[网络对话]对话医学专家：牙膏可以用来祛痘吗？ [network dialogue] dialogue medical experts:Toothpaste can be used for acne removing?

　　牙膏，每人每天都会用到。有网友近期在论坛上讨论，牙膏广告中“几次刷牙迅速美白”的说法到底是真是假？还有一条热传的微博声称可以用美白牙膏祛痘、祛斑。这些说法有没有道理？4日，新华网记者采访了多位口腔科和皮肤科专家。

toothpaste,Can use per person a day.Have net friend recently in the BBS discussion on,Toothpaste ads"A few times brushing your teeth whitening quickly"Say what is true or false?There is a heat transfer micro bo claimed that can use whitening toothpaste acne removing/spot.These statements have reason?4,Xinhuanet reporter quizzed department of stomatology and dermatological department experts.

美白牙膏不建议长期使用 Whitening toothpaste do not recommend use for a long time

　　新华网记者：市面上有一些宣称可以“迅速美白”的牙膏。您认为真的可以通过刷牙达到迅速美白的效果吗？

Xinhuanet reporter:There are some claim to"Rapid whitening"toothpaste.Do you think can really through the brush my teeth to achieve rapid whitening effect?

　　杭州口腔医院副院长刘敏：牙膏的主要作用在于清洁牙齿，保持牙齿和牙龈的健康。牙膏不能直接起到美白作用，正是由于牙齿表面得到良好的清洁作用才使得天然牙齿和牙龈呈现出白和红的自然美。

Hangzhou stomatological hospital, vice President of the LiuMin:The main purpose of the toothpaste is to clean the teeth,Keep the health of teeth and gums.A toothpaste can not directly whitening effect,It is because of tooth surface get good cleaning effect that natural teeth and gums present a white and red natural beauty.

　　郑州中心医院口腔科医生蔡晓清：多数牙膏采用的摩擦剂是碳酸钙、磷酸氢钙、焦磷酸钙、水合硅酸、氢氧化铝。美白牙膏一般是添加了所谓珍珠盐白、冰爽劲白因子、超白软性硅等成份。这些物质的作用是结合牙刷刷毛的摆动，清洁牙齿及牙周表面的软垢及牙菌斑。并不是真正意义上的牙齿美白。

Zhengzhou central hospital department of stomatology doctor CaiXiaoQing:Most of the toothpaste deoxidize the coppers are calcium carbonate/Calcium hydrogen phosphate/Calcium pyrophosphate/Hydrated silica/Aluminum hydroxide.Whitening toothpaste is usually added so-called pearl salt white/Ice great strength white factor/Super white soft silicon and other ingredients.The role of these substances is combined with tooth brush MAO's wobble,Clean your teeth and periodontal surface soft scale and dental plaque.Not real teeth whitening.

　　北京协和医院国际医疗部无痛牙科治疗中心主治医师景泉：评价某种牙膏的效果，应使用6周以上。但就像擦玻璃一样，美白牙膏中加入的摩擦颗粒的硬度、大小、数量、形状和牙膏本身的Ph值、推荐的刷牙力度等，都必须得到一定的控制，否则，长期使用未经牙齿相对磨损性验证的美白牙膏，有可能导致牙齿珐琅质粗糙，牙龈退缩、牙颈部缺损以及牙齿过敏症等不良损害。在进食酸性食物或饮料后不建议使用美白牙膏，会增加珐琅质的磨损。在使用美白牙贴或是在医院进行牙齿美白之后的短期内也不建议使用美白牙膏。

Beijing union medical college hospital international medical department painless dental treatment center attending doctor JingQuan:Evaluation of the effect of some toothpaste,Should be used more than six weeks.But like wipe glass,Whitening toothpaste to add friction grain hardness/size/quantity/Shape and toothpaste itself Ph value/Recommend brushing your teeth strength, etc,Must be a certain control,otherwise,Use for a long time without teeth relative abrasiveness validation whitening toothpaste,May cause tooth enamel rough,Gum back/Tooth neck defect and tooth hypersensitivity and other bad damage.On the feed acid food or drink not recommended after whitening toothpaste,Will increase the wear and tear of enamel.In the use of whitening teeth stick or in hospital after whitening teeth short term are not recommended whitening toothpaste.

　　总之，美白牙膏不建议长期使用，特别是存在牙齿敏感的人。

In a word,Whitening toothpaste do not recommend use for a long time,Especially the existing teeth sensitive person.

　　新华网记者：有网友发微博说用美白牙膏刷牙时发现根本漱口漱不干净，还会残留一些“蓝色”物质。请问这是怎么回事？

Xinhuanet reporter:Have net friend FaWei bo said by the whitening toothpaste when brushing your teeth there gargle gargle not clean,Remain some"blue"material.Excuse me, is this how to return a responsibility?

　　北京协和医院国际医疗部无痛牙科治疗中心主治医师景泉：影响牙齿外源性着色的因素包括刷牙的技术、食物中的色素、吸烟、年龄、摄入的某些金属盐等。美白牙膏中的摩擦剂颗粒是通过机械磨擦作用去除牙齿外源性着色并预防再着色，而外源性着色并非牙齿本身或内在的颜色改变，这些摩擦颗粒大多不溶于水，因而可能在刷牙后造成“漱不干净”的感觉。

Beijing union medical college hospital international medical department painless dental treatment center attending doctor JingQuan:Influence factors of teeth exogenous coloring technology including brushing your teeth/Pigment in food/smoking/age/Intake of certain metal salt, etc.The whitening toothpaste MaCaJi particle is through the mechanical friction action to remove tooth exogenous coloring and prevention and coloring,And exogenous coloring is not teeth itself or inner color change,These friction particles are not soluble in water,So it can be in after brushing my teeth cause"Gargle don't clean"feeling.

