GUM ActiVital Toothpaste Review

Dental Revelations Blog-13

GUM ActiVital Toothpaste Review by Dental Revelations Blog

I recently received a free sample of new GUM ActiVital toothpaste and wanted to let you know from a professional point of view how good the toothpaste is. And if it is what the manufacturer’s selling speech on their website states:

-Effectively helps prevent cavities by remineralizing the dental enamel thanks to our patented combination of fluoride and isomalt
-Prevents the plaque build-up that can harm the new permanent teeth
-No alcohol, parabens, or sulfates (SLS)
-Gentle formula contains natural chamomile flower extract
-Yummy strawberry flavor

It seems that this toothpaste is not available in the USA yet (or no longer?), but I’m sure it can be ordered online if you are interested to try it out.

The Design

I love the green colour in the packaging design. It is simply the freshest colour there is. The pomegranate apple is a plus at least for me because I recently learned that pomegranate apple has plenty of health benefits.

The tube is pretty much similar to the toothpastes of Oral-b and it is easy to open. Like often, there is a lid protecting the toothpaste under the cap. Not sure about what the material of the lid is – it looks metallic but is too thin to be considered as recyclable metal. Is it some sort of plastic with a foil layer? In my house that has 8 different recycling bins, this small lid has no other place than domestic waste where everything that cannot be recycled is put. I call it The Bin of Shame.

What material is the lid?

Some might think that what on earth am I on about when I worry over very small piece of non-recyclable material. But I think it is about the attitude towards the Planet Earth. We should try to use materials that can be recycled and even better thing would be if the materials we use were sustainable. No matter how small they are.

The Testing

The toothpaste is green in colour and is more like gel than a paste. Brings in mind my teenage years in the ’80s when hair gel of this colour was very popular. Do people still use it? Nowadays there are all sorts of hair clays, powders, waxes and so on to choose from. But back in the good old days we relied on the green toothpaste-like hair gel that made your hair stiff as a stick.

Sorry, couldn’t resist walking down the memory lane. Back to the subject.

20181104_152718.jpg

ActiVital toothpaste

I always want to know if the toothpaste contains microbeads and the closer look at the toothpaste does not show any beads in it. It’s almost silky smooth to the eye.

A hair gel?

Also the ingredients list (see at the end of this post) does not state any microbeads (polyethylene or polypropylene).

So, lets put the toothpaste on my beloved Philips Sonicare’s bristles. The toothpaste is very firm in texture and stays put when applied to the brush. That is a plus in my opinion.

The best toothbrush ever! And pretty good toothpaste as well.

The toothpaste tastes pleasant and is not too strong in flavour. It is minty, but has this kind of earthy taste, like hint of herbs. So far no burning or any other unpleasant sensations can be felt.

It forms a slight foam despite the fact that it does not have sodium lauryl sulfate (SLS aka soap) in it. This is another plus as SLS can cause adverse reactions. Instead there are three other ingredients that have bubble-forming properties (Hydroxyethylcellulose, Lauryl Glucoside and Cocamidopropyl Betaine).

I must say that this toothpaste is very pleasant to use compared to ones that have no bubble-forming agents and kind of vanish in mouth when brushing. I have found that many of my patients are wondering if non-foaming toothpastes actually do their job. Of course non-foaming toothpastes are as effective to one’s dental health as the foaming ones but somehow people have associated foaming to the effectiveness of the toothpaste.

After brushing for about 2 minutes, it still feels pleasant in mouth. No numbing or burning feeling can be felt.

After spitting out the toothpaste a fresh feeling stays for a long time in mouth. Also my teeth feel VERY clean and smooth. This in fact is worrying for me as a dental professional and only one question pops up in my mind:

what is the RDA of this toothpaste?

Well, I found the answer from the internet and to my surprise the RDA level is only 50! Amazing! With very low abrasivity this toothpaste does it’s job very well. Another plus deserved.

Would I recommend

It definitely cleans well and that alone is reason enough to recommend it.

But as a dental professional I must look deeper.

I am always interested in the ingredients that can cause adverse reaction. I once experienced an adverse reaction from a toothpaste and since then I have been more alert when my patients experience e.g. dry mouth or have lichenoid lesions in mouth. These and many other symptoms can be caused by certain ingredients in toothpaste.

In Gum ActiVital toothpaste there is cocamidopropyl betaine, which is a foaming agent that can cause adverse reaction. It has been named as an Allergen of The Year 2014 by the American Contact Dermatitis Society. This fact alone is pretty condemning.

