Dental & oral health
Fluoride toothpaste: check the ppm, spit don’t rinse
What does the ppm on the tube mean, and should you rinse after brushing?
- 1Adults and children 6+: 1,350–1,500 ppm; 1,450–1,500 beats 1,000–1,250
- 2Under 3: a smear; 3–6: pea-size; at least 1,000 ppm
- 3Spit, don’t rinse — keep fluoride on the teeth
- 4Twice a day; the bedtime brush matters most
- 5Fluoride varnish at the dentist cuts new permanent-tooth decay by about 43%
- 6Free sugars under 10% of energy; frequency matters more than amount
Taiwan’s tap water is not fluoridated — toothpaste is the main source. Dry mouth on dialysis? Ask about high-fluoride toothpaste.
Caption (ready to paste)
What does the ppm on the tube mean, and should you rinse after brushing? 1. Adults and children 6+: 1,350–1,500 ppm; 1,450–1,500 beats 1,000–1,250 2. Under 3: a smear; 3–6: pea-size; at least 1,000 ppm 3. Spit, don’t rinse — keep fluoride on the teeth 4. Twice a day; the bedtime brush matters most 5. Fluoride varnish at the dentist cuts new permanent-tooth decay by about 43% 6. Free sugars under 10% of energy; frequency matters more than amount Taiwan’s tap water is not fluoridated — toothpaste is the main source. Dry mouth on dialysis? Ask about high-fluoride toothpaste. Sources: Walsh T et al. Fluoride toothpastes of different concentrations — Cochrane 2019; Marinho VCC et al. Fluoride varnishes — Cochrane 2013; WHO Guideline: Sugars intake for adults and children (2015) Verified: 2026-10-18 Cards and scripts are general health education compiled from public clinical guidelines. They are not individual medical advice and do not replace assessment by your doctor, pharmacist or dietitian. Please keep the sources and this notice when sharing; this page holds the latest version. https://beyondckd.com/en/cards/fluoride-toothpaste-how-much
60-second short-video script
Shot list and voice-over. Vertical 9:16; put captions in the lower third. Every line maps to the sources on the left.
| sec | Screen | Voice-over |
|---|---|---|
| 0–5 | Tube close-up: 1450 ppm | That ppm on the tube is the number that matters. |
| 5–20 | Three age-based amounts | Adults 1,350 to 1,500 ppm; a smear for toddlers, pea-size for preschoolers. |
| 20–40 | Spit; glass of water crossed out | Cochrane, 96 trials: enough fluoride works better. Spit it out — don’t rinse it away. |
| 40–60 | Sugar clock | Keep sweets to mealtimes; no all-day sipping of sugary drinks. |
Sources (every point on the card maps to one)
- Walsh T et al. Fluoride toothpastes of different concentrations — Cochrane 2019
- Marinho VCC et al. Fluoride varnishes — Cochrane 2013
- WHO Guideline: Sugars intake for adults and children (2015)
Verified: 2026-10-18