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Best “go-to” toothpaste to refer to patients with GINGIVITIS???

New hygienist very confused as to what to suggest as far as different TPs are concerned depending on pt’s OH. It seems that my generation of RDH’s were taught that CHX is the best RX for tx of gingivitis (but it causes stain & calculus- no thx!), & Colgate Total is the best OTC tp due to the triclosan. Other way more experienced, older RDH’s than myself disagree w/me in rec. Colgate Total BECAUSE of the Triclosan due to it being an antibacterial (which I didn’t know)? Well isn’t that good that it’s an antibacterial, so bacteria doesn’t build-up in the pockets? I’m soooo confused now! DDS @ another office I work at came to me today saying that he & the RDH (who’s been w/him 20+ yrs) have noticed IP staining in my pts after rec. Colgate Total. PLEASE HELP!!! :-,(



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2 Answers

AHHH that’s what I thought too, but I didn’t feel right questioning those more experienced than I before I found out the facts. Thanks for the confirmation Kara!

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Colgate Total does not cause staining. It’s the stannous fluoride in Crest that does that. It sound to me as the other hygienist and doctor need to do their research! I recommend Colgate Total to gingivitis patients all of the time and its one of the many toothpastes I use personally. To be totally honest, it’s not the toothpaste that’s going to treat the gingivitis, it’s the brushing method, flossing, or other interdental cleaning that’s going to disrupt the bacteria. So any toothpaste with fluoride is a fine choice (unless it causes staining, like Crest).

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