Latest news with #Boka
CNET
5 days ago
- Health
- CNET
NOBS Toothpaste Tablets: What Dentists Say About Its Main Ingredient
The NOBS (No Bad Stuff) toothpaste tablets are going viral thanks to their main ingredient of nano-hydroxyapatite, a fluoride-free alternative. As health concerns around fluoride and its presence in public drinking water continue to swirl, nano-hydroxyapatite toothpastes are becoming increasingly popular. You've likely seen them on store shelves or in ads from companies like Boka and Davids, marketed as fluoride-free alternatives for your toothbrush that claim to whiten teeth, repair enamel and prevent cavities. "As ingredient labels shift toward cleaner, fluoride-free formulas, one compound is taking center stage in modern oral care: nano-hydroxyapatite," Dr. Pia Lieb, DDS, cosmetic dentist and clinical assistant professor emerita at NYU College of Dentistry, explains. According to dentists, if you're considering replacing your fluoride toothpaste with a nano-hydroxyapatite alternative like the now-viral NOBS, you should know the following potential benefits and side effects. What is nano-hydroxyapatite? "Nano-hydroxyapatite is a synthetic calcium phosphate compound that's used in some oral care products, including toothpastes," explains Dr. Ada Cooper, consumer advisor and spokesperson for the American Dental Association, says. "[It] has a structure that is similar to hydroxyapatite found in enamel, and nHAP gets incorporated into the tooth structure preferentially in demineralized areas." Nano-hydroxyapatite is also abbreviated as n-HA and n-HAp. Dr. Royce Lai of King Village Dental adds that this is technically a two-part question, since "hydroxyapatite has been around for decades and has been studied for at least 20 years." Newer and less studied, nano-hydroxyapatite is a version of hydroxyapatite with small, rod-shaped particles. "Hydroxyapatite is natural. It is a type of calcium that makes up bones and teeth," says Lai. "Nano-hydroxyapatite relates to the particle size. These are between 20 and 80 nanometers and are much smaller than the hydroxyapatite tubules that are a part of your teeth." According to Dr. Daniela Eversgerd, a cosmetic dentist and the founder of Allure Dental, nano-hydroxyapatite was developed by NASA in the 1970s for astronauts dealing with bone and enamel loss during long periods of space travel. Since the early 1990s, it has been approved for oral care products in Japan. Nano-hydroxyapatite toothpaste benefits "Nano-hydroxyapatite doesn't just protect your teeth -- it helps rebuild them," says Dr. Catrise Austin, a cosmetic dentist, author of Gum Health Made Simple and host of the Let's Talk Smiles podcast. She lists the following as potential nano-hydroxyapatite benefits: Enamel remineralization Tooth sensitivity relief Reduced bacterial adhesion Whitening and gloss enhancement "n-HA can actually fill microscopic cracks and help reverse or arrest early cavities," adds dentist Dr. Sandip Sachar. Austin cites a 2019 study that found a 10% hydroxyapatite toothpaste is equivalent or non-inferior to fluoride toothpaste for preventing and remineralizing dental cavities (or caries) in children. When it comes to teeth sensitivity, Lai cites a 2014 study concluding that 15% nano-hydroxyapatite helped sensitive teeth. "The particle size could get into space and work better than larger particles in micro-hydroxyapatite or fluoride," he explains. "The conclusion was that nano-hydroxyapatite could significantly reduce tooth sensitivity to hot and cold in two to four weeks of use." Referencing an 18-month 2023 clinical trial finding that a 10% n-HAp toothpaste protected adult teeth from new cavities as well as a standard 1,450-ppm fluoride paste, Dr. Christopher Tolmie, DDS, MBA, of PDS Health, states, "By patching enamel and calming swollen gums, nano-hydroxyapatite may cut off a hidden spark of chronic inflammation linked to heart disease and diabetes." Since nano-hydroxyapatite toothpastes are fluoride free, Dr. Yenile Y. Pinto, DDS, functional and biomimetic dentist and founder of Deering Dental, adds, "It's also been shown to reduce sensitivity and strengthen the enamel surface without the risk of fluorosis." Fluorosis occurs when you get too much fluoride as a child, causing white or brown spots on the teeth. The CDC reports that fluorosis typically doesn't affect tooth function and isn't painful. A 2020 systematic review of 32 studies concluded that "Nano-HA is a relatively novel material with outstanding physical, chemical, mechanical and biological properties that makes it suitable for multiple interventions. It outperformed most of the classic materials used in implantology and surgery, but it should be further investigated for bone engineering and caries prevention therapy." HengleinA 2023 comprehensive review found that, while more long-term studies are needed to establish the safety of regular use, "Nanohydroxyapatite is a promising revolutionary material in the prevention of early carious lesion mainly due to a greater source of free calcium." Ultimately, providing a 2021 review and 2022 scoping review, Cooper concludes, "Although there is some evidence that alternative ingredients, such as [nano] hydroxyapatite, prevent tooth decay by acting as a remineralizing or anti-cavity agent, the studies are preliminary. The only anti-cavity agent recognized by the Food and Drug Administration in its over-the-counter monograph is fluoride, a naturally occurring chemical." Cooper adds that all toothpastes with the ADA Seal of Acceptance contain fluoride. The administration specifically recommends brushing your teeth twice a day with fluoride