Do you pay attention to the kind of toothpaste you use, beyond the flavor? The American Dental Association wants you to use a toothpaste with fluoride because it prevents cavities. Some readers take an extra step, however. They tell us that seeking out toothpaste that does not contain the foaming agent SLS helps them avoid canker sores. This is a simple solution to add to home remedies for these painful lesions.

SLS-Free Toothpaste Makes Mouth More Comfortable:

Q. I had canker sores for years until I discovered Biotène toothpaste. It is formulated especially for people with dry mouth and does not contain sodium lauryl sulfate.

My gums are healthier, and I’ve had no cavities since it contains fluoride. It is more expensive but it’s worth it not to suffer from canker sores.

A. We have heard from many readers that the foaming agent SLS (sodium lauryl sulfate) can be irritating to their mouths and gums. A toothpaste without SLS, like Biotène, may be a good choice for someone like you.

Although scientists conducted an early study on the effect of this foaming agent in 1994, relatively little research been published (Acta Odontologica Scandinavica, Oct. 1994). A recent meta-analysis included four randomized controlled trials (Journal of Oral Pathology & Medicine, May 2019). The authors report that people using SLS-free toothpaste are less likely to suffer recurrent canker sores. 

Looking for Toothpaste That Won’t Aggravate Canker Sores:

Q. I suffered for years with chronic canker sores. I read that SLS (sodium lauryl sulfate) in toothpaste can trigger this painful problem. How do I find toothpaste without SLS?

A. Some readers report that Biotène toothpaste is SLS-free and helps reduce canker sores (known as aphthous ulcers in medical lingo). Certain toothpaste options from Tom’s of Maine, Rembrandt and Sensodyne Pronamel are also devoid of SLS. Read the labels carefully to make sure the one you purchase does not contain sodium lauryl sulfate.

Judith had this to say:

“It is very true that toothpaste can cause canker sores and in my case fever blisters also. I am now using WELEDA Salt Toothpaste and am free of the canker sores. Tom’s of Maine is also good. No SLS in either of these.”

LGF made this suggestion:

“I am a dental hygienist. For years, I have cautioned patients to be aware of mouth irritations, cracks in the corners of their lips, or sensitive teeth when they changed toothpaste brands. A lot of tartar-control and whitening toothpastes can cause irritations and sensitive teeth. A patient who often has mouth ulcers told me once that they were almost entirely eliminated by rinsing with Listerine everyday. That made a lot of sense to me, and I pass that info along to all my patients with mouth ulcers.”

TC agrees with the Listerine recommendation:

“I get canker sores on my tongue whenever I eat spicy foods (chile, jalapenos), cinnamon candy disks, fresh or canned pineapple or Starburst candy  and when I’m stressed. What works almost immediately is Listerine. I rinse three times a day and before bedtime.

“There is one other mouthwash that helps too. It’s Dr. Tichenor’s Peppermint mouthwash concentrate. Do not use full strength nor swallow. Dilute with 5 parts warm water and use as needed. It is a little pricey but well worth the positive results. By morning, my canker sores are almost gone but I continue rinsing for several days.

“I use this same mouthwash (Dr. Tichenor’s) for sore throat and by morning my throat feels a lot better. These are my personal preferences. If you try them, I hope they give you some well deserved relief.”

Another reader chimed in on toothpaste with SLS:

“I am so grateful that finally after years and years of suffering with canker sores, I found that a simple change to a non SLS toothpaste immediately halted any further sores within 5 days. Sensodyne Pronamel has made a world of difference to me. I have also started taking lysine capsules and using a recommended non alcohol based mouthwash.

“The thing I’m mad at most are the toothpaste companies who put in this ingredient. It is only there to create a foaming action, with no benefits at all. However, it also causes a small percentage of people to suffer with mouth ulcers with no idea as to why they are getting them. If you have constant canker sores, I can highly recommend this simple change of using a non SLS toothpaste.”

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