Fluoride enhanced toothpaste, how effective is it really?

There is much debate over whether or not fluoride does more harm than good when it comes to toothpaste. Although the American Dental Association says that in the last 50 years that there has been a significant drop in tooth decay due to increased use of fluoride enhanced toothpaste, and recommends that all people over two years of age should brush with a fluoride enhanced toothpaste, others still disagree. So, you have the ADA saying you would be stupid not to use fluoride enhanced toothpaste, however, on the other hand you have the FDA issuing warnings against the dangers that can result from fluoride toothpaste and supplements.

In the case of the FDA warnings however, it is for improper use of such products, as well as ingesting too much of them. With fluoride enhanced toothpaste, you are not meant to swallow the paste, simply use it topically on the surfaces of your teeth. The problems with toothpaste generally come from ingestion. The fluoride in toothpaste is meant to be applied to the surface of the teeth and not consumed, but even if small amounts are consumed it is said to be safe. (Obviously, or we would not be allowed to use it).  

Toothpaste containing fluoride has been used since 1960, and the reason for the ADA's unfaltering support of fluoride enhanced toothpaste is that since that time there has been a significant drop in the level of cavities. This drop is found in those who use fluoride enhanced toothpastes.  This is a pretty big deal, and clearly if the difference is only the toothpaste used, then fluoride has a use. In fact, when used properly, fluoride enhanced toothpaste is very effective at warding off tooth decay. The fluoride helps make teeth stronger, and contributes greatly to less bacteria living in your mouth and creating rot.

However, as with any supplement (which is essentially what enhanced means) there are dangers to using fluoride enhanced toothpaste improperly.  Fluoride in toothpaste is intended for topical application only, so clearly it should not be swallowed. That is one of the reasons it is not recommended for children. Children tend to swallow much of their toothpaste when brushing, where as adults do not. You should also be sure to rinse after brushing so as not to intake any more fluoride than you have to. If you are worried, or if your child eats too much toothpaste, contact poison control.

So, to answer the question, Fluoride enhanced toothpaste, how effective is it really? You will see that fluoride, although helpful, will not prevent tooth decay unconditionally, and does pose some serious risks.  Fluoride should not be used to supplement the effects of a poor diet loaded with sugar and sweets, or improper brushing and flossing. However, fluoride combined with good oral hygiene can help you strengthen your teeth against unwanted bacteria and plaque. will not change the consequences of a poor diet nor will it fight already existing damage.