[HN Gopher] First 'tooth regrowth' medicine moves toward clinica...
       ___________________________________________________________________
        
       First 'tooth regrowth' medicine moves toward clinical trials in
       Japan
        
       Author : elorant
       Score  : 422 points
       Date   : 2023-07-02 17:33 UTC (5 hours ago)
        
 (HTM) web link (mainichi.jp)
 (TXT) w3m dump (mainichi.jp)
        
       | rilindo wrote:
       | [flagged]
        
         | jimlongton wrote:
         | > A new UCL paper has revealed that the wide-spread belief that
         | the British have poorer teeth than our American cousins is, in
         | fact, a myth.
         | 
         | > The research led by Richard Watt, Professor of Dental Public
         | Health in the Department of Epidemiology and Public Health,
         | found that the mean number of missing teeth a person has is
         | significantly higher in the US.
         | 
         | https://www.ucl.ac.uk/eastman/news/2015/dec/us-vs-uk-who-has...
        
           | blcknight wrote:
           | [flagged]
        
           | rilindo wrote:
           | Given the health care in the US, that isn't surprising.
        
             | [deleted]
        
           | dan-robertson wrote:
           | I think the idea that people have in terrible teeth in the UK
           | is a bit outdated, but did you look carefully at the study?
           | 
           | The 'better teeth' you report is 7 missing teeth on average
           | in the uk vs 7.3 in the US. Both of those numbers seem high
           | to me: you'd need to have all wisdom teeth plus three more
           | removed for example. It made me wonder whether that average
           | was biased by old people[1] with many missing teeth[2], who I
           | think aren't that relevant to the idea about teeth being bad
           | in one country rather than another.
           | 
           | For the 'oral health impacts' measure, which corresponds to a
           | questionnaire, OHIP-14[3], with questions like 'have you been
           | self-conscious because of your teeth, mouth or dentures?' The
           | score for the UK is lower than the US here, though I guess
           | the measure is less objective and you can imagine cultural
           | factors would impact the answers (eg maybe people from one
           | country would downplay things more, or if worse teeth are
           | more socially acceptable in the country, people there may be
           | less likely to be embarrassed about their teeth.
           | 
           | I think the kind of 'bad teeth' more common in the U.K. is
           | crookedness (eg overlapping incisors or over/underbite) and
           | teeth being more yellow. The paper notes that they weren't
           | able to measure things like that.
           | 
           | My general impression is that bad teeth in the US (on someone
           | who grew up there) are a pretty strong signal that someone
           | grew up poor, and this is a little less the case for the UK.
           | 
           | [1] the paper claims these are 'age-standardised' numbers. I
           | don't really know what that means but I guess that it means
           | the number is mostly meaningful for comparing the countries
           | rather than what people in those countries are like. For ages
           | 25-44, they report averages of 3.7(UK) vs 4.6, which still
           | looks a bit high to me. There's about five times the rate of
           | toothless mess in the US for that age group which made me
           | think there might be some small population in the US with
           | many missing teeth that isn't so large in the UK, but the
           | paper found the same income-based inequality in number of
           | missing teeth
           | 
           | [2] The paper claims to have gotten similar results when
           | excluding the toothless
           | 
           | [3] Slade GD; Derivation and validation of a short-fortn oral
           | health impact profile. Community Dentistry and Oral
           | Epidemiology 1997; 25; 284-90.
        
           | mejutoco wrote:
           | I looked it up, because I was curious about the ranking per
           | country, not only US vs UK.
           | 
           | Uk is 4th best according to this ranking
           | 
           | https://www.yongeeglintondental.com/2018/07/23/healthy-
           | prima...
        
           | xeromal wrote:
           | Missing teeth != Poor teeth.
           | 
           | Pretty sure the joke is just that british have tea-stained
           | brown teeth.
           | 
           | Also, pretty sure it's just a joke in the same realm that
           | rednecks from appalachia carry a piece of hay in their mouth.
        
