2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Lavy Y, Slodownik D, Trattner A, Ingber A. Other less common allergens include: Thankfully, many types of hypoallergenic toothpaste exist for those with a fluoride allergy, gluten intolerance, and more. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Most people who react negatively to toothpaste are experiencing allergic contact dermatitis. Toothpaste Allergy Symptoms Regularly toothpaste hypersensitivity is misdiagnosed or not reported. This is known as cheilitis, the most common allergic reaction to toothpaste. The foaming properties of toothpaste depend on a chemical known as sodium lauryl sulfate, which in most cases is known to irritate inside and outside the mouth. Sodium Lauryl Sulfoacetate is also . If you are allergic to any chemicals, your skin will blister, itch, swell, or redden at the site where the chemicals in question were applied. Use baking soda and water when brushing your teeth. Products that contain more than 10 ppm of sulfite require disclosure on the label, according to the US FDA. However, some research has shown that sodium benzoate intolerance can cause skin reactions, such as hives, otherwise known as urticaria. The best way of dealing with toothpaste allergies is to seek medical attention as soon as the symptoms appear. Here are some of the facts that we are going to draw out today. Although many toothpastes contain sodium lauryl sulfate (SLS), this common ingredient can irritate sensitive teeth and gums. National Library of Medicine SLS in toothpastes significantly increased the incidence of desquamation of the oral mucosa compared with toothpastes containing the detergent CAPB. These include essential oils present in the toothpaste, e.g., Tea tree oil, grape extract, and coconut oil. Testing can also be useful in identifying alternative products that are likely to be safe to use for the patient. 4. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. 2017;11(4): 265274. Several Sensodyne toothpastes do not contain SLS (sodium lauryl sulfate). Toothpaste flavoring is one of the leading causes of toothpaste allergies. While toothpaste allergy occurs during or after using toothpaste, oral allergy, on the other hand, is a family of food allergy that occurs as a cross-reaction when the patients body cannot distinguish between raw food protein and a pollen protein. Contact Dermatitis 1999; 41: 26871. Chronic skin ailments like contact dermatitis and eczema can be triggered by repeated use of products that include sodium lauryl sulfate. Angioedema shock has similar symptoms as the ones seen in urticaria. Side effects like toothpaste allergy can be rooted by mouth affectability. An anaphylactic reaction usually requires administration of epinephrine. The significant difference between dry brushing and using any other ordinary toothpaste is that the aftermath of dry brushing lacks the minty feeling which is usually experienced after using most regular kinds of toothpaste. There two methods of using sea salt as a natural toothpaste. An example of data being processed may be a unique identifier stored in a cookie. Snchez-Borges, M., Thong, B., Blanca, M., Ensina, L. F. C., Gonzlez-Daz, S., Greenberger, P. A., Jan, M. J. T. (2013). Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Approximately 30 allergens have been identified in toothpaste and these are present in most. It promotes the formation of lather and may have some antimicrobial effect. Massaging with olive oil, coconut oil or jojoba oil will relieve from rigorous itching. Foti C, Romita P, Ficco D, Bonamonte D, Angelini G. Allergic contact cheilitis to amine fluoride in a toothpaste. Dont let a toothpaste allergy prevent you from thoroughly brushing twice a day! SLS is a safe compound for consumer personal care products and not a known carcinogen, says the NIH, If you extract its separate elements or change its chemical composition, it's possible SLS could become toxic, Ultimately though, when adequately formulated and qualified, SLS is safe and not dangerous. This is one of the main symptoms that are linked to toothpaste allergy. Once the offending ingredient is identified, you can avoid it in the future. Anaphylaxis is a potentially life-threatening allergic reaction. no, sls is not texting shorthand for So Long Shorty, LOL; it stands for sodium lauryl sulfate - a chemical compound that functions as a foaming agent in many personal care and home care cleaning products. FOIA It is additionally great to attempt few types of toothpaste to see which brand causes the minimum unfavorably susceptible responses. Stop using toothpaste that contains sodium lauryl sulfate. With countless varieties of toothpaste on the market today, finding the right one can be tough. Allergic hives or urticaria appear on and in the mouth as swollen wheals that itch and cause discomfort. 