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Cocoa extract may be an effective natural option to fluoride in toothpaste For a healthy smile brush between meals, floss regularly and eat plenty of chocolate. According to Tulane University doctoral applicant Arman Sadeghpour, an extract of cocoa powder that occurs naturally in chocolates, teas, and other items might be an effective natural option to fluoride in toothpaste. In fact, his research uncovered that the cocoa extract was far better than fluoride in fighting cavities even. The extract, a white crystalline powder whose chemical makeup is comparable to caffeine, helps harden teeth enamel, making users less susceptible to tooth decay. The cocoa extract can offer the first main innovation to commercial toothpaste since manufacturers started adding fluoride to toothpaste in 1914.