TABLE 1

Summary of Fluoride Modalities for Low- and High-Risk Patients

Fluoride ModalityLow Caries RiskHigh Caries Risk
ToothpasteStarting at tooth emergence (smear of paste until age 3 y, then pea-sized)Starting at tooth emergence (smear of paste until age 3 y, then pea-sized)
Fluoride varnishEvery 3–6 mo starting at tooth emergenceEvery 3–6 mo starting at tooth emergence
Over-the-counter mouth rinse Not applicableStarting at age 6 y if the child can reliably swish and spit
Community water fluoridationYesYes
Dietary fluoride supplementsYes, if drinking water supply is not fluoridatedYes, if drinking water supply is not fluoridated