Carefully using a small amount of fluoridated toothpaste (pea-sized amount) with children under the age of six is a safe and effective way to prevent cavities. Parents should be present and monitoring young children when they brush. We recommend that parents rebrush their teeth until age 7. Some parents may be concerned about fluorosis (white spots) on permanent teeth. Excessive use of fluoride toothpaste and swallowing the toothpaste when children are less than 6 can cause white spots on teeth. Sucking on the toothbrush with toothpaste on it should be strongly discouraged. Parental monitering of amount of toothpaste used and child’s ability to spit out excess toothpaste can eliminate the possibility of fluorosis due to toothpaste.