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Can you get white teeth in a tube?
A RECENT survey by the Consumer Association showed that tooth whitening products were unlikely to do more than remove surface stains such as tea, coffee and tobacco -and some of them may not even do this very well. BONNIE ESTRIDGE asked testers to try eight different whitening pastes for minimum of three weeks, while Dr Christopher Orr of Dentics Cosmetic Dental Studios gives his professional verdict. We give each a tooth rating -the more the better.

JANINA OPALE WHITENING TOOTHPASTE
(£8.95 for 50 ml). Whitening ingredients: Natural fruit enzymes bromelaine and papain; tetrapotassium pyrophosphate, sodium hydroxide, and urea peroxide.

TESTER'S VERDICT: A small improvement after three days and considerably better after three weeks. Got rid of stains from moderate smoking, two or three cups of coffee a day, and the occasional red wine. It's expensive, but it did work.

DENTIST'S VERDICT: This product has been around for a long time and many of my patients find it excellent. Its effectiveness seems to come from the combination of enzymes it contains. These slow down the build-up of 'pellicle' (the protein-containing layer of saliva that forms on the teeth after brushing). Stains normally stick to the pellicle layer. This whitening toothpaste is most effective when used on a dry brush, as water dilutes the enzymes. (Score: 4 teeth)

DARPHIN DENBLAN
(£9.95 for 75ML). Whitening ingredients: Bromelain, papain, fennel, angelica.

TESTER'S VERDICT: Non-abrasive and good improvement after just two weeks. Herbal ingredients give it a natural feel but it is expensive for everyday use.

DENTIST'S VERDICT: Its effectiveness seems to come from the combination of enzymes it contains. These slow down the build-up of 'pellicle' - the protein- containing layer of siliva that forms on the teeth after brushing. Stains stick to the pellicle layer, so the inclusion of bromelain and papain (enzymes from pineapple and papaya) should make it effective. (3 teeth)

BEVERLY HILLS FORMULA NATURAL WHITE PROTECTION TOOTHPASTE
(£3.99 for 125ml). Whitening ingredients : Xylitol, triclosan, fluoride.

TESTER'S VERDICT: Teeth were only slightly stained but there was no improvement by the end of three weeks. Taste and smell were pleasant, but there seemed no difference between this and a normal toothpaste.

DENTIST'S VERDICT: The 'active' ingredients listed by the manufacturer were xylitol, triclosan and fluoride. Xylitol is a wood sugar that will sweeten without damaging the teeth and triclosan is an anti-bacterial agent, good against gum problems but not useful in whitening. Fluoride strengthens teeth but will not whiten them. Unless there is a secret ingredient unlisted, I'm not surprised by the results. (1 tooth)

MACLEANS WHITENING TOOTHPASTE
(£3.15 for 100ml). Whitening ingredients: Aqua hydrated silica (sand abrasive), sorbitol, pentasodium trphosphate.

TESTER'S VERDICT: Teeth were seriously stained by red wine, tea and smoking. Improvement after one week and real difference after three weeks. The overall appearance of the teeth stayed considerably brighter and the stains had gone. Felt gentle and non-abrasive. Useful as an everyday toothpaste.

DENTIST'S VERDICT: This less expensive product was shown to be very effective in a British Dental Journal study last year, and many of my patients have had excellent results with this. Aqua hydrated silica (sand abrasive) gently 'rubs' the surface of the tooth, while pentasodium triphosphate chemically alters the stains so they are less able to stick to the teeth. Sorbital simply adds a sweet taste without harming the teeth. (5 teeth)

COLGATE WHITENING TOOTHPASTE WITH MICROCRYSTALS
(£2.49 for 100ml). Whitening ingredients: Sodium fluoride, hydrated silica (sand abrasive).

TESTER'S VERDICT: teeth were not badly stained but years of tea drinking meant they were quite yellow. Very slight improvement after a week, but that was all. Disappointing.

DENTIST'S VERDICT: In the Consumers Association report, Colgate declined to send any research reports, saying this information was confidential. The manufacturers say it contains sodium fluoride (which strengthens teeth but will not whiten) and hydrated silica ( which physically 'rubs' the surface of the tooth to remove stains). Some of my patients have had good results with this product, but others have been disappointed. (2 teeth)

PEARL DROPS SMOKERS WHITENING TOOTHPASTE
(£5.99 for 100ml). Whitening ingredients: Calcium pyrophosphate and aluminium hydroxide (abrasive).

TESTER'S VERDICT: Promoted as a smoker's toothpaste but failed to get rid of smoking stains, even after three weeks. Tasted quite pleasant though.

DENTIST'S VERDICT: This has been around for many years and some of my heavy smoking patients find that it is actually very good. However, its active ingredients, as listed above, are quite abrasive agents, which is useful if you're getting lot of stain build-up, but probably not if you do not smoke heavily.

ASDA PROTECT WHITENING TOOTHPASTE (£1.58 for 100ml) Whitening ingredients: Contains Priclagen and triclosan.

TESTER'S VERDICT: Moderately effective and not at all abrasive. Better used as an everyday toothpaste to prevent stains rather than as an emergency measure to get rid of serious marks.

DENTIST'S VERDICT: This contains triclosan, an anti-bacterial agent which will protect against gum disease but will not whiten the teeth. Priclagen is a stain removing agent. (2 teeth)

BOOTS ADVANCED TOTALCARE WHITENING PASTE
(£5.99 for 75ml). Whitening ingredients: Sodium citrate, sodium lauryl sulphate, disodium phosphate.

TESTER'S VERDICT: Slight improvement to tea-stained teeth noticed after one week, but this did not progress to any real difference after three. Gritty and unpleasant to use.

DENTIST'S VERDICT: The 'active ingredients' listed above are directed at stopping stain build-ups so they are less able to stick to the teeth, so someone who doesn't smoke or drink a lot of coffee may not find it very useful. (1 tooth).

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