There’s a lot of controversy around commercial toothpaste and mouthwash ingredients, like fluoride or xylitol (not to mention the stranger ingredients that we can barely pronounce).
As consumers, how are we supposed to determine if an oral hygiene product’s ingredients are safe to use from a whole-body perspective?
Every week we are blessed to receive emails from people worldwide who ask for our thoughts on various ingredients in oral hygiene products. We have fun researching all of the crazy stuff that’s used in the market.
In this article, we’ll share the process that we use when researching specific oral hygiene ingredients. We hope this adds to your informational toolkit and helps you to make wiser, more informed decisions.
First, let’s debunk a commonly held belief that can undermine our ability to properly evaluate the safety of an oral hygiene product’s ingredients.
Debunking the #1 oral health myth…
We consider the statement, ‘what goes in the mouth, stays in the mouth’ to be the #1 cultural myth concerning oral hygiene products.
While it seems like common sense that we can put something into our mouth, spit it out, and it won’t go into the rest of the system, it’s not true.
It’s a myth.
We first introduced this myth in our free video tutorial series, the 5 Steps to a Healthy Mouth.
As we discuss in our article, ‘How to Tell if Your Oral Hygiene Products are Holistic or Not‘, when we put something into our mouth, it is absorbed into the bloodstream through the cheek and gum tissue.
Sure, it’s true that we don’t absorb as much of an ingredient through the oral tissues as we would if we’d swallowed it. But the fact remains that at least some of whatever we put into our mouths is going to get absorbed into the bloodstream and enter the rest of the body.
With this new awareness in place, let’s take a look at a few questions you can ask to help determine if a product ingredient is safe to use in the mouth.
How to determine if an oral hygiene product ingredient is safe
When we research a given ingredient, we like to sift through the marketing clutter by walking through the following thought process:
- What’s the impact of this ingredient in the mouth? What do both sides say about the risks and benefits?
- What’s the impact of this ingredient ‘downstream’? How does this ingredient interact with the rest of the body?
- What is this ingredient trying to accomplish? Is there another ingredient that could be used to achieve a similar benefit without the potential risks?
Before we review some practical examples of this process, let’s introduce a commonly-applied scientific principle that we find very helpful…
The precautionary principle
The ‘precautionary principle’ is a term used to illustrate the importance of applying ‘informed prudence’ toward a new or unfamiliar process or technology. In other words, if we’re not sure of the effects of a new product or process, we should take action to err on the side of caution or steer clear of it altogether.
Unless there is consensus among the scientific community on a given subject, the precautionary principle suggests that it’s best to wait and study it more rather than jump in and regret it later.
For example, overall, the precautionary principle was not applied when genetically modified organisms (GMOs) were introduced into the earth biome. However, some authorities have since referenced the precautionary principle as they prevented GMO foods from being imported into their countries.
How does this apply to oral hygiene products?
We like to pass all new ingredients through our ‘precautionary principle filter’ to make sure that we aren’t agreeing to become guinea pigs for new ingredients that may cause harm.
It’s not a perfect filter. We commonly have to ‘rank’ the relative importance of some research. We also have to read between the lines to try to figure out whether some research was funded by organizations that have an interest in slanting the data.
However, when it comes to questionable ingredients, keeping the precautionary principle in mind helps us to lean toward, ‘wait and see’.
So with these pieces in place, let’s take a look at a couple of common oral hygiene product ingredients.
Fluoride
Why not start with perhaps the most inflammatory ingredient?
What’s the impact of fluoride in the mouth? What do both sides say regarding the risks and benefits?
Supporters say that fluoride is included in many formulas to make tooth enamel harder (and therefore, more resistant to decay). Many clinical trials show this.
However, those who aren’t in favor of fluoride will point out that the tooth structure created by introducing fluoride isn’t the same as that of a natural tooth.
They will also note that when speaking about teeth, harder may not always be better, and they’ll point toward a potential correlation between fluoride use and an increased risk of fracturing the tooth.
What’s the impact of fluoride ‘downstream’?
Fluoride is known to disrupt every enzyme in the human body. There is no known use of fluoride in mammalian species.
What’s fluoride trying to accomplish? Are there other ingredients that can help without the potential risks?
Fluoride is used as an anti-cavity agent. Thankfully, there are other ingredients that can function as an anti-cavity agent and that don’t have the recognized risks of fluoride.
