The mean amount applied in response to a "pea" weighed 030±0.21 g, which was greater than but not statistically significantly different from the recommended weight of 0.25 g (P=.10). Parents applied, on average, 033±0.24 g of toothpaste when instructed to apply the amount they typically use with their child. Conclusions: Most parents use more fluoridated toothpaste than is recommended for young children and verbal instructions to limit the dose are ineffective. Education by demonstrating a smear and pea-sized amounts of fluoridated toothpaste is recommended