The 10 Best Natural Toothpastes of 2024


Many people strive for pearly whites, but oral hygiene isn’t just about cosmetics. Oral health also contributes to your overall well-being by preventing cavities and gum disease. Brushing your teeth twice per day with fluoridated toothpaste remains at the core of the American Dental Association (ADA) recommendations for preventing cavities and gingivitis. 

In order to earn the ADA’s stamp of approval, the presence of fluoride is non-negotiable, leaving many wondering whether a natural toothpaste can be as effective as conventional toothpaste. After speaking with dentists, we learned that natural and fluoride-free toothpastes aren’t synonymous. Just like with natural skincare, the definition of natural toothpaste is up to interpretation. Generally, natural toothpastes avoid synthetic ingredients and potential irritants. Fluoride doesn’t fall into either of these categories, so some natural toothpastes do contain fluoride. 

To find the best natural toothpastes and gain a better understanding of how they work, we spoke to dentists and orthodontists. Then we tested six natural toothpastes on our own teeth, rating them based on attributes like effectiveness, comfort, and taste. After speaking with dental experts, we also included options that meet their recommendations on what to look for in a natural toothpaste. Finally, a dentist from our Medical Expert Board reviewed this article for medical and scientific accuracy.

made by dentists total care toothpaste

Target


Why We Like It

Spotlight’s Toothpaste for Total Care is a prime example of a natural toothpaste that contains fluoride. The main active ingredient, sodium fluoride, is clinically proven to protect teeth from cavities and reduce sensitivity, Dr. Conn says. “Of all the natural toothpastes I’ve tried, I like the flavor of this one the best,” she adds.

After trying it out ourselves, we have to say we agree. The minty flavor was just right—it doesn’t sting but rather leaves your mouth feeling fresh and clean. We also liked the consistency. Some natural toothpastes feel gritty and don’t foam up, but this one is easy to apply and has a nice mouthfeel. Our editor with sensitive teeth also found that it lived up to the promise of desensitizing teeth, and it didn’t increase sensitivity or cause any tingling. By the end of the testing period, our editor dubbed this the best toothpaste she had ever used.

It’s Worth Noting 

  • The 3.5-ounce tube is smaller than most you’ll find at the drugstore, but the price is higher than average.

Product Details

  • Key Ingredients: Sodium fluoride
  • Fluoride: Yes
  • Size: 3.5 ounces
  • Flavor: Mint

Health / Donna Freydkin


Tom's of Maine Antiplaque Natural Whitening Toothpaste

Amazon


Why We Like It

Tom’s of Maine has been a mainstay in the oral care aisle for decades now, and for good reason: Many dentists over the years have given it their stamp of approval. It’s also a more affordable and accessible option. 

While most dentists still recommend fluoride as the gold standard for cavity prevention, it may make sense for some people to choose fluoride-free toothpastes, such as infants, people with kidney disease, and people who are allergic to fluoride, Dr. Conn says. Tom’s of Maine Fluoride-Free Antiplaque and Whitening Natural Toothpaste is an effective option that uses other ingredients to support oral health

The toothpaste contains calcium carbonate, an ingredient suggested by Dr. Conn to remove plaque and surface stains as well as protect tooth enamel. It’s known as an abrasive ingredient, which means it encourages clean teeth by buffing away food particles and surface stains. This toothpaste also contains xylitol, a sugar alcohol that has been shown to effectively prevent dental caries (aka cavities), adds Sara Larbi, DDS, a holistic dentist in Santa Monica, California.

It’s Worth Noting 

  • Many natural toothpastes are free from sodium lauryl sulfate (SLS), which gives toothpaste its foamy consistency, but this one isn’t. Some research suggests that SLS in toothpaste can cause irritation, especially in those prone to mouth ulcers, but the evidence is limited.