Also flavourings in toothpaste can cause adverse reaction and with ActiVital toothpaste the flavouring is only stated with a word aroma. Pretty vague description and as a consumer I would definitely want to know more about it. The packaging states fresh mint but why not clarify it on the ingredient list? There is funny error on their website regarding the flavouring. It’s the

Yummy strawberry flavor

From Sunstar website.

I noticed this just after I had written my experience of the taste (earthy taste, like hint of herbs). Made me smile. They must have mixed up the advertisement contents of their children’s toothpaste and ActiVital toothpaste. Should they be informed about this error or just leave it like it is?

The manufacturer has considered one of the ActiVital toothpaste’s ingredient so important that they have put it in the packaging in quite large font. That is Q10.

Dental Revelations Blog-14

Cropped image from the Activital packaging.

Now this is interesting and I must say I think it is just a way to make the toothpaste more appealing by the known anti-ageing properties of Q10. I researched and researched to find out if there is benefit of using Q10 in the toothpaste and I’m afraid there isn’t any proven benefit. There has been a study in 1995 “Coenzyme Q10 and periodontal treatment: is there any beneficial effect?” ( by Watts, T. L. P. British Dental Journal. Department of Periodontology and Preventive Dentistry, UMDS, Guy’s Hospital London). Only the study’s abstract is available online and it states that G10 is not in fact beneficial when treating periodontal disease. No later studies are available online which in this modern world means there is none.

When doing my research I found out that the manufacturer Sunstar has a questionable advice on their website regarding the use of the toothpaste

Brush with our multi-functional GUM® ActiVital® Toothpaste after each meal to help keep your mouth healthy in the long term

Honestly, in a world where dental erosion is almost epidemic, you should know better not to advice people to brush the teeth after each meal. The latest studies suggest that you should forget about the whole business of brushing after meal. The studies have found that the pH level in mouth is still low even after 2 hours of eating. So you may brush before the meals but not after – just remember that we only advice to brush twice a day normally.

So, would I recommend?

Yes, I would. If you are not afraid of the long ingredient list and one definite allergen on the list (not everyone will get adverse reactions), just try the toothpaste and see how you feel about it. The most important thing for me is that the toothpaste does not contain SLS (soap), the RDA level is not over 100 and it contains enough fluoride. GUM ActiVital has fluoride content of 1450ppm which is the recommended level for the adults. So it does prevent cavities by remineralizing the teeth as they promise. Also Activital has ingredients that are anti-inflammatory and anti-microbial.

I have been using this toothpaste for 3 weeks now and my teeth have never felt so polished after brushing. So I think I will carry on using it until better one shows up.

The Ingredients

  1. Glycerin – an organic compound most commonly from animal fat and vegetable oil
  2. Hydrated Silica – abrasive
  3. Isomalt – sugar substitute. Studies suggest isomalt might help in prevention of gum disease (gingivitis and periodontitis)
  4. Silica – a mild abrasive to clean teeth
  5. Propyl Steardimonium Chloride – Not much information is available about this ingredient. I found out that it is conditioning agent and either synthetic or animal origin. If you know more about this ingredient, please contact me.
  6. Hydroxyethylcellulose – thickening and bubble-forming agent.
  7. Cocamidopropyl Betaine – antiseptic, foam booster, thickener. Possibility for adverse reaction. Voted as Allergen of The Year 2004 by American Contact Dermatitis Society.
  8. Aroma – a chemical compound which adds odours to dental products. The specific aroma is not specified by the manufacturer.
  9. Lauryl Glucoside – surfactant and bubble-forming agent made from coconut or palm oil and glucose from corn.
  10. PEG-40 Hydrogenated castor oil. The abbreviation PEG = polyethylene glycol.
  11. Sodium Saccharin – an artificial sweetener.
  12. Sodium Fluoride – the good in the toothpaste.
  13. Sodium Chloride – mild abrasive.
  14. Sodium Benzoate – an antimicrobial agent (preservative).
  15. Bisabolol – anti-inflammatory (found in chamomile flowers).
  16. Punica Granatum Fruit Extract – pomegranate fruit extract, essential oil. Reduces plaque development, works as an anti-cariogenic (anti cavities) agent.
  17. Ubiquinone – also known as coenzyme G10. An antioxidant.
  18. Potassium Sorbate – an antimicrobial preservative. Possibly used instead of parabens. Generally regarded as safe to use.
  19. Zingiber Officinale Root Extract – Ginger root extract. An anti-inflammatory and anti-bacterial ingredient
  20. CI 42090 – colouring agent. Approved food colorant in EU and approved to be added to food in US.
  21. CI 47005 – colouring agent.

