Dentifrices and Mouthrinses – Flashcards
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SLS(sodium lauryl sulfate)
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causes increased incidence of apthous ulcers
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prevents caries, reduces calculus, biofilm, gingivitis, and sensitivity, remineralizes dental caries, tooth whitening
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benefits of dentifrices
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toddlers: 1/2 pea size older children: pea size adults: 1/2 or less
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amount needed for toddlers, older children, and adults
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APF
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type of fluoride not found in toothpaste
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stannous(0.45%), sodium(0.24), MPF(0.76)
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anti-caries dentifrices ingredients
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all patients, poor OH, ortho, mod-high caries risk
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uses for anti-caries toothpastes
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prevents dental caries and root caries, increases remineralization
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functions of anti-caries toothpastes
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ACP, fluoride, ACP + CPP
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remineralizing dentifrices ingredients
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enamel care
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ACP/Fl remineralizing dentifrice brand
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dissolves Ca and Ph salts in enamel fluids and transports to carious lesion
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function of ACP
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doesn't dissolve but binds to tooth and biofilm to develop Ca and Ph(high substantivity)
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function of ACP+CPP
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MI paste, trident white gum
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ACP+CPP remineralizing brands
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pyrophosphates, zinc compounds(zinc chloride, zinc citrate)
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anti-tartar dentifrices ingredients
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inhibits and prevents calculus crystals formation
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functions of anti-tartar toothpaste
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stomatitis, sloughing, burning sensation
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considerations with anti-tartar toothpastes
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crest tartar control, colgate tartar control, tartar control Aim
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anti-tartar toothpaste brands
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triclosan(main ingredient), zinc citrate
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anti-plaque and anti-gingivitis toothpaste ingredients
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colgate total
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anti-plaque and gingivitis toothpaste brand
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12 hours
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colgate total works up to:
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colgate total
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only ADA accepted toothpaste for gingivitis
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potassium nitrate
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main ingredient in anti-hypersensitivity toothpastes
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sensodyne, crest sensitivity, colgate sensitive pro-relief
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anti-hypersensitivity toothpaste brands
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min of 6-8 weeks
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anti-hypersensitivity toothpaste patient use
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carbamide peroxide, hydrogen peroxide
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tooth whitening toothpaste ingredients
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oral b Rembrandt, colgate simply white, Listerine whitening, opalescence
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tooth whitening toothpaste brands
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no ADA seal
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ADA for tooth whitening brands
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peroxide gel(0.75%), baking soda, sodium fluoride(.40%)
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baking soda-peroxide-fluoride toothpaste ingredients
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Mentadent, enamel care
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baking soda-peroxide-fluoride toothpaste brands
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Oral-B stages, orajel training
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toothpastes for children brands
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0-27%
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alcohol range in mouthrinses
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water
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highest ingredient amount in all rinses
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fluoride(Listerine total, act)
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prevention mouth rinses
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chemotherapeutic(targon)
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therapeutic mouth rinses
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powered irrigation systems, pre-procedural, control malodor, manage oral mucositis and candiasis, improves post-surgical healing, maintain implant maintenance
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uses of mouthrinses
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2 mm
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mouth rinses cannot reach beyond:
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alcohol user
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non-alcoholic rinses are not used with:
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baking soda/saline solution with plain water
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rinses for the cancer patient
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avoid high alcohol content if mucositis is present
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rinses for the chemotherapy patient
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warm water and saline solution or chlorhexidine
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rinses for acute periodontal conditions
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fluorides, phenolics, quaternary ammonium compounds, herbal extracts
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preventative agents in mouthrinses
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inhibits demineralization, increases remineralization
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actions of Fl in rinses
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prevents caries, reduces hypersensitivity
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uses for FL in rinses
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stannous, sodium, acidulated
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types of Fl in mouthrinses
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fluorigard, Listerine total care, ACT
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brands of Fl rinses
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children under 6, adults with difficulty swishing or spitting
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considerations for Fl mouthrinses
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Listerine total care
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7x greater uptake than ACT
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sodium(0.02%)
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Listerine total care ingredients
