My Recommended Toothpastes with Hydroxyapatite

[Updated: June 2024]

Everyone is looking for natural alternatives to everything these days, your toothpaste is no different. For many many years we’ve heard our dentists tell us about the importance and benefits of fluoride and why we need to ensure that it exists in all our dental products. I am one of those dentists that have long touted the use of fluoride. The benefits and importance of it still holds true. However, the rising interest in natural options has led to exploration into alternatives like hydroxyapatite. However, it's important to note that not all brands offering products with nano-hydroxyapatite (nHA) meet the recommended concentration of 10% for maximum effectiveness.

What’s the difference between fluoride & hydroxyapatite?

Fluoride, a naturally occurring element, works by fortifying tooth enamel, creating a stronger and more acid-resistant surface to help prevent cavities. However, excessive fluoride intake, particularly in higher doses, may pose risks such as weakening bones and ligaments. The amount typically found in toothpaste, under 20mg, is considered safe.

On the other hand, hydroxyapatite is a natural form of calcium that constitutes 97% of our tooth enamel, with the remaining 3% composed of collagen, water, and proteins. Recognized by our mouths as a familiar substance due to its similarity to our teeth, hydroxyapatite is absorbed by the teeth, filling in fissures and grooves caused by bacterial acids, thereby remineralizing teeth and preventing cavities.

While toothpastes containing fluoride are widely available, I'd like to introduce you to some of my favorite toothpastes featuring hydroxyapatite. However, it's essential to be aware that not all of these brands contain the recommended 10% concentration of hydroxyapatite for optimal effectiveness.

OLLIE

This toothpaste is one of the first that I’ve encountered to combine the benefits of hydroxyapatite AND fluoride together. Ollie toothpaste has 2% hydroxyapatite, 0.24% fluoride (which is the over the counter standard) and xylitol to fight cavities in more ways than other toothpastes.  Ollie also contains 5% potassium nitrate for sensitivity control, which also pairs well with whitening treatments, or just sucking down cold drinks. You will smile a bit more knowing that you are using one of the most effective toothpastes available and that 10% of profits go to providing oral care basics to those in need.  Since most of us are buying toothpaste online now, we want to make it ridiculously easy. Subscriptions will get the right amount of paste to your door, on your schedule, and can be quickly adjusted with a few taps on your phone.  

  • Paraben free 

  • No artificial colors 

  • No artificial sweeteners 

Natural Ingredients: 

  • Hydroxyapatite 

  • Potassium Nitrate 

  • Coconut Oil 

  • Fluoride 

If you are looking for a great fluoride free option, check out their Clean Mint Toothpaste, it contains 10% nano-hydroxyapatite - linked here.

Try Ollie with discount code: UNORTHODOC10 for 10% off. 

Risewell

Their toothpaste is made with naturally-derived hydroxyapatite, a mineral that makes up 97% of our tooth enamel and 60% of your bones and has been proven to strengthen and protect your teeth without fluoride. Unlike many natural toothpastes, they didn’t just remove the toxic ingredients found in traditional toothpastes; they swapped in 100% safe and natural alternatives that clean and protect just as effectively. Risewell’s entire line of products have hydroxyapatite, including their floss!

  • Fluoride-Free

  • SLS & Sulfate Free

  • Paraben Free

  • No artificial colors, flavors or preservatives.

Natural Ingredients:

  • Hydroxyapatite

  • Silica & Calcium Carbonate

  • Xylitol

Try Risewell with discount code: UNORTHODOC10 for 10% off.

Great Oral Health

Great Oral Health’s nano-hydroxyapatite toothpaste was formulated and developed by holistic dentist, Dr. Paul O’Malley, with the vision and mission to fundamentally change the traditional approach to oral health. Their toothpaste provide significant sensitivity relief by fortifying and hardening the surface of your teeth through an advanced process of mineralization. It is fluoride free, as the hydroxyapatite does the same job, but better and naturally, than fluoride.

