has beautiful teeth and a confident smile, which is the best dress for a person. In order to protect the teeth of my children, I will brush and floss them carefully every night. I have also written a lot of articles about brushing/mouth protection before:
The 10 most concerned teething issues
How to make children accept adults help them brush their teeth? I highly recommend this video
Why do children still turn yellow when brushing their teeth in the morning and evening?
All the problems of children brushing their teeth, reading this article is enough
You need to help children brush their teeth until they are seven years old! How to brush it?
Every time, a friend asks for recommendations for children's toothpaste .
Let’s take a look today. Among the dazzling array of children’s toothpastes on the market, which are good toothpastes that really meet the "standards".


Key points:
It is recommended to choose fluoride toothpaste , especially for children with high risk of tooth decay;
In addition to fluoride , toothpaste products may also contain active ingredients that reduce tooth sensitivity, whiten teeth, prevent gingivitis , reduce tartar accumulation, prevent enamel erosion or anti-bad breath.
Be sure to pay attention to the dosage of children's toothpaste;
needs to avoid some sensitizing and irritating ingredients.
The US FDA defines toothpaste as " provides teeth with anti-caries drugs gel-like, paste or powdery preparations containing abrasives." Anti-caries drugs are "drugs that help prevent caries (caries, tooth decay ).
The Chinese Oral Medicine Association defines toothpaste as , which is a preparation for , which can enhance the friction of brushing teeth, help remove food residues, soft spots and plaque, help eliminate or reduce oral odor, and make the breath fresh.
Toothpaste is usually composed of active ingredients and inactive ingredients.
Toothpaste contains a variety of active ingredients that help improve oral health, such as fluoride that can enhance enamel to help prevent tooth decay, including anti-caries, desensitizers and antibacterial agents.
Anti-Carctic Agent:
The only ingredient in toothpaste that helps prevent tooth decay are sodium monofluorophosphate, sodium fluoride and stannous fluoride and other fluoride . Fluoride enhances dental health, prevents decay and helps repair enamel early in the decay.
In my country's national toothpaste standards, the fluorine content in children's toothpaste is required to be between 0.05%-0.11%, that is, 500ppm-1100ppm.
. As for how old a baby can use fluoride toothpaste and how much toothpaste, countries have given different suggestions. For details, please refer to: currently only two teeth have erupted, do you need to brush your teeth? Do you need to use fluoride toothpaste?

UK and the United States recommend using fluoride toothpaste (non-low fluorine); Australia recommends using children's low fluorine toothpaste from 18 months.
My advice is, if the child has a high risk of tooth decay (such as family members who have tooth decay, have frequent high-sugar diets, and still use a bottle to drink milk after one year old, and their diet is not healthy enough), use perfluoro toothpaste from the beginning. Fluoride-free toothpaste is not recommended.
study has confirmed that brushing teeth with fluoride toothpaste can reduce the incidence of tooth caries in children. The Department of Engineering Medicine and Health (HMD) of the National Academy of Sciences believes that for children over 6 months of age, the total fluorine intake of of 0.05 mg/kg per day (upper and lower limits are 0.02 to 0.10 mg/kg/day) is theoretically safe and effective in preventing dental caries.
Fluorination is usually caused by excessive fluorine intake during the development of permanent teeth. It is generally caused by the use of toothpaste. The degree varies from mild to severe, which may lead to chloasma and severe spots, resulting in white spots, stripes or pitting corrosion on the surface of the teeth.
So, be sure to pay attention to the amount of toothpaste!
A study published in 2019 showed that children in the United States usually use more toothpaste than recommended.
If you buy perfluorine toothpaste (with fluorine content above 1000), use rice grains before the age of 3, and use pea-sized toothpaste for 3-6 years old;
If you buy low-fluorine toothpaste (500ppm), use pea-sized toothpaste for 18 months to 5 years old.

m grain size

pea size
Regarding the problem of children rinsing and accidentally swallowing, I will explain again. Children do not need to rinse their mouths with clean water. If the amount of toothpaste you use for your baby is appropriate, then swallowing is safe.
The official recommendations of the United States, Australia, Hong Kong and the United Kingdom are: encourage children to spit out toothpaste, but they do not need to rinse their mouths with clean water. Because doing so will take away the fluorine applied to the teeth, and we hope that the fluorine can stay on the surface of the child's teeth and continuously protect the teeth.
If the amount of toothpaste is appropriate, the amount of fluoride in the toothpaste intake of children will not exceed the recommended fluorine intake level (0.05 mg/kg/day). For example, a child with a weight of 15 kg brushes his teeth twice a day, using rice-sized toothpaste (about 0.1 grams of toothpaste, containing about 0.1 mg of fluoride). If you accidentally swallow all toothpaste, the fluorine intake is about 0.2 mg, and the weight-converted dose is 0.013 mg/kg. Under the same conditions, children who use pea-sized toothpaste (about 0.25 g toothpaste, about 0.25 mg fluoride) will consume 0.5 mg fluoride, and 's weight will be 0.033 mg/kg.