toothpaste and regularly visiting your dentist. Nano-hydroxyapatite toothpaste side effects "According to a [2021] narrative review from Odontology, the official journal of the Society of the Nippon Dental University, so far, there have been no reports of adverse dental or systemic effects of HAP-containing toothpastes because HAP has an excellent biocompatibility," states Cooper. According to Austin, the concern with nano-hydroxyapatite is that, because it's made of nanoparticles, some worry about how much might get absorbed into the body if regularly swallowed. "The European Commission's Scientific Committee raised concerns due to the lack of long-term safety data on ingestion, particularly in children," she says. This has led to temporary nano-hydroxyapatite restrictions (not a full-on banning) in Europe. The European Scientific Committee deems nHA safe in toothpaste up to 29.5% and up to 10% in mouthwash, per Tolmie. However, he states, "Regulators still bar it from breath-spray products to avoid lung exposure, so stick to pastes and rinses." Key concerns around nano-hydroxyapatite, according to Lieb, are: Potential ingestion and systemic absorption, especially in nano form Lack of long-term studies in humans on the cumulative effects Unknown impact of inhalation from aerosol products (not toothpaste) In terms of systemic absorption, Sachar specifies, "Because nano-hydroxyapatite particles are similar in composition to bone mineral, there has been some theoretical concern that if absorbed systemically, they could potentially contribute to unwanted calcifications in soft tissues (like blood vessels or kidneys)." However, she states that this is speculative and not supported by any current clinical nano-hydroxyapatite toothpaste only effective at 10%? "Most clinical formulations of nHA range from 5%-15%, with 10% emerging as the benchmark concentration in several Japanese and European studies," answers Lieb. "This concentration has demonstrated reliable enamel restoration while maintaining product stability and usability." However, she states that newer formulations are experimenting with lower concentrations and enhanced delivery systems (such as encapsulation or synergistic minerals), which may improve efficacy at reduced levels. "The effectiveness isn't just about percentage, it's also about particle quality and how it's delivered to the tooth surface," she explains. Tolmie adds, "Effective repair starts as low as 5% and plateaus around 10-15%. Several studies show that 5% n-HAp can mend enamel dings, divots and dents in the teeth, with benefits leveling off somewhere between 10% and 15%. One review even noted that 5% sometimes beats 10% because fewer particles clump, making them easier to slip into enamel defects; hence, most US brands sit comfortably in the 5-10% sweet spot." Should people replace fluoride toothpaste with nano-hydroxyapatite? Eversgerd states that it all depends on each person's oral health needs. "Fluoride remains the gold standard for cavity prevention, supported by decades of large-scale, randomized controlled trials," she explains. "However, for patients seeking a fluoride alternative -- whether due to sensitivity, allergies, personal preferences or a desire for a biomimetic approach -- nano-hydroxyapatite provides a scientifically supported option." According to the Academy of Biomimetic Dentistry, a biomimetic approach is one in which damaged teeth are restored using materials mimicking natural teeth in function, strength and appearance. For high-risk patients, Eversgerd recommends fluoride, while she may recommend n-Ha to low-risk or fluoride-averse individuals. Austin seconds this, but adds that she also recommends fluoride toothpaste to children with poor brushing habits or communities with limited dental access. "nHA is a great option, but it's not a one-size-fits-all replacement for fluoride -- yet," Austin says. Lieb explains that nHA may also be a compelling alternative for patients with aesthetic concerns, such as whitening-induced sensitivity, and individuals in preventive care regimens post-restorative treatment. Pinto agrees that it depends on the person, stating, "For most of my patients, especially those with low to moderate cavity risk, nano-hydroxyapatite is an excellent option; gentler on the mouth, less drying and effective at rebuilding early damage. For people with high cavity risk, fluoride might still be the best choice, at least short term. For my high-risk patients, I often recommend a combo toothpaste that includes both ingredients when appropriate." Ultimately, if a patient isn't high risk and has health or safety concerns about fluoride, she thinks hydroxyapatite is a great option. When asked if there's a reason people should choose n-HAp over other anti-cavity toothpastes, Tolmie answers, "No, as long as patients are brushing their teeth with an anti-cavity toothpaste. There are differences in the way an n-HAp toothpaste and a fluoride toothpaste work to prevent decay, and some n-HAp toothpastes may feel smoother on the teeth. But anti-cavity toothpastes as a whole accomplish the same task. Do I wash a car with tap water or bottled water? We know that both of them get the job done." What's most important, according to Tolmie, is that patients ensure they're not swallowing toothpaste. What does the American Dental Association think? Cooper states that the ADA recommends brushing teeth twice daily for two minutes with fluoride toothpaste, as the naturally occurring mineral has been proven to remineralize weakened enamel and reverse early signs of tooth decay. "Additionally, the fluoride you take in from drinking water and other