Best Hydroxyapatite Toothpaste 2024: An alternative to fluoride?

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A dentist tests and recommends the best hydroxyapatite toothpaste on the market today.

Choosing the right toothpaste can be a head-scratcher, especially considering all the ingredients and options available. Don’t worry, help is at hand!

Here’s a quick guide on finding the best hydroxyapatite toothpaste.

Hydroxyapatite (Hap) is a natural compound that’s gaining popularity due to its ability to remineralise tooth enamel.

We spent considerable time trying and testing a variety of hydroxyapatite toothpastes to find the best natural toothpaste options for you.

As a dentist I would recommend using a hydroxyapatite toothpaste in addition to a fluoride toothpaste in order to get the benefits of both!

Best Hydroxyapatite Toothpaste

What is Hydroxyapatite (HAp)?

Ever wondered what gives your teeth and bones their strength? Hydroxyapatite is the secret. This natural mineral is a major component of bones and teeth, making them durable and resilient. Without it, you’d probably feel a bit floppy!

Scientists have managed to recreate hydroxyapatite in labs, using it in various medical and dental products. Its biocompatibility means it’s friendly with your body, integrating seamlessly into natural tissues.

Why use hydroxyapatite in toothpaste?

Incorporating hydroxyapatite into your oral care routine can support enamel health through repair. When applied to teeth, it can help repair tiny imperfections and protect against cavities. The key lies in its rod-like form, which has proven to effectively bind to enamel surfaces to strengthen them.

Coupled with using a fluoride toothpaste, a hydroxyapatite paste will ensure your teeth are kept as strong as possible!


Quick Overview

Best Tasting HAp

Boka Nano Hydroxyapatite

4 Unique Flavours

⭐️Best Overall HAp

David Sensitive + Whitening Toothpaste

A Great Tasting All-Rounder

Best for HAp + Fluoride

Happier Natural Mint

Best of both for the strongest teeth


How Does Hydroxyapatite Work?

Hydroxyapatite plays a critical role in remineralisation versus demineralisation, tipping the scales in favour of stronger, healthier teeth.

Demineralisation leads to the loss of minerals from your enamel, while remineralisation reverses the process. A remineralising toothpaste helps prevent tooth decay, reducing the chance of you getting cavities.

Hydroxyapatite fills in tiny gaps in the enamel, much like a skilled mason patching up a brick wall. Each tiny rod of hydroxyapatite embeds itself within the microscopic crevices of your enamel, creating a robust barrier against acids and wear. This process not only strengthens your teeth but also makes them more resistant to future damage.

Hydroxyapatite mirrors the natural composition of your teeth, making it a safe and biocompatible choice for oral care.


Difference between Fluoride and Hydroxyapatite

But what about fluoride?

Fluoride has been a staple in dental care for decades. It strengthens enamel by providing a reservoir of fluorapatite, encouraging the remineralisation process, making teeth more resistant to acid attacks and decay.

Fluoride works by chemically interacting with teeth to create a tougher enamel layer, while hydroxyapatite physically integrates into the tooth surface, enhancing its natural structure. Hence Hydroxyapatite (HAp) mimics the structure of natural tooth enamel, promoting smoother and shinier teeth surfaces.

In general, using fluoride in toothpaste is safe and effective. Overconsumption or swallowing high levels can lead to toxicity, which is why using dental care products as directed is crucial.

Studies suggest they both work effectively in preventing dental decay.

For the best results I use an electric toothbrush with fluoride toothpaste in the morning, and a hydroxyapatite toothpaste to brush before bed.


Benefits of Hydroxyapatite Toothpaste

Remineralisation: Helps repair small lesions in the enamel.

Sensitivity Relief: Provides relief for sensitive teeth by blocking tubules to stop stimuli getting to the nerves.

Safe for Everyone: Suitable for children and adults.

There’s a variety of options available, catering to different personal preferences. Some contain additional ingredients like essential oils for freshness or whitening agents for stain removal.


The 6 Top Picks

Best Overall Hydroxyapatite ToothpasteDavids Sensitivity + Whitening Toothpaste

Best Tasting Hydroxyapatite ToothpasteBoka Nano Hydroxyapatite

Best SLS-Free Hydroxyapatite ToothpasteRiseWell Natural

Best Hydroxyapatite Toothpaste TabletsPearlies Remineralising Everyday Toothpaste Tablets

Best Formulated Hydroxyapatite ToothpasteGreat Oral Health Pro-Mineralizer Toothpaste

Best Hydroxyapatite Toothpaste with FluorideHappier Mint Toothpaste


Best Overall Hydroxyapatite Toothpaste

Davids Sensitivity + Whitening Toothpaste

Key Features:

Rod Shaped Nano-hydroxyapatite

SLS Free

Metal Recyclable Tube

Why our dentists recommend this toothpaste:

I recently tried Davids’ Nano Hydroxyapatite Toothpaste, and it turned out to be quite a revelation. With a focus on remineralising enamel, whitening and reducing sensitivity, it promises a lot.

