3M, GC America and Sultan are driving me crazy! My poor Atlanta Dental Rep is trying his darnedest to help our office figure out which product we want to go with in our office. Last month we had the GC America MI Paste lady (RDH) at our office for a "lunch-n-learn", and then the next week we had the 3M guy here for another "lunch-n-learn". We love the products from both of these companies, I just need to know which one to give to my patients. Then out of the blue the representative from Sultan came in on her own showing us their alternative product called Topex Renew. Geez! MI Paste ingredients are pure water, glycerol, CPP-ACP, D-sorbitol, CMC-Na, propylene glycol, silicon dioxide, titanium dioxide, xylitol, phosphoric acid, (sodium fluoride in the MI Paste Plus only, 0.5mL (pea size) of MI Paste Plus will contribute 0.45mg of fluoride ion), flavoring, zinc oxide, sodium saccharin, ethyl p-hydroxybenzoate, magnesium oxide, guar gum, propyl p-hydroxybenzoate, butyl p-hydroxybenzoate. (Available in mint, vanilla, strawberry, melon, tutti-frutti). RECALDENT™ (CPP-ACP) is the active ingredient and it is derived from cows milk. Casein phosphopeptides (CPP) and amorphous calcium phosphate (ACP) are highly insoluble. Peptides maintain the calcium and phosphate in an ionic state, preventing insoluble calcium phosphate from forming. This enables calcium and phosphate ions to enter the tooth structure and remineralize hypomineralized enamel rods. It further binds to plaque reservoirs in the mouth that provide calcium and phosphate to the tooth surface for a longer period of time. They claim that when remineralizing the white spot lesions of a tooth that too much fluoride can actually get in the way. While a small amount of fluoride can actually help catalyze the process of remineralization, too much can precipitate out the calcium and phosphate into a insoluble salt preventing the absorption of either calcium or phosphate into the white spot lesion. The other products are actually toothpastes, but MI Paste is not. Because of the sticky milk proteins used, it is smeared onto the teeth with your finger. If you used a toothbrush to place it onto the teeth then most of it would stick to the brush and not the teeth. This can and does cause some confusion with dental patients, and dental professionals alike. I have noticed that this point is exploited by their competitors. Maybe is should not have been called a paste in the first place since it has been engrained into the populations psyche over the years that paste goes on a toothbrush. Go figure. NovaMin is made up of calcium, sodium, phosphorus, and silica to make a chemical compound named calcium sodiumphosphosilicate. When in contact with the water in saliva NovaMin forms a crystalline hydroxyl-carbonate apatite product that is identical to that of the tooth. NovaMin also has desensitizing and anti-microbial characteristics. NovaMin is not proprietary to just Sultan. It is going to be a compound that is placed in many dental products from dental floss, chewing gum, resorbable breath strips, including product manufactured by 3m/Omni, Sultan Healthcare, and Dentsply. As early as 2008, Dentsply placed NovaMin in their top prophy paste product, Nupro.