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Dental Hygienist, Clinical Epidemiologist; Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, Netherlands
This comprehensive review traces the evolution of dentifrices from ancient concoctions to modern formulations, evaluating their role in oral health and environmental impact. Despite the global burden of oral diseases, notably dental caries and periodontitis, advancements in dentifrice technology have contributed to the decline in caries prevalence, although periodontitis remains a challenge. The historical perspective outlines the transition from abrasive powders to fluoride-enriched pastes, emphasizing the significance of toothbrushing frequency and technique, alongside the use of dentifrices, for effective plaque control and caries prevention. The modern era has seen a proliferation of dentifrice variations, with a focus on cosmetic attributes often overshadowing therapeutic benefits. The review also discusses the environmental considerations of dentifrice production and disposal, highlighting the shift towards sustainable packaging and ingredient transparency. The market analysis reveals a mature industry with a projected growth, influenced by consumer preferences and oral hygiene awareness.
CPD/Clinical Relevance: Regular toothbrushing with fluoridated dentifrice remains a cornerstone of oral hygiene practices, directly influencing the reduction of plaque accumulation and the incidence of caries and periodontitis.
Article
Oral diseases are among the most prevalent diseases globally, and they negatively impact on people's quality of life.1 Dental caries and periodontitis are the two most common oral diseases, and the major causes of tooth loss.2 Although these diseases are, in essence, preventable, they persist with high prevalence and are chronic and progressive in nature.1 The costs of treating oral diseases impose a large economic burden on families and healthcare systems.1
The prevalence of dental caries has decreased over the years, but the prevalence of periodontitis remains high.2 Caries, or tooth decay, is the destruction of tooth structure by acids formed by oral micro-rganisms. Dental plaque is essential in the pathogenesis of dental caries.3 It is also the main aetiological factor for gingivitis,4 which is a nondestructive inflammation of the gingival tissue. Gingivitis can progress to a chronic disease called periodontitis, characterized by inflammatory conditions that affect the supporting tissues surrounding the teeth.5,6 Periodontitis is mediated by a dysbiosis in the host–bacteria interaction, and is characterized by the loss of periodontal attachment.7 The mainstay for prevention and management of periodontal diseases has been to control bacterial plaque accumulation and/or to protect against its deleterious effects.6,8 Therefore, control of dental plaque is one of the fundamental requirements for the maintenance of a functional healthy dentition throughout a person's life.9
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