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Is Toothpaste a Cosmetic or a Medical Product? A Review

Year 2025, Volume: 5 Issue: 3, 214 - 220, 31.12.2025
https://doi.org/10.61139/ijdor.1744897

Abstract

Oral and dental health directly affects general health and quality of life. Toothpastes, commonly used to achieve healthy, white, and aesthetic teeth, are often considered cosmetic products and are easily accessible. However, there is ongoing debate regarding whether toothpastes should be classified as cosmetic or pharmaceutical products. This review aims to provide a new perspective on the existing literature by examining the definition, composition, intended use, types, dosages, and potential risks of toothpastes. For this purpose, a total of 33 peer-reviewed articles published in English and Turkish between 2000 and 2024, along with one official institutional report, were analyzed from databases such as PubMed, Web of Science, Google Scholar, and ScienceDirect. The findings were thematically categorized and interpreted using content analysis. The results indicate that regulations and public awareness related to toothpaste use should be improved. Furthermore, it is concluded that toothpaste products should be recommended based on individual needs under the guidance of dental professionals.

References

  • 1. Vranić E, Lacević A, Mehmedagić A, Uzunović A. Formulation ingredients for toothpastes and mouthwashes. Bosn J Basic Med Sci. 2004;4(4):51-8.
  • 2. Vajra Madhuri S, Buggapati L. Dentifrices: an overview from past to present. Int. J. Appl. Dent. Sci. 2017;3(4):352-55.
  • 3. Ercan Devrimci E, Türkün LŞ. Diş macunu seçimi neye göre yapılmalı?. Arslantunalı Tağtekin D, ed. Diş macun ve kremleri. Birinci basım. Ankara: Türkiye Klinikleri, 2020:23-30.
  • 4. U.S. Food and Drug Administration. Is it a cosmetic, a drug, or both? (Or is it soap?) [Internet]. [cited 2025 Jul 9]. Available from: https://www.fda.gov/cosmetics/cosmetics-laws-regulations/it-cosmetic-drug-or-both-or-it-soap
  • 5. Lippert F. An introduction to toothpaste- its purpose, history and ingredients. Monogr Oral Sci. 2013;(23):1-14.
  • 6. Jardim JJ, Alves LS, Maltz M. The history and global market of oral home-care products. Braz Oral Res. 2009;23(Suppl)1:17-22.
  • 7. European Commission. Regulation (EC) No 1223/2009 of the European Parliament and of the Council on cosmetic products [Internet]. [cited 2025 Aug 8]. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:02009R1223-20190813
  • 8. Republic of Turkey Ministry of Health. Cosmetic Products Regulation. Official Gazette No: 40405 [Internet]. 2023 May 8 [cited 2025 Aug 8.
  • 9. Dağ C, Özalp N. Ağız-diş sağlığının vazgeçilmezi: diş macunları. Acta Odontol Turc. 2013;30(3):149-56.
  • 10. Subramanian S, Appukuttan D, Tadepalli A, Gnana PPS, Victor DJ. The role of abrasives in dentifrices. J. Pharm. Sci. Res. 2017;9(2):221–4.
  • 11. Forward GC, James AH, Barnett P, Jackson RJ. Gum health product formulations: What is in them and why? Periodontol 2000. 1997;15(1):32–9.
  • 12. Moore C, Addy M, Moran J. Toothpaste detergents: a potential source of oral soft tissue damage? Int J Dent Hyg. 2008;6(3).
  • 13. Alli BY, Erinoso OA, Olawuyi AB. Effect of sodium lauryl sulfate on recurrent aphthous stomatitis: A systematic review. J Oral Pathol Med. 2019;48(5):358–64.
  • 14. Brown RS, Smith L, Glascoe AL. Inflammatory reaction of the anterior dorsal tongue presumably to sodium lauryl sulfate within toothpastes: a triple case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(2):17–21.
  • 15. Sälzer S, Rosema NAM, Hennequin-Hoenderdos NL, Slot DE, Timmer C, Dörfer CE, et al. The effectiveness of a dentifrice without sodium lauryl sulphate on dental plaque and gingivitis – a randomized controlled clinical trial. Int J Dent Hyg. 2017;15(3):203–10.
  • 16. Resende AHM, Farias JM, Silva DDB, Rufino RD, Luna JM, Stamford TCM, et al. Application of biosurfactants and chitosan in toothpaste formulation. Colloids Surf B Biointerfaces. 2019;181:77–84.
