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.
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:
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“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.
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“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).
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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 used to leave aspirin on the canker, that burned it away.
make more foam when you brush
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.
I totally understand! After some people mentioned Sensodyne on this thread, I looked it up and indeed some Sensodyne “flavors” (but not all?) are SLS-free. From what I recall, there really is an ingredient in Sensodyne that reduces sensitivity. I don’t know about gum/cavity issues though. Maybe your dentist can confirm. Take care!
Sensodyne Pronamel is SLS free and has fluoride.
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.
