Is niacinamide (Vitamin B3) toothpaste effective for tooth whitening?

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Last updated: June 11, 2025View editorial policy

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From the Research

Niacinamide toothpaste is not a recommended option for effective tooth whitening due to the lack of strong evidence supporting its efficacy in this area. The most recent and highest quality studies on tooth whitening, such as the one published in 2025 1, focus on the effectiveness of hydrogen peroxide and carbamide peroxide, which are well-established agents for tooth whitening. These studies demonstrate that products containing hydrogen peroxide or carbamide peroxide are more effective for tooth whitening compared to other ingredients like activated charcoal or, by extension, niacinamide.

Some key points to consider:

  • Traditional whitening toothpastes rely on mild abrasives, chemical agents like hydrogen peroxide, or blue covarine for their whitening effects, not niacinamide 2, 3.
  • Niacinamide is better established in skincare for its anti-inflammatory properties rather than as a dental whitening agent 4.
  • Professional dental whitening treatments, which use higher concentrations of hydrogen peroxide or carbamide peroxide under supervision, remain the most effective option for noticeable tooth whitening results 5, 3.
  • The whitening claims of niacinamide toothpastes may be due to other ingredients in the formulation rather than the niacinamide itself, highlighting the importance of looking at the overall formulation of a product rather than a single ingredient.

Given the current state of evidence, for effective tooth whitening, it is recommended to use products containing hydrogen peroxide (typically 1-2% in over-the-counter products) or carbamide peroxide, or to consult a dentist for professional options. This approach prioritizes the use of ingredients with a strong evidence base for tooth whitening, ensuring the best possible outcomes in terms of morbidity, mortality, and quality of life.

References

Research

Review of the Mechanism of Tooth Whitening.

Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2015

Research

Tooth whitening: From the established treatments to novel approaches to prevent side effects.

Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2019

Research

Tooth whitening: what we now know.

The journal of evidence-based dental practice, 2014

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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