Many toothpastes contain an ingredient called Sodium Lauryl Sulfate (SLS). SLS is a strong detergent and has demonstrated in several studies to increase canker sore outbreaks and pain.
I learned about this many years ago and the difference after I started using only SLS-free toothpaste was night and day. I used to get canker sores any time I would bite the inside of my cheek, hit my gums with the hard parts of my toothbrush, etc., and this completely stopped a while after I switched to SLS-free.
SLS is Sodium Lauryl Sulfate, by the way, and it's a detergent. From what I understand, the only reason why it's added to toothpaste is to make more foam when you brush. But the SLS-free toothpaste I use makes plenty of foam, so I have no idea why they add it. It's one of those things about the modern world that makes absolutely no sense. The ads and packaging should say in big letters: "now with even more canker sores!"
Unfortunately, the vast majority of toothpastes on the market (at least in the US) have SLS. I can only seem to find SLS-free toothpaste in natural food/supplement stores. It's extra difficult to find toothpastes that are SLS-free but that keep fluoride too. The difficulty (and price? I haven't compared) is completely worth it to me though.
TL;DR: The SLS (Sodium Lauryl Sulfate) in most toothpastes is unnecessary and causes canker sores (painful sores in your mouth and gums). If you have this problem, you will likely benefit from SLS-free toothpaste (some still include fluoride) that you can usually find at natural food stores.
You should also know that SLS is banned in the EU, so this post made no sense to me until I went to Google for answers...
I swear, sometimes it's hard to fathom the little ways you got it rough over there.
A Google listicle about "7 banned substances in the EU" or some shit, straight up lied to me.
SLS (Sodium laurilsulfate) is not banned, not even particularly regulated, in medicinal products, in the EU.
"The vast majority of SLS use is in oral products (tablets and capsules) where it rarely displays any adverse reactions."
It only is "not permitted", as a food additive in the EU, and there is a 2017 study which argues for its regulation in skin products, because of irritation.
I was careless on the internet, and the world is more complicated than it seemed at first glance. Story as old as time.
We should make a list of all the bizzare unhealthy twisted sick things that are part of normal daily life for Americans but banned/illegal in every other country.
I think the article is misleading. The studies don't seem to show that SLS causes canker sores, but if you do suffer from them, it will exacerbate them or delay their healing. The article says "studies", while only citing one study, that actually recruited patients who already suffered from the sores. A double blinded cross-over trial concluded that "The number of ulcers and episodes did not differ significantly between SLS-A, SLS-B, and SLS-free. Only duration of ulcers and mean pain score was significantly decreased during the period using SLS-free. Although SLS-free did not reduce the number of ulcers and episodes, it affected the ulcer-healing process and reduces pain in daily lives in patients with [canker sores]." Although I don't have access to the full version, so I can't view the details. By the way, SLS-A was an SLS-free toothpaste spiked with 1.5% SLS, and SLS-B was a commercially available toothpaste with 1.5% SLS in it already.
You can tell that the article is trying to sensationalise something by such phrases as:
"But there’s no reason to accept a hazardous chemical in your toothpaste." You know what else is in your toothpaste? Sodium fluoride. Which is lethal at high enough dose. It's all about the concentration.
"It’s strong stuff — the cleaning solution I use on our garage floor is 50% SLS." Well, yes, if you use it at concentrations ridiculously above the ones found in a toothpaste, of course it's going to be "strong stuff". You know what else is strong stuff? 100% acetic acid. Yet somehow, at 10% we happily consume it as vinegar. By the way, vinegar - great cleaning agent!
Don't get me wrong, if you're sensitive to SLS, by all means avoid it. But I'm not a fan of articles that make blanket statements about a chemical that is mostly harmful in the concentration that it's used in hygiene products. It's another one of those "aspartame gives you cancer" (which it doesn't by the way).
Well, technically it's the excessive drying out of the mucous membrane that causes tissue damage which results in a canker sore/aphthous ulcers. But saying SLS isn't the cause is like saying
guns don't kill people, massive physical trauma and excessive blood loss from being shot kills people
SLS can still cause drying of the mucous membranes in the mouths of people who don't regularly suffer canker sores. That drying can lead to tissue damage, and that can then become a sore. It just happens less frequently than for people like me, who are sensitive. But it's due to the chemical action of the SLS.
