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Hydroxyapatite

Hydroxyapatite is a mineral made from calcium and phosphate that is naturally found within human teeth, making up most of the enamel and dentin. In oral care, it is valued for helping restore lost minerals to teeth while supporting enamel strength and reducing sensitivity.

Hydroxyapatite for Enamel Support and Tooth Remineralisation

Hydroxyapatite is a naturally occurring mineral made from calcium and phosphate, the same minerals found in teeth. It makes up approximately 97% of tooth enamel alongside around 70% of dentin, the layer beneath the enamel surface (1).

What hydroxyapatite is and how it works

Because hydroxyapatite already exists naturally within the teeth, the body accepts it easily (2).

Within oral care, hydroxyapatite is used to support remineralisation, the process of restoring lost minerals to teeth. Rather than only coating the tooth surface, it may help fill tiny weak spots in enamel to support overall tooth strength (3).

As such, hydroxyapatite has become increasingly popular within fluoride free toothpaste formulations designed to strengthen enamel while helping reduce tooth sensitivity.

Nano and non nano hydroxyapatite

Hydroxyapatite is commonly available in both nano and non nano forms.

Nano hydroxyapatite contains extremely small particles capable of penetrating deeper into tiny channels inside the tooth called dentin tubules, which may help reduce tooth sensitivity more effectively.

Non nano hydroxyapatite, meanwhile, remains primarily on the outer enamel surface (4).

Benefits of hydroxyapatite

Enamel remineralisation and structural support

One of hydroxyapatite’s primary benefits is its ability to support enamel remineralisation using calcium and phosphate, the same minerals naturally present within healthy teeth.

By integrating into weakened enamel areas, hydroxyapatite helps reinforce the tooth surface while supporting overall enamel strength over time.

Hydroxyapatite and tooth sensitivity support

Hydroxyapatite is also widely used within formulations targeting tooth sensitivity. That’s because nano hydroxyapatite particles may help seal exposed dentin tubules, tiny channels within the tooth that can contribute to discomfort when exposed to heat, cold or acidic foods (5).

Oral microbiome support

Unlike highly antibacterial oral care ingredients that may disrupt the balance of bacteria in the mouth, hydroxyapatite is different.

It is often thought of as having a gentler approach because, rather than aggressively eliminating microbes, it may help reduce the ability of plaque causing bacteria to stick to teeth while preserving the wider oral microbiome.

Nutritional synergy and mineral balance

Hydroxyapatite is viewed as a product (applied externally) that works alongside a mineral rich diet containing nutrients such as calcium, magnesium, Vitamin D3 and Vitamin K2, all of which contribute to how the body uses and regulates minerals (6).

Saliva also plays an important role in enamel repair because it naturally carries calcium and phosphate minerals across the teeth. Maintaining a healthy acid balance in the mouth may therefore help support the remineralisation process further (7).

How is Hydroxyapatite used?

Hydroxyapatite is most commonly found within toothpaste, tooth powders and remineralising oral care formulations.

For daily use, practitioners often recommend brushing with hydroxyapatite toothpaste before spitting out the excess without immediately rinsing. This allows more mineral residue to remain on the enamel surface for longer.

It is frequently paired with ingredients such as xylitol, aloe vera or botanical extracts.

Precautions for use of Hydroxyapatite

People with ongoing tooth pain, gum bleeding or suspected cavities should seek professional dental advice rather than relying solely on products designed to help restore minerals to teeth.

For children, oral care products should always be selected according to age suitability and used under appropriate supervision.

Because nano and non nano hydroxyapatite function differently, some people may prefer one form over the other depending on their comfort level and oral health priorities.

Key Takeaways

Hydroxyapatite is a naturally occurring mineral used within oral care to help restore lost minerals to teeth while supporting enamel strength and reducing tooth sensitivity, with both nano and non nano forms commonly incorporated into fluoride free formulations designed to strengthen teeth using the body’s own mineral building blocks.


Academic References

  1. O'Hagan-Wong K, Enax J, Meyer F, Ganss B. The use of hydroxyapatite toothpaste to prevent dental caries. Odontology. 2022 Apr;110(2):223-230. doi: 10.1007/s10266-021-00675-4. Epub 2021 Nov 22. PMID: 34807345; PMCID: PMC8930857.https://pmc.ncbi.nlm.nih.gov/articles/PMC8930857/ 
  2. Florea AD, Pop LC, Benea HR, Tomoaia G, Racz CP, Mocanu A, Dobrota CT, Balint R, Soritau O, Tomoaia-Cotisel M. Remineralization Induced by Biomimetic Hydroxyapatite Toothpastes on Human Enamel. Biomimetics (Basel). 2023 Sep 23;8(6):450. doi: 10.3390/biomimetics8060450. PMID: 37887581; PMCID: PMC10604461.https://pmc.ncbi.nlm.nih.gov/articles/PMC10604461/ 
  3. Pepla E, Besharat LK, Palaia G, Tenore G, Migliau G. Nano-hydroxyapatite and its applications in preventive, restorative and regenerative dentistry: a review of literature. Ann Stomatol (Roma). 2014 Nov 20;5(3):108-14. PMID: 25506416; PMCID: PMC4252862. https://pmc.ncbi.nlm.nih.gov/articles/PMC4252862/ 
  4. Xu J, Shi H, Luo J, Yao H, Wang P, Li Z, Wei J. Advanced materials for enamel remineralization. Front Bioeng Biotechnol. 2022 Sep 13;10:985881. doi: 10.3389/fbioe.2022.985881. PMID: 36177189; PMCID: PMC9513249.https://pmc.ncbi.nlm.nih.gov/articles/PMC9513249/ 
  5. Pushpalatha C, Gayathri VS, Sowmya SV, Augustine D, Alamoudi A, Zidane B, Hassan Mohammad Albar N, Bhandi S. Nanohydroxyapatite in dentistry: A comprehensive review. Saudi Dent J. 2023 Sep;35(6):741-752. doi: 10.1016/j.sdentj.2023.05.018. Epub 2023 Jun 7. PMID: 37817794; PMCID: PMC10562112. https://pmc.ncbi.nlm.nih.gov/articles/PMC10562112/ 
  6. van Ballegooijen AJ, Pilz S, Tomaschitz A, Grübler MR, Verheyen N. The Synergistic Interplay between Vitamins D and K for Bone and Cardiovascular Health: A Narrative Review. Int J Endocrinol. 2017;2017:7454376. doi: 10.1155/2017/7454376. Epub 2017 Sep 12. PMID: 29138634; PMCID: PMC5613455.https://pmc.ncbi.nlm.nih.gov/articles/PMC5613455/ 
  7. Farooq I, Bugshan A. The role of salivary contents and modern technologies in the remineralization of dental enamel: a narrative review. F1000Res. 2020 Mar 9;9:171. doi: 10.12688/f1000research.22499.3. PMID: 32201577; PMCID: PMC7076334.https://pmc.ncbi.nlm.nih.gov/articles/PMC7076334/