Based on my experience in brushing children's teeth, before the age of 3, I will not have too much foam when I use rice grain-sized children's toothpaste, and it will be fine whether I vomit or not. After the age of 3, if you use toothpaste as big as a pea, there will be more foam. At this time, the child will also vomit. Encourage the child to spit out the foam in his mouth, or rinse his mouth with a small amount of water.

👆So much foam is obviously an excessive amount of toothpaste
Desensitizer:
Toothpaste helps reduce tooth sensitivity active ingredients and can reduce oral discomfort caused by sensitivity.
Potassium nitrate and stannous fluoride are the two most common desensitizers in toothpaste. The mechanism of action of the two components is different: the potassium ions in potassium nitrate are depolarized by nerve cells to help teeth reduce sensitivity; the
stannous fluoride reduces sensitivity by blocking the tubes of tin-rich sediments.
Another less common anti-sensitivity ingredient is strontium chloride , which also works by blocking the tubules, but there is currently a lack of conclusive evidence to show its principle and mechanism.
Antimicrobial agent:
Stannous fluoride helps relieve gingivitis. pyrophosphate and zinc citrate help reduce the accumulation of tartars (tartar).
In addition, although triclosan and sodium fluoride have been confirmed to work together to prevent tooth caries, plaque and gingivitis, has been no longer available for sale in the United States since early 2019.
The debate about triclosan is largely derived from the experiment of a teacher at Virginia Tech University in the United States. According to research by Dr. Peter Vikesland, products containing triclosan can form chloroform once they react with chlorine-containing tap water. It is colorless and volatile and has been used as an anesthetic, but animal experiments have found that this substance can cause damage to the heart and liver, is mildly teratogenic, and can induce liver cancer in mice, but there is no research data on carcinogenicity in humans. To be on the safe side, both the International Cancer Research Center and the United States have listed chloroform as a suspicious carcinogen that is a potential threat to the human body.
In April 2010, the U.S. Food and Drug Administration announced the launch of an assessment of triclosan's safety. Researchers found that this bactericidal ingredient may interfere with thyroid hormone function and may even make some bacteria resistant to antibiotics. But in terms of "sterilization" in his job, it may not be much better than soap and water.
According to the provisions of the EU and my country's national toothpaste standards, triclosan is a preservative that is allowed to be added to toothpaste, but it is clearly not allowed to exceed 0.3%.
The main function of triclosan is antibacterial, but it is not necessary to add it. For such a controversial ingredient, I suggest to avoid it, avoid it, and then avoid it. If you have used
, don’t worry too much. Please comfort yourself to study the evidence.
Below are the inactive ingredients that are often contained in toothpaste, including friction agents, foaming agents, flavours, moisturizers, thickener or binders, as well as peroxides, etc.
Friction agent:
Modified silica abrasive or enzyme helps clean teeth and helps whiten teeth by physical action.
Common toothpaste abrasives include calcium carbonate , dehydrated silica gel, hydrated alumina (aluminum hydroxide), magnesium carbonate, phosphate and silicate.

Enol is the hardest substance in the human body, but due to the wear of enamel or the recession of gums, the dentin in its deep may gradually be exposed and worn. To this end, scientists have spent decades studying and detecting the effects of dental cleaners on tooth structure.
In the internationally recognized ISO11609-2017 standard, the friction value (RDA) of friction agent generally shall not exceed 250, and it is safe to be less than 250. and the friction value (RDA) of calcium carbonate toothpaste is 253.84. In , it is not recommended to use calcium carbonate as the main friction component, especially children's toothpaste.

Foaming agent:
Foaming agent that produces foam helps dissolve plaque and scale accumulation when brushing teeth. Common foaming agents in toothpaste include sodium lauryl sulfate and N-lauryl sarcosine.

Flavoring agent:
flavoring agent and saccharin-free sweeteners can improve the taste of toothpaste. toothpaste does not contain sugar or any caries-causing ingredients.
Moisturizer:
Moisturizers such as glycerin, propylene glycol and sorbitol help prevent toothpaste moisture loss.
Thickener or binder:
Thickener or binder, which can stabilize toothpaste formula, including mineral colloids, natural glues, algal colloids or synthetic cellulose.
Peroxide:
Hydrogen peroxide and urea peroxide help reduce internal stains in teeth.
Allergens and irritants
Toothpaste can cause oral irritation or allergic reactions in rare cases. Essential oils, including spearmint, mint, and cinnamon, are common allergies for oral contact dermatitis, stomatitis, or cheilitis.
It should be noted that these ingredients may not be explicitly mentioned on the packaging, but are uniformly listed as "flavor" . In addition, essential oils, flavor mixtures and menthol may also stimulate the oral mucosa and cause allergic reactions.
Other common ingredients in toothpaste that are allergens or contacting irritants include
citric acid (zinc citrate or potassium citrate in the ingredients list), triclosan, sodium lauryl sulfate, propylene glycol, PEG-8, PEG-12, PEG-1450, cocamidopropyl betaine, paraben and pyrophosphate.
Toothpaste Allergen-induced symptoms of contact dermatitis include erythema, edema, squashing and ulcers in the oral mucosa, gums and tongue, which are often difficult to distinguish from other oral problems.