I get the point of your gun analogy, but I don't think it's an apt one. It's not like only people sensitive to gunshot wounds die from gunshot wounds. If you shoot a person with a gun the damage is pretty certain. If cankers were as certain to be caused by SLS then everyone using SLS-containing toothpaste would have cankers. We don't. The bottom line is that the article linked to by OP is making misleading claims.
But I despite me not agreeing that the gunshot wound analogy is apt here, I get what you mean, so maybe the title of the lemmy post would be better phrased as something like "YSK that SLS [...] can be the cause of cankers in sensitive people". Which is also kinda the point I was trying to make in the last paragraph of my original reply.
Bert's Bee's makes an SLS free charcoal toothpaste that I've been using over a year. Great stuff, mint flavored, and you can see how much toothpaste you aren't using (since it's black) and adjust your usage accordingly.
Even using a pea sized drop seems like too much sometimes.
Sensodyne has SLS too. Its largely a scam toothpaste to be honest. It just has a numbing agent in it and costs twice as much. Maybe youve just gotten lucky but that shit was useless for me and still gave me sores.
Sensodyne is a brand, not a specific toothpaste, and some of their products do have SLS, but sensodyne pronamel, at least here in Canada, does not have SLS.
I found this out on my own as an adult after years of being unable to build a toothbrushing habit from childhood.
-Brush teeth
-canker sores
-hurts to much to brush for a week
-forget about brushing altogether
-month or two later remember that i should be brushing my teeth regularly
-repeat
Now that i know the problem i can buy toothpaste that doesn't actively harm me, but that doesn't fix the 20 years of not brushing or make it easier to build that habit as an adult :/
I use an SLS toothpaste and have never had canker sores but I agree it seems silly to add it when even a small dab of toothpaste creates an unnecessary amount of foam with proper brushing.
They come from a virus most people have living dormant inside them. Various factors may increase the breakout rate, but the virus is the true source. Sounds like you're one of the lucky few uninfected.
I used to get terrible stomach aches after brushing and it was enough that I completely stopped brushing for a long stupid time. Even when I made myself do it I ended up with this tons of skin falling off inside my mouth every morning if I brushed before bed. It was absolutely nasty. When the dentist used those plastic trays with the fluoride foam it would leave me curled up on the couch for the rest of the day in pain.
One day my wife suggested that maybe I have a problem with SLS and I switched to sensodyne pronamel which was the cheapest SLS free toothpaste I we could find and all of these problems went away. I'm now a regular brusher and feel stupid for not figuring it out years ago because my teeth have suffered from my ignorance.
In the interest of being thorough I switched back to my old toothpaste for a day and the symptoms immediately returned after just one night-time brushing. Sure I could go through many more changes to try to pin down exactly whether it is SLS or something else that's different between the two toothpastes I was using, and I recognize that, but SLS was enough of a reason for me to switch and I'm happy now.
I hate these sores with a passion. You can fix them instantly with Oralmedic from the internet (possibly currently undergoing supply chain issues but that is temporary). It is agonizing— you are cauterizing the sore— but provides immediate and permanent relief. You can also get a laser for it, which does not hurt but is way higher effort and costs a ton more. I am passionate about my sore hatred so I have done this.
If you don’t want to do either, Canker Shield is available on Amazon and reduces sore lifespan to around 24-48hr. Also painful to use but nothing is as bad as Oralmedic or debacterol. Combine that with supplements (not one size fits all, lysine seems to have high success rate though) and you can deal with these while away from home.
Anyway this tip actually reminded me to check my travel toothpastes which naturally do have SLS. So thank you. I had noticed an uptick to a sore every couple months since Covid “ended” but that cause slipped my mind
I had one custom made to avoid the cost of medical grade/dental lasers. You can make your own pretty easily with a diode and some other parts but I wanted a good shape for reaching the affected areas and my metalwork skills are nonexistent. I had it specced at 810nm, 600mW.
Be sure not to do this without knowledge of high powered lasers! At that wavelength and wattage it’s pretty weak for lasers, but still >100x the wattage of a typical laser pointer. It won’t burn through things like other similar lasers, but it will blind you with no warning and no room for error if you’re not careful and using the right glasses. Lasers are not actually very fun at all since you have to be very cautious.