  • 17. Azeez OH, Alkass SY, Persike DS. Long-term saccharin consumption and increased risk of obesity, diabetes, hepatic dysfunction, and renal impairment in rats. Medicina (Kaunas). 2019;55(10).
  • 18. De Groot A. Contact Allergy to (Ingredients of) Toothpastes. Dermatitis. 2017;28(2):95–114.
  • 19. Davies RM, Ellwood RP, Davies GM. The rational use of fluoride toothpaste. Int J Dent Hyg. 2003;1(1):3–8.
  • 20. Wright JT, Hanson N, Ristic H, Whall CW, Estrich CG, Zentz RR. Systematic review: Fluoride toothpaste efficacy and safety in children younger than 6 years: A systematic review. J Am Dent Assoc. 2014;145(2):182–9.
  • 21. Robertshaw H, Leppard B. Contact dermatitis to triclosan in toothpaste. Contact Dermatitis. 2007;57(6):383–4.
  • 22. Monteiro MF, Tonelli H, Reis AA, Casati MZ, Silvério KG, Nociti Junior FH, et al. Triclosan toothpaste as an adjunct therapy to plaque control in children from periodontitis families: a crossover clinical trial. Clin Oral Investig. 2020;24(4):1421–30.
  • 23. Drury B, Scott J, Rosi-Marshall EJ, Kelly JJ. Triclosan exposure increases triclosan resistance and influences taxonomic composition of benthic bacterial communities. Environ Sci Technol. 2013;47(15):8923–30.
  • 24. Nietch CT, Quinlan EL, Lazorchak JM, Impellitteri CA, Raikow D, Walters D. Effects of a chronic lower range of triclosan exposure on a stream mesocosm community. Environ Toxicol Chem. 2013;32(12):2874–87.
  • 25. Suller MTE, Russell AD. Triclosan and antibiotic resistance in Staphylococcus aureus. J Antimicrob Chemother. 2000;46(1):11–8.
  • 26. Chen Y, Pi B, Zhou H, Yu N, Li L. Triclosan resistance in clinical isolates of Acinetobacter baumannii. J Med Microbiol. 2009;58(8):1086–91.
  • 27. Weatherly LM, Gosse JA. Triclosan exposure, transformation, and human health effects. J Toxicol Environ Health B Crit Rev. 2017;20(8):447–69.
  • 28. Weatherly LM, Shim J, Hashmi HN, Kennedy RH, Hess ST, Gosse JA. Antimicrobial agent triclosan is a proton ionophore uncoupler of mitochondria in living rat and human mast cells and in primary human keratinocytes. J Appl Toxicol. 2016;36(6):777-89.
  • 29. Negrelo Newton AP, Cadena SMSC, Merlin Rocha ME, Skäre Carnieri EG, Martinelli De Oliveira MB. Effect of triclosan (TRN) on energy-linked functions of rat liver mitochondria. Toxicol Lett. 2005;160(1):49–59.
  • 30. Cherednichenko G, Zhang R, Bannister RA, Timofeyev V, Li N, Fritsch EB, et al. Triclosan impairs excitation-contraction coupling and Ca2+ dynamics in striated muscle. Proc Natl Acad Sci U S A. 2012;109(35):14158–63.
  • 31. Tamura I, Kanbara Y, Saito M, Horimoto K, Satoh M, Yamamoto H, et al. Triclosan, an antibacterial agent, increases intracellular Zn2+ concentration in rat thymocytes: Its relation to oxidative stress. Chemosphere. 2012;86(1):70–5.
  • 32. Yueh MF, Taniguchi K, Chen S, Evans RM, Hammock BD, Karin M, et al. The commonly used antimicrobial additive triclosan is a liver tumor promoter. Proc Natl Acad Sci U S A. 2014; 111(48):17200-5.
  • 33. Anderson SE, Franko J, Kashon ML, Anderson KL, Ann F, Lukomska E, et al. Exposure to triclosan augments the allergic response to ovalbumin in a mouse model of asthma. Toxicol. Sci. 2013;132(1):96–106.
  • 34. Huebner CE, Thomas A, Scott JA, Lin JY. Parents’ interpretation of instructions to control the dose of fluoridated toothpaste used with young children. Pediatr Dent. 2013;35(3).
  • 35. Kurtzman GM, Horowitz RA, Johnson R, Prestiano RA, Klein BI. The systemic oral health connection: Biofilms. Medicine (Baltimore). 2022;18;101(46):e30517. 36. Vignard J, Pettes-Duler A, Gaultier E, Cartier C, Weingarten L, Biesemeier A, et al. Food-grade titanium dioxide translocates across the buccal mucosa in pigs and induces genotoxicity in an in vitro model of human oral epithelium. Nanotoxicology. 2023;17(4).
There are 35 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Review
Authors