             | [deleted]
        
           | wpietri wrote:
           | I am glad they did this work, but I don't think it gets at
           | what's behind the joke about British teeth.
           | 
           | For me, the exemplar is the Austin Powers jokes about his
           | teeth. It's not that the average Brit has fewer teeth than
           | the average American. It's that a person who American would
           | expect, for reasons of class and style, to have an engineered
           | smile (very white, very even teeth) instead had a perfectly
           | natural one. Even the movie suggested that the stereotype was
           | somewhat outdated. But to the extent we still have the
           | stereotype, it's about upper- and upper-middle-class use of
           | orthodontia and whitening. Plus the distinctive American
           | emphasis on the big smile, which to a lot of non-Americans
           | can seem mildly deranged.
        
           | catiopatio wrote:
           | I always assumed this was a comment on the level of dental
           | care provided by the NHS.
           | 
           | For example, they'll happily provide you a root canal without
           | a crown - a crown costs significantly extra.
           | 
           | I doubt many dentists in the US would be comfortable
           | providing that standard of care.
        
             | pessimizer wrote:
             | I'm pretty sure it's now based on the observation that very
             | wealthy and important people in Britain don't have giant
             | blinding veneers.
             | 
             | Americans think that the class terror that forces them to
             | spend thousands or tens of thousands on their children's
             | teeth (and their own) is universal, rather than a norm that
             | we find ourselves locked into now. Americans with anything
             | going on with their teeth look poor or disreputable, and it
             | severely hurts your job chances.
             | 
             | Rich British people are just like _" do you know who I
             | am?"_
        
             | jahnu wrote:
             | https://www.nhs.uk/nhs-services/dentists/what-dental-
             | service...
             | 
             | PS300 seems not very significant if we are comparing the US
             | to the UK in this discussion.
        
               | catiopatio wrote:
               | A PS300 optional surcharge to perform what US dentistry
               | rightfully considers the baseline standard of care is
               | going to result in a lot of people's teeth having subpar
               | function and appearance.
        
               | jahnu wrote:
               | But they don't pay for almost anything routine in the UK.
               | In the US my understanding is you are not typically
               | getting any free dental care. PS300 is not a major
               | expense for a typical person in the UK.
        
               | catiopatio wrote:
               | I didn't claim it was an unaffordable expense.
               | 
               | I claimed that treating it as an opt-in extra, for
               | additional charge -- instead of the baseline standard of
               | care -- results in a lot fewer people receiving it, and
               | thus, a lot more people with subpar dental function and
               | appearance.
               | 
               | In other words, to save money, the NHS provides a lower
               | standard of care as its baseline. Hence the popular idea
               | that British dentistry is subpar.
        
       | timonoko wrote:
       | In medieval times they used to rob teeth from healthy young
       | subjects. It was possible to "implant" those teeth just by
       | jamming them by force into gums. Success rate unknown.
       | 
       | So you could grow teeth in-vitro from patient's own stemcells and
       | then implant those. I would be safer and not much testing needed.
        
         | maxloh wrote:
         | Does our technology advanced enough to grow teeth from stem
         | cells?
        
           | dt3ft wrote:
           | There seems to be more useful info here:
           | https://www.colgate.com/en-us/oral-health/dental-
           | visits/can-...
        
           | timonoko wrote:
           | Dedicated teeth farming is little difficult I reckon. But we
           | can clone a whole body just for spare parts. I bet some rich
           | bastard is already doing that.
        
         | borissk wrote:
         | Interesting. Why do you think it's not being done?
        
           | timonoko wrote:
           | Dont know. Few years back there was even talk about growing
           | new fingers by preventing the growth of scarring tissue. What
           | ever happened to that project?
        
       | penguin_booze wrote:
       | Oh, good. Now, do 'hair'.
        
         | pknomad wrote:
         | People are making progress on that front too:
         | https://news.uci.edu/2022/06/30/uci-led-team-discovers-signa...
        
       | w4lker wrote:
       | Wow, I 've never thought that I would see that in life
        
       | [deleted]
        
       | bot12345 wrote:
       | This is a very interesting development in dental care. Looking
       | forward to seeing the results of the clinical trials.
        
