Everything you wanted to know about toothpaste but were too afraid to ask

Your local grocery store has a sickening amount of options, and tbh your dentist likely hasn't educated you about what the differences are.
The most important aspect of a toothpaste is abrasivity. We're not talking about your drunk uncle being abrasive at thanksgiving. This is about how rough/gritty the toothpaste is because it WILL wear away precious enamel. RDA (relative dentin abrasivity) is the measure we use.
This chart ranks popular brands by abrasivity. The higher the number, the more irreversible damage it's doing to your teeth. You want to stay in the blue zone if possible. As a general rule if you can stay below 100 you're doing pretty good. I like to stay even lower than that.
Besides abrasivity, most of what makes a toothpaste different are a few ingredients:

Fluoride vs Fluoride-Free
Potassium Nitrate (anti-sensitivty)
SLS vs SLS-free
Hydroxyapatite (most don't have this)
Whitening (total BS)

Pretty much anything beyond this is marketing nonsense
If you are low risk for cavities I recommend a toothpaste that's fluoride free, without SLS (this ingredient tends to irritate the soft tissue), and with hydroxyapatite which is a safer remineralizing agent than fluoride. I use CariFree but there are a few other good brands
Whitening toothpastes are bullshit. Peroxide-based whitening agents are effective, but need to be applied to the teeth for significant amount of time, and you're only brushing your teeth for 2 minutes. Most whitening toothpastes "whiten" by being abrasive (AKA Charcoal). AVOID
Take any kind of marketing tactics with a grain of salt:

DETOXIFY (no lol)
MAX FRESH (wut)
ANTICAVITY (this just means fluoride)
TARTAR CONTROL (cmon)
etc..

(btw I have a thread on fluoride if you want to know more, and ask @bowtiedfawn about our whitening substack article)
TLDR:

A good toothpaste is low abrasivity, has a remineralizing agent and no strong detergents that "disinfect".

Disinfectants are for your tile floors, not your mouth. The mouth has a delicate microbiome that needs to be nurtured and not obliterated.

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More from @BowTiedGatorDDS

Sep 9
** HOW TO BRUSH YOUR TEETH **

yes, the thread none of you want but many of you need.

8/10 people brush their teeth incorrectly (I made that number up but it's high)

Let's talk about proper technique

* Things you'll need: An extra soft toothbrush, and non-abrasive toothpaste Image
"The Modified Bass Technique" is the most effective way to keep your teeth clean.

The photo gives clear childproof instructions

Most people usually:
> Brush too hard
> Don't go at 45 degrees
> Not long enough

These mistakes are likely causing enamel abrasion and gum recession Image
You need to be brushing for a total of 2 minutes, which means 30 seconds in each corner (photo below). Using the technique in the last tweet, focus your energy on the full time. Most people skimp. Electric toothbrushes have timers that give you a buzz to move to the next quadrant Image
Read 5 tweets
Aug 25
My assessment on the most contentious thing in dentistry

FLUORIDE

What is it?
Do I need it?
Why is the govt putting it in water?
Does it calcifiy my 3rd eye?
Is it making me dumb?

Read below as I intersect my education w/ my ~20hr rabbit hole (h/t to @Grimhood for the help) Image
What is Fluoride?

> naturally occurring mineral released from rocks into water
> found in seafood, fruits, vegetables
> almost all water has fluoride, but not as much as fluoridated water
> many medications are fluorine based (Lipitor, corticosteroids, SSRIs) to increase potency Image
How did fluoride become controversial?

> In the 1940s they found that areas w/ naturally higher fluoride in the water had lower incidence of cavities
> They decided to fluoridate water to lower incidence of cavities to address the issue of decay
> urban legend that nazis used it
Read 10 tweets
Aug 8
Yellow teeth got you down?

Your favorite reptile is here to get you a whiter and brighter smile.

If you want the long version check out @BowTiedFawn substack

bit.ly/3da9kka

Here's the tl;dr 👇
Teeth stain, it's just a fact of life. Sometimes the stain is deep in the tooth structure (intrinsic), most of the time its attached to the tooth like a barnacle (extrinsic), and other times your teeth are just plain old dirty, dawg.

First thing, start with a cleaning.
Even if your teeth are severely stained and in need of a true whitening, calculus and plaque must be free and clear to allow for the whitening agent to brighten the teeth. Image
Read 9 tweets
Aug 5
So you wanna take care of your teeth anon?
Here's how you do it:
> Avoid/Fix dry mouth & snoring
> Floss w/ expandable floss
> Lips together, teeth apart during the day
> Cleaning 2x year (can be DIY)
> Brush 2x daily
> Toothpaste w/ hydroxyapatite
> Avoid sugar & processed foods
These are the basics. If you follow that there's a solid chance you won't have issues, but as with anything else there are levels to this shit

Diet:
> Stomach acid will destroy your teeth, fix GERD
> Vitamin K2 in the diet
> Fermented foods to improve oral microbiome
Oral Hygiene:
> Ditch the alcohol in your mouthwash
> Crooked teeth trap food - straighten em out
> Take your anger out in the gym not during brushing
> Use a tongue scraper for bad breath
> Brush gently w/ electric toothbrush & low RDA toothpaste
> Change brush head ~90 days
Read 5 tweets

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