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 1978 reviewsI have been using this product for 4 months now 😁 I Just visited my hygienist and dentist....both remarked how clean my teeth were ...
Also I was in the dentist chair only for a few minutes as he could see that nothing needed investigating 😎👍
I've been really conscious about what i put on my body and use in my environment for years but not really thought about toothpaste until about 6 months ago. My mouth has been dry for years and my tongue often felt sore. I am so glad I found truthpaste, cut out SLS . My mouth and teeth haven't felt this good in years.
Wonderful product. It is the only toothpaste I will use.
Purchased this for my partner, who was looking for a fluoride free mouthwash. He loves the strong mint flavour and the fact it is probiotic too.
I love this product. My mouth feels so much fresher and cleaner and tooth sensitivity has gone.
Was given this as a free sample. It has a lovely zingy taste.
Fabulous! This is a repeat order for me and I get it for my whole family. It gets rid of plaque and leaves breath wonderfully fresh!
Love this toothpaste! Found it a few years ago on a trip back to Scotland and it has been fantastic. I don’t like peppermint before bed, so the fennel is perfect!
Original: Peppermint & Wintergreen (100ml)
This product is amazing so much so I subscribe and save and to save on postage it only arrives once a year.
Customer services are old school and wonderful to deal with.
Thank you
2nd purchase. It helps with sensativity. The peppermint is a fresh, natural flavour but the first few brushes may take a little getting used to if you’re new to truthpaste because the paste does not foam, which I personally prefer, it’s a tiny bit gritty but it works perfectly. Environmentally friendly and so Is the packaging.
I wasn’t to keen when I first tried toothpaste in a jar. But after a couple of days I started to like the taste. Now I wouldn’t use anything else. I started using in July and just cleared the last bit out the jar (nov) seems expensive but it actually cheaper than other products because they don’t last this long.
I can’t seem to edit my previous review so here is a new review. In case anyone orders a spatula with the truthpaste and thinks it is missing, check the contents of the packaging more carefully than I did The spatula was taped onto the inside on the cardboard box. The truthpaste team dealt with my issue very promptly and with courtesy . The truthpaste itself is great and I will be ordering more.
Great little toothpaste travel tin.
Leave a comment