8600 Rockville Pike As it is a detergent it can cause irritant contact dermatitis, especially of the perioral skin. Many people with an allergy to artificially flavored toothpastes can tolerate naturally flavored versions. Metals used in dentistry that can cause contact dermatitis in the mouth include mercury,chromium,nickel, gold,cobalt, beryllium, and palladium. Applying a surfactant to dry skin will likely only increase the risk of irritation, so dilute it with lukewarm water. Contact reactions to toothpaste and other oral hygiene products. Its farm grown, super-peppy peppermint and tea tree oil tame bad breath, and coconut oil moisturizes for extra friendliness Allergy to oral hygiene ingredients is rare, probably due to the rinsing after use. SLS is known to break oil and grease. Contact Dermatitis 1995; 33: 1005. Sodium lauryl sulfate limits fluoride bioavailability - Studies have found that increasing amounts of lauryl sulfate decreased the amount of alkali soluble fluoride deposited on the enamel. They can happen alongside gum irritation subsequent to brushing. Toothpaste allergies are actually far less common because toothpaste is quickly rinsed out of the mouth as soon as brushing is completed. No other oral hygiene was allowed during the test periods. In case, you are having any of the indications specified while or in the wake of utilizing toothpaste you may have toothpaste hypersensitivity. If you're having trouble finding a toothpaste that works for you, your dental professional would be happy to help you find the right product. That's why it's used as a primary skin irritant in medical trials. Toothpaste with sodium lauryl sulfate leads to canker sores and other teeth related issues. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. 2017;28(2):95-114. doi:10.1097/DER.0000000000000255. Toothpaste allergy manifests itself through gum inflammation in which the gums swell and bleed during or after using toothpaste. Sodium lauryl sulfoacetate is derived from coconut and palm oils; a safe, skin-friendly surfactant (foaming agent) for both skin and hair. Specific conditions include: Such reactions are however fortunately rare considering how commonly and frequently these products are used. They both have antibacterial components. Institute for Quality and Efficiency in Health Care. Dental practitioners may then suggest utilizing certain brands of toothpastes with less seasoning oil. An individual must inform all healthcare providers of their allergies to ensure that they do not receive any medications that may cause an adverse reaction. arrow-right-small-blue Additionally, ensure you dont drink or wash your mouth with fluoridated water. For the surfactant sodium lauryl sulfate (SLS), this has resulted . Several studies suggest SLS may increase the frequency of attacks of aphthous ulcers in those prone to getting them, although one study failed to show any improvement after changing to a toothpaste not containing SLS. In this article, we look at the signs and symptoms of a sulfa allergy, medications to avoid, complications, and treatment. 2016 Apr;20(3):443-50. doi: 10.1007/s00784-015-1535-z. Sulfonamides, Sulphur allergy symptoms: Foods to avoid with sulfa allergy. Using a smaller amount of toothpaste will help in the reduction of allergic reactions caused by some of the components in the toothpaste. But, can lead to other allergic reactions. Other ethoxylates may be contaminated with ethylene oxide and 1,4-dioxane. An allergy develops when the immune system becomes hypersensitive to a food or other substance. Sodium lauryl sulfate is a surfactant, and its efficacy, low cost, abundance and simplicity mean it's used in a variety of cosmetic, dermatological and consumer products. Sodium lauryl sulfate may be derived from either petroleum based or vegetable based sources. The long-term use of topical steroids on the face should be avoided as they can cause severe and permanent side effects. Anaphylactic shock is a fatal allergic reaction which causes the bodys immune system to secrete chemical components that lead to allergic symptoms. Toothpaste sensitivity may bring about rashes which begin toward the edges of the mouth and can spread downwards when not treated. DermNet does not provide an online consultation service. Ten days brushing with a detergent-free toothpaste was performed between each test period. Although toothpaste allergies are not as common as normal allergies, they pose serious problems for people who are allergic to toothpaste. All Material Provided within this Website is for Informational and Educational purposes only, And is not to be construed as Medical advise or Instruction. HHS Vulnerability Disclosure, Help When a person allergic to toothpaste uses toothpaste, he or she is more likely to get an anaphylactic shock. Crest, Colgate, AquaFresh, and Pepsodent contain SLS; Sensodyne is a major brand that doesn't. Is sodium lauryl sulfate bad in toothpaste? Both natural and synthetic (manmade) chemicals used to add peppermint, spearmint, and cinnamon flavoring are responsible for the majority of allergic reactions to toothpaste. He is an assistant clinical professor at the University of California, San Francisco School of Medicine and currently practices at Central Coast Allergy and Asthma in Salinas, California. Have questions about your smile? Australas J Dermatol 2006; 47: 3001. There is a major difference between toothpaste allergy and oral allergy. A person who has a sulfa allergy will not necessarily have a sulfite allergy, so there is no cross-reactivity. Seven toothpastes, differing only in detergent concentration and/or type, were used: SLS (0.5, 1.0, 1.5%), CAPB (0.64, 1.27, 1.90%) and a placebo. Talk to your dental professional about any allergies you might have and ask about the best hypoallergenic toothpaste for you. People who are allergic to