PACT Spry Menu Pages
Systemic Sources of Fluoride, continued

Toothpaste’s effects are mainly topical, but some toothpaste is
swallowed by children and results in systemic fluoride exposure.

Strategies to Minimize Toothpaste Ingestion:

  • Limit the amount of toothpaste on the toothbrush
  • Discourage children from swallowing toothpaste
  • Encourage spitting of toothpaste 
  • Supervise brushing until spitting can be ensured

Efforts should be made to minimize swallowing of toothpaste, as it is a highly concentrated source of fluoride.
Fluoride supplements are recommended for high-risk children 6 months to 16 years of age whose primary water source is deficient in fluoride.
Pregnant women should not be prescribed fluoride supplements.

View the Chapter 6 Photo Gallery.