This time we bought 17 , which has good sales and good reputation. It is well-known to the public, and is all toothpaste containing fluorine. Take them as an example to see how to choose the right toothpaste for your child.

This time the toothpaste "evaluation" has no final victory or defeat evaluation, because I think none of these toothpastes are absolutely good or bad. Instead, you can choose according to the specific situation of the child.
When choosing toothpaste for children, we can consider it from these dimensions:

There are 9 toothpastes in this review, which are designed with flip covers, but black toothpaste and Kao do not have aluminum foil paper, so the cover is leaked.
In terms of toothpaste content, I personally prefer to choose small , because the amount of toothpaste for children is very small, and even if it is very small, it can be used for a long time. In the end, it will feel a little dirty.

and 7 toothpastes are designed to open the lid directly, among which pororo bobole also leaked because the opening is too big.

In the end, there is only left in the Frog Prince is the only press-type design inside.


These toothpastes do not contain triclosan, but they all contain some ingredients that may be sensitized and irritating. This is why we feel a little slight irritation when using toothpaste. Children's toothpaste will be much better for adult toothpaste in this regard, so even if you choose perfluoro toothpaste, children will be much better for children's toothpaste.
Among the 17 toothpastes we bought this time, except for the toothmolar used by grin, the rest are hydrated silica.
Two of the toothpastes have an excessive fluorine content, one is dontodent from in Germany, and the other is in the United States. Therefore, you must pay attention to the dosage of these two toothpastes. If you are really worried, avoid these two.
Among other children's toothpastes, only signal, putzi, grin is perfluorogenic toothpaste, lion king caries Kefei and lion king Qiaohu are close to perfluorogenic level . These toothpastes are recommended for children with a higher risk of tooth decay. How to tell if a child has a higher risk of tooth decay?
Whether family members have tooth decay;
Whether children receive high sugar content and eat more frequently;
Whether they are drinking milk in bottles;
Children over 6 months old and have teeth can use perfluoride toothpaste. When using perfluoro toothpaste, you only need to pay attention to the dosage of toothpaste: html use rice grains before the age of 103, and use pea-sized toothpaste after the age of 3. can not only protect teeth, but also eliminate the risk of tooth fluorosis.
and the rest of the toothpaste is low-fluorine toothpaste. children with low risk of tooth decay can also consider choosing a low-fluorine formula toothpaste, or according to Australian opinions, if it is low-fluorine toothpaste, you can use a pea-sized dosage after 18 months.


In addition to this, the most important thing about toothpaste is also cleaning ability. Because the surface layer of the egg shell is similar to the tooth composition structure, we also used eggs for testing this time. Sort each egg number and apply equal amounts of color blocks with markers.

Use the same electric toothbrush to get the amount of toothpaste of a grain of rice, and use the soft-haired baby electric toothbrush in the same gear to brush it back and forth for 1 minute:

Lion King Caries Kefei

Lion King Bread Superman

Qiaohu

Kao

Shuke Baby

Jorden

Signal

Pororo

Black toothpaste

Red baby elephant

Dontodent

Putzi

html l10 Frog Prince

grin

Tom'

elmex
Beiqin
Beiqin
The cleaning effect of different toothpastes is shown in the figure below. I won't comment specifically, please see the following results for yourself:

Lion King's caries Kefei

Lion King's bread Superman

Qiaohu

Kao

Shuke Baby

Jorden

Signal

poro

Black toothpaste
Black toothpaste

Red Elephant

Dontodent

Putzi

Frog Prince

grin

Tom'

elmex

Beiqin
Finally, the five best cleaning effects are: elmex, Kao,Beiqin, Lion King, Bread Superman, Black Toothpaste. is actually all low-fluoride toothpaste.

Note: The evaluation is for reference only
manual measurement errors, and there is no absolute

flavor is also a very important choice factor. You can consider choosing the flavor that your child likes and avoid dislikes.


















Among these toothpastes, I have used Bread Superman (perfluorine) and elmex (low fluorine) for Niu Niu. Both of them have a good experience of using them, and have also used Oral B, Cres' children's toothpaste (both perfluorine). Later, Niu Niu became older, and Jiujiu had a relatively high risk of tooth decay, so from the beginning of brushing Jiujiu's teeth, we chose perfluoride toothpaste.
Finally, I remind everyone again, choose children's toothpaste, and pay attention to the fluorine content in , and pay attention to the amount of toothpaste you give to your children! Because compared with other factors, these two points are the most important in terms of mouth guards.

3-year-old rice grain size
3-6-year-old pea size
Wish children all have a healthy little white teeth ~

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