Research is needed to identify the most effective way to communicate information about controlling the dose of fluoridated toothpaste used with young children. As demonstrated here, a simple verbal instruction is not sufficient and few parents were able to offer alternative terms. Perhaps actual demonstration, graphical displays, or 3-dimensional models would be more effective oral health education strategies. Additionally and anecdotally, several parents reported that a dentist had told them to avoid using
fluoridated toothpaste until their child was at least four years old and able to expectorate properly. This recommendation is out of date. Continuing education in early childhood oral health for medical and dental providers could aid in dispelling misinformation about using fluoridated toothpaste.