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Community Health Division

Phone:(425) 339-5230
Email: chquestions@shd.snohomish.wa.gov
Office Hours: Monday through Friday 8:00 am to 5:00 pm

Oral Health Program > Fluoride Toothpaste

Tooth Brushes
  Recommended Use:
  • Under age two if recommended by your dentist and your child is at moderate/high risk for tooth decay use the smallest amount of fluoride toothpaste.

  • As children get more teeth, use a little more toothpaste.

  • For children younger than age 8, no more than a pea-size amount of fluoride toothpaste is necessary.

  • Fluoride toothpaste used twice daily is very effective in preventing tooth decay.

  • Teach children to spit out toothpaste after brushing.

  • Rinsing after brushing reduces the effectiveness of fluoride toothpaste.



Tooth Paste Fluoride toothpaste has been associated with mild to moderate enamel fluorosis in young children that swallow too much fluoride while their teeth are growing.

The CDC recommends that children under age two do not use fluoride toothpaste unless recommended by a health care professional according to child's risk for tooth decay. If toothpaste is used, use very little.

Between ages two and six, children should use no more than a pea-sized amount of fluoride toothpaste to minimize the risk of enamel fluorosis.


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Last Reviewed and updated July 30, 2007


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