beverages continues to provide a topical benefit because it becomes part of your saliva, constantly bathing the teeth and helping to rebuild weakened tooth enamel," Cooper further explains. "The best scientific evidence has shown that adding fluoride to community water supplies is safe and effective. This is backed by decades of research and recognized by more than 100 health organizations." GoodboyDoes nano-hydroxyapatite toothpaste work? All of the dentists we consulted agree that nano-hydroxyapatite toothpaste works, but in the right context and with the right product. It's also not a miracle cure and should not replace your entire oral care routine, dentist's recommendations or regular appointments. Plus, Eversgerd adds that more long-term, large-scale trials are needed to fully validate whether it's equal to fluoride in preventing cavities. When asked if it's effective, Austin says, "Yes -- particularly for enamel remineralization and sensitivity. In my practice, I've seen patients who switched to nHA toothpaste experience noticeable improvements in comfort, plaque control and surface smoothness. But like any product, it works best when paired with consistent brushing, flossing and professional cleanings." Pinto agrees and has also seen the results firsthand. "It helps remineralize enamel, soothe sensitivity and support a healthier oral microbiome, especially when paired with a good routine (good home hygiene, healthy diet, hydration and nasal breathing)," she explains, noting that it's not a miracle cure, but does offer many benefits. On behalf of the ADA, Cooper echoes Eversgerd's earlier statement: "The use of nano-hydroxyapatite (nHAP) in over-the-counter products is growing and some evidence shows that nHAP may contribute to remineralization, but the evidence is fairly new and often ambiguous, especially regarding clinical indications. " Do experts recommend nano-hydroxyapatite toothpaste? All of the experts we consulted do recommend nano-hydroxyapatite toothpaste, but only for certain patients. After all, according to Austin, "Nearly half of US adults over 30 have some form of gum disease, and you can't out-toothpaste a bad hygiene routine." Brushing your teeth regularly, flossing and regularly visiting your dentist are still essential, no matter what toothpaste you use. Though Lieb recommends nHA toothpaste for adult patients experiencing post-whitening sensitivity or early enamel erosion, low-caries risk individuals seeking natural alternatives and adults undergoing cosmetic dental work who want to protect their investment with gentle, remineralizing care, she doesn't recommend nano-hydroxyapatite for children with deciduous dentition. "In my professional opinion, fluoride remains the safest and most effective option for all patients under 14," says Lieb. "Its protective effect during the development of permanent dentition is unmatched, and its caries-prevention record is well established." Sachar states that she often recommends it for "patients seeking fluoride-free options, those with mild tooth sensitivity and for children at risk of swallowing fluoride toothpaste." However, she advises that patients with moderate to high cavity risk not fully abandon fluoride. Again, it's important to note that the "ADA recommends that adults brush their teeth twice daily with fluoride toothpaste for at least two minutes each time, or as directed by a licensed dentist," according to Cooper. This is because the proposed benefits of nHAP are fairly new and ambiguous. Getty Images The bottom line Though more research is needed, the dentists we consulted explained that nano-hydroxyapatite toothpaste can be an effective alternative to fluoride -- but only in the right context. The ADA doesn't recommend it. It's also not a miracle cure or a replacement for brushing regularly, flossing and professional dental appointments. If you're considering nano-hydroxyapatite toothpaste, consult your dentist first before making the switch. They know your teeth best and will be able to help you find the best toothpaste for your smile.
Eater
16-07-2025
- Entertainment
- Eater
Boka Will Soon Unveil an 8-Seat Omakase Restaurant
Midōsuji, set to open in the coming weeks, is the third sushi restaurant from Boka, following Momotaro in West Loop and Itoko in Lakeview. Named after the gingko-lined street in Osaka, Midōsuji will accommodate up to eight guests per seating, with two seatings a night. Japanese influences like a hand-carved naguri-edge walnut bar and the 'Ō' symbol, which references the work of Osaka-born artist Jiro Yoshihara, have been added to the space. Boka's foray into intimate Japanese dining, driven by seasonality and chef curation, is a big transformation for the previous tenant. Milk Room, founded by star bartender Paul McGee, was a tiny bar where guests enjoyed rare, vintage spirits and custom cocktails. Chef Brian Lockwood will be in charge of Midōsuji's menu. In February, Boka announced its first project with Lockwood. A rep confirms Gingie is on track for a fall inside the former GT Prime space in River North. The Boulder, Colorado, native has worked in some of the world's most esteemed kitchens, including the French Laundry, El Celler De Can Roca, and Eleven Madison Park. At Midōsuji, he'll use classical French techniques on Japanese ingredients to create dishes such as sansho pepper duck and crab salad with daikon and miso egg yolk. There will also be a rotating selection of hand rolls. On the beverage front, expect wines, sakes, and signature cocktails like a tomato water martini, as well as Japanese spirits infused with lemongrass, sesame, and more. Midōsuji is the first change coming to