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Oral Health Topics


Key Points

  • All toothpastes with the ADA Seal of Acceptance must contain fluoride.
  • In addition to fluoride, toothpastes may contain other ingredients that improve oral health such as lessening tooth sensitivity, reducing gingivitis or tartar build-up, or preventing enamel erosion; or that cosmetically affect the mouth such as whitening teeth or improving bad breath.
  • Flavoring agents that cause or contribute to tooth decay (e.g., sugar) may not be contained in any ADA-Accepted toothpaste.
  • A product earns the ADA Seal of Acceptance by submitting data and publications to the ADA Council on Scientific Affairs to use in making a determination of whether the product meets the prespecified requirements for safety and efficacy.
  • FDA Monograph
  • Ingredients
  • Allergens and Irritants
  • Toothpaste and Children
  • Relative Dentin Abrasivity (RDA)
  • Earning the ADA Seal of Acceptance
  • References
  • ADA Resources
Topic last updated: July 8, 2021

Prepared by:

Department of Scientific Information, Evidence Synthesis & Translation Research, ADA Science & Research Institute, LLC.


Content on the Oral Health Topics section of is for informational purposes only.  Content is neither intended to nor does it establish a standard of care or the official policy or position of the ADA; and is not a substitute for professional judgment, advice, diagnosis, or treatment.  ADA is not responsible for information on external websites linked to this website.