toothpaste may develop gastrointestinal issues after ingesting toothpaste. The use of baking soda as a natural toothpaste is similar to using sea salt for the same purpose. Weird, right? Find out more about toothpaste allergy symptoms, common allergens found in toothpaste, and what to do if you suspect you might have a toothpaste allergy. Signs of a Toothpaste Allergy Allergies can develop in the form of a rash around the mouth, chapped lips, and an itchy or burning sensation. Most people never notice. However, for a small segment of the population, SLS can cause irritation and allergic reactions. Sodium Chloride. The likely hood of occurrence of oral allergy is during the pollen season. Oral Health, Dental Conditions & Treatments. No Action should be taken solely on the contents of this Website. The use of natural toothpaste alternatives may assist in preventing toothpaste allergies, bearing in mind that the ingredients used to make the natural toothpaste must endanger the health of the user. Salt can make an already-sensitive scalp dry and itchy, which can eventually cause hair loss. Kowitz G, Jacobson J, Meng Z, Lucatorto F. Oral Surg Oral Med Oral Pathol. Here's a little breakdown of sodium lauryl sulfate and its connection to toothpaste. Montanaro, A. If you're having a reaction to your toothpaste, you may notice a rash around your mouth, swollen gums, or an itchy or burning sensation in your mouth. SLES . SLS-free Toothpaste is free from a chemical called Sodium Lauryl Sulfate (SLS), a powerful detergent commonly used in other cleaning agents we find in the home - shampoos, shower gels, and. Symptoms are more likely when asthma is poorly controlled. Jaliman and Nazarian say that leaving the product on your skin for too long can also lead to . Read more: Health Check: . Both sulfa and sulfites can cause allergic reactions, but they are two separate allergies, and there is no link between them. It is not intended to be a substitute for professional advice, diagnosis or treatment. Toothpaste and other dental hygiene products contain sodium lauryl sulfate that can cause perioral dermatitis. Forty-two reactions were recorded during the SLS periods and the remaining three during the CAPB periods. Your dentist can determine if your symptoms are a sign of a more serious condition. Although painful, canker sores are common and most are easily treatable at home . This contact allergy may cause your skin to react when it is exposed to this substance although it may take several days for the symptoms to appear. Bookshelf This article is intended to promote understanding of and knowledge about general oral health topics. However, SLES is milder and less irritating than SLS. An SLS allergy will heighten the sensitivity and cause your skin to flake, itch or crack more. My recommendation to you is to discontinue using mouthwash altogether and choose a toothpaste without sodium lauryl sulfate (which is the source of the anionic compounds). 2019 Jul 1;24(4):e452-e460. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Other medications that contain a sulfonamide do not appear to cause allergic reactions in people with a sulfa allergy. Toothpaste consists of flavourings, preservatives, colouring agents, abrasives, detergents, binding agents, humectants, antiseptics, antacids and fluoride salts. For people with skin allergies or skin problems like eczema, these sulfates can cause . Toothpaste contains several potential allergens. Skin Irritation Caused by Toothpaste Allergies, Using Toothpaste that Contains Fewer Ingredients. Holmes G, Freeman S. Cheilitis caused by contact urticaria to mint flavoured toothpaste. The quickest way to reduce the effects of analytic shock is by administering epinephrine to the patient. Approach to managing patients with sulfa allergy: Use of antibiotic and nonantibiotic sulfonamides [Abstract]. It doesn't stop there, either; while a reaction or irritation might occur initially, the long-term effects are equally concerning, as Content Beauty's founder and organic expert Imelda Burke tells me. Since fluoride triggers allergic reactions, it is best to avoid fluoridated toothpaste. Contact reactions to toothpaste and other oral hygiene products codes and concepts, Contact reactions to toothpaste and other oral hygiene products. Wheezing, chest tightness and coughing are estimated to affect 5-10% of people with asthma. However, the use of a denture cleaner containing ammonium persulphate on a well-worn acrylic denture was reported to cause allergic contact cheilitis, as the persulfate adsorbed to the porous denture with the slow subsequent release. In: Aliofkhazraei, M. Superalloys. Flavourings are the major cause of allergic contact reactions to toothpaste and there is considerable overlap with foods. According to United Nations Environmental Programme, approximately 70,000 chemical are incorporated in daily used cosmetic products. You can find sulfites in certain foods and beverages, as well as a variety of medications. Le Coz CJ, Bezard M. Allergic contact cheilitis due to effervescent dental cleanser: combined responsibilities of the allergen persulfate and prosthesis porosity. If you think you're allergic to your toothpaste, then switch immediately. If you're one of the few, don't expect to sneeze every time you brush your teeth. 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