Posts Tagged ‘FAQ’s’

Your Toothpaste May be Giving you Canker Sores (and bad breath)

Monday, September 10th, 2007

Canker sores, also known as “mouth ulcers” plague the lives of millions of people all over the world. These small oral ulcers can make life unbearable when eating, drinking, speaking, or swallowing. Frustration sets in when your dentist or doctor doesn’t know how to respond to your questions about these annoying and recurring ulcerations.

Unfortunately, the public ends up creating their own “canker sore” problem, by using commercial toothpastes, which contain an ingredient that has been proven to be linked to canker sores. It’s called Sodium Lauryl Sulfate (SLS), and is placed into toothpaste (and some mouthwashes) in order to create foaming. (Sodium Lauryl Sulfate is also the main ingredient in your shampoo).

The harshness of this chemical has been proven to create microscopic damage to the oral tissue which lines the inside of your mouth, which then leads to Canker Sores.

The Science of Canker Sores:
For discussions sake, several terms are interchangeable. Canker Sores are also known as: Mouth Ulcers, Aphthous Ulcers, Recurrent Aphthous Stomatitis, or Oral ulcers.

Some people (and doctors) confuse canker sores with “cold sores” (fever blisters). We know both are painful, annoying, and recurring. Here are the major differences:

Canker Sores
-only occur inside the mouth
-not contagious
-not viral (not caused by a virus
-Caused by damage to oral tissue, often by Sodium Lauryl Sulfate, a common foaming agent ingredient in almost all toothpaste.
Cold Sores
– Mostly on outside of mouth – sometimes on the inside of the mouth, but only on “hard” surfaces (palate).
-Contagious
-not viral
-The first sign is appearance of small blisters (vesicles)

What Causes Canker Sores ( Mouth Ulcers)?
The latest research shows that certain chemical compounds trigger the production of canker sores. Among those items is something that may shock unsuspecting people. It’s SOAP. Yes, but it’s soap, inside your mouth. For many years the major pharmaceutical companies have used Soap (chemically known as Sodium Lauryl Sulfate) in order to create a foaming agent when one brushes their teeth. The reason? The foam does not provide any benefits to the toothpaste, but does “fool” the user (YOU) into thinking that a foaming action is related to a “cleansing” action. After speaking to many of these pharmaceutical companies, the following excuse is used: “We use Sodium Lauryl Sulfate as a surfactant, in order to blend all of our ingredients together and make them work more effectively.” (A surfactant is a chemical agent, which allows other chemical molecules to get closer to each other. However, there are many surfactants out there that are not soapy or do not cause allergic reactions, resulting in canker sore production.”

One of the most exciting advances has been the establishment of the link between canker sores and an ingredient common to almost all toothpastes. The additive SLS or sodium lauryl sulfate may be a culprit in canker sore formation.

SLS ( sodium lauryl sulfate ) acts just like a detergent. It is used in the laboratory as a membrane destabilizer and solubilizer of proteins and lipids. SLS is used in toothpaste to emulsify (mix) oil and water based ingredients together. In your toothpaste it creates the foam you get when brushing. Since it is classified as a soap, you will easily understand, why this ingredient can cause drying inside the mouth for many individuals. The dryness is one of several factors that will lead to bad breath. To avoid this, you must stop using toothpaste that contains SLS. Also, to avoid dryness and bad breath, I recommend toothpaste that oxidizes the mouth, and mouthwash that does not contain alcohol (a drying agent).

The thought is that SLS may, in susceptible individuals, cause microscopic trauma or membrane disruption to the skin cells in the mouth. This along with trauma or actions of the immune system may lead to canker sore formation.

Recent studies have shown a link between the use of toothpastes containing SLS and the occurrence of RAS (canker sores).

The following is a synopsis of 3 European Scientific Studies:
In a study at the University of Oslo in Oslo, Norway, Drs. Barvoll and Brokstad revealed a 60-70% reduction in the number of canker sores in patients who used SLS free toothpaste during the 3 month test period. Additional studies have since shown equally promising results.

In the clinical studies, patients using SLS toothpaste displayed a greater amount of desquamation (loss of a layer of skin lining the inside of the mouth). This has led to the theory that SLS may contribute to RAS (canker sores) by causing injury to the oral epithelial cells (skin cells lining the inside of the mouth).

