Hygiene Tribune Middle East & Africa No. 4, 2019
Reducing plastic footprint with zero-waste toothpaste / Interview: “For most people, toothbrushing is an unconscious action. iTOP changes this.”
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DTMEA_No.4. Vol.9_HT.indd
NL
Y
O
LS
NA
IO
SS
FE
O
PR
NT
AL
DE
www.dental-tribune.me
Published in Dubai
July-August | No. 4, Vol. 9
Reducing plastic footprint with
zero-waste toothpaste
– Denttabs (paper laminated foil
made from corn starch, Germany)
– Davids (metal tube, US)
– Lamanuza (cardboard box, France)
– Zero Waste Beauty (glass jar, Australia).
By Monique Mehler, DTI
LEIPZIG, Germany: The climate
change caused by human influences—such as littering and overconsumption of non-biodegradable
waste products—is a reality that
concerns all of us. This is why dental care should not be exempt from
environmental awareness. Bamboo
toothbrushes, for example, have
moved into many bathrooms in the
last couple of years, since they are
now more easily obtainable in most
chain pharmacies. But what about
sustainable toothpaste?
© LuminoOne/Shutterstock
But what about shipping all
that glass?
Sustainability in demand
The new generation is constantly
on the lookout for environmentally
friendly alternatives, ideally without,
or with more sustainable packaging.
That means thoughtfully designed
packaging which is compostable or
reusable.
Home-made toothpaste probably
constitutes the easiest way to achieve
a zero-waste oral healthcare routine.
For this purpose, the Internet offers
various recipes. Understandably, not
everyone has the time or energy to
experiment with ingredients, consistencies and flavours. This does not
mean, though, that convenience and
sustainability have to be mutually
exclusive.
The environmental impact
of disposable plastic
In general, plastic toothpaste tubes
contribute to a throwaway society.
It is estimated that about one billion
toothpaste tubes are sent to landfill sites every year and it can take
hundreds of years before they even
Glass, metal, paper, corn starch—the dental industry is slowly but surely adopting more sustainable toothpaste packaging alternatives.
start to break down. On top of that,
the tubes that end up there are filled
with ingredients like sodium lauryl
sulphate, triclosan, artificial dyes and
preservatives that can be harmful to
our health and our earth.
According to an article by Ian Johnston, environment correspondent
of The Independent, “79 per cent of
the plastic produced over the last 70
years has been thrown away, either
into landfill sites or into the general
environment. Just 9 per cent is recycled with the rest incinerated.” He
continued: “With more than 8 mil-
lion tonnes going into the oceans
every year, it is estimated there will
be more plastic than fish by 2050
and 99 per cent of all the seabirds
on the planet will have consumed
some. It is thought the sea now contains some 51 trillion microplastic
particles—500 times more than
stars in our galaxy.”
from around the world have recognised that plastic packaging is not
the way forward and offer more
sustainable alternatives. Toothpaste
now comes in the form of powder or
tablets, for example, without chemical additives and in glass jars with
metal lids which are reusable and
recyclable.
What are the alternatives?
The list below includes a small range
of companies and information on
how their products are packaged:
Thinking about the unimaginable
amount of waste that is being produced by such a standard routine
as toothbrushing alone can be quite
daunting. Luckily, many brands
– Georganics (glass jar, UK)
– Bite (glass jar, US)
The plastic industry uses the argument that shipping glass is more
expensive than shipping plastic to
sell itself as eco-friendly. Some companies, like Bite from the US, have
thought of a way to provide their
customers with a sustainable subscription model. For Bite, this means
that the first order will include the
product in its original packaging,
a glass jar with a metal lid. Then all
refill orders are sent in compostable
and marine-degradable biomaterials. Orders are sent via already existing mail routes. This may take a little
more time but reduces the company’s carbon footprint, which is the
ultimate goal of all sustainable oral
healthcare companies.
And of course, there is always the
possibility of buying toothpaste
without packaging in bulk and zerowaste stores. The independent think
tank and open knowledge platform
Bepakt has created an online index
which provides a list of packagingfree grocery stores and supermarkets around the world.
The verdict
Plastic production, consumption
and disposal contribute to the earth’s
pollution as The Independent article
explained. With so many options on
the market today, there is really no
excuse not to make one or two small
but impactful changes.
Vital tooth bleaching has adverse effects
on oral health, study concludes
By DTI
DUNEDIN, New Zealand: A newly
published systemic review has revealed that, while tooth bleaching
treatment yields positive changes
for young participants in aestheticrelated areas, such as smiling, laughing and showing teeth without
embarrassment, it causes tooth sensitivity and can affect quality of life
and thus oral health.
Tooth discoloration is common
these days and has resulted in the
widespread popularity of tooth
bleaching treatment. Hydrogen
peroxide and carbamide peroxide
are the bleaching agents most often
used in the whitening processes.
