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Kids' cavities would increase by millions if every state banned fluoride, study finds
(www.nbcnews.com)
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Is fluoride the only option? Is not hydroxyapatite in toothpaste as effective as fluoride in toothpaste and cannot it be used as replacement for fluoride in toothpaste?
Wikipedia: Hydroxyapatite#SafetyConcerns
Based off the article and the cited Opinion document by the EU's safety committee (SCCS) it seems like rod-shaped nano hydroxyapatite is safe for use in only toothpaste provided that at least 95.8% (particle count) are comprised of rod-shaped instead of needle-shaped particles and in addition are not coated or surface modified.
I'll be honest in that a bit of this sentence especially regarding the aspect ratio is somewhat incomprehensible to me as the sentence structure obscures what they're trying to communicate.
I believe by aspect ratio, they mean the ratio of diameter to length of the rod shaped structures. At an aspect ratio of less than 3, the structures are more cylinder shaped than rod shaped.
So the minerals must be mostly stubby cylinder shaped, and less than 4.2% can be needle shaped or long rod shaped. Same problem we had with asbestos actually, that the long thin needle shaped fibers were physically damaging to tissue.