You might also like to read

Oral-B Gum & Enamel Repair Original Toothpaste Review
RDA Value in Toothpastes – Any Relevance?
Gc Tooth Mousse Review and Advice for Use
Hands up Who Knew That Zinc in Toothpaste Can Cause Dry Mouth?
Testing Oral-b Smart Phone Holder, Take 1
Testing Oral-b Smart Phone Holder, Take 2

Advertisements

Oral-B Gum & Enamel Repair Original Toothpaste Review

20180223_123729

Oral-G Gum & Enamel Repair Original toothpaste

Today I am going to review a toothpaste for the first time ever. It is a toothpaste that was given to me by a representative of Oral-b. It is called Oral-b Gum & Enamel Repair Original toothpaste and it is Oral-b’s newest toothpaste.

Here’s the manufacturer’s selling speech about the toothpaste on their website:

  • It defends against acid erosion and helps to repair enamel
  • It provides antibacterial action to help rejuvenate gums
  • For sensitive teeth – clinically proven
  • Oral-B Gum & Repair Original toothpaste comes with a mild flavour and a smooth texture

The Design

Dental Revelations Blog-8

The design of the packaging looks simplified and minimalistic which I very much like. This is welcome change from their previous toothpastes’ outlook that had too much information in a small space.

The tube is still easy to open, but there is small change in the lid. It used to be made of metal which at least in my opinion is better recycling-wise than plastic. Small detail but still. Can’t help this image of whales’ intestines full of plastic popping in my mind. But then again the whole tube is plastic.

Dental Revelations Blog-9

The Testing

Staying on the environmental subject. The plastic and the whales. There has been lots of talk over microbeads that are found in many consumer products. Even in toothpastes. These microbeads will eventually find their way into the sea and cause problems to the oceans as persistent pollutant. The representative who gave me this Gum & Enamel Repair Original toothpaste sample promised that there are no microbeads in it. The ingredient to look for is polyethylene when you want to make sure there is none of them. I found no polyethylene in the ingredients list (see at the end of this post). Great.

The texture of the toothpaste looks smooth as they promised but when you take closer look, it is not that smooth after all and the fear of microbeads is getting stronger again.

Dental Revelations Blog-10


The texture of the Gum & Enamel Repair Original toothpaste

20180223_123927


Closer look of the toothpaste reveals tiny beads.

The tiny granules are clearly visible but these could be actually hydrated silica (abrasive), not microbeads.

Ok, time to add toothpaste to my toothbrush. Like with Oral-b Pro-Expert toothpaste, this new one is also quite runny and can be messy if you are not quick enough. Once I had applied toothpaste to my toothbrush I was in a rush to take a photo before it dripped on to the table.

20180223_124052

I use my beloved Philips Sonicare

and with this brush the runny texture is actually better than the ones that are stiffer pastes. But I can see that the sink in the bathroom will have toothpaste marks here and there. Also, note to myself – do not let husband use this toothpaste as he brushes his teeth after he has put his suit on. Silly man.

So lets put the toothpaste in my mouth. It does begin to formulate foam which means there is soap in the toothpaste. Not the best option for somebody with sensitive soft tissues or dry mouth. Soap aka sodium lauryl sulfate can make the mouth dry and also it has been linked to canker sores aka aphthous ulcers (although nothing is scientifically proven and oh boy don’t I hear it from the rep e-v-e-r-y time).

Very soon I begin to feel burning sensation on first third of the tongue (the tip of the tongue), both top and bottom of the tongue. Also the tongue feels slightly numb. This carries on all through the brushing and after spitting the toothpaste out. Now, I do advise my patients not to rinse after brushing but the burning sensation is so strong that I must rinse lightly. Once I did that and bit my teeth together, I could feel biting on some grit. This made me think about the abrasiveness of the toothpaste. It is new toothpaste so the RDA value (Relative Dentine Abrasivity) was impossible to find. I will add the RDA value as soon I find it out.

Ten minutes after brushing the burning can still be felt. Also I feel that the layer of skin inside my lips is peeling off. This has been “a feature” with Oral-b Pro-Expert toothpastes and the reps have said it’s absolutely normal and will diminish when using the toothpaste for longer period of time. My colleague asked the rep if this new Gum & Enamel Repair Original toothpaste does the same. I must say that I cannot remember the rep’s exact answer but I think she said this toothpaste should cause less of the peeling of the mucosa. Well it doesn’t. At least with me. If anything I think the peeling of the mucosa is quicker than with Pro-Expert toothpaste.

Twenty minutes after brushing I can still feel the burning feeling slightly. I guess some people will associate this burning feeling with effectiveness of the toothpaste. The more it burns, the more effective it is. As a dental professional I must say that this is not true. No toothpaste should feel uncomfortable to use.

Would I Recommend?

