the most effective toothpastes for caries prevention. It contains sodium fluoride in a concentration of 1400 ppm, which allows you to remove plaque, including deep plaque, destroy bacterial decay products and cleanse the oral cavity of harmful microbes even in hard-to-reach places. Fluoride helps remineralize enamel, making it more resistant to acids.

PERIOE Pumping Original comes in a convenient bottle with a dispenser: no need to squeeze the toothpaste out of the tube, just press the pump. So it is consumed more slowly. In addition, it foams well, so you need to apply it to the brush in a minimal amount. The bubbles formed during cleaning envelop the enamel, penetrating into the interdental spaces, which allows you to better clean your teeth from food and germs.

pros

• high fluoride content;
• convenient packaging;
• economical consumption.

Minuses

• high price.

Marvis Orange Blossom Bloom

Anti-caries paste based on calcium and fluoride. Has a soft creamy structure. Whitens teeth well and protects them from plaque. The paste is designed to maintain oral health and is used to prevent diseases of teeth and gums. The composition includes a citrus flavor of natural origin, providing a fresh effect. Marvis is produced in original retro packaging.

pros

• interesting tube design;
• minerals in the composition;
• pleasant citrus flavor.

Minuses

• Possible allergy to the citrus component.

Dentissimo Complete care

A paste made from plant extracts that have a calming effect. After using Dentissimo Complete, the sensitivity of the gums decreases and they stop bleeding. In addition, the paste restores the natural color of teeth. The composition includes calcium and hydroxyapatite, which replicates the structure of tooth enamel and strengthens it. The paste also contains extracts of geranium and eucalyptus. The first has an antiseptic effect, the second has a refreshing effect.

pros

• complex action;
• suitable for permanent use;
• contains calcium.

Minuses

• If you believe customer reviews, this product has no shortcomings.

Mirafluor C Toothpaste with Amine Fluoride

Toothpaste recommended for use to strengthen enamel and prevent caries. The main component of the composition is amino fluoride, which reacts with saliva and more effectively cleans teeth of plaque. This substance remains in the oral cavity for 3-5 minutes after brushing, providing fluoridation of the enamel.

The paste has a low degree of abrasiveness. It can be used by people with hypersensitive teeth and gums. There is no risk of damage if properly cleaned.

pros

• amino fluorides and calcium in the composition;
• suitable for tissue sensitivity;
• low degree of abrasiveness.

Minuses

• contains flavorings.

Before you start using medicated toothpaste, visit your dentist. He will select a product with a suitable composition. Do not try to cure caries and other oral diseases with it. Therapeutic paste is a supplement, not an alternative, to dental procedures.

You can order toothpaste on our website. In the catalog you will find other products presented in the rating.

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.

Which paste is suitable for pregnant women?

During pregnancy, the amount of microelements in the tooth enamel is disrupted and the gums often begin to bleed. Therefore, choosing a toothpaste during pregnancy is an important point and it is advisable to do it after consulting a doctor.

When purchasing dental care products, you should pay attention to:

• The choice of toothpaste during pregnancy is an important point and it is advisable to do it after consultation with a doctor.

  A base that should be soft, clean the tooth surface well, and not cause discomfort in the mouth.

• Active components that have a strengthening effect on the periodontal gums, eliminating bleeding from them, and a regenerating effect on tissue.
• The presence of the necessary elements that can prevent the occurrence of caries and reduce the heightened sensitivity of the enamel.
• The presence of active additives that help protect teeth from discoloration and damage.

Often in dental practice, experts recommend toothpastes to expectant mothers:

• Pregnant;
• Lakalut;
• Splat Organic;
• Weleda;
• Rox Bionics.

All of them are certified and harmless to the female body. Eliminate inflammation, stop bleeding gums, stimulate tissue regeneration, strengthen and clean tooth enamel.

Important! While carrying a fetus, every woman should keep her mouth clean, keeping it healthy. Brush your teeth with toothpastes, carefully reading the instructions. Particular attention should be paid to their composition and contraindications.