Episode 24

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Published on:

29th Dec 2025

24: Vitamin D Won’t Save Your Teeth – The Shocking Truth About Cavities and Oral Health with Dr. Rob Karlinsey

What if vitamin D supports your oral health in powerful ways, but not in the cavity preventing role social media claims it does?

In this episode of Dental Formulator’s Playbook, Dr. Rob and Tami take a deep, evidence-based look at vitamin D and its relationship to oral health. They examine historical research, modern studies, and emerging science to clarify what vitamin D can and cannot do for teeth and gums. While vitamin D is often promoted online as a cavity-preventing solution, the hosts explain why fluoride remains the gold standard for caries prevention and where vitamin D actually fits into a smart, holistic oral care strategy.

Rather than acting directly on enamel, vitamin D influences oral health through systemic pathways, including immune regulation, salivary protein expression, and periodontal tissue support. This episode separates fact from hype and offers practical guidance grounded in real science.

🔍 Highlights

  1. Why vitamin D does not directly prevent dental caries
  2. The difference between systemic support and topical protection
  3. How vitamin D influences the oral proteome and salivary proteins
  4. The role of antimicrobial peptides such as cathelicidin (LL-37) in oral immunity
  5. Historical vitamin D research and how early findings were often misinterpreted
  6. Why fluoride remains essential for enamel protection and remineralization
  7. Vitamin D’s documented benefits for gingival health and periodontal stability
  8. The importance of distinguishing correlation from causation in nutrition research
  9. How saliva flow and protein composition affect oral defense mechanisms
  10. Where vitamin D fits into a comprehensive, evidence-based oral care approach

💡 Key Takeaways

  1. Supplementing with Vitamin D benefits the oral environment in terms of gingival and periodontal health, however there is no clear association in preventing dental caries (i.e., not by strengthening enamel or preventing cavities)
  2. Fluoride is still the most effective and only approved anti-caries agent
  3. Adequate vitamin D levels improve gum health, immune response, and salivary protein function
  4. Salivary proteins play a critical role in protecting teeth and soft tissues
  5. Nutrition matters, but it cannot replace proper topical oral care
  6. A holistic approach combines fluoride, good hygiene, diet, and systemic health

📲 Connect with Dr. Rob (Robert L. Karlinsey, PhD)

🌐 Website: customdentalformulations.com

📄 Research Profile: Robert Karlinsey on ResearchGate

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About the Podcast

Dental Formulator's Playbook
The Dental Formulator’s Playbook is where science meets strategy in the world of oral health innovation. Hosted by Dr. Rob Karlinsey, a seasoned dental researcher and independent formulator, this podcast is your behind-the-scenes pass to what really goes into creating cutting-edge dental products.

Whether you're a dentist, a dental brand, or just someone curious about how toothpaste, rinses, and other oral care products are developed, you'll find practical insights and real-world takeaways in every episode. Dr. Karlinsey keeps it straightforward and engaging—no fluff, just clear, thoughtful explanations based on years of experience in the lab and the industry.

This show is all about helping dental professionals and product developers think differently, make better decisions, and stay ahead of the curve. If you care about science, results, and doing things the right way, you're in the right place.

About your host

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Robert Karlinsey

Dr. Robert L. Karlinsey is a scientist and formulator with almost 20 years’ experience in dental research. He earned a BS in Physics (University of Scranton) and PhD in Chemical Physics (Indiana University), with postdoctoral work in physical chemistry (Indiana University). As a visiting assistant research professor at the Indiana University School of Dentistry, his research led to an impactful encounter with Dr. George Stookey, and shortly thereafter, the formation of Indiana Nanotech, LLC (now known as Custom Dental Formulations, LLC), of which he spearheaded all research and small-scale manufacturing efforts. Dr. Karlinsey is the inventor of Nanotech’s functionalized tricalcium phosphate systems, which continue to help generate over $100MM in global product sales for a major dental manufacturer. As Principal Investigator, his work has received significant funding through Federal (National Institutes of Health), State (Indiana and Texas), and industry grants and contracts. His research in patented calcium phosphate technologies continue to help generate over $100MM in global product sales. Previously, Dr. Karlinsey has served as Chief Scientific Officer at Therametric Technologies, Inc, and adjunct professor of chemistry at the University of Indianapolis.

Dr. Karlinsey addresses clients’ needs in preventive and cosmetic dentistry, including fluoride- and fluoride-free remineralization, antiplaque/gum health, whitening systems, and more. He is actively involved in clinical and laboratory research designs and performance-backed, customized oral care formulation solutions. And, whenever possible, he favors natural, nature-derived, and/or sustainably sourced ingredients