Product Details

  • Key Ingredients: Calcium carbonate, xylitol 
  • Fluoride: No
  • Size: 5.5 ounces
  • Flavor: Peppermint

Amazon hello Naturally Whitening Toothpaste

Amazon


Why We Like It

Jenny Gandhi, DDS, owner of Pearl Dentistry in Charlotte, North Carolina, says Hello’s naturally whitening toothpaste, which contains fluoride, is a favorite among dentists. Dr. Marashi also recommends Hello’s natural toothpastes because they’re SLS-free. If you’re picky about the texture or feeling of your toothpaste, this could be an ideal option for you. Although it doesn’t contain SLS, it still has a foamy consistency.

The natural whitening benefits of its calcium mineral blend are a major draw, too. Additional ingredients like coconut oil and tea tree oil help to gently cleanse the mouth, so fresh breath is pretty much guaranteed.

It’s Worth Noting 

  • Whitening toothpastes, in general, can be abrasive on teeth, especially for those prone to sensitivity. They can also only lighten teeth one or two shades, so set realistic expectations for whitening toothpastes.

Product Details

  • Key Ingredients: Sodium Monofluorophosphate (0.14% W/V Fluoride Ion) 0.76%
  • Fluoride: Yes
  • Size: 4.7 ounces
  • Flavor: Peppermint

Davids Sensitive Whitening nano-Hydroxyapatite Toothpaste

Amazon


Why We Like It

Toothpaste doesn’t seem like it would contain any animal-derived ingredients, but check the label before assuming your toothpaste is vegan-friendly. For example, it could contain glycerin made from animal fat. One of the perks of natural toothpaste is that they’re usually made with plant-based ingredients and free from animal testing, making them suitable for vegans.

Davids Sensitive Whitening Nano Hydroxyapatite Toothpaste, for one, is 100% vegan and made with glycerin derived from vegetables. It’s also powered by nano-hydroxyapatite, making it a fluoride-free option. Though it works differently, nano-hydroxyapatite has similar anti-cavity benefits to fluoride, and it’s been shown to remineralize small cavities in children just as effectively.

This toothpaste also contains calcium carbonate to break up plaque and xylitol for added cavity protection. We also like that it’s SLS-free, comes in a recycled aluminum tube, and is packed with a metal tube key to squeeze out every last drop.

It’s Worth Noting 

  • While it’s not the most expensive toothpaste we’ve seen, a tube will run you far more than the traditional toothpaste you might be used to.

Product Details

  • Key Ingredients: Nano-hydroxyapatite, calcium carbonate, xylitol
  • Fluoride: No
  • Size: 5.25 ounces
  • Flavor: Peppermint

Tom's of Maine Natural Children's Fluoride Toothpaste

Amazon


Why We Like It

If you’re looking for a natural toothpaste for your kids,Tom’s of Maine Children’s Toothpaste is a great choice, says Dr. Conn. She likes that it’s a fluoridated option, which is the general recommendation for kids ages two and older. Parents can use a tiny smear of fluoridated toothpaste on infants as soon as a tooth erupts. 

Admittedly, we didn’t test this kid-friendly toothpaste on ourselves, but our editor used it to brush her infant daughter’s teeth. Though brushing a wiggling child’s teeth can be a difficult task, this toothpaste made it much easier. It goes on easily and suds up nicely. The best part is the taste. Kids tend to find fruity toothpastes more palatable than minty ones, which may taste spicy to children, and this strawberry-flavored toothpaste was a hit with our editor’s daughter. 

It’s Worth Noting 

  • This toothpaste has a simpler and shorter ingredient list than the adult versions, but it’s not SLS-free.
  • It’s also slightly grainy and has an off-putting gray color, though some prefer this to artificial dyes.

Product Details

  • Key Ingredients: Sodium monofluorophosphate 0.76% (0.13% fluoride ion), calcium carbonate
  • Fluoride: Yes
  • Size: 5.1 ounces
  • Flavor: Strawberry

Amazon Twice Oral Wellness Toothpaste with Fluoride

Amazon


Why We Like It

Potassium nitrate toothpaste has been shown to significantly reduce tooth sensitivity when used at a concentration of 5%. Fortunately, that’s the amount found in this toothpaste from Twice. Our editor with tooth sensitivity confirmed that it was just as effective as Sensodyne but even more effective at leaving her mouth feeling clean.