To be honest, most likely I will not recommend this toothpaste to anyone. Not after I took a closer look at the ingredients. One ingredient has been nominated as Allergen of the Year for 2018 by American Contact Dermatitis Society. This ingredient is called propylene glycol.

The list of ingredients is long and to my mind the longer the list is the more side-effects there will be. My favourite toothpaste that I recommend to my patients a lot has only eight ingredients (aqua, crystalline sorbitol, hydrated silica, crystalline xylitol, PEG, anhydrous natural betaine, cellulose gum, sodium fluoride (1500 ppm F), sorbate). Oral-b Gum & Enamel Repair Original toothpaste has nineteen! Three of these ingredients can have adverse reactions to one’s health – propylene glycol, CI 77891 and sodium lauryl sulfate.

Also the fact that I got this burning feeling in my mouth tells me this toothpaste is not suitable for most of the people. Remember that it should not feel unpleasant to use a toothpaste. Certainly it should not hurt. So change if it does.

The Ingredients

Here are the ingredients of the Oral-B Gum & Enamel Repair Original toothpaste and short explanation of what they are (by clicking the link you will find more information):

  1. Glycerin – an organic compound most commonly from animal fat and vegetable oil
  2. Hydrated Silica – abrasive
  3. Sodium Hexametaphosphate – anti-stains and anti-tartar
  4. PEG-6 – The abbreviation PEG = polyethylene glycol. Possibility for adverse reaction. An emulsifier and foaming agent
  5. Propylene Glycol – the American Contact Dermatitis Society’s Allergen of the Year for 2018. An emollient and emulsifier.
  6. Aqua – the main carrier for all ingredients. Helps dissolve other soluble ingredients. Helps the mechanical process of cleaning teeth in mouthwashes
  7. Zinc Lactate – such a difficult ingredient to find any information solely on zinc lactate. Lots of information on zinc but there must be difference in different types of zinc? If anyone finds trustworthy site with information on zinc lactate, please drop me a line.
  8. Sodium Gluconate – to sequester calcium and helps to prevent gingivitis
  9. CI 77891 – titanium dioxide (nanoparticles). A thickening agent and colourant.
  10. Sodium Lauryl Sulfate – soap, the foaming agent. Can work as an irritant.
  11. Silica – a mild abrasive to clean teeth.
  12. Aroma – a chemical compound which adds odours to dental products.
  13. Sodium Saccharin – an artificial sweetener
  14. Carrageenan – an extract from a red seaweed. Binds and gels all the ingredients together
  15. Trisodium Phosphate – stain remover and de-greaser
  16. Stannous Fluoride – the good in the toothpaste
  17. Stannous Chloride – antibacterial
  18. Xanthan Gum – a thickening agent
  19. Sodium Fluoride – the good in the toothpaste

If you are interested in other common ingredients in toothpastes that can cause adverse reactions, click here.

Edit 21.6.2018

Want to know what the rep told me about the RDA level of the Oral-B Gum & Enamel Repair Original toothpaste? Click here to find out.

You might also like

RDA Value in Toothpastes – Any Relevance?
GC Tooth Mousse Review and Advice for Use
Hands up Who Knew That Zinc in Toothpaste Can Cause Dry Mouth?
Testing Oral-b Smart Phone Holder, Take 1
Testing Oral-b Smart Phone Holder, Take 2

Today I Saw My One in a Thousand Patient

dental-revelations

A-mazing. Simply amazing. That is what I thought when I took a look at one of my patient’s mouth today. It wasn’t something I expected to happen after interviewing the patient.

You see amongst many other things I always ask the patient if he uses fluoride toothpaste. This patient didn’t. And the reason for not using fluoride was a fear of the side effects and the fact that he has never had decay. He was 36 years old. I was sceptical of course. I was certain what I was going to find. If you have read my post Anti-Patients you know what it is. If you haven’t and you are about to click the link, do scroll down to the paragraph Anti-Fuoride when you get there.

So today I was certain that I was going to find decay. At least the early stages of it. Or dental erosion. And I was prepared to go through the routine of informing the patient about the consequences of not using the fluoride toothpaste.

But. A big but. The teeth were in immaculate condition. No plaque, only tiny amount of tartar and definitely no decay. No matter how hard I tried to find even the smallest evidence of it – of the patient being fool not to use fluoride. But he was no fool. Far from it. He had good eating and oral hygiene habits and he attended the dentist regularly. That made him very wise.

Both me and the patient had the same question in our minds. Why isn’t there a toothpaste which contains only calcium for the patients like this one. They don’t need fluoride. Would calcium be enough? But then again, do they need toothpaste at all?

And for those not using the fluoride toothpaste by choice, remember that it really is one in a thousand that will get away with it. Most people will get problems with decay or dental erosion.