I used to suffer canker sores fairly regularly. I switched to Non-sls toothpaste, took Supplements with folic acid and B12, and now I only get them when I bite my cheek or something
To quickly check any grocery store brand though, you can also look for "Compare to Sensodyne ProNamel". That's a brand name one with no SLS. These should all pretty easily available in US grocery stores, from what I've found.
If you’re sensitive or are allergic to SLS, ysk that it’s in damn near everything - not just toothpaste and cleaning supplies, but also laundry detergent, soap, face and body wash, shaving cream, and bubble bath. It also goes by a plethora of other names, so that’s fun.
I am roughly 40 and don't believe I have ever had a canker sore. I don't even know what that is.
I do have good luck buying SLS free toothpaste that has fluoride, I believe it is happy brand. Widely available and I live in a pretty remote area. Not always with fluoride, you have to look at the package. Low foam 🙂
After looking for years for a solution to treat those and trying so much shit that often ended up making the sores even worse I found good product. Dexamethasone solution. Rinse a couple times and its good. Also doesnt hurt.
I suffered for years before finding out about SLS causing canker sore outbreaks. Switched to an SLS free toothpaste, and haven't had a canker sore in years. Little advice for people still suffering from them though, rinsing your mouth out with peroxide, instantly stops the pain. Also no burning sensation like you get with a fresh cut. It also seems to shorten their duration too. Just be careful not to swallow any.
I've always thought I was mildly allergic to some brands of toothpaste, wonder if this was related.
My symptoms were sores in the corners of my mouth/gums - took a couple weeks before they'd show up and the only way to get them to go away was heavy rinsing with water after brushing (which is not recommended because of fluoride mineralization)
Switched to Tom's toothpaste (with fluoride) a few years ago and have had 0 issues since
Glad to hear. I used to use Tom's but unfortunately I couldn't find the SLS-free flavors locally anymore. I just checked their website and it seems they got rid of most of their SLS-free flavors.
Also, unfortunately, the brand I had been using, Jason, seems to be dropping most of their toothpastes. It took me a while to find a new, clean brand to use, but I think I finally found it: Burt's Bees. It seems to be one of the cleanest toothpastes I've ever seen, according to https://www.ewg.org/skindeep/ and it's available at my local Target stores!
I always buy a specific brand toothpaste (turns out it is SLS free) but broke from my routine and bought crest or colgate or something. I use a small amount but I have to empty my mouth of foam midway through brushing. I hate it. Gross.
I also have a canker sore but have been brushing my teeth more often (with the crest) thinking it would help. I guess not.
I have another toothpaste (clinipro) which is not foamy enough, I always feel like I'm running out of toothpaste as I'm brushing.
After JASON discontinued the toothpaste I had been using for quite a while, I found Burt's Bees and liked it. However, I recently found out by scanning it with the Yuka app that the Burt's Bees paste had some other bad ingredient. So now I've switched to Hello toothpaste which seems to be pretty clean. If you ever get interested in trying another paste I would suggest Hello.
I'm quite attached to sensodyne since I have gum/cavity issues (genetics..). I want the science in my mouth. I don't know how much of that belief is just good marketing but I'm afraid to test it.
This is true! In the US, I use Biotene. It's unfortunately somewhat expensive, (I think I pay around $6/tube), but I happily fork it over for no fucking canker sores.
I notice they heal faster when brushing twice a day but absolutely do not brush the actual sore. I use listerine which absolutely burns like a cigarette being pushed directly into it. But after a minute or so it gets overloaded with pain I guess and stops hurting for a few hours.
you should also know that people in the past would just brush with a fresh twig and maybe some salt, and their teeth were absolutely fine within the limits of not having any sort of dental care beyond "pull a bad tooth out with pliers".
and nowadays we have fancy electric toothbrushes that are way more effective than a twig, so really i see little reason to use toothpaste beyond society as a whole having been convinced that if your mouth doesn't taste like mint it's DISGUSTING.
Through some rough experimentation, a rigid diet of Kirkland Signature Greek Yogurt mixed with honey 3x a day will prevent a canker sore from forming after biting your lip. The non-SLS toothpaste helps too.