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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
PACT Spry Menu Pages
Oral Hygiene, continued
Ingestion of toothpaste increases the risk of enamel
Fluorosis: 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.

Fast Facts
All children should use fluoride toothpaste in the appropriate amount recommended by age.
Children under 3 years of age at high risk for caries should use a smear (grain of rice amount) of fluoride toothpaste and all children aged 3-6 years should use a pea-sized amount of toothpaste.
To prevent fluorosis, parents should make efforts to minimize the swallowing of toothpaste.
Parents should begin flossing the child’s teeth as soon as the tooth surfaces touch each other.
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