Can Regenerative Toothpaste Really Fill Cavities? Expert Insights - Dentistry

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Cavity toothpaste


I'm sorry to bother you, but I have a question for the doctor.
Over the past couple of days, I've noticed a cavity forming in the second upper right molar.
It doesn't hurt, but food gets stuck in it after eating, and I have to use a toothpick to remove it.
Due to the recent surge in the pandemic, I haven't been able to get my vaccine yet, and I'm worried about getting infected if I go to the dentist.
I came across a product online called regenerative silicone toothpaste, which claims to fill dental cavities.
Is this true? Are there any side effects? I apologize for the inconvenience, but I thought I might try it first and wait until the pandemic eases or I get vaccinated before seeing a dentist.
Thank you very much.

Xiao Gao, 40~49 year old female. Ask Date: 2024/01/17

Dr. Lin Jiayong reply Dentistry


Hello: Regular toothpaste should not have harmful effects or side effects.
Additionally, for teeth with cavities, using toothpaste with a higher fluoride content can help prevent further deterioration.
It is still recommended to seek medical attention as soon as possible.

Reply Date: 2024/01/17

More Info


Regenerative toothpaste has gained attention in recent years, especially among individuals seeking alternatives to traditional dental treatments. However, it is essential to understand the limitations and the current scientific consensus regarding its efficacy in filling cavities.

Firstly, it is crucial to clarify what regenerative toothpaste claims to do. These products often contain ingredients such as hydroxyapatite or fluoride, which are intended to remineralize enamel and potentially reverse early-stage tooth decay. Hydroxyapatite is a naturally occurring mineral form of calcium apatite, which is a significant component of tooth enamel and bone. The idea is that by applying these substances topically, they can help restore some of the lost minerals in the enamel, thereby strengthening the tooth and potentially preventing further decay.

However, while remineralization can occur, it is important to note that regenerative toothpaste is not a substitute for professional dental treatment. If a cavity has formed, particularly one that has progressed beyond the initial demineralization stage, it typically requires intervention from a dentist. Cavities that have penetrated the enamel and reached the dentin (the layer beneath the enamel) cannot be filled or repaired by toothpaste alone. In such cases, restorative procedures, such as fillings, are necessary to prevent further decay and potential complications, including infection or tooth loss.

Regarding your specific situation, the presence of a cavity that allows food to become trapped is a sign that the decay may have progressed. While using regenerative toothpaste may provide some benefits in terms of remineralization, it is unlikely to fill the cavity or resolve the issue entirely. Additionally, relying solely on toothpaste could lead to further deterioration of the tooth, resulting in more extensive treatment later on.

As for potential side effects, regenerative toothpaste is generally considered safe for use. However, individuals with specific allergies or sensitivities to certain ingredients should always check the label and consult with a healthcare professional if unsure. There is no significant evidence to suggest that these products cause adverse effects when used as directed.

In light of the ongoing pandemic and your concerns about visiting a dental office, it is understandable to seek alternatives. However, it is crucial to prioritize your dental health. If you are experiencing discomfort or if the cavity worsens, it is advisable to seek dental care as soon as it is safe to do so. Many dental practices have implemented strict safety protocols to minimize the risk of infection, and they can provide the necessary treatment to address your cavity effectively.

In summary, while regenerative toothpaste may offer some benefits for early-stage tooth decay, it is not a viable solution for filling cavities. Professional dental intervention is necessary for cavities that have progressed beyond the initial stages. It is essential to maintain regular dental check-ups and address any dental issues promptly to ensure long-term oral health.

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