And it delivers. The Nano Hydroxyapatite is clinically proven to strengthen enamel better than its competitors. (1)

This toothpaste offers a fresh peppermint taste and a clean feel after brushing, without the burn that some other products deliver. After a few weeks of use, I’ve noticed my teeth feeling smoother and looking shinier.

The micro-polishing agents work effectively to clear away surface stains, which means you can brighten your smile without the worry of sensitivity that comes from peroxide-based products. A low RDA (Relative Dentine Abrasiveness) score means that Davids toothpaste safely cleans and removes plaque, whilst remaining gentle on enamel.

Of course, it’s not without minor quirks—the tube can be a bit stiff, which can make getting the last bits of toothpaste out difficult.

Still, the results speak for themselves. If you’re looking for a sustainable, effective option, Davids is a great choice.

Pros

Gentle Effective Whitening: The nano hydroxyapatite in the formula effectively whitens teeth while being gentle, so you won’t experience the sensitivity commonly associated with other whitening products.

Minty Freshness: Pleasant peppermint taste.

Natural Ingredients: Made with clean, vegan ingredients, this option is great for those looking to avoid artificial additives.

Cons

Tube Design: Some find the packaging challenging to handle, as the tube can easily lose shape.


Best Tasting Hydroxyapatite Toothpaste

Boka Nano Hydroxyapatite

Key Features:

Nano-hydroxyapatite for replenishing enamel

4 unique flavours

This toothpaste offers a combination of great taste and benefits for healthy teeth.

Getting to use the Boka Nano Hydroxyapatite toothpaste has been a refreshing twist on my oral hygiene. It comes in 4 carefully curated flavours: Ela Mint, Coco Ginger, Lemon Lavender and Orange Cream. Something for everyone.

I tried the ela mint flavour, blending mint with an intriguing cardamom hint, leaving your mouth feeling fresh without overpowering your taste buds. Brushing with this toothpaste makes the routine feel more like an enjoyable ritual rather than a chore.

The reduction in sensitivity comes from the Nano Hydroxyapatite rods replenishing your enamel, and the stain removal from sodium bicarbonate.

Overall a good, balanced toothpaste.

Pros

Contains nano-hydroxyapatite for enamel repair

Gentle stain removal

Reduces sensitivity

Cons

Non-traditional taste may not be for everyone

Contains SLS, potential allergen for some


Best SLS Free Hydroxyapatite Toothpaste

RiseWell Natural

Key Features:

10% Nano-hydroxyapatite

SLS Free

RiseWell is free from sodium laurel sulphate (SLS), a synthetic foaming agent in toothpastes which can cause irritation and mouth soreness for some. This makes it ideal for those who suffer from recurrent ulcers, soreness such as Oral Lichen Planus, and dry mouth. (See our full list of Best SLS-Free Toothpaste). It instead harnesses the power of natural ingredients like xylitol, to inhibit harmful bacteria.

This toothpaste feels gentle yet effective, leaving a silky smooth feeling on your teeth, free from the gritty texture some other brands leave behind. With a mild minty flavour, it keeps your breath fresh without any overwhelming taste.

The brand prides itself on being both vegan and cruelty-free.

Though it comes with a heftier price tag, the balance lies in its effectiveness and its natural formulation.

✅ Pros

Remineralises teeth naturally with Micro and Nano-hydroxyapatite

Free from SLS, an irritant for some

Pleasant natural mint flavour for a refreshing clean

Cons

Quite pricey compared to typical toothpastes


Best Hydroxyapatite Toothpaste Tablets

Pearlies Remineralising Everyday Toothpaste Tablets

Key Features

Hydroxyapatite and Fluoride

Paper pouches for refill

Smart box and bottle

Imagine popping a minty tablet in your mouth and feeling it dissolve as it works to clean and whiten your teeth. For the best results, chew, breakdown and then brush with an electric toothbrush. These tablets are convenient and kind to the planet by cutting out plastic waste. And with the benefits of nano-hydroxyapatite AND fluoride!

The toothpaste tablets are ideal for a quick refresh, they offer a handy solution without the need for water, so great when travelling.

While the unique chewable format might feel a bit unusual at first, especially for toothpaste traditionalists, but the fresh peppermint finish they provide really leaves your mouth feeling clean.

