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Daily Report

Daily Cosmetic Research Analysis

06/08/2025
3 papers selected
3 analyzed

Three papers shape current thinking on cosmetic-related health products and procedures. An ex vivo study shows a homemade “natural” sunscreen fails to prevent key UV-induced damage compared with SPF50+ sunscreen, an RCT finds sodium bicarbonate toothpaste reduces gingival inflammation beyond conventional fluoride toothpaste, and a narrative review concludes cosmetic keratopigmentation is currently the safest option for eye color change while cosmetic iris implants remain unsafe.

Summary

Three papers shape current thinking on cosmetic-related health products and procedures. An ex vivo study shows a homemade “natural” sunscreen fails to prevent key UV-induced damage compared with SPF50+ sunscreen, an RCT finds sodium bicarbonate toothpaste reduces gingival inflammation beyond conventional fluoride toothpaste, and a narrative review concludes cosmetic keratopigmentation is currently the safest option for eye color change while cosmetic iris implants remain unsafe.

Research Themes

  • Cosmetic product safety and efficacy
  • Adjunctive home-care interventions in oral health
  • Risk-benefit of cosmetic ocular procedures

Selected Articles

1. Uncovering the efficacy of a natural homemade sunscreen in protection from ultraviolet radiation.

63Level IVCase-control
Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025PMID: 40481984

Using human skin explants, a widely circulated natural homemade sunscreen reduced UVR-induced DNA damage and epidermal thickening but failed to prevent sunburn cell formation. In contrast, a commercial SPF50+ sunscreen protected across all measured endpoints, supporting continued reliance on approved products for sun protection.

Impact: Addresses a prevalent public trend toward DIY sunscreens with direct experimental evidence against their adequacy. Provides mechanistic biomarkers supporting public health recommendations.

Clinical Implications: Clinicians should advise against relying on homemade sunscreens for UV protection and recommend TGA-approved, broad-spectrum products. Educate patients that reductions in certain biomarkers do not equate to comprehensive photoprotection.

Key Findings

  • Natural homemade sunscreen reduced UVR-induced cyclobutane pyrimidine dimers and 8-oxo-dG, and decreased epidermal thickness.
  • It did not effectively prevent the formation of sunburn cells.
  • Commercial SPF50+ sunscreen protected against all assessed endpoints.
  • No evidence supports homemade sunscreen in preventing skin carcinogenesis; further testing on water resistance and chronic models is needed.

Methodological Strengths

  • Use of human skin explants with quantitative immunohistochemical biomarkers (CPDs, 8-oxo-dG).
  • Direct comparative design including SPF50+ control and base lotion under standardized UV exposure.

Limitations

  • Ex vivo, short-term endpoints without in vivo clinical outcomes.
  • Single homemade formulation tested; water resistance, shelf life, and chronic UVR protection not assessed.

Future Directions: Evaluate multiple DIY formulations for water resistance and stability, and test photoprotection in chronic UVR in vivo models and pragmatic clinical studies.

In Australia, skin cancer has the highest incidence of all cancer types, where Therapeutic Goods Association-approved, broad-spectrum sunscreens are recommended to prevent skin carcinogenesis. Commercial sunscreen ingredients, however, have been associated with negative impacts on human health, animal health and the environment. Together, the perceived harmful effects of commercial sunscreens have driven a trend towards home formulation of natural sunscreens, recipes for which are widely available online. Scientific evidence to support the efficacy of natural sunscreens, however, is lacking. We tested the efficacy of a natural homemade sunscreen (NHSS) published online by a wellness blogger with the aim to determine its photoprotective properties, beyond its ability to protect against erythema, compared to a commercially available SPF50 + sunscreen. The NHSS contained almond oil, coconut oil, shea butter, beeswax, red raspberry seed oil, carrot seed oil and zinc oxide. Skin explants were treated with either a commercial SPF50 + sunscreen, NHSS or base lotion prior to ultraviolet irradiation. Skin explants were assessed using immunohistochemistry for the levels of UVR-induced DNA damage in the form of cyclobutane pyrimidine dimers and 8-oxo-7, 8-dihydro-2'-deoxyguanosine, as well as for sunburn cells and epidermal thickness. We demonstrate herein that NHSSs can reduce UVR-induced DNA damage and epidermal thickness, but do not effectively protect against the generation of sunburn cells. In comparison, SPF50 + sunscreen provided effective protection against all investigated parameters. These factors, however, are markers of short-term UVR-induced damage and there is as yet no evidence for NHSSs in prevention of skin carcinogenesis. Therefore, we recommend the continued use of TGA-approved commercial sunscreens for sun protection. Further studies are required to test water resistance, variation in homemade formulation, shelf life, and protection against skin carcinogenesis in a chronic UVR model.

