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Can Cavities Be Healed with Diet?

Can cutting out grains help prevent or even reverse tooth decay? Nutrition Diva explores the science and lore of remineralization

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Emily writes:

“I've heard claims that you can remineralize your teeth and even heal cavities through certain diet and lifestyle choices. These claims usually involve cutting out grains and other foods high in phytic acid. Most of the arguments I've encountered so far have been anecdotal. Is there any scientific documentation of this process?”


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I’ve been hearing a lot about this, too, Emily! And when I researched the topic, I was a little surprised (and pretty excited!) to learn that remineralization of tooth enamel—and even reversal of small cavities—is possible! But you don’t need to cut out grains, nuts, and beans in order to remineralize your teeth.

That idea dates back to some research done in the 20s and 30s, long before the era of modern dentistry. This was before we knew exactly how cavities (or even teeth!) were formed. Back then, one hypothesis was that cavities were caused by mineral deficiencies and that grains were largely responsible for those deficiencies, perhaps by blocking the absorption of certain nutrients. We now know pretty conclusively that this is not the case—at least, not in industrialized countries.

Those early studies were conducted in Britain, a nation not exactly renowned for its dental superiority. This was long before fluoride treatment and kids’ teeth were basically rotting in their heads. To test the theory that grains were to blame, a dentist named May Mellanby divided a bunch of school kids into groups, and put one group on a grain-free diet. That group got fewer cavities…and confidence in that hypothesis grew.

In the intervening 80 or so years, we’ve developed a much better understanding of how teeth (and cavities) form. New and better hypotheses were formed and tested, and the profession moved on—which is why you’ll be hard-pressed to find much research on cereal grains and dental caries published since about 1950.

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