Choosing Wisely Recommendations
Don’t recommend nonfluoride toothpaste for infants and children.
Rationale and Comments
The benefit of fluoride-containing toothpaste arises from its topical effect on dental enamel by interrupting enamel demineralization caused by bacterial acids and enhancing remineralization of the enamel surface. Anti-caries (anti-cavities) benefit begins with eruption of the first primary tooth.
Brushing with nonfluoridated toothpaste provides no anti-caries benefit. Use of recommended amounts of fluoride toothpaste minimizes risks of fluorosis, a whitish discoloration of enamel.
Sponsoring Organizations
- American Dental Association
Sources
Disciplines
- Pediatric
- Preventive Medicine
References
- American Academy of Pediatric Dentistry. Guideline on Fluoride Therapy. Pediatr Dent 2014;36(6): 171-74.
- American Dental Association Council on Scientific Affairs. Fluoride toothpaste use for young children. J Am Dent Assoc. 2014 Feb;145(2):190-1.
- Wright JT, Hanson N, Ristic H, Whall CW, Estrich CG, Zentz RR. Fluoride toothpaste efficacy and safety in children younger than 6 years: a systematic review. J Am Dent Assoc. 2014 Feb;145(2):182-9.
