Pikabee Ingredients › Fluoride toothpaste
Baby skincare · 0–36 monthsIs fluoride toothpaste safe for babies?
Fluoride toothpaste for babies and toddlers
Many parents choose “fluoride-free” toddler toothpaste because fluoride sounds like something to avoid. Pediatric dental guidance says the opposite: a rice-grain smear of fluoride toothpaste from the first tooth. Pikabee does not flag fluoride at 1000 ppm or less.
What Pikabee flags, by age
Not flagged at 1000 ppm or less. Start with a rice-grain smear when the first tooth appears.
Not flagged at 1000 ppm or less. Flagged above 1000 ppm, or when the label restricts it to older children or adults.
Not flagged at 1000 ppm or less. Flagged above 1000 ppm, or when the label restricts it to older children or adults.
What it is
Fluoride is a mineral that pediatric dental guidance recommends brushing with from the first tooth. Toothpaste strength is printed in ppm (parts per million) — children's pastes are usually 500 to 1000 ppm, adult pastes around 1450 ppm.
The amount matters more than the paste: a smear the size of a grain of rice under three, about a pea from three to six, with a parent brushing.
Names it goes by on labels
- Sodium fluoride
- Sodium monofluorophosphate (SMFP)
- Stannous fluoride
- Amine fluoride
- Fluoride (ppm F)
Why Pikabee doesn't flag it
The American Academy of Pediatrics (2014) recommends a smear of fluoride toothpaste, about a grain of rice, from the first tooth until age three. The European Academy of Paediatric Dentistry (2019) recommends 1000 ppm fluoride toothpaste for young children, used in small amounts with a parent brushing. Pikabee flags fluoride only above 1000 ppm or when the label says it is for older children or adults.
Questions parents ask
Is fluoride toothpaste safe for a baby under 6 months?
Not flagged at 1000 ppm or less. Start with a rice-grain smear when the first tooth appears. The American Academy of Pediatrics (2014) recommends a smear of fluoride toothpaste, about a grain of rice, from the first tooth until age three.
Is fluoride toothpaste safe for a 6 to 12 month old baby?
Not flagged at 1000 ppm or less. Flagged above 1000 ppm, or when the label restricts it to older children or adults. The American Academy of Pediatrics (2014) recommends a smear of fluoride toothpaste, about a grain of rice, from the first tooth until age three.
Is fluoride toothpaste safe for a 1 to 3 year old?
Not flagged at 1000 ppm or less. Flagged above 1000 ppm, or when the label restricts it to older children or adults. The American Academy of Pediatrics (2014) recommends a smear of fluoride toothpaste, about a grain of rice, from the first tooth until age three.
Is fluoride toothpaste okay for a 1 year old?
The AAP recommends a rice-grain smear of fluoride toothpaste from the first tooth. Pikabee does not flag it at 1000 ppm or less.
Should I buy fluoride-free toddler toothpaste?
Pediatric dental guidance recommends fluoride toothpaste in a small amount. Ask your pediatrician or dentist if you are unsure.
When does Pikabee flag fluoride?
Above 1000 ppm, or when the label says the paste is for older children or adults.
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- Clark M.B., Slayton R.L., AAP Section on Oral Health (2014). Fluoride use in caries prevention in the primary care setting. Pediatrics 134(3):626–633.
- Toumba K.J. et al. (2019). Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document. European Archives of Paediatric Dentistry 20:507–516.
Last reviewed 6 November 2026.
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Talk to your pediatrician about anything concerning.