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Dr. Alan Greene on Toothpaste


Should I buy toothpaste with or without fluoride for my 22-month-old child? How much should I use?


Fluoride in the appropriate amount is great for the teeth, but swallowing too much is not good for children. For a 22-month-old, using fluoride toothpaste can be fine, but you'll only want to use a small amount.

With children, use a dab the size of their little fingernail. That can prevent them from swallowing too much. If he does swallow it by mistake, it's okay, but it's still a good idea to mention to him that toothpaste is meant for spitting out so that in the long run he understands.


The information on this Web site is designed for educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health problems or illnesses without consulting your pediatrician or family doctor. Please consult a doctor with any questions or concerns you might have regarding your or your child's condition.