SLS, by denaturing protective mucus proteins, may also disrupt the protective layer of mucus which lines the inside of the mouth (a denatured protein is a protein which has lost its three dimensional shape thereby becoming nonfunctional and useless). The denaturing of mucus proteins makes the cells lining the mouth more susceptible to injury and canker sore formation.

References
1. Herlofson, Bente and Pal Barkvoll Sodium lauryl sulfate and recurrent aphthous ulcers: A preliminary study Acta Odontol Scand 1994; 52:257-259

2. Herlofson, Bente and Pal Barkvoll The effect of two toothpaste detergents on the frequency of recurrent aphthous ulcers Acta Odontol Scand 1996; 54(3): 150-153

3. Barkvoll, Pal and G. Rolla Possible effects of sodium lauryl sulfate (SLS) on the oral mucosa [abstract] J Dent Res 1989; 68:991

What has been especially exciting is the fact that many of my patients have experienced tremendous improvements as a result of using SLS free toothpaste. Additionally, many of the visitors to this website have also found canker sore relief by using an SLS free toothpaste.

Research is being conducted to determine what makes a person susceptible to canker sores in the first place as well as what actions and mechanisms trigger canker sore outbreaks. Among those things that may trigger an attack or make a person more susceptible are:

A. SLS found in Toothpaste and some mouthwashes
B. Allergies to Food Products and Certain Preservatives
C. Trauma from Brushing your Teeth too vigorously
D. Lip Biting
E. Stress
F. Trauma from Eating Hard, Rough Foods (Potato Chips, Pretzels)
G. Deficiencies in Vitamin B12, iron, and folic acid.

Current theories on the causes of canker sores have focused on the immune system. This research suggests that canker sores may be caused by the body’s own immune system attacking the cells lining the inside of the mouth.

The first canker sores usually occur between the ages of 10 and 20. During life, episodes usually, but not always, become less frequent and less severe. Interestingly, women often report increased susceptibility to canker sore formation during certain times of their menstrual cycle. Some women report complete relief from canker sores during pregnancy.

Interestingly, canker sores ( mouth ulcers ) affect people to varying degrees of severity. Some people may get an occasional outbreak of canker sores once or twice a year while others may suffer near continuous overlapping episodes of canker sores ( mouth ulcers ).

On the Subject of Preventing Canker Sores (Mouth Ulcers)
The most important piece of advice we can give you is to stay away from toothpaste which contains Sodium Lauryl Sulfate. Examine your toothpaste’s ingredient section and see if it contains SLS. You will be saving yourself a lot of pain in the long run. I recommend Therabreath, created in the California Breath Clinics, a clinic that has treated over 13,000 people with bad breath. It doesn’t contain SLS (you’ll notice that it doesn’t create as much bubbles) but does a better job of cleaning your mouth. Avoiding SLS is avoiding canker sores, which no one wants to have.

Secondly, trauma to the inside of the mouth may trigger the production of canker sores. This trauma includes overzealous tooth brushing, biting your cheek or tongue, and scraping the inside of your mouth with hard or sharp foods (like hard pretzels).

Cut down on eating foods like potato chips, hard pretzels, cut apples, and hard candies which might nick, abrade, or otherwise traumatize the oral tissue.

As far as overzealous brushing, most people can not consciously stop brushing so hard, because tooth brushing is such an ingrained habit. Find a soft nylon toothbrush and brush your teeth gently. One is available here.

We know that many bite the insides of their cheeks while sleeping or out of nervousness and stress. We suggest that a mouth guard be worn during sleep. This is often very effective at preventing further oral trauma. Contact your dentist for more information.

Reactions to certain food products may be responsible for many cases of canker sores. Among the foods that may cause canker sores in certain people are: nuts, peanut butter, sea food, wheat products, chocolate, and milk.

Treatment of Canker Sores (Mouth Ulcers)

Usually canker sores clear within 7-14 days without treatment. During this time, however, the canker sores can be painful especially when people eat or drink. Treatment helps ease the pain and may help reduce the amount of time it takes for the ulcers to go away.

Other Viable Treatments:

1. Anti-Microbial Mouthwashes
Surprisingly the use of anti-microbial mouthwashes has provided effective relief for many. Canker Sores are not caused by a bacteria or virus so the mechanisms by which these anti-microbial mouthwashes work remains unclear. Commonly used are anti-microbial Oxygenating mouthwashes.