       | amelius wrote:
       | Can't we somehow transplant the gene from rodents that makes
       | their teeth regrow during their entire lives?
        
       | TheAceOfHearts wrote:
       | Hopefully this ends up going somewhere. We've been hearing for
       | decades how there's certain bacteria that nearly removes the
       | requirement to brush your teeth regularly, but it never seems to
       | reach the general public. Exciting times ahead if we can
       | ultimately destroy the need for the dental care industry. In a
       | few decades having to brush your teeth regularly will probably be
       | regarded as an antiquated practice.
        
         | andyjohnson0 wrote:
         | There would preaumably still be a need for brushing for hygiene
         | reasons, as well as gum health, even if tooth decay was a
         | solved problem.
        
           | letitbeirie wrote:
           | Yeah even if the bacterium magically took care of gum health,
           | it would need to somehow be able to dissolve tartar (calcium
           | phosphate) without dissolving teeth (also calcium phosphate).
        
       | westurner wrote:
       | "Anti-USAG-1 therapy for tooth regeneration through enhanced BMP"
       | (2021) https://www.science.org/doi/10.1126/sciadv.abf1798
       | 
       | https://scholar.google.com/scholar?cites=6855835701389665111...
        
         | westurner wrote:
         | From "Reactivating Dormant Cells in the Retina Brings New Hope
         | for Vision Regeneration" (2023)
         | https://news.ycombinator.com/item?id=35871917: direct neuronal
         | reprogramming (for retinal growth), Tissue NanoTransfection,
         | Muller glia
         | 
         | "TNT" out of Ohio State:
         | https://en.wikipedia.org/wiki/Tissue_nanotransfection ; direct
         | (epithelial,) stroma reprogramming
         | 
         | Regenerative medicine:
         | https://en.wikipedia.org/wiki/Regenerative_medicine
         | 
         | From https://www.ada.org/en/resources/research/health-policy-
         | inst... :
         | 
         | > _What share of U.S. children and adults have dental
         | benefits?_
         | 
         | > _Dental benefits coverage varies by age. For children ages
         | 2-18, 51.3 percent have private dental benefits, 38.5 percent
         | have dental benefits through Medicaid or the Children's Health
         | Insurance Program (CHIP), and 10.3 percent do not have dental
         | benefits. For adults ages 19-64, 59.0 percent have private
         | dental benefits, 7.4 percent have dental benefits through
         | Medicaid, and 33.6 percent do not have dental benefits. Source:
         | Dental Benefits Coverage in the U.S._
         | 
         | TIL about Dental lasers:
         | https://en.wikipedia.org/wiki/Dental_laser
         | 
         | What percentage of dentists offices have lasers in the United
         | States?
         | https://www.google.com/search?q=what+percentage+of+dentist+o...
         | 
         | FWIU, dental lasers cost from $4-40K per unit, per station in
         | the office; and they may be tuned for specific applications or
         | general purpose. There's a waveguide to guide the beam; and
         | there are new waveguide methods for steering photon beams
         | through opaque tissue (with e.g. dual beams).
         | 
         | "Scientists Have Discovered a Drug [Tideglusib] That Fixes
         | Cavities and Regrows Teeth" (2017) that's already FDA approved
         | for Alzheimer's but there are yet no clinical trials of it as a
         | cavity fill?? https://futurism.com/neoscope/scientists-have-
         | discovered-thi...
         | 
         | Tideglusib: https://en.wikipedia.org/wiki/Tideglusib
         | 
         | Can teeth be grown in molds from e.g. stem cells, or
         | nanotransfected tissue with/without a 3-d printed scaffold or
         | [...]?
         | 
         | Dental care probably has direct returns in labor productivity?
        
       | myself248 wrote:
       | On the other side of things, why don't we use little bits of
       | botox to prevent wisdom teeth from growing in the first place?
        
         | jurassicfoxy wrote:
         | Maybe you just came up with a good idea for a PhD in dentistry.
        