Boka

Boka pairs the best ingredients nature and modern science have to offer to heal your mouth and nourish your body. They use hydroxyapatite in their toothpaste and other natural products. What I love most is that for every Boka brush purchased they donate a toothbrush to their non-profit partner, Surge. They work hard to bring life-sustaining water to those in need. Together, they’re also providing oral health education to schools around the world.

  • Vegan & Cruelty Free

  • Fluoride-Free

  • SLS & Paraben Free

  • No artificial flavors & no endocrine disruptions

Natural Ingredients:

  • Hydroxyapatite

  • Potassium Chloride

  • Sorbitol Powder

  • Xylitol

Try Boka with discount code: theunorthodoc for 20% off.

 

NOBS TOOTHPASTE TABLETS

Formulated by a dentist, NOBS Toothpaste Tablets by biöm are fluoride-free toothpaste with nano hydroxyapatite, a substance that your teeth are naturally made of that is scientifically proven to be just as effective as fluoride with the same potential side effects. Unlike traditional fluoride toothpaste, hydroxyapatite toothpaste is safe for pregnant women and children. Further, NOBS are perfect for fighting hypersensitivity, preventing tooth decay, and remineralizing and strengthening your enamel. They come in three flavors: mint, grape, and vanilla. Plus, they're a great sustainable choice since they come in a glass jar instead of a plastic tube. In fact, they're one of the only zero waste hydroxyapatite toothpastes in the whole world.

  • Fluoride-free

  • No mess

  • No plastic

  • TSA friendly

  • Safe for children

Natural Ingredients:

  • Calcium Hydroxyapatite (Nanohydroxyapatite 5%)

  • Xylitol

  • Mentha Piperita L (Peppermint)

  • Microcrystalline Cellulose

  • Calcium Carbonate

  • Anionic Surfactant from Coconut Oil

  • Menthol

  • Zinc Citrate

  • Sodium Bicarbonate

Keeko

They don’t rely on abrasive chemicals — instead, they turn to safe and effective ingredients that will care for your whole body, not just your teeth. They have every single ingredient they use in their products listed on their website. They recommend combining your daily Keeko fix with a healthy, balanced diet and physical movement to keep your mouth and body in its happy place.

  • No Parabens

  • No SLS

  • No Triclosan

  • No GMOs

  • No artificial flavors

  • No animal testing

  • Hydroxyapatite

  • Calcium Carbonate

  • Xylitol

  • Other natural products (see website)

Try Keeko with discount code: UNORTHODOC10 for 10% off.

 

Twice

Twice products help elevate oral pH, balance bacteria, promote saliva production, soothe and strengthen gums, protect teeth from decay, cavities, and sensitivity, and work hard to promote a healthy homeostatic environment. It’s also the only toothpaste that I’ve found that contains both Hydroxyapatite and some fluoride.

  • Vegan & Cruelty Free

  • Sulfate & SLS Free

  • Gluten & Paraben Free

  • BPA Free

  • No Artificial Dyes

  • Recycle Read

Natural Ingredients:

  • Hydroxyapatite

  • Sodium Fluoride

  • Potassium Nitrate

  • Xylitol

Try Twice with a discount code: UNORTHODOC10 for 10% off.

 

Note: Updated in June 2024

I strive to provide you with the latest and most comprehensive information about toothpaste options featuring hydroxyapatite. In an ongoing commitment to offering valuable insights, I've added a new recommended toothpaste to this list, reflecting the evolving landscape of dental care products. As great products become more available on the market, I want to ensure you have access to the best options for your oral health needs. Thank you for trusting me as your source for dental care recommendations.

If you’re looking for more recommendations, head to the resources page. I love partnering with brands whose products and services bear a mission and purpose that I can get behind. This page contains affiliate links and almost all items mentioned are resources that I have verified and/or personally use.

Lifestyle & Travel, MotherhoodDr. Patrice Smithsmile tips, hydroxyapatite, fluoride, twelve10 Comments