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.
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How it works: Fluoride helps resist acid attacks by forming a harder, more acid-resistant layer on teeth (fluoroapatite).
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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:
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✅ They clean and freshen.
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✅ They help prevent decay.
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❌ 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.
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When enamel erodes, those hydroxyapatite crystals dissolve.
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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:
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✅ Gentle daily remineralisation
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✅ Helps reduce sensitivity
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✅ 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 2100 reviewsGentle and effective products. Particularly like the enamel repair mask.
Very good tooth paste teeth ,gum feel alot better ,second order placed
I’m enjoying the flavour and my teeth feel clean after use. No complaints. I like the little glass jar. One less bit of plastic waste.
Charcoal: Peppermint & Spearmint (100ml)
I started using this to try and help with some dental issues which require extractions. I was feeling very unwell almost daily. I've noticed my sinuses are improving, less asthma, less acid reflux. The teeth were aching very badly last week, but the aching has been coming and going. When it dies down, my mouth is actually feeling a lot better, and the teeth starting to feel a little more stable. Will be interesting to see quite where this is leading.
I am now on my second jar of this lovely product and my teeth love it! I’ve also tried others in the range and they’re just as good; just taste different, which is nice! I would highly recommend this toothpaste and the company. All good. My teeth feel cared for! XXX
I tried other natural toothpastes before i came across this one and it is the best so far. It cleans really well and my teeth are whiter and much less sensitive. I put that down to the hydroxyapatite. It's reassuring to know that I'm not using chemicals and that the ingredients are all beneficial to my teeth and gums. Thanks Truthpaste for caring about our health. 🙏
After only a few weeks I’ve noticed the cracks in my teeth being less painful and feeling smoother. Amazing product!
Tastes great and really leaves my mouth feeling clean and fresh! Great product!
Great product, natural and eco packaging I absolutely love it!
Quality as always, my teeth and gums have never been in better health
Love that it's slightly abrasive, love the flavor too it's not too strong it's quite subtle.
An excellent product,leaves the mouth very well refreshed and seems to whiten
the teeth before they are brushed!!!
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