Despite the benefits of tooth bleaching, its side effects are of concern
to dentists and patients. Therefore,
scientists carried out a systematic
review and meta-analysis of studies
that had previously investigated the
changes in perceived quality of life
after vital tooth bleaching.
In total, 313 studies were identified,
but only four met the inclusion criteria. Two of them showed a statistically significant improvement, one
showed worsening and the last one
was inconclusive. Within the studies,
there was a pattern of improvement
in aesthetic-related domains, such as
smiling and psychological discomfort, and deterioration in functionrelated domains, such as hygiene
and pain.
The authors concluded that tooth
bleaching was not associated
with improvements in the overall
oral health-related quality of life
(OHRQOL) in these heterogeneous
populations. The dental procedure
appeared to impact some domains
of OHRQOL positively and some
negatively, indicating the need for
clinicians to treat patients receiving
whitening treatment with the utmost care in order to obtain the best
results in aesthetics with minimal
side effects. The researchers also noted that clinicians should be aware of
the potential impact caused by tooth
sensitivity and either offer instruction to prevent it or recommend the
right treatment to reduce its impact.
The study, titled “Vital bleaching
and oral-health-related quality of
life in adults: A systematic review
and meta-analysis”, was published in
the May 2019 issue of the Journal of
Dentistry.
[2] =>
DTMEA_No.4. Vol.9_HT.indd
E2
HYGIENE TRIBUNE
Dental Tribune Middle East & Africa Edition | 4/2019
Interview: “For most people,
toothbrushing is an unconscious action.
iTOP changes this.”
By Kasper Mussche, DTI
language, network, learn all about
prevention and, of course, have fun.
It’s a unique opportunity for students and ideal as an addition to the
Erasmus projects organised by universities.
Dr Angelini, what is iTOP and what
does individually trained oral
prophylaxis mean?
In the iTOP programme, dental professionals become a personal coach
to their patients, guiding them and
teaching them how to keep their
gingivae and teeth clean and perfectly healthy using the correct tools
and the correct techniques on their
own and with conscious thought. I
say “conscious” because, for most
people, toothbrushing is a purely
unconscious action. iTOP changes
this. The word “individually” is very
important to iTOP, as dental professionals and, later, their patients are
literally taken by the hand and individually instructed on how to brush
their teeth perfectly.
iTOP is also based on the scientific
statement that a clean tooth cannot
become diseased, or at least that the
risk of periodontal disease, caries or
tooth loss is significantly reduced
by mechanical prevention. iTOP has
become a philosophy over the years,
thanks to the hard work of all the
people who believe in it and teach it.
© CURADEN
Although toothbrushing is the most
decisive factor in preventing oral disease, only a few patients and dental
professionals know how to brush
perfectly. After earlier working as a
dental technician and also as a dancer, Dr Fabio Angelini qualified as a
dental hygienist and is now teaching internationally as an instructor
in CURADEN’s iTOP programme. Individually trained oral prophylaxis
(iTOP) is an interactive programme
that teaches dental students and
professionals perfect oral hygiene
habits, so that they, in turn, can train
their patients to achieve oral health
that will last a lifetime.
Dental hygienist Dr Fabio Angelini teaches dental professionals and dental students perfect brushing habits at an iTOP seminar in
Prague
Is correct brushing a skill that is often overlooked?
When clinicians start their careers,
they already have many years of
studying behind them and have
been taught the best flap techniques,
how to place an implant the best
way and so on. However, what they
have never been taught is how to
brush correctly, although it is the
most fundamental skill of all to prevent oral disease. More often than
not, we have been doing it the same
way since we were just old enough to
hold a toothbrush. It is often just an
automatic movement and we have
never learnt exactly how to brush.
In reality, however, brushing teeth is
an art; it’s a science. Brushing teeth
properly, efficiently and atraumatically is not easy, nor is it something
you should do without thinking.
How can iTOP help patients and
dental professionals?
iTOP helps patients because dental
professionals can offer them the
knowledge which they themselves
have gained at a seminar. They can
teach patients to control biofilm formation on their teeth and gingivae
and how to do this in the most effective and atraumatic way. Patients
who incorporate the techniques
taught at an iTOP seminar into their
daily brushing routine can expect
to achieve optimal oral health. The
tools and techniques used at an iTOP
seminar are really a gateway to lifelong oral health, which in turn offers
benefits to the whole body.
For dental professionals, the acquired iTOP skills can play a key role
in their daily practice, for instance, as
an essential part of therapy after oral
surgery or periodontal treatment.
iTOP gives professionals the skills to
work to the best of their ability, and
it is really personal teaching which
allows clinicians to ally with their
patients in order to obtain and maintain good oral health.
How strong is iTOP currently in
Italy?
In Italy, the interest of dental professionals in iTOP is growing day by day.