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over 12, high carie risk, root exposure, ortho,demineralization
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Listerine total care patient uses
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swish 2x a day for 1 minute each
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regimen for Listerine total care
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alters bacteria cell walls, inhibits bacterial enzymes, poor substantivity
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actions of phenolics
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conjuction with self-care routine, pre-procedural, over age 12
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phenolics uses
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thymol, eucalyptol, menthol, methyl salicylate
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4 essential oils in phenolics
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listerine
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phenolics brands
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antiplaque(up to 57%) and gingivitis(up to 36%)
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uses for Listerine
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ADA accepted for reduction of plaque and gingivitis
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ADA for listerine
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alcoholics, xerostomia
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contraindications for listerine
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burning, bitter, extrinsic stain, doesn't interact with toothpaste, doesn't stain or form calculus
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considerations for listerine
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binds to oral tissue, low substantivity, controls oral malodor, not ADA approved
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quaternary ammonium compounds actions
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reduces biofilm and inflammation
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quaternary ammonium compound uses
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CPC(ProHealth), Zytex(breathRx)
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quaternary ammonium compound ingredients
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crest pro health, breathrx, scope, viadent, cepacol
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quarternary ammonium compound brands
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stains teeth, forms calculus burning sensation, sloughs tissue, toothpaste interaction
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considerations for quaternary ammonium compounds
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antimicrobial and anti-imflammatory
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actions of herbal extracts
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sanguinarine
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ingredient in herbal extracts
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viadent
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herbal extracts brand
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mild burning
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considerations for herbal extracts rinses
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substantivity, nontoxic, absorption confined to oral cavity, low-induced drug resistance
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general characteristics of effective therapeutic agents
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oxygenates and cleanses anaerobic organisms(peroxides), shrinks tissue(zinc, tannic acid, aluminum), alleviates pain(phenols, essential oils), remineralization(fluorides:MI paste, prevident), buffers acidity(sodium bicarbonate), neutralizes odors(chlorophyll), antimicrobial(chlorihexidine)
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purposes of therapeutic agents
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18-61%
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therapeutic agent antimicrobial reduction by:
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therapeutic agents
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main ingredient in dentifrices
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sodium bicarbonate
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ingredient that should be used when vomiting
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peridex, perioRx, pro-dentex, perigard
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chlrohexidine prescriptions(ADA accepted)
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stains teeth, forms calculus, alters taste, sloughs tissue, short term use only, interacts with SLS(wait 30 mins)
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considerations for chlrohexidine
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pre-procedural, high carie risk, infection-prone pt, post-surgery, periodontal dedridement, inadequate homecare
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chlrorohexidine uses
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whitening pre-brush rinse
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cosemetic rinses uses
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Listerine whitening(hydrogen peroxide)
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cosmetic rinse brand
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similar to Scope, alcohol-free, no therapeutic uses**, contains 4 essential oils, age 6 and older, controls malodor
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characteristics of Listerine zero
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stannous(.454%), sodium(.24%), MFP(.76%)
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active ingredients in fluoride toothpastes
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low-potency/concentrations and high frequency
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best way to minimize caries using:
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2 years old
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Fl toothpaste is not indicated for children under:
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.05%, 225 ppm
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concentration and ppm for sodium rinses
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.63%, 1500 ppm
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concentrations and ppm for stannous rinses
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400-1500 ppm
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ppm for Sn, Na, MFP toothpastes
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caries reduction, ortho, biofilm reduction, perio patients, head and neck cancer patients, hypersensitivity
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stannous fluoride gels uses
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.4%, 1000 ppm
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stannous fl OTC gel concentration and ppm
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1.1%, 5,000 ppm
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Na Fl Rx gel concentration and ppm
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fluoridex
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example of Na Fl Rx paste
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porcelain or composite restorations, ortho, rampant caries, bulimia patients, decalcification, home whitening, head and neck cancer patients
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Na Fl Rx paste recommended uses
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humectants
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retain moisture and prevent dehydration
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detergent
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what type of agent is SLS?
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SLS
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loosens deposits and causes foaming
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calcium carbonate, silica, aluminum oxide, phosphate salts
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abrasive substances
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polishes teeth, produces smooth surface
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purpose of abrasives
