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What’s the Best Toothpaste for My Child?

Evaluating the many brands of oral products claiming to be “best for children” can be an overwhelming task.  Selecting an appropriately sized toothbrush and a nourishing, cleansing brand of children’s toothpaste is of paramount importance for maintaining excellent oral health.

Why brush primary teeth?

The importance of maintaining the health of primary (baby) teeth is often understated.  Primary teeth are essential for speech production, chewing, jaw development, and they also facilitate the proper alignment and spacing of permanent adult teeth.  Brushing primary teeth prevents bad breath and tooth decay, and also removes the plaque bacteria associated with childhood periodontal disease.

What differences are there among toothpaste brands?

Though all toothpastes are not created equal, most brands generally contain abrasive ingredients to remove stains, soapy ingredients to eliminate plaque, fluorides to strengthen tooth enamel, and some type of pleasant-tasting flavoring.

The major differences between brands are the thickness of the paste, the level of fluoride content, and the type of flavoring.  Although fluoride strengthens enamel and repels plaque bacteria, too much of it can actually harm young teeth – a condition known as dental fluorosis.  Children between the ages of one and four years old are most at risk for this condition, so fluoride levels should be carefully monitored during this time.

Be aware that adult and non-ADA approved brands of toothpaste often contain harsher abrasives, which remove tooth enamel and weaken primary teeth.  In addition, some popular toothpaste brands contain sodium lauryl sulfate (shown as “SLS” on the package), which cause painful mouth ulcers in some children.

So which toothpaste brand should I choose?

The most important considerations to make before implementing an oral care plan and choosing a toothpaste brand is the age of the child.  Home oral care should begin before the emergence of the first tooth.  A cool clean cloth should be gently rubbed along the gums after feeding to remove food particles and bacteria.

Prior to the age of two, the child will have many teeth and brushing should begin.  Initially, select fluoride-free “baby” toothpaste and softly brush the teeth twice per day.  Flavoring is largely unimportant, so the child can play an integral role in choosing whatever type of toothpaste tastes most pleasant.

Between the middle and the end of the third year, select an American Dental Association (ADA) accepted brand of toothpaste containing fluoride.  The ADA logo is clear and present on toothpaste packaging, so be sure to check for it.  Use only a tiny pea or rice-sized amount of fluoride toothpaste, and encourage the child to spit out the excess after brushing.  Eliminating the toothpaste takes practice, patience, and motivation – especially if the child finds the flavoring tasty.  If the child does ingest tiny amounts of toothpaste, don’t worry; this is perfectly normal and will cease with time and encouragement.

Dental fluorosis is not a risk factor for children over the age of eight, but an ADA accepted toothpaste is always the recommended choice for children of any age.

If you have questions or concerns about choosing an appropriate brand of toothpaste for your child, your pediatric dentist will be happy to make recommendations.

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I went to Dr. Lee and he was the best. He seemed to care a lot about details to make sure everything was done right, and he made me feel very comfortable. Highly recommend.

Sam, Winston – Salem, NC

One of MD's Best! If you are able to be flexible on your dentist, Dr. Lee is one of the best dentist's in Maryland. I had been a patient of his for years until I moved and changed insurance plans. I'm sad to say that I haven't found any dentist quite as good as Dr. Lee had been. He's great at making recommendations, getting ot know each patient individually, and just has an overall great demeanor and personality.

Tatiana, Gaithersburg, MD

I appreciated that they were still concerned about my health even after I left the office. They followed up with me after my appointment and everything. I was completely at ease during my appointment here. They went to great lengths to make sure I was completely relaxed and comfortable the entire time. They are so kind and caring, and they stay open way past their closing time to help anyone who needs them. They wouldn't deny anyone that needed help. I know I can always count on them. They had a huge selection of magazines in the waiting room. I was able to find some of my favorites and they kept me entertained while I was waiting for my appointment. I knew I was getting top-of-the-line treatment when they told me about what they learned at the latest conference they attended, and how they were incorporating that knowledge into the practice.

Marian, Baltimore, MD

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