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If you have ever stood in front of a patient, recommended a nanohydroxyapatite toothpaste in good faith, and quietly wondered whether it was actually doing what the label promised, this episode is for you.

Or maybe as a patient you had the same question? Or for your child?

The nanohydroxyapatite market in the United States is unregulated. Brands are not required to disclose concentration levels, crystal quality, or whether their formulation follows any of the science that actually makes this ingredient work. That means practitioners are recommending products every single day that may be doing very little for their patients' enamel, and nobody is flagging it.

Dr. Jennifer Eisenhuth is an orthodontist in St. Paul, Minnesota, part-time faculty at the Minnesota Board of Dentistry, and the founder of Dr. Jen Naturals. She did not set out to create a toothpaste. She set out to find one she could trust for her daughter, who was recovering from a severe C. diff infection and rebuilding her gut biome from the ground up. When she could not find a clean, science-backed remineralizing option that met her clinical standards, she formulated one herself.

In this episode, Dr. Jen and Tosha break down what remineralization actually is, why so many hydroxyapatite products fall short, what the European Union's eight-year study revealed about concentration and crystal quality, and why fluoride cannot do its job without calcium and phosphate already in the system. They also get into dry mouth across every age group, the problem with microplastics in most American flosses, and why throwing a prescription strength fluoride at a low-saliva patient is not the solution we were trained to believe it was.

This is the kind of conversation that changes what you say at the chair tomorrow.

In this episode:

The origin story behind Dr. Jen Naturals, and why a C. diff diagnosis led an orthodontist to formulate her own toothpaste from scratch.

What demineralization actually looks like at the crystal level, and why the typical American grazing diet is working against your patients' enamel all day long.

Why nanohydroxyapatite concentration and crystal quality matter as much as having the ingredient at all, and how to think about it like diamond grading.

The biochemistry of fluoride that most of us were never taught, and why fluoride needs calcium and phosphate to actually create fluoroapatite.

Dry mouth across every age group, from ADHD meds and inhalers in kids to CPAP users and menopausal patients, and what actually addresses the root cause.

Why 98 percent of American floss contains plastic, and what microplastics in the oral environment mean for the patients you see every week.

Connect with Dr. Jennifer Eisenhuth:

Find her products and further education: drjennatural.com

On Instagram: drjenoralcare

Connect with Tosha: tosh.care | Instagram @toshardh

If this episode opened a door you want to walk through, the Beyond the Smile Newsletter goes deeper every Saturday. Subscribe at tosh.care.

Stay Awesome!

Disclaimer: This podcast is for educational purposes only. Information discussed is not intended for diagnosis, curing, or prevention of any disease and is not intended to replace advice given by a licensed healthcare practitioner. Opinions from guests are their own. This podcast and its guests may have direct or indirect financial interests associated with products mentioned.