           | myself248 wrote:
           | I'm already full-up on hobbies, jobs, and callings,
           | thankyouverymuch!
        
       | tgv wrote:
       | Don't get your hopes up, and keep brushing your teeth: "The tooth
       | regrowth medicine is intended for people who lack a full set of
       | adult teeth due to congenital factors (anodontia)". There is a
       | vague hope to develop it so that people who lose teeth can use it
       | to regrow, but that seems to be another ball game.
        
         | troft wrote:
         | Sharks don't need this kind of therapy. I don't understand your
         | pessimism.
        
         | swayvil wrote:
         | I have a friend with notoothia. Only in one tooth tho. And ya,
         | it's weird looking. She got an implant. One of those titanium
         | screws. It works but the gum is weird and the tooth is
         | missized.
         | 
         | Would she switch it for a grown tooth given the option? I
         | dunno.
        
         | mnau wrote:
         | Certain-not-to-be-named-due-to-spam-filter-medicament-on-V was
         | intended for heart related chest pain.
         | 
         | My wallet doesn't ask for who it was intended. It asks: Will it
         | work and can I buy it?
        
           | Y_Y wrote:
           | You've just got to format it as an email address: vi@g.ra
        
         | pengaru wrote:
         | I get the impression that they're targeting the easy case first
         | since stimulating tooth growth there is causing what was
         | supposed to happen anyways, with less likelihood of conflict
         | with the existing teeth.
         | 
         | But the article makes it sound plausible that it'd work for
         | normal adults too in that new tooth growth would occur. It's
         | just unclear how/if they guide that growth to a specific area,
         | or if it has to be wholesale replacement of the set of teeth
         | like losing your baby teeth.
         | 
         | Maybe what will happen is once you get to a certain point of
         | dental misery you just get on the medicine blocking USAG-1 and
         | have all the remaining teeth pulled, then wait for the new
         | teeth to grow in...
        
           | mcswell wrote:
           | This is all hypothetical, of course, but: you don't have to
           | lose all your baby teeth in order for your adult teeth to
           | come in. Somehow an adult tooth coming in causes the baby
           | tooth's root to dissolve (if that's the right word) and then
           | pushes the remaining baby tooth out of the way. So you might
           | not need to lose your adult teeth in order for the next-gen
           | teeth to come in.
        
           | im3w1l wrote:
           | Some animals have continuosly growing teeth. Maybe with the
           | right chemicals that could be encouraged in humans too.
        
             | Loughla wrote:
             | It seems like turning on a switch for continuously growing
             | anything is a recipe for cancer. Modern medicine and what
             | it accomplishes continues to absolutely astound me with
             | what is possible.
        
               | therein wrote:
               | An unconditional one is but selectivity and reversibility
               | is the key. Nothing makes that unachievable, just more
               | complicated.
               | 
               | Teeth growth is a good target for such experimentation.
               | Given its relatively easily operable nature allowing
               | convenient observation of progress and intervention if
               | needed.
               | 
               | We already can accelerate the regrowth of fingernails
               | after losing one. This is the next easiest target if you
               | ask me.
        
               | pengaru wrote:
               | A shorter path to market might be to grow replacements in
               | a sacrificial host using harvested stem cells from the
               | recipient. Transplanting into the socket once
               | sufficiently developed, with some of the magic sauce
               | topically applied at the interface to promote it all
               | taking root and growing into its new home...
               | 
               | It sounded like they were doing experiments with
               | transplants as well in one of the papers I skimmed.
               | 
               | I might actually prefer that approach if it had a high
               | success rate, to replace a thoroughly trashed tooth.
               | Seems preferable to exposing oneself to the new treatment
               | for the entire duration of tooth development. Especially
               | if all you need is one replacement...
        
           | fendy3002 wrote:
           | CMIIW, but when baby teeth is already grown (appear), the
           | other adult set is actually kept hidden inside, not that it
           | grow.
           | 
           | I guess it won't be simply as stimulate teeth growth like
           | nail.
        
