Dental treatment: Tooth whitening can cause temporary sensitivity. Professional cleaning and fillings can also lead to sensitivity. Lemos JA, Palmer SR, Zeng L, Wen ZT, Kajfasz JK, Freires IA, Abranches J, Brady LJ. The biology of Streptococcus mutans. Microbiol Spectr. 2019;7(10):1128.

Kitasako Y, Cochrane NJ, Khairul M, Shida K, Adams GG, Burrow MF, et al. The clinical application of surface pH measurements to longitudinally assess white spot enamel lesions. J Dent. 2010;38(7):584–90. A broad search of the literature was carried out in December 2013 that identified 7576 articles of which the majority were duplicates. Once these duplicates were removed and the remainder limited to those where CPP-ACP was the primary focus and published in English, 172 articles were identified for closer inspection. The PREMEDLINE search identified one additional paper. Of the 173 articles, the inclusion and exclusion criteria in Table 1 were applied which led to 28 articles being excluded immediately as they were review articles, case reports or letters to the editor. Azarpazhooh A, Main PA. Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review. Journal. 2008;74(2):171–7. Colgate Sensitive Pro-Relief Toothpaste (Original, Repair & Prevent, Enamel Repair, Extra Strength, Smart White Griffin SO, Griffin PM, Swann JL, Zlobin N. New coronal caries in older adults: implications for prevention. J Dent Res. 2005;84(8):715–20.

GC MI Paste Plus

One might also consider it somewhat unusual that the bulk of the evidence on remineralisation studies comes from orthodontic patients who are a very select group of individuals undergoing specialist dental care and not typical of the general population. However it would be unwise to dismiss the results because of the narrow specificity of the target group as it would reduce the data set to two studies. If one considers the orthodontic publications there is a some degree of evidence for the benefits of regression of white spot lesions, with four studies [ 33, 37, 38, 40] showing positive results and three [ 35, 36, 41] showing no significant difference to the control groups. When the three studies [ 35, 39, 41] utilising Tooth Mouth Plus® (MI Paste Plus®) are considered – Krithikadatta et al. [ 39] was the only one with a direct comparison between Tooth Mousse® and Tooth Mousse Plus®. The results of this study did not show a significant difference between the non-fluoride and fluoride-containing forms of the CPP-ACP crème and the authors suggested that further studies would be required to confirm these results.

After becoming a regular user of TMP, participants no longer felt that their fate was to have a vulnerable mouth (and all its consequences), as they were able to achieve tangible lifestyle changes. The dimensions shown on Table 8, which had a deteriorating effect in participants’ life, were altered and reinforcing outcomes started to be noticed (Table 9). Participants realised that their dental history had changed: their teeth were stronger, less sensitive and did not require frequent restorations. Fox C. Evidence summary: what do we know from qualitative research about people’s care-seeking about oral health? Br Dent J. 2010;209(5):225–31. Trier-Bieniek A. Framing the telephone interview as a participant-centred tool for qualitative research: a methodological discussion. Qual Res. 2012;12(6):630–44. Wilson TG Jr. Supportive periodontal treatment introduction–definition, extent of need, therapeutic objectives, frequency and efficacy. Periodontology. 2000b;1996(12):11–5. There is a wide variation in the study designs, blinding, protocols and outcome measures in this group of studies making meta-analysis impossible. Clearly, more randomised longer-term trials are required utilizing Tooth Mousse® (MI Paste®) and Tooth Mousse Plus® (MI Paste Plus®) in accordance with the manufacturer’s instructions to clarify the benefits of use in orthodontic patients. In the general population, those individuals at high risk of developing dental caries are commonly of low socio-economic status and have less disposable income for oral care products. Whilst Tooth Mousse® (MI Paste®) has the advantage of being fluoride-free, making it suitable for use in very young children, the risk of development of fluorosis of the permanent teeth from the excessive ingestion of fluoride toothpaste is not a concern for children 6 years of age and older. The two papers [ 31, 32] in this review that studied the efficacy of Tooth Mousse® (MI Paste®) in children under 6 years of age do not support its use over the twice-daily use of either 1000 ppm [ 31] or 400 ppm [ 32] fluoride toothpaste. As it is also much more expensive than fluoride toothpaste the recommendation of this product in very young children cannot be supported.Vashisht R, Indira R, Ramachandran S, Kumar A, Srinivasan MR. Role of casein phosphopeptide amorphous calcium phosphate in remineralization of white spot lesions and inhibition of Streptococcus mutans? J Conservative Dent JCD. 2013;16(4):342–6. The remaining three studies reported no significant difference between the Tooth Mousse® (MI Paste®) or Tooth Mousse Plus® (MI Paste Plus®) group and control/placebo group over periods of four weeks to three months [ 35, 36, 41]. Asokan S, Geethapriya PR, Vijayasankari V. Effect of nonfluoridated remineralizing agents on initial enamel carious lesions: a systematic review. Indian J Dent Res. 2019;30(2):282–90. Clinical trials and laboratory studies from around the world have shown that GC Tooth Mousse Plus ® (TMP) is effective in protecting teeth from tooth decay and erosion, buffering dental plaque pH, remineralising white spot lesions and reducing dentine hypersensitivity. However, no other study has assessed the experiences of oral health, before, during and after individuals becoming regular users of TMP. The aim of this study was to identify how participants’ oral health status changed after introducing TMP into their oral hygiene routine. Methods

Huang GJ, Roloff-Chiang B, Mills BE, Shalchi S, Spiekerman C, Korpak AM, et al. Effectiveness of MI paste plus and prevident fluoride varnish for treatment of white spot lesions: a randomized controlled trial. Am J Orthod Dentofacial Orthopedics. 2013;143(1):31–41. All Sensodyne toothpastes contain either stannous fluoride or potassium nitrate and are useful if you suffer from sensitive teeth. Can sensitive toothpaste cause sensitive teeth?Alexandrino LD, Alencar CM, Silveira A, Alves EB, Silva CM. Randomized clinical trial of the effect of NovaMin and CPP-ACPF in combination with dental bleaching. J Appl Oral Sci. 2017;25(3):335–40. The design of this study was based on an established systematic methodology: grounded theory procedures [ 27]. Grounded theory uses a methodically applied set of processes to generate rather than test theory [ 28]. According to grounded theory procedures, questions are asked in an ‘open’ way: participants’ points of view are sought at commencement rather than questions being asked to examine pre-existing hypothesis or theories [ 27, 28]. Accordingly, we sought to learn from participants how the process of becoming a regular user of TMP happened and how they made sense of it. Sampling strategy Altenburger et al. [ 34] reported the remineralization of demineralized enamel fissures in 32 young adults using Tooth Mousse® using both laser fluorescence and visual classification. The Tooth Mousse® group showed significant improvements in laser fluorescence but no difference was noted by the visual scoring at 2 and 3-weeks when compared to the control group. When it comes to using the Biomin F with fluoride and GC Tooth Mousse with fluoride I would recommend using the Biomin F for your regular brushing. That means brushing twice daily for two minutes. The manufacturers also recommend that after you finish brushing swirl the foamy toothpaste around your mouth for 30 seconds, and spit out the excess. Do not rinse, with anything, do not eat, and do not drink anything for at least 30 minutes after brushing. Use the Tooth Mousse directly before bed time. Massage a small amount onto the affected tooth. P.S. Žiemą esant didesnei minusinei temperatūrai, rekomenduojamerinktis kurjerio pristatymą į namus, kad paštomate produktas nesušaltų.