Newton D Johnson BDS(Hons) FDSRCS
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JANINA OPALE WHITENING TOOTHPASTE and JANINA LIQUID TOOTHPASTE SPRAY
A report on these unique aids to oral health

Over the past few years there has been a burst of activity by the toothpaste and mouthwash manufacturers to develop and market products that attempt to offer far more active ingredients that are claimed to work in a variety of ways to help combat dental diseases and to whiten the teeth.

One of the major drawbacks the public have faced is that the products have tended to centre on one particular aspect of oral care and not offer a comprehensive system that would help tackle all the needs. For example, there are toothpaste’s aimed at whitening the teeth, others are formulated and sold predominantly for gum protection or anti-tartar, whilst others have the specific task of helping to reduce sensitivity and so on.

All the leading toothpaste’s contain fluoride, either in the monofluorophosphate form, or the sodium fluoride salt. There is no doubt that the inclusion of fluoride into our toothpaste since the mid 1960’s has resulted in a significant impact in the protection against dental cavities, in particular for the younger generation. It seems the evidence that we have available supports the use of sodium fluoride formulation as being the most effective.

Sodium pyrophosphate found its way into various toothpaste formulations that were marketed as the ‘anti-tartar’ alternative. Triclosan and zinc citrate has been included in other pastes and these have been sold as offering protection against gingivitis. We have seen the introduction of toothpaste with enzymatic action that are said to help break down the proteinacious pellicle and slow down the development of plaque.

We were then sold baking soda toothpaste as the latest vogue; this variety seems to have sold well despite the fact that baking soda offers nothing other than a ‘feel good’ factor.

The ‘whitening’ pastes have established themselves at the expensive end of the scale. There are some quite remarkable ingredients that are being tried, from enzymes that are derived from pineapple to extracts of Arctic lichens! A real cause for concern in this area are the special kits that can be purchased through the e-mail order line that are advertised with a glamorous Hollywood actress demonstrating a gleaming white smile and in the background is pictured an academic-looking dentist providing the professional reassurance. The abrasively and the pH of these sorts of products is alarming to say the least.

The well known toothpaste manufacturers have recently attempted to help their customers by offering a combination of ingredients and then to claim that the product is a total and complete system. In fact, these products contain no more than two or three truly ‘active’ ingredients.

Recently, we have also seen the re-launch of the mouth rinse as an important aid to oral care. Aggressive advertising has helped to capture the public interest. Sadly, as we know, many of the mouthwashes available have no real therapeutic impact and they have nothing to offer apart from freshening the mouth for a short period. Chlorhexidine has had an important role for us over the past twenty years and it still has a part to play. The snag with this mouthwash is that users cannot take to the strong taste and may also experience staining of the teeth and restorations. Other rinses that are expensively advertised have been shown to have a pH which is low enough to cause erosion of the teeth. Again, a cause for concern.

We have a substantial proportion of the population who, for one reason or another, find the act of toothbrushing and flossing difficult, if not impossible. We may have more people reaching later life with a decent number of teeth and face a new challenge of dental caries, this time root surface caries. There are all the problems associated with special needs groups; individuals who are disabled in some way and are not capable to manage the act of brushing. We are having to cope with many people who as a result of medication or disease have a reduced salivary flow and are at real risk of developing rampant caries. Rinses can prove of great value for these groups, but we have little to help us that is simple and safe to use every day. Then, the universal embarrassment of halitosis, from that stale breath after drinking coffee, to the halitosis as a result of periodontal disease and from unknown causes. Most of the available rinses do little to remove the malodour.

The Janina Company under the direction of John Mehmet, decided to take a long and detailed look at all these areas and have produced two unique products, a toothpaste and a liquid toothpaste spray. It became obvious that there was nothing to prevent Janina taking all the proven active ingredients that have been used in a variety of ways in the past, plus to introduce its own patented ‘Bromaine Complex’ that is effective in breaking down extrinsic and intrinsic staining, and to launch a product that offers fourteen ‘active’ ingredients plus a further eight or so other ingredients that aid oral hygiene such as baking soda and detergents. Some of the most important elements that the Janina products offer are sodium fluoride at optimum concentration of 1500 parts per million; 0.3% triclosan and 0.75% zinc citrate that many studies have confirmed are effective as anti-plaque agents. Xylitol is there to assist in taste and also to reduce plaque micro organisms. In addition to the patented whitening system, the product contains papain from papaya fruit and bromelain from pineapples which are also whitening agents and impart a mouth-watering zing promoting the stimulation of saliva, such an important natural defence agent. Sodium pyrophosphate is there to help guard against calculus formation and menthyl paraben is included as an additional anti-bacterial agent. About one third of the toothpaste is actually calcium and phosphate. This super-saturated solution will help promote re-precipitation within areas of demineralisation in early carious lesions. The product has ultra-low abrasivity and has a pH of 7, so will not cause any damage to the dental tissues or the restorations. The Janina system also has active ingredients which help reduce dentine sensitivity and elements that actually safely breakdown the molecules in the mouth that are responsible for malodour.

The Janina Liquid Toothpaste Spray contains all the active ingredients and is so simple to use that it will be a boon for helping all of us maintain a clean and fresh mouth and as mentioned earlier, might have profoundly important implications in the oral care for everyone who for one reason or another may find conventional toothbrushing a problem.

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