the dining lineup inside the Michigan Avenue hotel this year. Boka took over from Land & Sea Dept. earlier this year as the operator of the CAA's restaurants. That left the fate of several places up in the air. Rooftop restaurant and bar Cindy's, a perennial hot spot offering views of Millennium Park and the lake from the building's 13th floor, has stayed the course — albeit without Top Chef alum Kaleena Bliss at the helm. Game Room, a bar area with pool tables, and the Drawing Room, the second-floor lobby space, have remained open as well. The CAA also still houses Shake Shack and Fairgrounds outposts. However, Cherry Circle Room, a classic wood-paneled American restaurant, closed after the switchover to Boka, and a successor has yet to be announced. Boka's portfolio continues to steadily grow in 2025. In March, the group opened Zarella Pizzeria & Taverna in River North. Boka is no stranger to Japanese cuisine. Beyond its two sushi spots, Boka has run a bar below Momotaro called the Izakaya. Midōsuji, on the second floor of the Chicago Athletic Association Hotel, 12 S. Michigan Avenue, opening in late summer or early fall. Eater Chicago All your essential food and restaurant intel delivered to you Email (required) Sign Up By submitting your email, you agree to our Terms and Privacy Notice . This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
CNET
15-07-2025
- Health
- CNET
Is Nano-Hydroxyapatite Toothpaste an Effective Fluoride Alternative? Dentists Weigh In
Picking the best toothpaste can be a challenge, especially with newer ingredients being added to the market. Nano-hydroxyapatite is a timely example and the star ingredient for popular brands like Boka and Davids. Amidst health concerns around fluoride and Robert F. Kennedy Jr., US Secretary of Health and Human Services, proposing to remove it from public water, nano-hydroxyapatite has been promoted as an effective alternative to fluoride in toothpaste. Many claim that it can repair enamel, prevent cavities and even whiten teeth. "As ingredient labels shift toward cleaner, fluoride-free formulas, one compound is taking center stage in modern oral care: nano-hydroxyapatite," Dr. Pia Lieb, DDS, cosmetic dentist and clinical assistant professor emerita at NYU College of Dentistry, explains. Marketed as a biomimetic, enamel-restoring alternative to fluoride, this ingredient has gained a loyal following, but does the science justify the hype? To find out if nano-hydroxyapatite toothpaste is worth incorporating into your dental care routine, and if it's a viable replacement for fluoride toothpaste, we reached out to dentists for the potential benefits, side effects and their expert opinions. What is nano-hydroxyapatite? "Nano-hydroxyapatite is a synthetic calcium phosphate compound that's used in some oral care products, including toothpastes," explains Dr. Ada Cooper, consumer advisor and spokesperson for the American Dental Association, says. "[It] has a structure that is similar to hydroxyapatite found in enamel, and nHAP gets incorporated into the tooth structure preferentially in demineralized areas." Nano-hydroxyapatite is also abbreviated as n-HA and n-HAp. Dr. Royce Lai of King Village Dental adds that this is technically a two-part question, since "hydroxyapatite has been around for decades and has been studied for at least 20 years." Newer and less studied, nano-hydroxyapatite is a version of hydroxyapatite with small, rod-shaped particles. "Hydroxyapatite is natural. It is a type of calcium that makes up bones and teeth," says Lai. "Nano-hydroxyapatite relates to the particle size. These are between 20 and 80 nanometers and are much smaller than the hydroxyapatite tubules that are a part of your teeth." According to Dr. Daniela Eversgerd, a cosmetic dentist and the founder of Allure Dental, nano-hydroxyapatite was developed by NASA in the 1970s for astronauts dealing with bone and enamel loss during long periods of space travel. Since the early 1990s, it has been approved for oral care products in Japan. Potential nano-hydroxyapatite toothpaste benefits "Nano-hydroxyapatite doesn't just protect your teeth -- it helps rebuild them," says Dr. Catrise Austin, a cosmetic dentist, author of Gum Health Made Simple and host of the Let's Talk Smiles podcast. She lists the following as potential nano-hydroxyapatite benefits: Enamel remineralization Tooth sensitivity relief Reduced bacterial adhesion Whitening and gloss enhancement "n-HA can actually fill microscopic cracks and help reverse or arrest early cavities," adds dentist Dr. Sandip Sachar. Austin cites a 2019 study that found a 10% hydroxyapatite toothpaste is equivalent or non-inferior to fluoride toothpaste for preventing and remineralizing dental cavities (or caries) in children. When it comes to teeth sensitivity, Lai cites a 2014 study concluding that 15% nano-hydroxyapatite helped sensitive teeth. "The particle size could get into space and work better than larger particles in micro-hydroxyapatite or fluoride," he explains. "The conclusion was that nano-hydroxyapatite could significantly reduce tooth sensitivity to hot and cold in two to four weeks of use." Referencing an 18-month 2023 clinical trial finding that a 10% n-HAp toothpaste protected adult teeth from new cavities as well as a standard 1,450-ppm fluoride paste, Dr. Christopher Tolmie, DDS, MBA, states, "By patching enamel and calming swollen gums, nano-hydroxyapatite may cut off a hidden spark of chronic inflammation linked to heart disease and diabetes." Since nano-hydroxyapatite toothpastes are fluoride free, Dr. Yenile Y. Pinto, DDS, functional and biomimetic dentist and founder of Deering Dental, adds, "It's