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Dr. L. asks:
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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5 Responses to “ MI Paste: How Does This Compare to Pronamel? ”
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
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.
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.
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.
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.
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