Historical perspectives on advertising and the meme that personal oral hygiene prevents dental caries

Gerodontology. 2019 Mar;36(1):36-44. doi: 10.1111/ger.12374. Epub 2018 Oct 14.

Abstract

The consensus of a leading scientific panel in 1930 was that oral hygiene products could not prevent dental caries. Their view was that dental caries prevention required the proper mineralisation of teeth and that vitamin D could achieve this goal. Over a hundred subsequent controlled trials, conducted over seven decades, largely confirmed that this scientific panel had made the right decisions. They had, in 1930, when it comes to dental caries, correctly endorsed vitamin D products as dental caries prophylactics and oral hygiene products as cosmetics. And yet, despite this consistent scientific evidence for close to a century, an opposing conventional wisdom emerged which thrives to this day: oral hygiene habits (without fluoride) protect the teeth from dental caries, and vitamin D plays no role in dental caries prevention. This historical analysis explores whether persistent advertising can deeply engrain memes on dental caries prevention which conflict with controlled trial results. The question is raised whether professional organisations, with a dependence on advertising revenues, can become complicit in amplifying advertised health claims which are inconsistent with the principles of evidence-based medicine.

Keywords: advertising; conflicts of interest; direct-to-consumer advertising; oral hygiene products.

Publication types

  • Historical Article

MeSH terms

  • Advertising / history*
  • American Dental Association / history
  • Bone Density Conservation Agents / history*
  • Bone Density Conservation Agents / therapeutic use
  • Controlled Clinical Trials as Topic / history
  • Cosmeceuticals / history
  • Dental Caries / etiology
  • Dental Caries / history*
  • Dental Caries / prevention & control
  • Evidence-Based Dentistry / history*
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Oral Hygiene / history*
  • United States
  • Vitamin D / history*
  • Vitamin D / therapeutic use

Substances

  • Bone Density Conservation Agents
  • Cosmeceuticals
  • Vitamin D