Ingestion of toothpaste increases the risk of enamel
An abnormal condition (as mottled enamel of human teeth) caused by fluorine or its compounds.
fluorosis. (Refer to Chapter 6: Fluoride for more information). If fluoridated toothpaste is used, strategies to limit the amount swallowed include limiting the amount placed on the brush and observing the child as they brush.
The American Academy of Pediatrics (AAP) recommends a smear (grain of rice amount) of fluoride toothpaste be used until the child's 3rd birthday. After which a pea-sized amount may be used.