Some dollar stores sell expired and foreign, non-ADA-standard formulations of toothpaste.
The last several years have seen the strong growth of dollar stores, outlets in which shoppers can find a wide variety of household items - everything from canned goods to motor oil - in one convenient location, with everything priced at $1.00 or $0.99 per unit. (No more sales clerks holding up check-out lines waiting for price checks!) Sometimes the merchandise found in dollar stores is just the same as what one might purchase elsewhere for a considerably higher price, but dollar stores sell it more cheaply because they've obtained supplies from manufacturers and wholesalers who are disposing of overstock or older merchandise for a fraction of the usual price. Often the items sold in dollar stores are inexpensive because they're produced and marketed by smaller brands, made from lesser-quality materials, of foreign manufacture, or were just cheaper merchandise to begin with.One of the items more commonly purchased through dollar stores by budget-conscious shoppers is toothpaste. Everyone uses toothpaste - why pay $2 or $3 per tube in a grocery or drug store when you can stock up on it for $1 per tube somewhere else? In our household we've often purchased name-brand toothpaste in dollar stores, although we've noticed that our local dollar stores also stock name-brand toothpaste manufactured for foreign markets (usually Canada or Mexico) and off-brand toothpaste sold in 'knock-off' packaging that mimics the packaging of more well-knownbrands.As television station in KXAS, a Dallas-based NBC affiliate, discovered in a report broadcast in May 2004 (and summarized in the message quoted above), consumers might want to be cautious when buying dollar-store toothpaste. One major concern is that one can often find toothpaste intended for foreign markets for sale in dollar stores, product that may not meet the same governmental regulations required of American manufacturers or that may have been made by foreign companies with lower quality-control standards than American firms.Of course, where the toothpaste comes from can make a big difference. We have no issue with purchasing Canadian toothpaste for our household from our nearby dollar store, because it's manufactured by a major American corporation (Procter & Gamble), and it's approved by the Canadian Dental Association (CDA), whose standards are similar to the American Dental Association's (ADA):But, as KXAS reporters found, consumers may have good reason to be concerned about discount stores that carry toothpaste from other parts of the world:NBC 5 investigators identified toothpaste tubes from South Africa, Kenya and Canada. The team visited more than 12 dollar discount stores and found foreign tubes in eight locations, including Dollar Tree stores in Bedford and Fort Worth, Greenbacks in Dallas and 99 Cent Plus in Arlington, according to NBC 5. Dr. Charles Wakefield, a professor at the Baylor College of Dentistry, said fluoride levels in the foreign versions of toothpaste represent the biggest hazard. The fluoride in the South African version was 10 times that commonly sold in the United States. 'You just don't want kids to swallow it,' Wakefield said. 'I really don't know how these are legally in stores.'(We note that even brands of fluoride toothpaste manufactured in the U.S. to American Dental Association standards generally carry warning notices on their labels advising consumers not to swallow it, so parents should be cautious about their children swallowing any fluoride toothpaste, regardless of its country of origin.)Another potential issue of concern with cheap toothpaste can be the age of the product:Fluoride levels aren't the only concern. The investigators purchased four tubes of Canadian Aquafresh that expired two years ago. The store owner declined to be interviewed. He did say, however, he buys the products from wholesalers, who failed to inform him of the expiration dates.In general, expired toothpaste doesn't pose a significant health risk (most brands don't even carry expiration dates on their packaging), but older toothpaste may be undesirable because it may be less effective or less pleasant to use due to changes in taste and consistency.In May 2007, the U.S. Food and Drug Administration (FDA) issued a warning about toothpaste products from China that were found to be contaminated with diethylene glycol:
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