Given this, looking through the ‘precautionary principle filter’, we used no fluoride in any of our OraWellness product formulas. From our point of view, the risks of fluoride exposure outweigh the benefits.
If you’d like to take a deeper look at why we don’t appreciate fluoride, here’s an article we wrote many years ago titled, ‘Fluoride is Good for You‘. It was published by our friend, Sean Croxton of Underground Wellness. Warning: it’s written in a satirical format. 🙂
Also, here’s a link to our article, ‘Is Fluoride Safe to Use?“
Xylitol
Now let’s examine what may be a ‘healthy’ alternative to fluoride.
What’s the impact of xylitol in the mouth? What do both sides say about the impact in the mouth?
A staggering number of studies show that xylitol inhibits decay and supports surface remineralization. Some studies focus on how xylitol helps balance the oral flora by deactivating strep mutans, the main ‘thug bug’ implicated with tooth decay.
Others show how xylitol is drawn into areas of decay and encourages remineralization of underlying tooth tissue. ‘In the mouth’, the research strongly points to benefits.
What’s the impact of xylitol ‘downstream’?
Here is where we find research on both sides of the discussion. On the risk side, some research suggests problems with the production of xylitol.
Others point at studies that show that consuming large quantities of xylitol can cause gas and bloating in the GI tract.
But what’s really going on here in the gut microbiome?
Some experts suggest that xylitol is a prebiotic (food for healthy bacteria in the gut) and that the initial GI stress from xylitol goes away after regular use. Perhaps most notably, studies show that regular use of xylitol causes a change in the gut bacteria, leaning away from disease-causing microbes and toward a healthier balance of gut bacteria.
What’s xylitol trying to accomplish? Do other ingredients exist that offer the same benefits without the potential risks?
Xylitol and fluoride offer similar benefits. Xylitol helps reduce the risk of new decay by supporting a healthier balance of oral flora and helping to remineralize already-existing decayed tissue.
If we apply the ‘precautionary principle filter’, we find that the risks are nonexistent for use in the mouth. Also, given the super small quantities that are being absorbed, any potential risks ‘downstream’ are marginal.
However, while we’re on board with using xylitol for oral hygiene products, we’re still hesitant on using xylitol as a sugar replacement in recipes and consuming larger quantities of it.
If you’d like to read a more thorough review of the risks and benefits of xylitol, here’s a link to our article titled, ‘Is Xylitol Safe to Brush With?‘.
OraWellness Product Solutions
If you’re looking for some oral hygiene products to help support your oral health without causing negative effects ‘downstream’ in the rest of the body, feel free to check out our two toothpaste alternatives, the HealThy Mouth Blend and Shine Remineralizing Tooth Whitening Powder.
For more information on our blend, we invite you to read our articles, ‘What’s in the HealThy Mouth Blend? (and why is it so effective?)‘ and, ‘Are essential oils safe to use in the mouth?‘.
Also, here’s link to a video and page that explain how Shine works, and here’s an article that shares some tips for using the HealThy Mouth Blend and Shine together.
If you’d like additional support to help remineralize your teeth, you can also download our FREE eBook, How to Remineralize Your Teeth.
And of course, you could always create your own oral hygiene products so you can control each ingredient. Here’s a link to our article, ‘How to make a DIY remineralizing tooth powder (that really works)‘.
Wrapping up…
We hope you find benefit from this simple process for performing a holistic analysis of oral hygiene product ingredients.
Please feel free to share your research on any ingredients you’ve investigated. Which ingredients do you consider safe? Which are questionable or even downright nasty to you?
Please comment below to share your thoughts and any analysis you do. That way, we can all continue to learn from one another.