Potassium isn’t the only ingredient you’ll find in this formula. It’s packed with beneficial ingredients like fluoride to prevent cavities, aloe vera to soothe irritated gums, and vitamins to promote gum health. The performance of this toothpaste was noticeable. We found it cleaned our teeth better than many others we tested, and it tasted great. It’s also SLS-free and vegan-friendly

It’s Worth Noting 

  • The consistency starts out thick but quickly becomes runny when combined with water, which was our least favorite thing about it since it made it difficult to brush for the recommended two minutes without needing to spit it out.

Product Details

  • Key Ingredients: Sodium fluoride, potassium nitrate
  • Fluoride: Yes
  • Size: 3.4 ounces
  • Flavor: Wintergreen peppermint

Amazon RiseWell Natural Hydroxyapatite Toothpaste

Amazon


Why We Like It

If you struggle to brush your teeth without accidentally swallowing some toothpaste while you’re at it, Gandhi recommends Risewell’s fluoride-free toothpaste, which features hydroxyapatite to strengthen enamel. It helps remineralize teeth, so if you have small cavities, this toothpaste may help reverse them. Other ingredients in this natural option include cavity-fighting xylitol and breath-freshening peppermint and tea tree oils. It also contains abrasives (the good kind) to get your teeth squeaky clean.

This is Dr. Larbi’s go-to recommendation for those looking for hydroxyapatite toothpastes. She calls out its clean, gentle ingredients, which support the oral microbiome. We like that the ingredients are vegan-friendly and SLS-free. Risewell also earns bonus points for its transparency—all of the ingredients are clearly named and not hidden behind ambiguous labeling like “natural flavors.”

It’s Worth Noting 

  • RiseWell is a pricier brand, and it’s not typically found in stores, so it can be harder to find.
  • It’s also packed with essential oils, which can be beneficial but may also cause allergic contact dermatitis in those sensitive to them. 

Product Details

  • Key Ingredients: Hydroxyapatite, calcium carbonate, xylitol
  • Fluoride: No
  • Size: 4 ounces
  • Flavor: Mint

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Why We Like It

Natural and sustainable product categories don’t always overlap, but in the case of Simplut Chewable Toothpaste Tablets, they do. Toothpaste tablets tend to have a lighter carbon footprint because they’re water-free, and these ones by Simplut are also free from plastic packaging. In fact, the tin packaging is zero-waste and reusable. 

But we focused more on what’s in the package when we tested this toothpaste. The tablets smell great and closely resemble breath mints. They left our mouth feeling clean and refreshed. These small but mighty tablets also contain fluoride, so they can fend off cavities and promote healthy enamel. The reusable tin also makes the tablets ideal for travel or to bring to work or school.

It’s Worth Noting 

  • The texture is a bit grainy, and there’s a learning curve to getting the tablet to fully break down.
  • We also noticed how quickly the tablets run out—a pack of 60 only lasts for a month.

Product Details

  • Key Ingredients: Sodium fluoride, xylitol
  • Fluoride: Yes
  • Size: 60 tablets
  • Flavor: Peppermint

Amazon Tidalove Smile More Toothpaste Tablets with Fluoride

Amazon


Why We Like It

Earning a perfect score across the board, Tidalove Smile More Toothpaste Tablets were a close second for our Best Overall pick when we tested them out. All it took was one use, and we were immediately impressed. Our editor even compared using these tablets to that “just left the dentist” clean—the one where you can feel each tooth individually because of how smooth they are.

This toothpaste checked all of our boxes. It was super sudsy and easy to swish around, unlike some natural toothpastes that never fully foam up. We also enjoyed the yuzu flavor, which was a nice departure from the typical mint or cinnamon. The toothpaste never caused any burning or tingling—just an overall clean feeling with fresh breath to boot.

The main active ingredient in these tablets is fluoride, but they’re also packed with other cavity-fighting ingredients, including hydroxyapatite and xylitol. Something tells us our dentist is going to be pleased at our next checkup. 

It’s Worth Noting 

  • Like most toothpaste tablets, the texture starts out on the chalkier side, but the consistency gets better quickly as you chew them up. 

