ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Tartar Control Toothpaste Effectively Reduces Calculus Formation
Clinical Question In adult dentate patients, will using a tartar control toothpaste vs. a non-tartar control toothpaste aid in reducing the formation of calculus?
Clinical Bottom Line In adult dentate patients, the use of a tartar control toothpaste, or a dentifrice containing anti-tartar chemicals, significantly reduced the formation of calculus on those individuals who used the toothpaste properly. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 19711607Farrell/2009n=77 subjects (21-87 yrs)Randomized Controlled Trial
Key resultsThe daily use hydrogen peroxide whitening strips with pyrophosphate (tartar control agent: 6% H2O2/2% pyrophosphate whitening strips) reduced calculus formation by up to 29% versus regular brushing. No meaningful adverse effects occurred.
#2) 19301516Schiff/2008Adult male and female subjects from San Francisco (n=77)Double-blind Randomized Controlled Trial
Key resultsColgate Total Advanced Toothpaste (0.3% triclosan/2.0% polyvinylmethyl ether/maleic acid [PVM/MA] copolymer/0.243% sodium fluoride in a 17% dual silica base) users experienced a significantly greater control of supragingival calculus as compared to the commercially available dentifrice that did not have tartar control ingredients (Crest Cavity Protection Toothpaste: 0.243% sodium fluoride in a silica base). No meaningful adverse effects occurred.
#3) 17913001Schiff/200780 adults from San FranciscoRandomized, double-blind, controlled clinical trial
Key resultsThe use of a dentifrice with the added anti-calculus agents (cetylpyridinium chloride/zinc gluconate mucoadhesive gel) significantly reduced the formation of calculus compared to using the gel without anticalculus ingredients. No meaningful adverse effects occurred.
Evidence Search Search tartar control toothpaste and dental calculus Search tartar control toothpaste and calculus #64Search tartar control 16:29:16 977#62Search effectiveness of tartar control toothpaste 16:29:07 12#58Search tartar control toothpaste and calculus reduction 16:15:02 28#51Search (#41) AND #48 16:07:45 0#42Search dental calculus
Comments on
The Evidence
The Farrell 2009 article reported a randomized controlled trial with 77 adults to evaluate whether or not the daily use of an anti-tartar whitening agent would reduce post-prophylaxis calculus accumulation. The author provided an easy to understand description of his study. The Schiff 2008 article reported a double-blind clinical study that compared the efficacy of several dentifrices, Colgate Total Advanced Toothpaste (tartar protection) and the commercially available Crest Cavity Protection Toothpaste. The author gave very detailed descriptions on how this study was conducted. The Schiff 2007 article reported a randomized, double-blind controlled clinical trial, that looked at the anticalculus effects of the gel: cetylpyridinium chloride/zinc gluconate (CPC/ZG) with 80 adults. The author gave a detailed description of the study.
Applicability After reading all three articles, I found there are many different toothpastes on the market, and many have different claims. Many advertise themselves as “tartar protection” toothpastes. It was evident that tartar protection toothpastes did significantly reduce the formation and accumulation of supragingival plaque on those who used the toothpaste on a daily basis.
Specialty/Discipline (General Dentistry) (Periodontics)
Keywords tartar, calculus, prevention, tooth brushing
ID# 777
Date of submission: 03/18/2011spacer Revised: 10/27/2011
E-mail vogtcj@livemail.uthscsa.edu
Author Christopher J. Vogt
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Archie Jones, DDS
Faculty mentor/Co-author e-mail JonesA@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Carlos Bernal, Ellis Shwarts, Ju Ri Hur (San Antonio, TX) on 01/06/2014
There has been additional research that slightly strengthens the clinical bottom line.(Riley 2013, 24310847 ) Though the articles in the systematic review than the studies in the CAT, they slightly strengthen the conclusions of the CAT. Another review from 2011 further strengthens the results (Ciancio 2011 21462625 )
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