Safety of Fluoride: all sources

• The main safety issue is chronic fluoride intake from all sources during tooth development years (less than 8 years of age) and enamel fluorosis

• Recommendations

• refine fluoridated toothpaste to lower the risk of fluorosis without significantly reducing its effectiveness in caries prevention.

• encourage commencement of toothpaste use in the 19- to 30-month age period

• use of 400- to 550-ppm fluoridated toothpaste when toothpaste use starts

• encourage spitting after brushing

• prevent an eating/licking toothpaste habit in young children.