There are some professionals who
have attended a seminar in the past
but many are new to the concept and
have only just heard about it. Moreover, iTOP is gaining importance at
universities too, as there are more
and more students participating in
the seminars or student camps that
take place all around Europe and
South America. For dental students
these camps are a really good way
to get in touch with their peers from
other countries, exchange experiences, get to know a new culture or
What is touch to teach?
Touch to teach is the most important
aspect of iTOP. It means that, as an instructor, you take participants by the
hand and let them feel or discover a
specific movement or sensation. As
Dr Jiri Sedelmayer, the dentist who
invented the iTOP programme, once
said: “It is impossible to understand
how to brush your teeth from reading a book”. What this means is that
theory is not enough to develop the
best skills. You have to do it yourself,
practise, have an instructor correct
you and try again. Because of touch
to teach, participants have the opportunity to truly understand and
experience the sensation of having the thousands of bristles of a CS
5460 working together in the sulcus.
For the professionals we teach, it is
an exciting tactile experience and
they can teach their patients in turn.
If no one shows them how it is really
done, then how can they achieve the
best oral hygiene?
What is the main lesson participants take home from an iTOP
seminar?
The greatest lesson clinicians take
home is the knowledge of how significant the impact of instruction
is on their patients’ long-term oral
health and how the iTOP skills can be
used right away. From the very next
day, patients can put prevention
into practice and see how a change in
their oral hygiene habits will help to
improve their oral health.
For more info on an iTOP seminar
near you, visit:
www.itop-dental.com/en/seminars.
New evidence confirms long-term benefits
of electric toothbrush use
By Oral-B
shown that the long-term use of an
electric toothbrush slows progression of periodontal disease and helps
to prevent tooth loss. As indicated
by an 11-year observational study,
electric toothbrush users demonstrate 20 per cent less tooth loss than
manual toothbrush users do. For
one market leader in electric toothbrushes worldwide, Oral-B, the results confirm the company’s efforts
to improve periodontal health by
plaque removal.
the Study of Health in Pomerania
and the type of toothbrush as exposure variable, periodontal status,
caries and tooth loss were analysed
by researchers from the University
of Greifswald in Germany. Overall, the study found that the use of
power toothbrushes improves periodontal health by plaque removal,
resulting in reduced pocket depth
and clinical attachment loss. Subsequently, those users were found
to have 20 per cent more teeth present than manual toothbrush users.
Thus, the researchers concluded that
widespread usage of powered toothbrushes can be recommended.
Using data on 2,819 subjects from
Besides the oral health benefits of
SCHWALBACH, Germany/GREIFSWALD, Germany: A new study has
power toothbrushes, their rising
popularity is also indicated by the
findings. At the start of the 11-year
study, 18 per cent of the participants
used an electric toothbrush. Towards
the end, the figure had risen to 37 per
cent. This trend is supported by the
fact that the power brush market
grew by 6 per cent from 2012 to 2016.
Dr Anja Carina Borer, Head of Professional and Scientific Relations for
Europe, the Middle East and Africa
at Oral-B, said in a statement: “We
are very happy that our efforts to
promote electric toothbrushing as a
way to improve oral and especially
gum health are now also scientifically supported in the long term. It
proves what over 150 clinical studies
have already indicated and will further drive the trend among patients
to choose superior electric toothbrushes with oscillating-rotating
technology.”
As the market leader in this segment,
Oral-B links the positive results to
its proven oscillating-rotating technology. Its effectiveness stems from
movements in 3-D and a small,
round brush head. This makes it possible to remove up to 100 per cent
more plaque in even hard-to-reach
areas. For the third time, its superiority over manual toothbrushes
was confirmed by the renowned
Cochrane organisation—an inter-
national, independent institute
which reviewed 51 clinical studies
with 4,624 participants. The results
confirmed that oscillating-rotating
electric toothbrushes reduce plaque
more effectively, improving oral and
especially gingival health demonstrably, both in the short and in the
long term, compared with manual
toothbrushes.
The study, titled “Long-term impact of powered toothbrush on oral
health: 11-year cohort study”, was
published online on 22 May 2019 in
the Journal of Clinical Periodontology, ahead of inclusion in an issue.
[3] =>
DTMEA_No.4. Vol.9_HT.indd
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GINGIVITIS
TOOTH
LOSS
HALITOSIS
GINGIVAL
RECESSION
Parodontax helps stop the clock on gingivitis
and gets your patients back to healthy gums.
CHSAU/CHPDX/0001/19 - Production Date: January 2019
With twice daily brushing
Please read the label before use
We Value your Feedback
+973 16500404 - Gulf & Near East countries
contactus-me@gsk.com
www.gsk.com
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Table of contents
[toc_titles] => Reducing plastic footprint with zero-waste toothpaste
/ Interview: “For most people, toothbrushing is an unconscious action. iTOP changes this.”
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