Fluoride supplement dosing
Daily dietary fluoride supplement by the child's age and the fluoride level of the primary drinking water, from the published ADA and CDC schedule. Supplements are for children at high caries risk whose drinking water is low in fluoride; test the water source first.
Published schedule (mg fluoride ion per day)
| Age | Water Below 0.3 ppm | Water 0.3 to 0.6 ppm | Water Above 0.6 ppm |
|---|---|---|---|
| Birth to 6 months | None | None | None |
| 6 months to 3 years | 0.25 mg | None | None |
| 3 to 6 years | 0.5 mg | 0.25 mg | None |
| 6 to 16 years | 1 mg | 0.5 mg | None |
- Rozier RG, Adair S, Graham F, et al. Evidence-based clinical recommendations on the prescription of dietary fluoride supplements for caries prevention: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2010;141(12):1480-1489. Link
- Centers for Disease Control and Prevention. Recommendations for using fluoride to prevent and control dental caries in the United States. MMWR Recomm Rep. 2001;50(RR-14):1-42. Link
Sodium fluoride FDA label statements
The product label can be narrower than the schedule (for example, a strength not for children under 3 or 6 years). Follow the label of the product you prescribe.
For licensed clinicians. Use with clinical judgment. Statements are quoted from the FDA label; confirm against the label for the product you are using.