             | lelanthran wrote:
             | > CMIIW, but when baby teeth is already grown (appear), the
             | other adult set is actually kept hidden inside, not that it
             | grow.
             | 
             | Yup. See this skull of a child with the adult teeth ready
             | to come out and push the baby teeth out of the way
             | (warning, some people find the image very repulsive, even
             | though it's basically a textbook picture of a skull):
             | 
             | https://skeptics.stackexchange.com/questions/9541/is-this-
             | im...
        
               | dotnet00 wrote:
               | I think it comes off as more repulsive because we're not
               | used to seeing those parts of the skull cut away, putting
               | it in the uncanny valley. What helped me to not be as
               | repulsed by it was realizing that those parts of the
               | skull aren't meant to be "uncovered" to show the adult
               | teeth in the first place.
        
               | toyg wrote:
               | The human body is so amazing... It evolved to ship ready-
               | made replacement parts to ensure the product would
               | complete its deployment (reaching puberty and reproducing
               | for a decade or two).
        
         | dghughes wrote:
         | I have GERD and the only reason I found out was my dentist told
         | me. It was because my teeth became so sensitive a room
         | temperature banana was too cold. Lots of pain and still. It's
         | from coughing due to acid reflux and acid splash up onto my
         | teeth. It can also get into my lungs and over time damage them
         | too by causing scarring.
        
           | manmal wrote:
           | Did you have no idea at all, as in, you never felt heartburn
           | in the evening? I wonder if eating the last meal at eg 4PM
           | wouldn't improve this considerably.
        
             | withinboredom wrote:
             | As someone else who has some serious GERD, no, you don't
             | really notice. It's like boiling a frog (unless you get an
             | acute version). You just suddenly realize: hey, I seem to
             | be having heartburn all the time, I don't remember it being
             | like this... maybe I should go to the doc? And then you're
             | fine for a few days and put it off.
             | 
             | And no, eating at different times won't magically make your
             | sphincter to your stomach close any tighter.
        
               | manmal wrote:
               | > eating at different times won't magically make your
               | sphincter to your stomach close any tighter
               | 
               | Stomach acid is also produced as reaction to food intake
               | and other signals. Less acid => less reflux?
               | 
               | BTW probiotics have been found potentially effective by
               | this systematic review:
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/
               | 
               | This is probably not as simple as blaming the
               | dysfunctional sphincter.
               | 
               | IMO early time restricted feeding shouldn't be dismissed
               | so quickly, it's potentially a fix for a number of
               | systemic and gastric/enteric issues. The evidence is
               | still weak but promising. The most important part here is
               | ,,early" - intermittent fasting usually has an eating
               | window in the afternoon and maybe right until bed time.
               | According to some (weak) studies, moving the eating
               | window to the morning and early afternoon has vastly
               | different effects.
        
               | jaggederest wrote:
               | > Less acid => less reflux?
               | 
               | Weirdly, I've also heard from people in that situation
               | that more acid => less reflux because the sphincter only
               | closes in high-pH environments. So one of the things
               | prescribed can be hydrochloric acid supplements. Some
               | people swear by them.
        
               | refulgentis wrote:
               | You're 100% right, I got the doctor rush to prescribe
               | treatment on this when I was 24. Was never enough
               | 
               | Finally instilled some healthy habits by 32, namely no
               | excessively large meals and no eating big meals ~3 hours
               | before bed and it magically disappeared.
               | 
               | I just had my first bout in a while yesterday - 2 smalls
               | pizza is still 2 pizzas folks!
        
           | xupybd wrote:
           | My reflux seems to have gone now that I'm on CPAP for my
           | Apnea. No idea if that would apply to anyone else but I still
           | thought it was worth sharing.
        
         | water-data-dude wrote:
         | Bummer, I was hoping for shark teeth powers
        
           | Tagbert wrote:
           | This will give you the regrowth but the teeth will look like
           | shark teeth. That might cause some odd looks and be careful
           | not to bite your tongue. You'll only be able to do that once!
           | :-)
        
             | Electricniko wrote:
             | Tongue replacement is already a thing, oddly enough.
        