　　新华网记者：牙齿白就一定好吗？什么样的牙齿是健康的？

Xinhuanet reporter:Teeth white will be good?What kind of teeth is healthy?

　　杭州口腔医院副院长刘敏：牙齿白并不一定就是健康的牙齿，健康的牙齿应该是牙齿清洁、无龋洞、无疼痛感、牙龈颜色正常、无出血现象。

Hangzhou stomatological hospital, vice President of the LiuMin:Teeth white does not necessarily is healthy teeth,Healthy teeth should be teeth clean/No caries hole/No pain/Gum color normal/No bleeding phenomenon.

牙膏祛痘不“靠谱” Toothpaste acne removing don't"By spectrum"

　　新华网记者：最近，微博中流传一种用牙膏祛痘、祛斑的方法，牙膏真的可以用来祛祛痘、祛斑吗？

Xinhuanet reporter:recently,Micro bo among a toothpaste acne removing/Method of spot,Toothpaste really can be used to remove acne removing/Spot??

　　第四军医大学西京医院皮肤科激光美容中心主任、医学博士栾琪：从医学专业角度讲，不能滥用牙膏用于斑、痘痘等各种皮肤问题。

The fourth military medical university hospital dermatological department XiJing laser cosmetic, director of the center/Medical doctor LuanQi:From the point of medical professional point of view,Can't abuse toothpaste used to spot/Blain blain, etc. Various kinds of skin problems.

　　牙膏中含有能产生“双氧水”的相关成分，“双氧水”可以去除口腔的厌氧菌，于是有网友就用牙膏治疗痤疮皮肤和色斑皮肤，这是不科学的。因为牙膏产生的“双氧水”对皮肤有一定的烧灼和刺激作用，其程度不能被人为控制，使用过度会导致皮肤角质层破坏，也就是皮肤屏障功能的破坏，使皮肤变得敏感，抵抗外来刺激的能力较差。

Toothpaste contains can produce"Hydrogen peroxide"Related components,"Hydrogen peroxide"Can remove oral anaerobes,So the netizens use toothpaste treat acne skin and skin color,It is not scientific.Because toothpaste produced"Hydrogen peroxide"The skin of a certain cautery and stimulation,The degree of cannot be controlled artificially,Excessive use will cause the skin cutin layer destruction,Is the skin barrier function failure,Make the skin become sensitive,The ability to resist external stimulation is poor.

　　建议网友如果要治疗雀斑、痘痘等皮肤问题，应去专业的医疗机构，不要相信所谓“偏方”。

Suggest net friend if you want to treat freckles/Blain blain skin problems such as,Should go to professional medical institutions,Don't believe the so-called"Folk prescription".

牙膏怎样用才健康？ How to use toothpaste health?

　　新华网记者：市场上牙膏的品牌种类有很多，消费者怎样选择和使用牙膏才健康？

Xinhuanet reporter:The market the brand of toothpaste has a lot of kinds,Consumers how to choose and use toothpaste to health?

　　北京协和医院国际医疗部无痛牙科治疗中心主治医师景泉：绝大多数牙膏都包括以下成分：摩擦剂、湿润剂、赋形剂、表面活性剂、香味剂、色素、缓冲剂等。

Beijing union medical college hospital international medical department painless dental treatment center attending doctor JingQuan:The vast majority of toothpaste include the following ingredients:MaCaJi/Wetting agent/excipients/surfactant/flavor/pigment/Buffer, etc.

　　市场上常见的含氟牙膏中的氟化物可预防细菌产酸对牙齿硬组织的腐蚀作用，并可使已受腐蚀的牙齿再矿化。用含氟牙膏可以降低龋齿的发生，但这一预防作用不等同于医疗上的预防，定期到医院检查牙齿是必要的；

The market of the common fluoridated toothpaste of fluoride can prevent bacteria produce acid on tooth hard tissue of the corrosion effect,And can make the already corrode teeth to mineralization.With fluoride toothpaste can reduce the occurrence of dental caries,But the preventive action does not equate to medical prevention,Come to the hospital regularly teeth are necessary;

　　美白牙膏主要靠加入的摩擦颗粒发挥机械摩擦作用，清除牙齿表面的外源性着色。但对于牙齿相邻部位、靠近牙龈部位和排列不齐或拥挤区域的着色，美白牙膏不易清洁彻底。

Whitening toothpaste mainly rely on friction particle play mechanical friction action,Remove tooth surface of exogenous coloring.But for teeth adjacent parts/Near the gum parts and malalignment or crowded area of coloring,Whitening toothpaste not easy and clean thoroughly.

　　还有一种常见的牙膏是脱敏牙膏。牙齿过敏是因为牙齿受先天或后天的生物、物理、化学因素影响，导致牙本质小管保留造成。脱敏牙膏含钙和磷酸盐成分，在氟化物的作用下能形成接近于牙齿本身成分的物质，封闭暴露的牙本质小管，发挥一定的“修护”作用。(新华网记者 姜春媛)

Still have a kind of common toothpaste is desensitization toothpaste.Teeth teeth allergic because by congenital or acquired biological/physical/Chemical factors,Cause dentinal tubule keep cause.Desensitization toothpaste contains calcium and phosphate components,In under the action of fluoride can form close to teeth itself substance,Closed exposed dentinal tubule,Play a"repair"role.(Xinhuanet reporter JiangChunYuan)