MI Paste: How Does This Compare to Pronamel?

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Dr. L. asks:
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I have a lot of younger patients in treatment and I would like to think that I am doing the best in the way of preventive dentistry for them. So, I’m wondering which is a better product for a general practice, Pronamel (Glaxo) or MI Paste (RECALDENT)?

They both promote remineralization. But MI Paste appears to have a unique technology in its CPP-ACP (1). Pronamel has a neutral pH and very low abrasion of enamel. It also has potassium nitrate to reduce tooth sensitivity. Which product of this group are you using in your practice and why? What are your thoughts on their supposed unique ingredients?

Editor’s Note:
According to RECALDENT MI Paste contains: CPP-ACP.

“Casein Phosphopeptide (CPP) are natural occurring molecules which are able to bind calcium and phosphate ions and stabilize Amorphous Calcium Phosphate (ACP). It adheres easily to soft tissue, pellicle, plaque and even hydroxyapatite. Reacts similar to the mineral/statherin relation in saliva supplying bio-available calcium and phosphate required for remineralization to take place. Under acidic conditions, RECALDENT™ (CPP-ACP) releases calcium and phosphate ions into tooth enamel.”

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15 thoughts on “MI Paste: How Does This Compare to Pronamel?

  1. I don’t care for the possible implications in asking “which is a better product for a general practice”… these products are for teeth, not for practices.

    I use MI Paste a lot. I like the results. I am not familiar with Pronamel.

    Spence

  2. As per the MI Paste website, you should have your patients use MI Paste after brushing with a fluoride toothpaste- so common sense would say to have them use both. Have them use Pronamel as their everyday toothpaste and have them follow up with MI paste. They are two completely different products.

  3. Don’t fall prey to GSK’s advertising campaign. Pronamel is no different than regular Sensodyne and does not promote re-mineralization any better than regular fluoride toothpaste.

    It’s interesting how the science behind all of its claims seems to be glaringly absent from their website. It’s supposedly PH-Neutral but really, how many acidic toothpastes are out there? The website claims, “It helps re-harden tooth enamel.” But how? The only active ingredient other than Potassium Nitrate (for sensitivity) is good old fluoride and it contains only .02% more than regular Sensodyne, which will make absolutely no difference.

    MI PASTE does what it claims to do and there is solid science behind it. Of course, it is not a regular toothpaste. If your patients have sensitive teeth, have them use regular Sensodyne or a potassium nitrate toothpaste, but do not tell them Pronamel will re-mineralize their teeth any better than regular toothpaste. For that matter, Crest Sensitivity is identical to Pronamel’s active ingredients and costs about $1 less.

  4. I start out my brushing routine with a dental pre-rinse (plaque remover or hydrogen peroxide). Then followed by my usual flossing, I use a low abrasion tooth paste (like sensodyne, crest sensitivity, or pronamel). I then use fluoride mouth wash, THEN the MI paste. If I have the time, I leave the MI paste in my mouth for around 20 minutes before spitting it out. I do this routine 2x daily. If I can, I use the MI paste 3x daily as I have a few spots on my teeth that I want to try to remineralize.

  5. I was told by the sensodyne rep that the proenamel had ACP and I was promoting it based on that information. I have recently found that it does not. They promote it as therapeutic for teeth with acid degreadation but aside from the fluoride contained in most tooth paste, there is no other active ingredient. I see no disernable benifit over the competition.

    I am switching my recommendations to MI paste by GC along with prevident 5000 for the tough cases.

  6. I suggest MI Paste.
    I use Sensodyne for my regular toothpaste, so that just takes care of my sensitivity. MI paste really does work remineralize my teeth. I doubt pronamel would work as well.

  7. HI, after reading all the advice above, i was wondering if anyone could give me reviews on MI paste working for thinning enamel. My teeth used to be so white and healthy, and now they seem yellow and very thinning enamel at the end of the two front teeth, i went to my dentist and basically all she offered me was veneers which i think is a bit extreme, i do use whitening tooth pastes because i am just so unhappy with the color of them, i have just been doing a bt of research on MI paste and it is quite expensive, but if it works i don’t mind paying….but can anyone confirm that this has help with there tooth enamel pls, before i go and throw my money down the drain again on another product that doesn’t work.

    Thx

    Tracy

  8. I use it in my office, it’s a great product and works for almost all the patients. IN more difficult cases, I combine MI paste w/ Sensodyne or a sensitive toothpaste. I haven’t had a problem with it when the two are combined. I tell the patients to use it during the day leave it on for 20 mins. And just go to bed with it at night. Use it until the tube is finished. Works like a charm :)

  9. I started using mi paste for my sensitivity but as a nice side effect my teeth are becoming whiter
    this cream really works. I use sensodine and 3 times a week mi paste . I leave on for 3 minutes as they say in the box

  10. I recommend MI paste exclusively to my patients for sensitivity, hypocalcifications, fluorosis, ortho just to name a few. If your office doesn’t expense it then they are truly missing the boat. The benefits of MI paste are numerous.

  11. I find it awfully TACKY that sensodyne heavily markets a product that – when i read the ingredients, has ABSOLUTELY no additives that would “strengthen” tooth enamel anymore than a normal toothpaste. Fancy packing and prices too – wow. Thats like selling a car without an engine in small print.

    Meanwhile, this MI paste – which almost nobody knows about, or arm & hammer with the same calcium ions as the past “enamelon” company actually have something in them that will activley remineralize enamel.

  12. Do you brush your teeth after rinsing out the Mi Paste? and how many times a day should you use it?

    If using a tooth whitner tray..do you still use this and when
    Thank you

  13. To Tracy, who has thinning enamel on the edges of her two front teeth…

    You should have you your dentist check your bite. You may have a constricted envelope ( ask your dentist what that is) or it could be that your lower teeth shift forward when you close and are wearing away your upper teerth because of it. That’s what it sound like to me….( without having seen you..)

  14. There is no doubt that mi plus paste is good for your teeth, many studies support this product, its ingredient is also available in trident xtra care,
    recladent was developed in australia and widely used in Japan, it will harden your enamel, use it after regular fluoride toothpaste, do not rinse after it
    there are only a few useful products out there for your teeth: fluoride, recaldent and xylitol

  15. It is not advisable to have patients go to bed with a fluoride containing compound in their mouth. It is a toxin and should never be swallowed…

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