also been shown to reduce sensitivity and strengthen the enamel surface without the risk of fluorosis." Fluorosis occurs when you get too much fluoride as a child, causing white or brown spots on the teeth. The CDC reports that fluorosis typically doesn't affect tooth function and isn't painful. A 2020 systematic review of 32 studies concluded that "Nano-HA is a relatively novel material with outstanding physical, chemical, mechanical and biological properties that makes it suitable for multiple interventions. It outperformed most of the classic materials used in implantology and surgery, but it should be further investigated for bone engineering and caries prevention therapy." HengleinA 2023 comprehensive review found that, while more long-term studies are needed to establish the safety of regular use, "Nanohydroxyapatite is a promising revolutionary material in the prevention of early carious lesion mainly due to a greater source of free calcium." Ultimately, providing a 2021 review and 2022 scoping review, Cooper concludes, "Although there is some evidence that alternative ingredients, such as [nano] hydroxyapatite, prevent tooth decay by acting as a remineralizing or anti-cavity agent, the studies are preliminary. The only anti-cavity agent recognized by the Food and Drug Administration in its over-the-counter monograph is fluoride, a naturally occurring chemical." Cooper adds that all toothpastes with the ADA Seal of Acceptance contain fluoride. The administration specifically recommends brushing your teeth twice a day with fluoride toothpaste and regularly visiting your dentist. Potential nano-hydroxyapatite toothpaste side effects and EU restrictions "According to a [2021] narrative review from Odontology, the official journal of the Society of the Nippon Dental University, so far, there have been no reports of adverse dental or systemic effects of HAP-containing toothpastes because HAP has an excellent biocompatibility," states Cooper. According to Austin, the concern with nano-hydroxyapatite is that, because it's made of nanoparticles, some worry about how much might get absorbed into the body if regularly swallowed. "The European Commission's Scientific Committee raised concerns due to the lack of long-term safety data on ingestion, particularly in children," she says. This has led to temporary nano-hydroxyapatite restrictions (not a full-on banning) in Europe. The European Scientific Committee deems nHA safe in toothpaste up to 29.5% and up to 10% in mouthwash, per Tolmie. However, he states, "Regulators still bar it from breath-spray products to avoid lung exposure, so stick to pastes and rinses." Key concerns around nano-hydroxyapatite, according to Lieb, are: Potential ingestion and systemic absorption, especially in nano form Lack of long-term studies in humans on the cumulative effects Unknown impact of inhalation from aerosol products (not toothpaste) In terms of systemic absorption, Sachar specifies, "Because nano-hydroxyapatite particles are similar in composition to bone mineral, there has been some theoretical concern that if absorbed systemically, they could potentially contribute to unwanted calcifications in soft tissues (like blood vessels or kidneys)." However, she states that this is speculative and not supported by any current clinical nano-hydroxyapatite toothpaste only effective at 10%? "Most clinical formulations of nHA range from 5%-15%, with 10% emerging as the benchmark concentration in several Japanese and European studies," answers Lieb. "This concentration has demonstrated reliable enamel restoration while maintaining product stability and usability." However, she states that newer formulations are experimenting with lower concentrations and enhanced delivery systems (such as encapsulation or synergistic minerals), which may improve efficacy at reduced levels. "The effectiveness isn't just about percentage, it's also about particle quality and how it's delivered to the tooth surface," she explains. Tolmie adds, "Effective repair starts as low as 5% and plateaus around 10-15%. Several studies show that 5% n-HAp can mend enamel dings, divots and dents in the teeth, with benefits leveling off somewhere between 10% and 15%. One review even noted that 5% sometimes beats 10% because fewer particles clump, making them easier to slip into enamel defects; hence, most US brands sit comfortably in the 5-10% sweet spot." Should people replace fluoride toothpaste with nano-hydroxyapatite? Eversgerd states that it all depends on each person's oral health needs. "Fluoride remains the gold standard for cavity prevention, supported by decades of large-scale, randomized controlled trials," she explains. "However, for patients seeking a fluoride alternative -- whether due to sensitivity, allergies, personal preferences or a desire for a biomimetic approach -- nano-hydroxyapatite provides a scientifically supported option." According to the Academy of Biomimetic Dentistry, a biomimetic approach is one in which damaged teeth are restored using materials mimicking natural teeth in function, strength and appearance. For high-risk patients, Eversgerd recommends fluoride, while she may recommend n-Ha to low-risk or fluoride-averse individuals. Austin seconds this, but adds that she also recommends fluoride toothpaste to children with poor brushing habits or communities with limited dental access. "nHA is a great option, but it's not a one-size-fits-all replacement for fluoride -- yet," Austin says. Lieb explains that nHA may also be a compelling alternative for patients with aesthetic concerns, such as whitening-induced sensitivity, and individuals in preventive