Why Is Fluoride Important?
According to the American Academy of Pediatrics (AAP), fluoridated toothpaste is recommended for all children starting at tooth eruption, regardless of caries risk. A smear (the size of a grain of rice) of toothpaste should be used up to age 3. After the 3rd birthday, a pea-sized amount may be used. Parents should dispense toothpaste for young children and supervise and assist with brushing. Fluoride varnish is recommended in the primary care setting every 3–6 months starting at tooth emergence.
Over-the counter fluoride rinse is not recommended for children younger than 6 years due to risk of swallowing higher-than-recommended levels of fluoride. Dr. Matthews will work with you in this regard.
Flavors
Children are more likely to enjoy brushing if they have a fun flavored toothpaste. Parents sometimes purchase multiple flavors to see which ones their child likes best.
Fluoride
Fluoride is essential for the development of healthy teeth, as it helps prevent tooth decay. However, a toothpaste containing fluoride should only be used once a child is able to spit the toothpaste out and our practice does not recommend fluoride under age 2 1/2 due to lack of oral control and the risk of ingesting too much fluoride and causing enamel fluorosis. For children under age 2 1/2, use a fluoride-free toothpaste that is made to be ingested (swallowed).