               | withinboredom wrote:
               | Ha! I bit off my tongue from falling a pretty good
               | height. My knee came up and hit my chin, forcibly closing
               | my mouth on my screaming face.
               | 
               | When I could finally move again (was paralyzed for a
               | bit), and got to the hospital, they just told me to keep
               | my mouth shut. Apparently, your tongue is just a muscle,
               | so it will reattach itself.
               | 
               | It was a shitty few weeks, but at least I didn't break
               | any bones or land on my head.
        
               | Reason077 wrote:
               | Ouch! I did something similar snowboarding in my early
               | 20s. Landed a badly timed jump on to hard, flat snow and
               | slammed my knee into my chin. Thankfully did not catch my
               | tongue, but shattered several teeth!
               | 
               | I remember wondering how I'd ended up with a mouthful of
               | sand and grit. It wasn't sand.
        
             | ooterness wrote:
             | I'm fine with this.
        
           | [deleted]
        
         | eikenberry wrote:
         | Seems like it shouldn't be referred to as a "regrowth" medicine
         | when you're talking about something that didn't grow in the
         | first place.
        
           | refulgentis wrote:
           | That has a fascinating answer but requires R, no TL;DR from
           | me :)
        
         | pessimizer wrote:
         | > for people who lack a full set of adult teeth due to
         | congenital factors (anodontia)
         | 
         | I've got this, and 1% of people have this. I'd have to imagine
         | that most of them would have obliterated the spot where they
         | could grow these hypothetical new teeth by getting implants,
         | though. So, I'd even think that it's really a treatment for
         | children.
         | 
         | When I was a small child, it was already absolutely certain
         | that I wasn't ever going to get my lateral incisors.
        
           | bch wrote:
           | I've had "Maryland Bridges" in mine for years (apparently
           | longer than the bridges are typically expected to last (?)),
           | so there are some of us adults around...
           | 
           | But sadly for me:                 Once confirmed to have no
           | ill effects on the human body, it will be aimed at treating
           | children aged 2 to 6 who exhibit anodontia.
        
       | nntwozz wrote:
       | Sounds exciting and less of a hassle than CRISPR-Cas9 genome
       | editing shark DNA (sharks regrow teeth when needed). They lose at
       | least 30.000 teeth over a lifetime...
        
         | amelius wrote:
         | From a Google search:
         | 
         | > Unlike humans, all sharks are born with teeth. They grow in
         | conveyor-belt rows, with the biggest teeth facing outwards.
         | Over time, the smaller teeth in the back move up, replacing the
         | front ones. Most sharks have between 5-15 rows, and the whale
         | shark has a whopping 3,000 teeth in its mouth!
         | 
         | Not sure if you'd want that!
        
         | lockhouse wrote:
         | Try our new plasmid Shark Bite by Ryan Industries...Regrow
         | teeth whenever they're needed!
        
           | tandr wrote:
           | (In reaally small letters below)
           | 
           | Consumer warning: might cause drowsiness, or anxiety. Teeth
           | growth is guaranteed, but the location of newly grown teeth
           | is not. Consult your doctor if you have high blood pressure,
           | pregnant, or breastfeeding. Do not take with alcohol.
        
       | ACV001 wrote:
       | This is not only not dentist's dream, but this is their nightmare
       | as well as others' like toothpaste producers.
        
         | mock-possum wrote:
         | I mean there are other good reasons to brush your teeth apart
         | from just tooth decay. Your gums are important too - also if
         | you're ever going to kiss anyone, they're probably going to
         | prefer your mouth not smell and taste like a decaying corpse.
        
         | andai wrote:
         | Change is the state.
         | 
         | Embrace Tooth Regrowth Serum Salesman.
        
       | endisneigh wrote:
       | It's not the same thing but you can currently buy novamin and
       | nano hydroxyapatite based pastes which help to remineralize
       | enamel (they do not regrown teeth completely).
       | 
       | On the note of dental hygiene I recommend, in addition to the
       | standard stuff:
       | 
       | 1. Rising your mouth with water immediately after eating. If
       | you're at a restaurant just drink some water, swish rigorously
       | for 15 seconds and swallow.
       | 
       | 2. Flossing regularly soon after eating. Couple with a water
       | flosser if possible.
        