They’re a great option for those who want something easy yet effective to add to their oral care routine. 125 Tablets will give you 4 months of daily use.

✅ Pros

No plastic waste; comes in handy, chewable tablets.

Great for travel; no water needed.

Good value

Cons

Some might not enjoy the texture.

Not the same feel as traditional toothpaste.


Best Formulated Hydroxyapatite Toothpaste

Great Oral Health Pro-Mineralizer Toothpaste

Key Features:

10% Nano-hydroxyapatite

SLS-Free

Aloe Vera and Xylitol

If you’re looking for a toothpaste that supports enamel health and minimises sensitivity, you’ll appreciate this product’s emphasis on quality ingredients. They include: aloe vera (soothing), xylitol (anti-plaque), sea salt (anti-bacterial) and of course an 10% nano-hydroxyapatite formula which is clinically tested.

Some users have taken a while to adapt to its flavour profile, especially given the lack of glycerin which many other toothpastes use to enhance texture and taste.

However, Its glycerin-free formulation ensures your teeth aren’t coated with unnecessary substances, allowing the nano hydroxyapatite to properly adhere and work effectively.

For a hydroxyapatite toothpaste with quality ingredients that truly benefits your teeth and gums, this could be the one.

Pros

Strengthens enamel and reduces sensitivity with nano-hydroxyapatite.

Lacks glycerin, making it a standout choice for purists.

❌ Cons

Lack of foam might not satisfy those used to traditional toothpaste.


Best Hydroxyapatite Toothpaste with Fluoride

Happier Mint Toothpaste

Key Features:

Nano-hydroxyapatite

1450ppm Fluoride

Papain (stain removal)

Vitamin E

Happier Mint Toothpaste is definitely commendable for its natural ingredients and eco-friendly packaging. Plus it has both fluoride AND Hydroxyapatite to help keep your teeth strong and healthy.

It contains Papain, a papaya enzyme which gently dissolves surfaces stains, and Vitamin E to reduce gum inflammation. It’s reassuring to know that the toothpaste is free from chemicals such as parabens and SLS.

This toothpaste does promise to whiten your teeth by up to four shades, but it fails to provide any evidence or results of this so I’m a little skeptical of this. It will though strengthen your tooth enamel and reduce sensitivity, thanks to the hydroxyapatite content.

We appreciate how Happier has combined sustainability with strengthening enamel and effective stain removal.

Pros

Eco-conscious aluminium tube

Strengthens enamel naturally with HAP and F

Pleasant mint flavour

Cons

Limited whitening credentials


Buying Guide – How to choose the right Hydroxyapatite Toothpaste for you

When you’re on the hunt for the best hydroxyapatite toothpaste, there are a few crucial factors to keep in mind.

Ingredients to Look For:

Look for a toothpaste with 10% Nano Hydroxyapatite to ensure effectiveness: This concentration has shown promising results in studies that focus on reducing tooth sensitivity and improving enamel strength.

1450ppm Fluoride: Often included for extra cavity protection.

Potassium Nitrate: Reduces sensitivity.

Coconut Oil: Offers natural antimicrobial properties.

Xylitol: Helps to protect tooth surfaces from adhering plaque.

Aloe Vera: Soothes your gums.

Sodium Bicarbonate: Gently whitens your teeth.

Eco-Friendly Choices

Check if the toothpaste packaging is recyclable. It’s an easy way to be kinder to the planet with your product choices.

Price Considerations

Toothpaste prices can vary, and hydroxyapatite toothpastes can be a bit more expensive than fluoride based alternatives. However studies show hydroxyapatite’s effectiveness—so sometimes spending a little more pays off.

Texture and Flavour

You’ll be using it every day, so pick a texture and flavour you’ll enjoy. Look for reviews to get an idea of what others think, or try a small tube to start.


What does the research say?

Curious about hydroxyapatite toothpaste? It offers unique benefits for enamel repair and sensitivity relief. Dental professionals widely support it, but knowing the limitations is useful. Here’s a detailed look at its advantages, cavity protection, and more:

Hydroxyapatite can help heal early enamel decay: By reinforcing the enamel, it acts as a natural shield, restoring the damaged areas

The potential to prevent decay is another standout feature. Hydroxyapatite’s unique structure allows it to bond with the tooth surface, forming a protective barrier against acid attacks, further ensuring its effectiveness as an anti-caries agent (2).

Biocompatibility is key when it comes to dental care. Your body recognises hydroxyapatite as a natural element, minimising the risk of irritation or rejection, meaning you can brush without fear of adverse reactions.