2. A randomised, controlled, trial investigating the effect of tooth brushing with a sodium bicarbonate toothpaste for 12 weeks compared to a conventional fluoride toothpaste on gingivitis.

60.5Level IRCT
Journal of dentistry · 2025PMID: 40482904

In an examiner-blind, single-centre RCT (n=190 randomized), twice-daily sodium bicarbonate toothpaste significantly reduced bleeding sites, gingival inflammation (MGI), and plaque (TPI) versus a conventional fluoride toothpaste over 12 weeks. Benefits were evident from 3 weeks and sustained through 12 weeks.

Impact: Provides randomized evidence that a readily accessible formulation confers additional anti-gingivitis benefits beyond mechanical brushing and standard fluoride toothpaste.

Clinical Implications: Consider recommending sodium bicarbonate toothpaste as an adjunct to improve gingival inflammation control in adults with localized gingivitis, alongside standard oral hygiene and professional care.

Key Findings

  • 190 participants randomized; 188 completed the 12-week study.
  • Sodium bicarbonate toothpaste significantly reduced bleeding sites at 3, 6, and 12 weeks (e.g., p=0.0032 baseline to 12 weeks), outperforming fluoride control (p=0.0013).
  • Significant reductions in mean MGI and overall/interproximal TPI versus control at all timepoints (many p<0.0001).

Methodological Strengths

  • Randomized, examiner-blind, controlled, parallel-arm design.
  • Multiple validated clinical indices (BI, MGI, TPI) with prespecified timepoints and compliance monitoring.

Limitations

  • Single-centre study with 12-week duration limits generalizability and long-term inference.
  • No prophylaxis at baseline and potential product unblinding for participants could influence plaque accumulation and behavior.

Future Directions: Multicentre, longer-duration RCTs including periodontal endpoints and diverse populations to assess durability, safety, and cost-effectiveness.

OBJECTIVES: To determine the effect on gingival inflammation of toothbrushing with sodium bicarbonate toothpaste for 12 weeks compared to brushing with a conventional fluoride toothpaste. METHODS: An ethically-approved, single-centre, controlled, examiner-blind, randomized, two-treatment arm, parallel study in consenting healthy ≥18yr participants with ≥20 teeth diagnosed with localised gingivitis. Approximately 200 eligible participants brushed for 2weeks with a fluoride acclimatization toothpaste before randomization to brushing 2/daily with a sodium bicarbonate (test) or fluoride (control) toothpaste. No pre-prophylaxis was conducted prior to study start. Modified gingival index (MGI), bleeding index (BI) and Turesky plaque index (TPI), were measured at baseline, 3, 6 and 12weeks. Participants completed a diary for compliance monitoring. RESULTS: 190 participants were randomised, 188 completed the study. The test group demonstrated a statistically significant reduction in number of bleeding sites from baseline to 12-weeks (p = 0.0032), 6-weeks (p = 0.0031) and 3-weeks (p = 0.0091), and compared to control group from baseline to 12-weeks (p = 0.0013). The test group showed significantly (all p < 0.0001) decreased mean MGI score from baseline to 3-weeks, 6-weeks, and 12-weeks compared to control group; significantly decreased mean overall TPI score from baseline to 3-weeks (p = 0.0012), 6-weeks (p = 0.0058), and 12-weeks (p < 0.0001) compared to control; and significantly reduced mean interproximal TPI scores compared to control group from baseline to 3-weeks (p = 0.0022), 6-weeks (p = 0.0099) and 12-weeks (p < 0.0001). CONCLUSIONS: Twice daily toothbrushing with a sodium bicarbonate toothpaste significantly improved oral health reducing localised gingivitis compared to brushing with a conventional fluoride toothpaste, measured by BI, MGI and TPI over 12 weeks. CLINICAL SIGNIFICANCE: Localised, gingivitis can be resolved or prevented with excellent home-use oral hygiene measures, but this is rarely achieved with mechanical brushing alone. Twice daily toothbrushing with sodium bicarbonate toothpaste demonstrated added value in reducing localised gingivitis and improving oral health compared to brushing with a conventional fluoride toothpaste.