Product Details

  • Key Ingredients: Sodium fluoride, hydroxyapatite, xylitol
  • Fluoride: Yes
  • Size: 62 tablets
  • Flavor: Minty yuzu

Amazon TheraNeem Neem Toothpaste

Amazon


Why We Like It

TheraNeem Neem and Sea Buckthorn Toothpaste comes recommended by Kevin Kremer, DDS, a dentist in Chico, California. Although it doesn’t contain fluoride, it has other ingredients that support healthy gums and reduce tooth decay, Dr. Kremer says. Specifically, he calls out neem and xylitol, which reduce plaque and prevent cavities.

Neem, a common ingredient in Indian Ayurvedic practices, has been shown to reduce plaque and help prevent tooth decay when it’s incorporated into toothpaste, and mouthwashes that include the ingredient also can also improve gum problems. Xylitol is known for its cavity prevention properties—especially in chewing gum—but it can also support healthy gums. Some research suggests that xylitol can help reduce the bacteria that causes periodontal disease, which is one of the most common oral diseases. 

It’s Worth Noting 

  • This toothpaste isn’t widely available and is only sold at select online retailers.

Product Details

  • Key Ingredients: Calcium carbonate, xylitol, neem
  • Fluoride: No
  • Size: 4.23 ounces
  • Flavor: Peppermint

More Natural Toothpastes to Consider

With many options to choose from, there’s a natural toothpaste for everyone. These products didn’t meet our needs, but they may work for you.

  • Unpaste Tooth Tablets Mint with Fluoride: The idea of eco-friendly toothpaste tablets is easy to get behind. We had high hopes for these tablets, but the gritty texture was a deal breaker for us. 
  • Sensodyne Natural White Toothpaste: The go-to brand for sensitive teeth, Sensodyne is generally loved by dentists. The brand offers this natural formula, which contains potassium nitrate to reduce sensitivity. However, it also contains charcoal, which can damage enamel and increase sensitivity.
  • Dr. Sheffield’s Certified Natural Toothpaste: Sealed in a recycled aluminum tube, this natural toothpaste has been around for over a century. It comes in a variety of flavors, but the taste can be hit or miss, and it doesn’t foam up at all.

Where We Stand

We tested a total of 36 toothpastes—six of which met the criteria for natural toothpaste. Of these, Spotlight Oral Care Toothpaste for Total Care was our top choice. It’s a fluoridated toothpaste that effectively reduced sensitivity, freshened breath, and left our teeth feeling smooth and clean. We continue to test new products and will update this list when we have new findings to share.

Our Testing and Review Process

To select the remaining natural toothpastes on our list, we relied heavily on research, expert input, and real user reviews. We started by interviewing dentists and oral health experts who recommended their personal favorites and told us what to look for in a natural toothpaste. With their criteria in mind, we were able to complete our final list of recommendations.

To test each product, we applied a pea-sized amount of toothpaste to our toothbrushes and brushed for the recommended two minutes. While brushing, we focused equally on the four quadrants of the teeth, including the fronts, backs, and tongue. We used each toothpaste twice a day for the duration of the test. After the testing period, we collected insights and rated each product based on the following attributes:

  • Effectiveness: Many people want to know whether natural toothpaste is as effective as regular toothpaste, so we set out to get answers. After testing the toothpastes, we noted how our teeth felt and whether any claims lived up to the hype. 
  • Comfort: Some natural toothpastes don’t foam up like regular toothpaste, or they can feel grainy. We rated each product on its consistency and mouthfeel as well as its ease of use.
  • Taste: Natural or not, most toothpastes are flavored with mint to encourage fresh breath, though some have alternative flavors. We described the taste of each toothpaste and whether it was pleasant or overwhelming. 