Teeth may appear whiter with regular use of hydroxyapatite toothpaste. Its polishing properties gently lift surface stains caused by food and drinks.

Maintaining a resistance to acidic pH balances is crucial. Hydroxyapatite works by neutralising acids in your mouth, thus maintaining a stable pH environment. This process helps in preventing decay and encourages a friendly flora for your teeth and gums.

Improvement in your gum health. By reducing plaque build-up and providing a calming effect on the soft tissues, many users report fewer issues with sensitive or inflamed gums.


Is nano hydroxyapatite safe to use?

The short answer is yes. Nano hydroxyapatite closely resembles the main component of your teeth and bones. It’s non-toxic and biocompatible, meaning it’s a safe choice for oral health.

When choosing dental products, safety is a top priority. The use of nano-sized particles, like NanoXIM, enhances the remineralisation process of enamel without harmful effects. Studies have shown that these small particles can safely and effectively integrate into the tooth structure, offering enhanced protection.

What about Micro vs. Nano Hydroxyapatite? Nano particles, unlike their larger micro counterparts, have the advantage of penetrating the tooth surface more effectively, aiding in better enamel repair.

Still concerned? Nano hydroxyapatite has been extensively researched, and its safety has been verified for concentrations up to 10%. In fact, this ingredient is gaining popularity in dental care across the globe. More brands are now incorporating it into their formulations due to its efficacy and safety profile.


Are there other ways to remineralise your enamel?

Apart from using hydroxyapatite toothpaste, there are some other useful tips on how to remineralise your enamel.

Firstly, your diet plays a significant role. Incorporating calcium-rich foods, like cheese, yoghurt, and leafy greens can boost enamel health.

How often you indulge in acidic and sugary foods also has a big impact. Reducing acid and sugar intake helps prevent enamel erosion. If you’re about to enjoy something acidic, consider drinking water or milk afterwards to neutralise acids.

For a bit of extra protection, think about fluoride. Many types of toothpaste and mouthwashes contain it, and it can help strengthen your enamel.

Lastly, good oral hygiene is essential. Regular brushing with a good electric toothbrush and flossing keep plaque at bay, making it easier for your enamel to recover. And of course, popping into the dentist for regular check-ups doesn’t hurt either!


Frequently Asked Questions

What benefits do kids gain from using hydroxyapatite toothpaste, and how does it compare to fluoride?

Hydroxyapatite is a key tooth mineral. Kids can benefit from it because it lacks fluoride’s risks if swallowed. Unlike fluoride, which can lead to dental fluorosis in large amounts, hydroxyapatite is biocompatible.

Why is hydroxyapatite toothpaste good for those with sensitive teeth?

Hydroxyapatite can help reduce sensitivity by remineralising and repairing the tooth surface. It helps to block hollow tubules in enamel and dentine, which provide a route for cold air to get through to the nerves inside your tooth.

Does hydroxyapatite toothpaste prevent tooth decay?

Yes, hydroxyapatite does reduce the chance of getting cavities! It mimics natural tooth enamel, filling in tiny cracks and strengthening teeth. Studies have shown it to be just as effective as fluoride in preventing cavities.

Do dentists recommend hydroxyapatite toothpaste?

As a dentist, I am impressed by hydroxyapatite toothpastes, and what they offer. Fellow dental professionals also appreciate its natural credibility and effectiveness in promoting good oral health. However, I always recommend fluoride based toothpastes to my patients. For best results, consider using both hydroxyapatite and fluoride toothpastes as part of your brushing routine.

Are there any downsides or limitations to switching over to a hydroxyapatite toothpaste for daily oral care?

While generally well-tolerated, the price tag can be higher than typical toothpaste. Availability might also be limited in certain areas. Fluoride toothpastes are tried and tested, have been around for longer, and have stronger evidence in prevention of dental disease. I would add a hydroxyapatite toothpaste into your oral hygiene regimen, rather than replacing your traditional toothpaste completely.

Is hydroxyapatite toothpaste worth the cost?

Yes! Due to its natural enamel-rebuilding properties, many find the investment worthwhile.

How do you use the hydroxyapatite toothpaste?

Just like any other toothpaste! It is designed for daily use. Add a pea-sized amount of toothpaste (a smear for children under 6), and gently brush for two minutes with an electric toothbrush.

Picture of Dr Jarri Amini

Dr Jarri Amini

BDS (Honours) London 2012. Jarri has worked as a General Dentist in West Yorkshire for over 10 years. He firmly believes that educating patients about their oral health is one of the most impactful aspects of his job. He has worked on the NHS and in Private Practice.

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