Why Most Toothpastes Can’t Repair Enamel (and What Can)
The problem with enamel erosion
Every day, our teeth face attacks from acidic food and drink, bacterial plaque, and even over-brushing. Over time this leads to enamel loss — causing sensitivity, cavities, and yellowing.
Here’s the kicker: once enamel is gone, it doesn’t naturally regrow. Unlike bone, enamel has no living cells to repair itself.
So where does that leave us? Traditionally, dentistry has focused on prevention rather than repair — protecting what enamel you have left, but not restoring what’s been lost.
Fluoride: protection, not repair
Fluoride is the most common active in mainstream toothpaste.
-
How it works: Fluoride helps resist acid attacks by forming a harder, more acid-resistant layer on teeth (fluoroapatite).
-
Limitations: Fluoride strengthens what’s there, but it doesn’t directly rebuild lost enamel. It’s protective — not restorative.
That’s why you can brush with standard toothpaste every day and still develop sensitivity, erosion, or cavities.
Why “everyday” toothpastes fall short
Most supermarket toothpastes are 95% filler: abrasives, foaming agents, artificial flavours, and stabilisers. Actives like fluoride are typically only 0.1%–0.3% of the formula.
This means:
-
✅ They clean and freshen.
-
✅ They help prevent decay.
-
❌ They don’t rebuild enamel.
So if you already struggle with sensitivity or enamel erosion, you need more than just “everyday” protection. You need minerals back in the tooth.
Hydroxyapatite: the mineral your teeth are made of
Here’s the science: your enamel is 97% hydroxyapatite — a crystalline form of calcium and phosphate.
-
When enamel erodes, those hydroxyapatite crystals dissolve.
-
When you reintroduce hydroxyapatite, the minerals can integrate into the enamel surface — plugging microscopic holes, repairing weak spots, and reducing sensitivity.
Unlike fluoride, which modifies the surface, hydroxyapatite directly replaces what’s lost.
Toothpastes with hydroxyapatite: a step forward
Over the last decade, clinical studies have shown hydroxyapatite toothpaste to be as effective as fluoride at preventing cavities — and even better at reducing sensitivity.
That’s why Truthpaste created its 5% hydroxyapatite toothpaste:
-
✅ Gentle daily remineralisation
-
✅ Helps reduce sensitivity
-
✅ Strengthens enamel over time
Most everyday toothpastes are designed to clean and protect, but they can’t truly repair enamel. Enamel — the hard outer layer of your teeth — doesn’t naturally regrow once it’s worn away. Fluoride, the main active in conventional toothpaste, helps strengthen what remains but doesn’t replace lost minerals.
That’s where hydroxyapatite comes in. Hydroxyapatite is the very mineral enamel is made of, and clinical studies show it can replenish weakened areas, reduce sensitivity, and restore surface smoothness. Toothpaste with hydroxyapatite offers a more advanced approach to protecting and repairing teeth, making it a powerful alternative to standard fluoride-based formulas.
Let customers speak for us
from 1937 reviewsVery strong and gard wearing and does the job very well
Great toothpaste and last me ages
Have used this toothpaste, love it, have brought some for my daughter and parter now!
Have been using for the last couple of weeks and already noticing the positive whitening effect it has. Interested to see how the 12% micro-Hydroxyapatite improves my teeth over time.
I’m very happy with this toothpaste, the peppermint flavour is so fresh feeling, I will buy it again
I've not been using this one long, and already feel a difference. I like the taste too.
Lovely toothpaste
Easy to apply with the spatulas
Really leaves my mouth clean and fresh
I wasn't sure what to expect from an orange and fennel flavour, but it has grown on me and I really like it now. Not sure about any whitening effects yet, perhaps it will take more time.
Tastes great. I have bought this 5 times.... love it.
Been using for a couple of months now, teeth are less sensitive, love the mouth wash (no alcohol) just added the enamel mask, and the organic one to help with receding gums, proof, first time in forever I’ve been to the dentist, and needed nothing done!!!
This is the nicest mouthwash I've ever had. Feels great in the mouth nice strong mint flavour without the burn.
I was skeptical about this toothpaste but after a couple of weeks use along with the mask I must say my teeth feel amazing, clean and stronger with much less sensitivity. I would highly recommend this toothpaste and mask to anyone who has sensitive teeth and wants a neutral alternative to chemical maiden fluoride toothpaste. This will be my new regular oral care from now on!
I came across this product on Instagram a few months ago and decided to give it a try as others on the market appear to be full of chemicals and always left a strange bitter aftertaste, I have to say this product did not dissapppoint! My gums feel healthier my mouth feels fresh after use and no aftertaste other than the fresh minty taste, I also love the small metal cup it comes with and a big plus is that this company is eco friendly. Definately my go to for the future.
Leave a comment