care regimens post-restorative treatment. Pinto agrees that it depends on the person, stating, "For most of my patients, especially those with low to moderate cavity risk, nano-hydroxyapatite is an excellent option; gentler on the mouth, less drying and effective at rebuilding early damage. For people with high cavity risk, fluoride might still be the best choice, at least short term. For my high-risk patients, I often recommend a combo toothpaste that includes both ingredients when appropriate." Ultimately, if a patient isn't high risk and has health or safety concerns about fluoride, she thinks hydroxyapatite is a great option. When asked if there's a reason people should choose n-HAp over other anti-cavity toothpastes, Tolmie answers, "No, as long as patients are brushing their teeth with an anti-cavity toothpaste. There are differences in the way an n-HAp toothpaste and a fluoride toothpaste work to prevent decay, and some n-HAp toothpastes may feel smoother on the teeth. But anti-cavity toothpastes as a whole accomplish the same task. Do I wash a car with tap water or bottled water? We know that both of them get the job done." What's most important, according to Tolmie, is that patients ensure they're not swallowing toothpaste. What does the American Dental Association think? Cooper states that the ADA recommends brushing teeth twice daily for two minutes with fluoride toothpaste, as the naturally occurring mineral has been proven to remineralize weakened enamel and reverse early signs of tooth decay. "Additionally, the fluoride you take in from drinking water and other beverages continues to provide a topical benefit because it becomes part of your saliva, constantly bathing the teeth and helping to rebuild weakened tooth enamel," Cooper further explains. "The best scientific evidence has shown that adding fluoride to community water supplies is safe and effective. This is backed by decades of research and recognized by more than 100 health organizations." GoodboyDoes nano-hydroxyapatite toothpaste work? All of the dentists we consulted agree that nano-hydroxyapatite toothpaste works, but in the right context and with the right product. It's also not a miracle cure and should not replace your entire oral care routine, dentist's recommendations or regular appointments. Plus, Eversgerd adds that more long-term, large-scale trials are needed to fully validate whether it's equal to fluoride in preventing cavities. When asked if it's effective, Austin says, "Yes -- particularly for enamel remineralization and sensitivity. In my practice, I've seen patients who switched to nHA toothpaste experience noticeable improvements in comfort, plaque control and surface smoothness. But like any product, it works best when paired with consistent brushing, flossing and professional cleanings." Pinto agrees and has also seen the results firsthand. "It helps remineralize enamel, soothe sensitivity and support a healthier oral microbiome, especially when paired with a good routine (good home hygiene, healthy diet, hydration and nasal breathing)," she explains, noting that it's not a miracle cure, but does offer many benefits. On behalf of the ADA, Cooper echoes Eversgerd's earlier statement: "The use of nano-hydroxyapatite (nHAP) in over-the-counter products is growing and some evidence shows that nHAP may contribute to remineralization, but the evidence is fairly new and often ambiguous, especially regarding clinical indications. " Do experts recommend nano-hydroxyapatite toothpaste? All of the experts we consulted do recommend nano-hydroxyapatite toothpaste, but only for certain patients. After all, according to Austin, "Nearly half of US adults over 30 have some form of gum disease, and you can't out-toothpaste a bad hygiene routine." Brushing your teeth regularly, flossing and regularly visiting your dentist are still essential, no matter what toothpaste you use. Though Lieb recommends nHA toothpaste for adult patients experiencing post-whitening sensitivity or early enamel erosion, low-caries risk individuals seeking natural alternatives and adults undergoing cosmetic dental work who want to protect their investment with gentle, remineralizing care, she doesn't recommend nano-hydroxyapatite for children with deciduous dentition. "In my professional opinion, fluoride remains the safest and most effective option for all patients under 14," says Lieb. "Its protective effect during the development of permanent dentition is unmatched, and its caries-prevention record is well established." Sachar states that she often recommends it for "patients seeking fluoride-free options, those with mild tooth sensitivity and for children at risk of swallowing fluoride toothpaste." However, she advises that patients with moderate to high cavity risk not fully abandon fluoride. Again, it's important to note that the "ADA recommends that adults brush their teeth twice daily with fluoride toothpaste for at least two minutes each time, or as directed by a licensed dentist," according to Cooper. This is because the proposed benefits of nHAP are fairly new and ambiguous. Getty Images The bottom line Though more research is needed, the dentists we consulted explained that nano-hydroxyapatite toothpaste can be an effective alternative to fluoride -- but only in the right context. The ADA doesn't recommend it. It's also not a miracle cure or a replacement for brushing regularly, flossing and professional dental appointments. If you're considering nano-hydroxyapatite toothpaste, consult your dentist first before making the switch. They know your teeth best and will be able to help you find the best toothpaste for your smile.
