I see a lot of mixed information about children’s oral health. Some of my friends say that fluoride toothpaste is poisonous, but my doctor recommends fluoride toothpaste. Is fluoride toothpaste safe for kids? And why should my kids be using fluoride toothpaste over a natural brand?

Fluoride is a natural mineral that helps to strengthen bonds of the teeth, protect the enamel, and prevent tooth decay. All toothpaste that receives the American Dental Association (ADA) seal of approval must contain fluoride. The ADA has updated its recommendations and now advises that children should brush with fluoride toothpaste from the time of initial tooth eruption. A tiny rice-sized amount is all that is needed on the brush for tots that are under 3 years old.  After 3, a pea-sized amount is recommended, as is brushing for 2 minutes twice daily. Of course, as with most things, moderation is key.  In excessive amounts, fluoride may stain the teeth, and lead to surface irregularities. Toothbrushing should be a parental-supervised activity: Do not rely on your toddler to brush their teeth independently as it is tricky for them to reach certain spots in their mouths, including those back molars. At around age 6, children can typically spit the toothpaste out reliably and the supervision can ease up.

I love the use of light-up or vibrating toothbrushes, superhero and character-themed ones to make brushing a more fun part of the bedtime routine. Singing a tune can also help the time fly by and pace the brushing sessions. And don’t forget flossing as part of your bedtime routine, which is important in getting those hard-to-reach zones between the teeth that a toothbrush may miss!