Systematic reviewCaries · fluoride toothpaste
Fluoride toothpastes of different strengths vs non-fluoride
Cochrane network meta-analysis · 96 RCTs · ~65,000 participants
1,450–1,500 ppm fluoride clearly reduced decay vs non-fluoride paste in children and adolescents, and slightly outperformed 1,000–1,250 ppm.
Walsh T et al. Cochrane Database Syst Rev 2019;3:CD007868 · PMID 30829399 ↗
Randomised controlled trialCaries · hydroxyapatite
Fluoride-free hydroxyapatite toothpaste vs 1,450 ppm fluoride
Randomised, double-blind non-inferiority · 194 adults · 18 months
No caries increase in 89% (hydroxyapatite) vs 87% (fluoride); hydroxyapatite was non-inferior.
Co-authors linked to a manufacturer.
Paszynska E et al. Front Public Health 2023;11:1199728 ↗
Systematic reviewCaries · xylitol
Xylitol products for caries prevention
Cochrane systematic review · 10 studies · 5,903 participants
Fluoride toothpaste with 10% xylitol may reduce caries by 13% more than fluoride alone; evidence is low certainty.
Riley P et al. Cochrane Database Syst Rev 2015;(3):CD010743 · PMID 25809586 ↗
Randomised controlled trialGum health · stannous fluoride
0.454% stannous fluoride toothpaste vs standard fluoride
Randomised, examiner-blind · 130 adults · 3 weeks
Gum bleeding was 29% lower than control at week 3 (p<0.0001).
Industry-funded.
Acherkouk A et al. BMC Oral Health 2021;21:441 · PMID 34511098 ↗
Randomised controlled trialPlaque & gums · CPC mouthwash
0.07% cetylpyridinium chloride rinse vs placebo
Randomised, placebo-controlled · 139 adults · 6 months
15% less gum inflammation, 33% less bleeding and 16% less plaque than placebo.
Industry-sponsored.
Mankodi S et al. Am J Dent 2005;18(Spec No):9A–14A · PMID 16178130 ↗
Randomised controlled trialSensitivity · arginine
8% arginine toothpaste regimen vs potassium regimen vs control
Randomised, double-blind, three-arm · 118 adults · 8 weeks
Air-blast sensitivity fell 70% vs negative control and 50% vs the potassium regimen.
Regimen included a mouthwash.
Elias Boneta AR et al. J Dent 2013;41(Suppl 1):S42–S49 ↗
Systematic reviewSensitivity · potassium
Potassium toothpastes vs control
Cochrane systematic review · 6 trials pooled
Tactile/air-blast sensitivity improved at 6–8 weeks, but self-reported benefit was not significant.
Poulsen S et al. Cochrane Database Syst Rev 2006;(3):CD001476 · PMID 16855970 ↗
Randomised controlled trialWhitening · peroxide strips
6% hydrogen peroxide strips vs placebo strips
Randomised, double-blind, placebo-controlled · 40 adults · 6 weeks
Tooth yellowness fell significantly more than placebo by week 2 (p<0.001), with continued gains to week 6.
6% peroxide is dentist-only in the EU; consumer products are limited to 0.1%.
Swift EJ Jr et al. J Dent 2009;37:e51–e56 · PMID 19523738 ↗
Randomised controlled trialFresh breath · zinc
Zinc chloride + o-cymen-5-ol toothpaste vs standard fluoride
Examiner-blind crossover · 75 adults · 1 week
Odour-causing sulphur gases were lower at every point up to 12 hours (p<0.0001), down 91% immediately after brushing.
Industry study.
Payne D et al. Int Dent J 2011;61(Suppl 3):60–66 · PMID 21762157 ↗
Systematic reviewHerbal toothpaste
Herbal vs conventional toothpastes and rinses
Systematic review and meta-analysis · 24 RCTs
Herbal toothpaste reduced plaque more at 4 weeks, but showed no advantage for gum health or over fluoride toothpaste.
Janakiram C et al. BMC Complement Med Ther 2020;20:43 · PMID 32046707 ↗
These are published studies on ingredients, methods and routines, not on products we have made. A finished product needs its own testing before a claim goes on pack, and we design that study with you. See the full evidence library