There are many different toothpaste selection in the market, so it can be confusing on which one is right for you. For the most part, toothpaste is all about marketing and it is usually best to stick with the idea that less is more. It is fairly common to have whitening toothpaste cause sloughing of the gum tissues. This is where is feels like the inside of your cheeks or gum tissues are peeling away. I will always suggest my patients switch toothpaste if this is indeed occurring. Occasionally, a patient just does not react to a certain toothpaste and the sloughing can occur when there is not even a whitening agent added to the paste. Again, I simply tell a patient to discontinue the use of the current toothpaste and try to switch to a toothpaste with fewer ingredients. Aim is often a toothpaste that contains fewer ingredients and could be a good one to try if any sloughing is occurring.
I do have patients that definitely need to buy a special type of toothpaste that delivers more fluoride into their mouth. We suggest the prescription Prevident that helps patients with sensitivity and when they need the extra amount of fluoride to help protect weakened areas of enamel. This toothpaste has a unique liquid gel formula that contains 5% potassium nitrate and helps with remineralizing weakened areas.
I explain to my patients that do not need the extra amount of fluoride that when it comes to toothpaste there is not a magic toothpaste that can help fix dental problems. It is more important to mechanically remove the plaque and disturb the bacteria with the use of your brush and floss. Your goal is to remove the plaque and get oxygen into the collection of bacteria with your floss so that you can try to prevent infection from forming.