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Protecting your teeth in a YUMMY way!
GC is introducing their latest product called GC Tooth Mousse!
GC Tooth Mousse is a water based, sugar free crème
containing Recaldent® CPP-ACP (Caesin Phosphopeptide
– Amorphous Calcium Phosphate). This topical paste will
provide extra protection for the patients’ teeth.
When CPP-ACP is applied to the tooth surfaces, it binds to
biofilms, plaque, bacteria, hydroxyapatite and surrounding
soft tissue localizing bio-available calcium and phosphate.
Saliva will also enhance the effectiveness of CPP-ACP and
the flavour of the tooth mousse will help to stimulate saliva
flow. The longer CPP-ACP is maintained in the mouth, the more
effective the result.
There is a wide range of benefits for GC Tooth Mousse. It
can be used to provide protection for teeth and to help neutralize
an acidic oral environment. Additional professional applications
of the mousse will be immediately following bleaching, after
ultrasonic, hand scaling or root planing, after removal of
orthodontic brackets, following professional tooth cleaning
(P.T.C), after application of topical fluoride and also to
provide a topical coating for patients suffering from erosion,
caries and conditions arising from xerostomia.
To provide a variety of choices for individual patients,
GC Tooth Mousse is available in 5 delicious flavours namely,
Strawberry, Melon, Vanilla, Mint and Tutti Frutti!
To find
out more on how GC Tooth Mousse can help you,
click here!
Can Tooth Mousse reverse white spot lesions?
Tooth Mousse can rebuild
subsurface areas of defects in enamel, including white spot
lesions from dental caries, white spot lesions associated
with orthodontic treatment and fluorosis. In these defects,
there are subsurface voids which can be very effectively remineralised
by application with Tooth Mousse, and this has been shown
using optical and also radiographic tests at the University
of Melbourne. For some white spot lesions it may be necessary
to first pre-treat the lesion before application of Tooth
Mousse. This pre-treatment may involve bleaching, acid etching
or microabrasion. Recent research at the Dental School at
the University of Melbourne has demonstrated that pre-bleaching
is an effective pre-treatment for Tooth Mousse application.
Can Tooth Mousse be used in patients with
dental erosion?
Tooth Mousse is extremely effective at remineralising erosion
areas, and can be used in patients who have gastro esophageal
reflux disease, or eating disorders such as bulimia in order
to protect these areas from dental erosion. If the saliva
in the mouth is of good quality, as shown by saliva profiling,
then fluoride is able to promote limited remineralisation
because calcium and phosphate is present. However, fluoride
will ineffectively remineralise teeth if the salivary flow
is inadequate, because of the low levels of calcium and phosphate.
Tooth Mousse provides bioavailable calcium and phosphate ions
at the tooth surface at much higher levels than can be maintained
by normal salivary flow. Therefore Tooth Mousse is recommended
even for patients with normal salivary flow.
What about caries in children?
In terms of the question of caries prevention in children,
APF is not recommended for use by children under 7 years of
age, since this may cause nausea and has a poor toxicology
profile. It may be ingested in amounts that can cause gastric
upset through the creation of hydrofluoric acid. If there
are white spot lesions in children, professional neutral fluoride
application and/or weekly 0.2% chlorhexidine gel can be used
to reduce the levels of mutans streptococci, in combination
with Tooth Mousse. Because of toxicology considerations, the
extensive use of fluoride by young children, is contraindicated,
e.g. products such as Neutrofluor 5000 Plus have labeling
that explicitly states that they are not to be used by children.
Thus, for the high-caries risk child, Chlorhexidine gel
used in the morning and Tooth Mousse at night after flossing
and brushing with a 500 ppm fluoride toothpaste is an excellent
protocol.
Is a one-off application of Tooth Mousse
beneficial?
Yes, particularly after and/or with a professional fluoride
application because Recaldent® CPP-ACP (Tooth Mousse)
promotes the uptake of fluoride ion by tooth enamel. Tooth
Mousse may also be used for a patient who has a sensitivity
problem. Tooth Mousse could be used as a single application
for a patient who had cervical dentinal hypersensitivity where
most of the issues of lifestyle were comfortably addressed
at that same visit. If one had concerns about compliance,
then the patient could be given Tooth Mousse to take home
with them.
What time of day is best to use with Tooth
Mousse?
In terms of the binding properties of Tooth Mousse, CPP-ACP
binds to oral soft tissues, to dental pellicle and also to
plaque. This binding elevates the salivary levels of calcium
and phosphate for extended periods. For this reason, Tooth
Mousse works best in patients when it is applied at night
before bed, since the salivary clearance rate is low during
sleep. In patients who need intensive treatment, then a twice
daily application is sufficient in most individuals. It
is recommended that Tooth Mousse be applied immediately after
flossing and brushing with a 1000 ppm fluoride toothpaste,
particularly at night before bed.
Recaldent® CPP-ACP, the active ingredient of Tooth
Mousse, is extremely effective for desensitizing, and this
is due to the combination of surface effects and its ability
to remineralise hard tissues.
Some patients who have generalized cervical dentinal hypersensitivity,
may also have dental erosion, and thus one needs to look carefully
at their lifestyle (using particularly the resting salivary
parameters) to gain insight into whether they have sub-clinical
dehydration.
Should Tooth Mousse be used after every fluoride
treatment in the surgery?
Yes, studies at the University of Melbourne have demonstrated
that Recaldent® CPP-ACP significantly increases
the uptake of fluoride into the tooth enamel creating fluorapatite
that is more resistant to acid challenge. Thus Tooth Mousse
is recommended for treatment of patients of both high and
low caries risk.
In terms of a patient who has a low caries risk, a six monthly
application of neutral sodium fluoride gel followed by Tooth
Mousse is recommended.
In patients who use no fluoride products, Recaldent®
CPP-ACP will still be effective, since in all patients there
are halo effects of fluoride in the diet, for example, from
tea and from many of the processed foods that are made in
Sydney and Melbourne where there is a small fluoride component
to the foods. CPP-ACP is able to remineralise tooth structure
in the complete absence of fluoride, and this is through the
formation of hydroxyapatite.
Is Tooth Mousse alone an alternative to fluoride
for anti-fluoride patients?
Yes. The fact that Tooth Mousse is derived from the
milk protein, casein, it is completely natural and safe and
therefore is often an effective work-around for patients who
are anti-fluoride.
Is Tooth Mousse the same as Topacal C-5?
Tooth Mousse is not the same as Topacal C-5. The research
which has been done on CPP-ACP in Australia, which has been
published in numerous dental journals around the world, is
the same CPP-ACP formula in Tooth Mousse. The material which
is now marketed as Topacal C-5 is chemically different from
CPP-ACP.
Clinical Applications for Tooth Mousse
- White spot prevention /removal (during/after orthodontic
bracket treatment).
- Post bleaching.
- Post scaling and root planing.
- Dentinal hypersensitivity.
- Treatment of erosion and incipient carious lesions.
- Caries prevention.
- Promote fluoride uptake.
Recaldent® is used under licence and permission
of the owner. Recaldent® CPP-ACP is derived from milk
casein and is lactose free. It should not be used on patients
with milk protein allergies. |
