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Fluoride in toothpastes helps strengthen teeth but too much can cause discolouration of the teeth. As fluoride is also added to some water supplies, it is important to check with a health visitor or dentist whether it is necessary to give supplements and how much to give.

If needed, supplements can start at about six months of age.

The European Academy of Paediatric Dentistry makes the following recommendations on baby and infant toothcare.

Age group
(years)
Fluoride concentration
(ppm)
Frequency
per day
Amount to be used
6 months - 2 years Low fluoride <500 once A smear on teeth and gums
2-6 years <500 twice A pea-sized, or small fingernail-sized
over 6 years 1000-1450 twice 1/3 - 1/2 toothbrush

Parents should always supervise tooth brushing in children below 6 years of age.


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