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FDA's Fluoride Toothpaste Warning and Babies in the Womb Fluoride toothpaste has a FDA-mandated warning: "If you accidentally swallow more than used for brushing, get medical help or contact a Poison Control Center right away." Children 3 to 6 years of age should use "no more than a pea-sized amount" of toothpaste that contains 0.25 mg of fluoride. If a 5-year-old child (20 kg) swallows 2 pea-sized dabs of toothpaste – twice the FDA's poison threshold – he consumes about 0.50 mg of fluoride. His one-time fluoride "intake level" (0.50 mg/20 kg) = 0.025 mg/kg. This is comparable to the daily fluoride intake level received by babies in the womb, when their mothers drink fluoridated tap water, as discussed in Fetal Fluoride Exposure. 1997: The US Food & Drug Administration confirmed the ineffectiveness of fluoridated water. After reviewing the best available evidence submitted by fluoridationists, the FDA would only allow this very weak health claim: "Drinking fluoridated water may reduce the risk of [dental caries or tooth decay]. In addition, the health claim is not intended for use on bottled water products specifically marketed for use by infants." This is the exact same health claim the FDA allows for eligible noncariogenic carbohydrate sweeteners, for example: "The sugar alcohol xylitol used to sweeten this food may reduce the risk of dental caries." A much stronger claim is made for just water: "Water, however, cleans your mouth with every sip. It washes away leftover food and residue that cavity-causing bacteria are looking for. It also dilutes the acids produced by the bacteria in your mouth... "Drinking water through the day will go a long way toward keeping your smile cavity-free." – American Dental Association