3. Surgical Techniques for Cosmetic Eye Color Change: A Narrative Review.

50.5Level VSystematic Review
Ophthalmology and therapy · 2025PMID: 40483374

This narrative review compares cosmetic iris implants, laser iris depigmentation, and cosmetic keratopigmentation for eye color change. It concludes that cosmetic keratopigmentation currently appears safest and most customizable, cosmetic iris implants should be avoided due to serious complications, and laser depigmentation has safety and durability limitations.

Impact: Synthesizes safety profiles and regulatory status across procedures, offering clear clinical guidance and highlighting the need for higher-quality evidence.

Clinical Implications: Avoid cosmetic iris implants; consider cosmetic keratopigmentation in experienced hands with informed consent; counsel patients on limitations and uncertainties of laser depigmentation and the need for long-term safety data.

Key Findings

  • Cosmetic iris implants carry severe risks (glaucoma, corneal endothelial loss, permanent vision impairment) and lack regulatory approval.
  • Laser iris depigmentation (Q-switched Nd:YAG) offers less invasiveness but has patchy pigmentation, photophobia, transient IOP spikes, and limited long-term data.
  • Cosmetic keratopigmentation embeds micronized mineral pigments in the cornea and appears safest with high satisfaction, though current evidence is mostly single-centre.

Methodological Strengths

  • Comparative synthesis of three distinct techniques with clinical risk-benefit framing.
  • Highlights regulatory context and complication profiles to inform decision-making.

Limitations

  • Narrative (non-systematic) review susceptible to selection bias.
  • Evidence base relies on limited single-centre studies with scarce long-term outcomes.

Future Directions: Prospective multicentre registries and controlled comparative studies to assess long-term safety, visual outcomes, and patient satisfaction across techniques.

The desire for permanent cosmetic change of eye color has driven the development of various surgical techniques aimed at achieving this transformation, pursuing more enduring solutions. This demand has led to the emergence of three primary surgical approaches: cosmetic iris implants, laser iris depigmentation, and cosmetic keratopigmentation (KTP). Each technique presents distinct advantages, yet also entails specific limitations and potential risks. Cosmetic iris implants, originally designed for congenital or traumatic iris defects, have been repurposed for aesthetic use. However, they come with severe risks, including glaucoma, corneal endothelial cell loss, and even permanent vision impairment. As a result of these complications, they are not approved by major regulatory bodies and are widely considered unsafe. Laser iris depigmentation offers a less invasive approach, using a Q-switched Nd:YAG laser to remove melanin from the anterior iris stroma. While it provides a natural-looking result, it lacks customization and has potential complications like patchy pigmentation, photophobia, and temporary intraocular pressure spikes. Additionally, there is limited long-term data on its safety. Cosmetic KTP, an advanced version of corneal tattooing, has emerged as the safest and most effective option. It involves embedding micronized mineral pigments into the cornea, allowing for precise, customizable, and long-lasting results. Studies show high patient satisfaction and minimal risks when properly performed. Among these techniques, KTP appears to be the best choice owing to its safety and aesthetic flexibility, while cosmetic iris implants should be avoided because of their high risk of complications, and laser iris depigmentation deals with limitations in color selection and long-term reliability. While KTP currently seems the safest option for cosmetic eye color change, this is largely based on limited single-center data and should be confirmed by larger studies in the future.