Our Experts 

Before any testing or researching takes place, we always start by interviewing experts. To better understand how natural toothpaste differs from conventional ones, we spoke to the following dentists:

  • Karen Conn, DMD, a board-certified orthodontist in Bryn Mawr, Pennsylvania
  • Jenny Gandhi, DDS, owner of Pearl Dentistry in Charlotte, North Carolina
  • Edmond R. Hewlett, DDS, professor at the UCLA School of Dentistry
  • Kevin Kremer, DDS, a dentist in Chico, California
  • Sara Larbi, DDS, a holistic dentist in Santa Monica, California
  • Jon Marashi, DDS, a Los Angeles-based cosmetic dentist
  • Lena Varone, DMD, a New York City-based dentist

What to Know About Natural Toothpaste

  • Ingredients to Look For: A toothpaste list of ingredients is what differentiates natural toothpastes from traditional ones. The dentists we spoke to recommend looking for active ingredients that strengthen enamel and prevent tooth decay. Fluoride is the best example of this, Dr. Conn says. Our top pick, the Spotlight Oral Care Toothpaste for Total Care, contains fluoride to reduce cavities and reduce sensitivity, but we also researched fluoride-free toothpastes. Some natural toothpastes, such as the Risewell Mineral Toothpaste, opt for nano-hydroxyapatite to protect against tooth decay. This ingredient remineralizes teeth, so it can help reverse small cavities and is comparable in effectiveness to fluoride, Dr. Larbi explains. Our experts also recommended looking for abrasives like baking soda, hydrated silica, and calcium carbonate; coconut oil to soothe the gums; and xylitol for further cavity prevention.
  • Ingredients to Avoid: Natural toothpastes tend to veer away from synthetic ingredients like artificial colors, dyes, chemicals, preservatives, and detergents, Dr. Conn says. Many are also free from sodium lauryl sulfate, or SLS, a detergent that helps toothpaste foam up but can cause irritation in some people. While some people avoid fluoride, this typically isn’t necessary unless recommended by your health care professional. Fluoride can be dangerous in high amounts, but it’s safe when used properly.
  • Abrasiveness: Most toothpastes contain abrasive ingredients, and natural toothpaste is no exception. The idea of applying anything abrasive on your teeth might sound scary, but certain abrasives are actually beneficial for your teeth. Look for calcium carbonate or hydrated silica as these help remove plaque and surface stains, Dr. Conn says. They also help get rid of food particles. Tom’s of Maine Fluoride-Free Antiplaque and Whitening Natural Toothpaste contains both of these abrasives, making it a sound choice for brightening your smile. 
  • Effectiveness: There are certain benefits of toothpaste we all expect, like plaque removal, fresh breath, and protection against cavities and gingivitis. Dr. Larbi says not all toothpastes are equally effective, and finding the one that works best comes down to ingredients with proven efficacy. Fluoride remains the gold standard for its anti-cavity properties, but nano-hydroxyapatite and xylitol are also effective. For overall oral health, the Twice Oral Wellness Toothpaste with Fluoride is aptly named. It’s packed with active ingredients dentists love, such as fluoride and xylitol. It’s also the only toothpaste on our list that contains potassium nitrate, the same active ingredient Sensodyne uses to reduce tooth sensitivity.

Your Questions, Answered

Are natural toothpastes as effective as traditional toothpastes?

The effectiveness of toothpaste depends on the active ingredients. Natural and traditional toothpastes that contain fluoride effectively remove plaque and prevent cavities, though some natural toothpastes powered by nano-hydroxyapatite can also work.

Does natural toothpaste contain fluoride? 

Fluoride is a natural mineral that’s considered the gold standard for preventing cavities, but there’s some controversy surrounding it. Some natural toothpastes contain fluoride, while others are fluoride-free, so be sure to check the ingredients list if you’re trying to avoid it.  

How often should I brush my teeth with natural toothpaste?

The type of toothpaste you use shouldn’t affect how often you brush your teeth. The widely accepted recommendation set by the ADA is to brush for two minutes twice a day.

Who We Are

Lacey Muinos is a health and wellness writer. She covers topics ranging from nutrition to oral hygiene, and she’s reported on dental products like electric toothbrushes, tongue scrapers, and toothpaste. As someone with sensitive teeth herself, Lacey looks for toothpastes that contain potassium nitrate to alleviate sensitivity.



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