Esmanur Çiğ 0000-0002-7388-0817

Yasin Çiçek 0000-0002-8207-8148

Submission Date July 17, 2025
Acceptance Date September 16, 2025
Publication Date December 31, 2025
Published in Issue Year 2025 Volume: 5 Issue: 3

Cite

APA Çiğ, E., & Çiçek, Y. (2025). Is Toothpaste a Cosmetic or a Medical Product? A Review. HRU International Journal of Dentistry and Oral Research, 5(3), 214-220. https://doi.org/10.61139/ijdor.1744897
AMA Çiğ E, Çiçek Y. Is Toothpaste a Cosmetic or a Medical Product? A Review. HRU Int J Dent Oral Res. December 2025;5(3):214-220. doi:10.61139/ijdor.1744897
Chicago Çiğ, Esmanur, and Yasin Çiçek. “Is Toothpaste a Cosmetic or a Medical Product? A Review”. HRU International Journal of Dentistry and Oral Research 5, no. 3 (December 2025): 214-20. https://doi.org/10.61139/ijdor.1744897.
EndNote Çiğ E, Çiçek Y (December 1, 2025) Is Toothpaste a Cosmetic or a Medical Product? A Review. HRU International Journal of Dentistry and Oral Research 5 3 214–220.
IEEE E. Çiğ and Y. Çiçek, “Is Toothpaste a Cosmetic or a Medical Product? A Review”, HRU Int J Dent Oral Res, vol. 5, no. 3, pp. 214–220, 2025, doi: 10.61139/ijdor.1744897.
ISNAD Çiğ, Esmanur - Çiçek, Yasin. “Is Toothpaste a Cosmetic or a Medical Product? A Review”. HRU International Journal of Dentistry and Oral Research 5/3 (December2025), 214-220. https://doi.org/10.61139/ijdor.1744897.
JAMA Çiğ E, Çiçek Y. Is Toothpaste a Cosmetic or a Medical Product? A Review. HRU Int J Dent Oral Res. 2025;5:214–220.
MLA Çiğ, Esmanur and Yasin Çiçek. “Is Toothpaste a Cosmetic or a Medical Product? A Review”. HRU International Journal of Dentistry and Oral Research, vol. 5, no. 3, 2025, pp. 214-20, doi:10.61139/ijdor.1744897.
Vancouver Çiğ E, Çiçek Y. Is Toothpaste a Cosmetic or a Medical Product? A Review. HRU Int J Dent Oral Res. 2025;5(3):214-20.