CNN
06-07-2025
- Health
- CNN
11 editor-favorite dental products that make our teeth-cleaning routines easier
Going to the dentist is a twice-yearly activity that many people fear, but for some reason, I'm one of the few who actually looks forward to it. Perhaps it's because I have excellent oral hygiene habits (thanks, Mom and Dad), which have mostly followed me into adulthood. I brush twice daily and try to floss every day, though there are occasional times I don't stick to the plan or the recommended order of operations when it comes to my teeth-cleaning routine. However, I've discovered some new wellness innovations over the years that make my teeth-cleaning routine even easier — and my dentist happy. This has left me wondering what other helpful dental products are out there. So, naturally, I tapped CNN Underscored editors to see what they use to keep their teeth sparkling clean. From an electric flosser and other alternatives to flossing to electric toothbrushes, here are our editors' favorite dental products we swear by for a brighter, dentist-approved smile. Cocofloss Woven Dental Floss I didn't like flossing until I tried Cocofloss a few years ago. This woven floss is infused with coconut oil, vegan, BPA-free and, most importantly, comes in a bunch of flavors that make the daily chore fun. While you can get classic mint, the brand also offers some unique flavors like Confetti Cake, Summer Watermelon and Passion Fruit. I always make sure to carry one of these in my purse for emergencies. — Tamara Kraus, senior lifestyle editor Boka Refresh Mint Whitening n-Ha Toothpaste I learned about hydroxyapatite toothpaste a few years ago and have tried a few different types along the way. Boka has always remained a favorite — and it's a super-popular choice since its most popular flavors tend to sell out. I especially like its whitening toothpaste since I need help in that department. It's just as minty, fresh and beneficial to my enamel, with natural ingredients like baking soda and coconut oil. — Sophie Shaw, beauty and fashion editor Grin Softstx Dental Picks I'm a stickler for flossing my teeth, even on the go. I love that these soft dental picks come with a carrying case and have two ends with bristles and a firm toothpick. — Lindsey Smith, newsletter editor DenTek Orabrush Tongue Cleaner, 2-Pack When I found out the surface of the tongue can be a major culprit for bad breath, I jumped on the tongue scraper train. I've been using one of these Orabrush cleaners for almost a decade. The long handle is comfortable to hold and makes it easy to reach all the way to the back of the tongue, while the large soft-bristled head can grab all the gunk from my tongue in just a few swipes. It's a step in my oral hygiene routine that I find equal parts disgusting and satisfying. — Jillian Tracy, associate editor Flaus Electric Flosser Starter Kit While I rely on Cocofloss mostly for on-the-go flossing emergencies, Flaus is my dental BFF for at-home flossing. This easy-to-use electric flosser is beloved by multiple CNN Underscored editors because it takes the hassle out of reaching your back molars, and it's easy to do even when I'm exhausted at the end of the day. — Tamara Kraus, senior lifestyle editorRead our review DrTung's Smart Floss I had to get a deep clean a few years ago, and ever since that, I've been flossing much more routinely. My dentist recommended checking out this brand of floss, and I've loved it. It has more give than traditional floss, so it doesn't feel as sharp on your gums. Plus, it has a pleasant cardamom flavor as a nice bonus. — Kai Burkhardt, outdoors, sustainable living and pets editor Zima Dental Pod This ultrasonic cleaner is a must for anyone who uses a retainer, night guard or similar accessory. The pod uses high-frequency ultrasonic waves to gently remove stains and buildup from dental appliances, leaving them clean and sanitized. I like to couple it with Retainer Brite tablets for the most thorough cleansing. Before I got this device, I had a cheaper alternative, but it was twice as loud and not as nice looking, so I didn't like keeping it on my counter. With Zima's inconspicuous design, it's always out and ready to cleanse my night guard. — Sophie Shaw, beauty and fashion editor Moon Oral Beauty Water Flosser I'm working on our best water flossers guide and currently testing this new release from Moon Oral Beauty. I don't know yet if it is the best water flosser on the market, but it certainly helped improve (not to mention, streamline) my oral hygiene routine. It even has an eight-week battery life, which is nice. I haven't recharged it since I started using it. — Michelle Rae Uy, testing and updates writer Quip Ultra Next Generation Smart Sonic Toothbrush This smart toothbrush has actually helped me build better brushing habits over the past few months, and I love that it works with or without connecting to an app. The one feature I didn't even know I needed is the pressure sensor, which tells me when I'm brushing too hard. It also has a sleek, seamless design and a replaceable brush head that's specially designed to minimize waste, making it an all-around attractive toothbrush. — Sophie Shaw, beauty and fashion editor Gum Professional Clean Floss Picks My dad has been using these floss picks for years, and it turns out, he's been onto something. I tend to get food stuck in between a few rogue teeth after meals, so these are a perfect supplement to my nightly floss routine. I now rely so heavily on them I feel a sense of anxiety whenever I'm without one. Ergonomically designed, they're also perfect for the person who feels physically uncomfortable tightly wrapping strands of floss around their fingers or who experience related mobility issues. — Marissa Miller, contributing editor Smart Life Dual Tongue Scraper Oral care doesn't stop at your teeth. Cleaning your tongue and cheeks can have an impact on your breath, and a tongue scraper makes a huge difference. This one is made from medical-grade stainless steel and is easy to use and clean. — Lindsey Smith, newsletter editor CNN Underscored has a team of writers and editors who have many years of experience testing, researching and recommending products, and they ensure each article is carefully edited and products are properly vetted. We talk to top experts when relevant to make certain we are testing each product accurately, recommending only the best products and considering the pros and cons of each item. For this article, senior lifestyle editor Tamara Kraus compiled our editors' favorite dental products.