         | eclipticplane wrote:
         | Where can you buy said pastes or products in the USA?
        
           | soligern wrote:
           | You can get the Indian version of sensodyne with novamin on
           | Amazon. It's not particularly cheap though.
        
         | PixelForg wrote:
         | > Couple with a water flosser if possible.
         | 
         | Aren't they generally less effective than flossing with
         | threads?
        
           | endisneigh wrote:
           | Nah basically the same
           | 
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236551/
           | 
           | I'd still use both as the abrasive action is likely to catch
           | some things water cannot. And water able to reach areas more
           | easily string cannot.
        
         | Laaas wrote:
         | Doesn't this also happen from just eating?
        
         | moffkalast wrote:
         | Have you seen your enamel improve using those? I've used a
         | Sensodyne one for a year with zero results and switched back.
         | My dentist seemed unsurprised by those results, so the effect
         | is probably miniscule in general if there's any at all.
        
           | endisneigh wrote:
           | Unless you bought the foreign one you didn't get novamin. Try
           | again with David's with uses nano hydroxyapatite and can be
           | bought in the USA
        
             | moffkalast wrote:
             | Well I'm in Europe, so I'm not sure if I can buy the same
             | ones. It had novamin listed on the packaging ingredients so
             | unless they're blatantly lying, it had it.
        
               | endisneigh wrote:
               | Heh, touche. The European one should have novamin. The
               | effect isn't supposed to be drastic. In fact I stopped
               | using novamin as well because the studies I read didn't
               | show substantial difference vs fluoride toothpaste. I
               | assume your dentist didn't notice much? I'd still give
               | nano hydroxyapatite a try.
        
               | [deleted]
        
           | adastra22 wrote:
           | Yes. Sensodyne is worthless in my experience, but brushing
           | with a toothpaste I bought in Japan to restore enamel really
           | worked. It had very immediate effects and my teeth kept the
           | protective enamel even after I ran out.
        
             | jacoblambda wrote:
             | Yep that'll happen depending where you live.
             | 
             | Sensodyne has a bioglass (sometimes called hydroxyapatite,
             | NOVAMIN, or Biomin) which is what you are describing
             | however it's excluded from the Sensodyne sold in the US.
             | The reason why is a long story [1] but if you want "good"
             | Sensodyne you have to import it from literally anywhere
             | else or buy a no-flouride biomin version (made by Dr.
             | Collins who decided to go through the FDA process) in the
             | US. Both are luckily pretty easy to get on Amazon however
             | there's a bit of a markup.
             | 
             | 1. https://medium.com/@ravenstine/the-curious-history-of-
             | novami...
        
             | amelius wrote:
             | Could you provide more information, like a brand name?
        
               | adastra22 wrote:
               | "APAGARD Premio" is what it says on the tube.
               | Hydroxyapatite.
        
               | amelius wrote:
               | Thanks!
        
           | Faaak wrote:
           | There are various sensodyne pastes. The one with novamin (in
           | Europe) is called "repair and protect
        
           | jrockway wrote:
           | For me, this kind of toothpaste was much worse for
           | sensitivity than a high-fluoride toothpaste you can get
           | prescribed by your dentist. (It's a prescription, but it's
           | inexpensive.)
        
             | jacoblambda wrote:
             | The bioglass toothpastes (i.e. the ones that contain
             | NOVAMIN or Biomin) are doing something different than high-
             | flouride toothpastes.
             | 
             | The biolgass ones aren't really "restoring enamel" but they
             | "refill" (remineralise) the enamel with all the minerals
             | that slowly leach out before the enamel actually wears
             | away.
             | 
             | The flouride toothpastes act by hardening the structures
             | those other minerals make up which increases the resistance
             | of your teeth.
             | 
             | They both do different things but they work well together.
             | In the US you won't find them both in the same toothpaste
             | (only Biomin C/without flouride is FDA approved) but
             | outside the US you can find Sensodyne with NOVAMIN and
             | flouride as well as Biomin F (with flouride).
             | 
             | So depending where you live, you might want to give them
             | another shot but making sure you use both bioglass and
             | flouride (I personally do a dot on my toothbrush of both
             | Dr. Collins Biomin Restore and Colgate PreviDent 1.1% NaF
             | 5% KNO3). At least for me it has worked a lot better than
             | just doing one or the other.
        