2. Analgesic (Pain Relieving) and Protective Ointments and Gels:
Your local drug stores stocks some pain relieving medications, including Zilactin or Oragel. After application, they create a protective cover over the sensitive areas.

3. Corticosteroid Rinses and Gels:
These are prescription medications that must be authorized by your dentist or physician and should only be used for severe or painful cases. The application of these types of gels and rinses may be painful at first. The most common is a topical steroid gel (non-alcoholic) of lidex applied very gently to the ulcer 2-4 times per day.

Systemic Conditions Associated with Canker Sores (Mouth Ulcers)
In a very small number of cases, canker sores may be indicative of a bodily (systemic) disorder. A medical condition known as Behcet’s Disease, for instance, has amongst its symptoms: canker sores, genital lesions, eye lesions, and dermal afflictions.

Those infected with HIV may also develop “canker sore like” ulcers.

Some digestive conditions display canker sores as part of their disorder. These include: Crohn’s Disease, Celiac Disease, Ulcerative Colitis, and gluten hypersensitivity (wheat allergy).

Consult your physician if any of the above sound like they may be part of your “canker sore” problem.

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Frequently Asked Questions

Monday, September 10th, 2007
Why doesn’t my dentist or physician know about this treatment?
The information is out there in many microbiology and dental journals. If your health care professional were interested in treating you, I’m sure they would have taken the time to look for this research.In fact, I will soon be entering the 8th year of performing this treatment, and just recently, The American Dental Association finally agreed with what I have been saying all this time…”Bad breath originates on the back of the tongue and in the throat.” This differs from the disinformation that they initially put out back in 1995 when the Sacramento Bee wrote about my clinical treatment. They attempted to “disqualify” my patient successes and instead urged the public to use ADA approved products which contain high levels of Alcohol, SOAP (Sodium Lauryl Sulfate) and Saccharin. The ADA Seal of Approval is no assurance that an oral product will assist your bad breath problem. In fact, the ADA has ignored the entire problem of Halitosis and has classified it as “cosmetic”. A very sad state of affairs from an organization that was intended to help the public.

One last story on this topic. In early 1997 I appeared on TV in Detroit, where I received nearly 700 phone calls about The TheraBreath System. One of the callers was a dentist in a Detroit suburb, whose young daughter had a bad breath problem. The dentist tried the TheraBreath products the young girl and called the next day to tell me that it worked like a miracle. When I asked the dentist if she were interested in providing TheraBreath to her own patients, she told me that she couldn’t because my products did not have an ADA Seal of Approval, however, she uses the products for her daughter! The reason: She was afraid of pressure from the ADA, of which she was a member, if she would provide non-ADA seal products to her patients!

 
No. That’s because the anaerobic sulfur-producing bacteria that create bad breath live and breed within the back of the tongue and in the throat. They have the ability to digest mucous (because of high protein content) & then break it down into sulfide molecules, which cause the bad breath & bitter, sour taste. The correct way to fight bad breath due to post nasal drip is to use a combination of our TheraBreath Nasal Sinus Drops and AktivOxigen tablets, creating an oxygenating solution to cleanse the throat and tonsil area.
 
No. Almost all commercial toothpaste’s contain Sodium Lauryl Sulfate (SOAP), placed in toothpaste in order to create a foaming action, so that you think that something is actually happening. It has no beneficial effects at all. Unfortunately it will also inhibit the potency of the active ingredients. That is why those who use Oxyfresh toothpaste should read the ingredients in their toothpaste: It contains Sodium Lauryl Sulfate! This will negate the benefits of the oxidation process.
 
The only way to effectively stop these bacteria from producing these Volatile Sulfur Compounds, is to use an Oxyd-8 based product. No other compounds will perform this action. The bacteria reproduce every 10-12 hours and that is why the treatment must be done throughout the day. After several months, there is a residual effect, whereby the medication has a longer lasting feeling. Some patients are then able to get by with performing the procedure only twice daily, however, for the best results, most perform the procedures three times daily.Many patients use between 2-3 bottles of rinse per month. A large toothpaste lasts about 5-6 weeks. If you stop, the problems will come back again, because the bacteria will recognize the difference within a few days. The products were designed to become your daily oral hygiene system and now with tooth whitening (TheraBrite) and periodontal treatments (PerioTherapy) as part of our entire system, you’ll never need to use other products. By the way, most people spend less than $1 per day to maintain their fresh breath and taste.
 
