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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Ingestion of toothpaste increases the risk of enamel fluorosis.

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.

According to the American Academy of Pediatric Dentistry (AAPD), the best way to minimize the child's risk for fluorosis is to limit the amount of toothpaste placed on the toothbrush.

The AAP suggests a smear (grain of rice amount) of fluoride toothpaste for children younger than 3 years of age and a pea-size" amount for all children starting on the 3rd birthday.

Fast Facts
Children under 3 years of age should use a smear (grain of rice amount) of toothpaste and all children after the 3rd birthday should use a pea-sized amount of toothpaste.
Toothbrushing should always be supervised.
Toothpaste should be kept out of reach of young children.
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