Choosing a Fluoride-free Dentifrice: Why?

In recent years a niche segment of dentifrices that do not contain fluoride has emerged (e.g., Tom’s of Maine^®, Hello^®, Dr. Bronner’s^®). Those using these products may have an interest in “natural” personal care products and perceive fluoride to be an unnatural chemical, and/or have a concern about the safety of fluoride.⁴⁹ An extensive body of research has concluded that fluoride, which is naturally found in most large bodies of water, is safe at the appropriate concentrations that aid in caries prevention.⁴⁵ The ADA only provides its seal of acceptance to toothpastes containing fluoride, based on fluoride's demonstrated anti-caries effectiveness.⁵⁰