               | patientpatient wrote:
               | I have thought about this in regards to combining
               | stannous fluoride with hydroxapatite due to the synergy
               | between fluoride and hydroxyapatite (Although I believe
               | most studies which have found this synergy used sodium
               | fluoride, not the traditionally superior stannous
               | fluoride, so not sure if the synergy will uphold). I
               | think there are only a few toothpastes on the market with
               | a proper concentration of both sodium fluoride and
               | hydroxyapatite, have not seen any mouth rinses with both.
               | The problem with mixing mouthrinses or toothpastes is
               | that you will inevitably reduce the concentrations of
               | both active ingredients, in absolute quantity they will
               | be the same, but I wonder if they will become overwhelmed
               | and nullified by the relatively larger quantity of non
               | active ingredients. IIRC hydroxyapatite in toothpaste is
               | rated 10% max in EU, and it's also most effective at that
               | amount, for mouth rinses it is 0.465 %. It would actually
               | be easier to find some high fluoride toothpaste that
               | would suffer less from dilution, I've heard
               | recommendations of around 1500ppm, so if I am not
               | mistaken getting a 3000ppm toothpaste would allow for ok
               | dilution if only you had another with 20% hydroxyapatite
               | in a 1:1 ratio. Overall the solution I am settling on is
               | fluoride rinses when waking up and going to bed, and
               | hydroxyapatite toothpaste twice a day, no clue about the
               | synergy there, but seems reasonable as most
               | hydroxyapatite pastes are filling the no fluoride market
               | niche, which comes with the nice benefit that they aren't
               | filled with a bunch of other trash inactive ingredients,
               | meanwhile fluoride mouth rinse less affected by such
               | things compared to fluoride toothpastes.
        
               | jrockway wrote:
               | Ah, just mix 'em on the brush? Good idea. I will try
               | that.
        
           | 01100011 wrote:
           | They've worked for me several times over the years when I had
           | sensitivity issues. Takes a month or so to notice and you
           | should be careful not to drink water for a while after you
           | use them.
        
             | wredue wrote:
             | You're not supposed to drink water or use mouth wash for a
             | while after using fluoride toothpaste either.
        
           | mdorazio wrote:
           | I'll offer another point in support of your experience. I
           | purchased the non-US Sensodyne, verified it had Novamin, used
           | the entire tube as directed with no water drinking for at
           | least half an hour afterward, and saw zero results.
        
       | Buttons840 wrote:
       | I wonder how teeth regrowth would work? Our adult teeth don't
       | "push out" like it seems, but our body "grows out and around" the
       | adult teeth formed from early age (maybe even birth? I'm no
       | expert). You can look up pictures of baby skulls where the adult
       | teeth are visible deep in the bone; a baby's adult teeth are
       | formed already, and located in the bone around the lower nose
       | area, some almost on the side of the nose; the baby will grow
       | into them.
       | 
       | https://en.m.wikipedia.org/wiki/Deciduous_teeth
        
         | taurusnoises wrote:
         | Thank you for ruining my mind with this imagery.
        
         | NetBeck wrote:
         | From what I found on teeth development:
         | 
         | >The first stage begins in the fetus at about 6 weeks of age.
         | This is when the basic substance of the tooth forms.
         | 
         | >Next, the hard tissue that surrounds the teeth is formed,
         | around 3 to 4 months of gestation.[0]
         | 
         | [0] https://www.hopkinsmedicine.org/health/wellness-and-
         | preventi...
        
         | adastra22 wrote:
         | The tooth forms at some point.
        
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