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Fluoride vs hydroxyapatite toothpaste: which works better?

Fluoride vs hydroxyapatite toothpaste: which works better?

Created: September 28, 2022 | Updated: March 28, 2024

Taking care of your teeth is important. There are a number of tips and tricks you can undertake yourself to ensure optimal care for your teeth. For instance, brushing three times a day is also important to keep up with. But with which toothpaste do you brush best? Do you go for toothpaste with fluoride or toothpaste with hydroxyapatite? And what exactly is the difference? We’d like to explain that to you in this article.

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The difference between hydroxyapatite and fluoride toothpastes

Both toothpastes are good to use but serve different purposes. Of course, with both you brush your teeth well, but if we look a little further than that we can tell you the following:

Most people choose toothpaste with fluoride on the advice of their dentist. Toothpaste with fluoride strengthens tooth enamel and makes it less likely for cavities to form. In contrast, toothpaste with hydroxyapatite actually helps rebuild tooth structure. Also, toothpaste with hydroxyapatite is recommended if you have sensitive teeth 1.

How does a fluoride toothpaste work

The purpose of fluoride toothpaste is to strengthen your teeth with the main goal of preventing cavities. This does not mean that if you brush with fluoride you will always prevent cavities, but it does mean that you reduce the chances of cavities forming.

Fluoride hardens your teeth and makes it less likely that cavities, erosion or abrasion will occur. If you brush with a toothpaste with fluoride, fluoride will eventually be built into your tooth enamel. This is called fluorapatite. Compared to hydroxyapatite, fluorapatite is a lot harder. As a result, your tooth enamel is less likely to dissolve and your teeth remain a lot better protected.

How does hydroxyapatite toothpaste work?

Toothpastes with hydroxyapatite increase the mineral content of your tooth enamel. This makes your tooth enamel stronger. Not necessarily like with fluoride harder. Toothpastes with hydroxyatite make your teeth less sensitive and restore the structure of your teeth. By restoring the structure of your teeth, you also prevent future problems in your teeth, such as cavities.

Fluoride vs hydroxyapatite toothpaste

Advantages of hydroxyapatite compared to fluoride

Both toothpastes can help with tooth remineralisation. You can improve the health of your teeth with both, but when you use toothpastes with hydroxyapatite, you don’t have to worry about the side effects that can occur if you ingest too high doses of fluoride. In fact, too much fluoride on your tooth enamel can in turn counteract its effects, and it can actually erode your tooth enamel over time instead of hardening and strengthening it.

The safety of hydroxyapatite

You can perfectly carefree brush your teeth with toothpaste containing hydroxyapatite. To date, there are no to few known side effects of brushing with hydroxyapatite.

Conclusion: which works better?

Both hydroxyapatite and fluoride are good options for oral care. Hydroxyapatite focuses more on restoring the natural tooth structure and fluoride focuses more on hardening your tooth enamel. The big difference is mainly that fluoride does not replace minerals in your teeth where hydroxyapatite does. Hydroxyapatite fills in small cracks that form in your tooth enamel. This reduces the likelihood of future problems such as cavities and wear and tear. Hydroxyapatite also makes your teeth smoother and whiter. All in all, hydroxyapatite comes out on top.

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Related Trusted Sources

  • 1. Chen L, Al-Bayatee S, Khurshid Z, Shavandi A, Brunton P, Ratnayake J. Hydroxyapatite in Oral Care Products-A Review. Materials (Basel). 2021 Aug 27;14(17):4865. doi: 10.3390/ma14174865. PMID: 34500955; PMCID: PMC8432723.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432723/

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Frequently asked questions

The main difference is that hydroxyapatite restores your tooth structure and fluoride hardens your tooth enamel. Both fight cavities, but in their own way.

You can definitely use it as an alternative to fluoride, just keep in mind that the effect is slightly different. With hydroxyapatite, you also reduce the risk of cavities and wear, only you achieve that by improving the mouth structure. Your tooth enamel also hardens in the process but it is not the main purpose as with fluoride.

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