Those little round globules are known as Tonsiloliths and they are most definitely related to Halitosis and sour taste. They are created by sulfur gases produced by these bacteria (which are located across from the tonsils in the throat area). The sulfur gas mixes with the mucous and thick saliva in the back of your throat and after a period of time, condense into these concentrated, odorous globs. They are only present when one has tonsils, but not in all cases.I have had many patients who have actually had their tonsils removed due to misinformation from physicians about this problem. Of course, these patients still had bad breath after having the tonsillectomy, because BAD BREATH DOES NOT START IN THE TONSILS! (only on the back of the tongue). However, it can branch off into the tonsils, secondarily.

Important: To reduce Halitosis (if you have Tonsiloliths) here’s what my patients tell me they have done to solve this problem:

Swallow 1-2 capfuls of the solution created with the AktivOxigen tablets, before bedtime. They say that it feels as if the odor and lousy taste are neutralized as the Rinse solution passes the tonsil area.

 
Now, that’s a good question! In my opinion, and based on helping tens of thousands of people who have suffered with bad breath, tongue scraping by itself is NOT the answer. In fact, I have seen dozens of cases in my clinics where people have just scraped too hard and for too long, resulting in damage..painful tongue, dry tongue, and burning tongue!We prefer to use the tongue cleaner as an application device with a very gentle cleansing motion on the tongue from the back to the front. This helps to apply the TheraBreath gel below the tongue’s surface to where the bacteria actually live. The Bacteria cannot live ON the tongue surface…Remember they are anaerobes and by definition, they can’t survive on the surface.
 
You will find an order form for our products enclosed with your first order or when you come to see us. Just fill it out and send it to us (or fax it to us at 323-933-1317) and you should receive your order within 7-10 working days, depending on where you live. We have been shipping these medications all over the world (to 59 countries at last count). And most importantly, any improvements in our treatment, any significant research on these topics, and any information on the enhancement in these products will be sent to you immediately.We have been fortunate to now have our basic TheraBreath products in thousands of s tores across the U.S. (Walgreens, Eckerd, Genovese, selected GNC stores, Meijer stores, Wegmans, Price-Chopper, Kinney Drug, and more)
 
TheraBreath PLUS contains a great combination of anti-microbial agents as well as components that are great for oral health in general. The products in the PLUS line include Oral Rinse, Toothpaste, Spray, PowerDrops, and Gum.
 
I would recommend the PerioTherapy line of Oral Rinse and Toothpaste. It’s similar to the TheraBreath PLUS line, but focuses more on gum health, which is still the number one oral disease in the world – more of a problem than cavities by far! And because chronic gum disease can lead to other health problems, such as heart attacks, strokes, pneumonia, and birth problems for pregnant women, we highly recommend PerioTherapy products.
 
Simply put, you can’t give bad breath to someone else. The bacteria that create this problem are actually good bacteria and are part of the normal oral flora (the mix of bacteria that you need to function properly). It’s possible that the bacteria in your boyfriend’s mouth (tongue, throat, tonsils) are reacting to his dry mouth, which could have been created by smoking, medication, or alcohol (in beer and wine). Tell him about TheraBreath and both of you will soon be able to kiss with confidence.
 
You are not imagining anything. There are odors that can be detected in some cases as they emanate from the nostrils. This type of odor is due to mucous in the nasal passage and its reaction to bacteria in the nostrils (not in the sinus). It may also be a by-product of the reaction between mucous, post nasal drip, or allergies in the area beyond the sinus (in the naso-pharyngeal area and the throat/tonsil area). The solution is quite simple – TheraBreath Nasal Sinus Drops are the only oxygenating/zinc formula to attack this type of problem.
 
Actually, our TheraBrite toothpaste is BOTH a whitening toothpaste AND a breath toothpaste. Just use it in conjunction with any of our oxygenating rinses – TheraBreath, AktivOxigen, TheraBreath PLUS, and PerioTherapy – All of our products are designed to work together.
 
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