Helpful, Related Resources:
How to Stop Tooth Decay and Remineralize Your Teeth [FREE eBook]
5 Steps to a Healthy Mouth [[FREE video tutorial series]]
How to Tell if Your Oral Hygiene Products are Holistic or Not [article]
Is Xylitol Safe to Brush With? [article]
How to Balance Your Oral Flora [article]
Is Fluoride Safe to Use? [article]
HealThy Mouth Blend [product solution]
What’s in the HealThy Mouth Blend? (and why is it so effective?) [article]
Are essential oils safe to use in the mouth? [article]
Shine Remineralizing Tooth Whitening Powder [product solution]
How Does Shine Work? [video resource]
Can I use the HealThy Mouth Blend and Shine together? [article]
How to make a DIY remineralizing tooth powder (that really works) [article]
Other Resources:
Fluoride is GOOD for you (warning, satire) [article]
Harley says
Curious on the Fluoride part as there more than one type/structures of the compound used has evidence that specific types fluoride leading to different results both the damage and/or benefits. Along with that one should research their specific the area/county water resources to determine if their water source from the tap has fluoride added in. The issue is the specific type of fluoride used is problematic and ultimately the over generalizations of the compound itself 🙂 curious to know thoughts on the topic as it is quite controversial considering decisions made by local, state and federal powers in over generalizing science and related information then condensed down in the sake of to making it easier to read/understandable for large audiences, the idea of looking into something especially in terms of health and wellbeing usually being blindly trusted when it pertains to health and standards set as a rule vs allowing one to make that choice for themselves.
Wren At OraWellness says
Aloha Harley,
Thank you for sharing your perspective.
We agree that it’s crucial for each of us to research and make educated decisions for ourselves based on what feels best!
Aloha! 🙂
LuLuu says
Why did you not discuss glycerin? It’s in 98% of toothpastes, and you side-stepped it after briefly mentioning it. Why?
Chad at OraWellnesss says
Aloha LuLuu,
Thank you for stopping by. 🙂
Great question!
We chose not to discuss glycerin in this article in an attempt to keep the article relatively brief. However, your comment reminded us that it may be useful to discuss glycerin in future articles, so thank you!
Our old perspective before we became more educated on glycerin:
Regarding glycerin, some researchers have concerns that glycerin coats teeth like a car wax would coat a car, inhibiting saliva from coming into contact with the tooth enamel (saliva is the body’s main mechanism for tooth remineralization). So, oral hygiene products with glycerin may prevent one’s saliva (and remineralizing products like Shine) from touching and remineralizing one’s teeth.Our updated and current perspective after learning more about glycerin:
The idea that glycerin can coat teeth and consequently prevent saliva from touching and remineralizing enamel seems to have originated from one source: Dr. Gerard F Judd Ph.D. In 1997, Dr. Judd self-published a book called ‘Good Teeth Birth To Death’. His book doesn’t seem to provide any references that support his claim about glycerin coating teeth. His statement about glycerin is actually from a letter he wrote to his followers in 2001. In the letter, he says that, “All toothpastes make a barrier of glycerine on the teeth which would require 20 rinses to get it off.”
As a result of this one data point, there are several influencers in the wellness sphere who are against including glycerin in oral health products. Even we here at OraWellness were influenced by this information for some time.
However, after talking with several chemists about this, our confidence in Dr. Judd’s perspective has been shaken. All of the chemists who we’ve asked about the risk of glycerin acting like a ‘car wax’ and inhibiting remineralization have said that it’s not possible for glycerin to coat teeth because glycerin is highly water soluble. In other words, because glycerin is highly water soluble, it does not leave a coating on teeth, and it would be easily washed away by saliva if it were left on teeth.
As a consideration on using an oral health product with glycerin in it, we also think it wise to consider the quantity of glycerin in the product. Many toothpastes have glycerin in rather high amounts in their formulas. If you look at the ingredient list on any product, manufacturers are required to list ingredients from highest amount to lowest amount. So, taking a peek at any toothpaste product ingredient panel should help you determine whether the formula is relying on glycerin to fill the tube (it’s an inexpensive ingredient) or if glycerin is serving some other function and is a less prominent ingredient in the formula.
We hope that this information on glycerin helps provide you with more context in which to make an educated choice.
Aloha! 🙂
Kelly says
Much appreciation for all of this deeply enriching and valuable information 🙂
Ursil says
Thank u for such informative information. Now I’m more prepared when I go back to my dentist.
I’ve been going to the dentist regularly for over 30 years. I noticed an abscess & had to go for him to look at it. To my surprise he told me the tooth is a 10 , the bone has been broken down & I might have to have it removed. Now I’m thinking I’ve been coming to u for at least 20 years & why do I have to loose my teeth. ( I used to go to another dentist before him, and was not satisfied.).
After reading ur info. I realized that they are not interested in really taking care of ur mouth or they don’t know how.
I’m hoping that ur products will be of help to me especially with my receding gum.