CNN
06-07-2025
- Health
- CNN
11 editor-favorite dental products that make our teeth-cleaning routines easier
Going to the dentist is a twice-yearly activity that many people fear, but for some reason, I'm one of the few who actually looks forward to it. Perhaps it's because I have excellent oral hygiene habits (thanks, Mom and Dad), which have mostly followed me into adulthood. I brush twice daily and try to floss every day, though there are occasional times I don't stick to the plan or the recommended order of operations when it comes to my teeth-cleaning routine. However, I've discovered some new wellness innovations over the years that make my teeth-cleaning routine even easier — and my dentist happy. This has left me wondering what other helpful dental products are out there. So, naturally, I tapped CNN Underscored editors to see what they use to keep their teeth sparkling clean. From an electric flosser and other alternatives to flossing to electric toothbrushes, here are our editors' favorite dental products we swear by for a brighter, dentist-approved smile. Cocofloss Woven Dental Floss I didn't like flossing until I tried Cocofloss a few years ago. This woven floss is infused with coconut oil, vegan, BPA-free and, most importantly, comes in a bunch of flavors that make the daily chore fun. While you can get classic mint, the brand also offers some unique flavors like Confetti Cake, Summer Watermelon and Passion Fruit. I always make sure to carry one of these in my purse for emergencies. — Tamara Kraus, senior lifestyle editor Boka Refresh Mint Whitening n-Ha Toothpaste I learned about hydroxyapatite toothpaste a few years ago and have tried a few different types along the way. Boka has always remained a favorite — and it's a super-popular choice since its most popular flavors tend to sell out. I especially like its whitening toothpaste since I need help in that department. It's just as minty, fresh and beneficial to my enamel, with natural ingredients like baking soda and coconut oil. — Sophie Shaw, beauty and fashion editor Grin Softstx Dental Picks I'm a stickler for flossing my teeth, even on the go. I love that these soft dental picks come with a carrying case and have two ends with bristles and a firm toothpick. — Lindsey Smith, newsletter editor DenTek Orabrush Tongue Cleaner, 2-Pack When I found out the surface of the tongue can be a major culprit for bad breath, I jumped on the tongue scraper train. I've been using one of these Orabrush cleaners for almost a decade. The long handle is comfortable to hold and makes it easy to reach all the way to the back of the tongue, while the large soft-bristled head can grab all the gunk from my tongue in just a few swipes. It's a step in my oral hygiene routine that I find equal parts disgusting and satisfying. — Jillian Tracy, associate editor Flaus Electric Flosser Starter Kit While I rely on Cocofloss mostly for on-the-go flossing emergencies, Flaus is my dental BFF for at-home flossing. This easy-to-use electric flosser is beloved by multiple CNN Underscored editors because it takes the hassle out of reaching your back molars, and it's easy to do even when I'm exhausted at the end of the day. — Tamara Kraus, senior lifestyle editorRead our review DrTung's Smart Floss I had to get a deep clean a few years ago, and ever since that, I've been flossing much more routinely. My dentist recommended checking out this brand of floss, and I've loved it. It has more give than traditional floss, so it doesn't feel as sharp on your gums. Plus, it has a pleasant cardamom flavor as a nice bonus. — Kai Burkhardt, outdoors, sustainable living and pets editor Zima Dental Pod This ultrasonic cleaner is a must for anyone who uses a retainer, night guard or similar accessory. The pod uses high-frequency ultrasonic waves to gently remove stains and buildup from dental appliances, leaving them clean and sanitized. I like to couple it with Retainer Brite tablets for the most thorough cleansing. Before I got this device, I had a cheaper alternative, but it was twice as loud and not as nice looking, so I didn't like keeping it on my counter. With Zima's inconspicuous design, it's always out and ready to cleanse my night guard. — Sophie Shaw, beauty and fashion editor Moon Oral Beauty Water Flosser I'm working on our best water flossers guide and currently testing this new release from Moon Oral Beauty. I don't know yet if it is the best water flosser on the market, but it certainly helped improve (not to mention, streamline) my oral hygiene routine. It even has an eight-week battery life, which is nice. I haven't recharged it since I started using it. — Michelle Rae Uy, testing and updates writer Quip Ultra Next Generation Smart Sonic Toothbrush This smart toothbrush has actually helped me build better brushing habits over the past few months, and I love that it works with or without connecting to an app. The one feature I didn't even know I needed is the pressure sensor, which tells me when I'm brushing too hard. It also has a sleek, seamless design and a replaceable brush head that's specially designed to minimize waste, making it an all-around attractive toothbrush. — Sophie Shaw, beauty and fashion editor Gum Professional Clean Floss Picks My dad has been using these floss picks for years, and it turns out, he's been onto something. I tend to get food stuck in between a few rogue teeth after meals, so these are a perfect supplement to my nightly floss routine. I now rely so heavily on them I feel a sense of anxiety whenever I'm without one. Ergonomically designed, they're also perfect for the person who feels physically uncomfortable tightly wrapping strands of floss around their fingers or who experience related mobility issues. — Marissa Miller, contributing editor Smart Life Dual Tongue Scraper Oral care doesn't stop at your teeth. Cleaning your tongue and cheeks can have an impact on your breath, and a tongue scraper makes a huge difference. This one is made from medical-grade stainless steel and is easy to use and clean. — Lindsey Smith, newsletter editor CNN Underscored has a team of writers and editors who have many years of experience testing, researching and recommending products, and they ensure each article is carefully edited and products are properly vetted. We talk to top experts when relevant to make certain we are testing each product accurately, recommending only the best products and considering the pros and cons of each item. For this article, senior lifestyle editor Tamara Kraus compiled our editors' favorite dental products.
