Fluoride exists naturally in lakes, rivers and groundwater but usually at levels too low to help prevent tooth decay. – This is why many public water systems add a little more fluoride. Nearly 8 out of 10 Mainers whose homes are served by public water systems receive water that is fluoridated. Some well water has naturally occurring fluoride. Well water should be tested for fluoride. (Source: Maine data fluoride information is from the CDC’s website, including “Community Water Fluoridation: 2012 Water Fluoridation Statistics,” updated November 22, ) 79.4% reached by fluoridation 4 – 6 Month Child Visit Message: Fluoride in the WATER

6 – 9 Month Child Visit Message: Brush your child’s teeth with a small amount of fluoride toothpaste Children under the age of 3 years: Brush her teeth with a small amount of fluoride toothpaste twice daily (size of a grain of rice). Children over the age of 3 years: Brush her teeth with a pea-size amount of toothpaste. Image Courtesy of MouthHealthy.org The American Dental Association’s website for patients.

9 – 15 Month Child Visit Question: How can I protect her teeth? Answer: Fluoride Toothpaste: Brush her teeth with a small amount of fluoride toothpaste twice daily. 4 by 4 – Fluoride Varnish: Ask her medical provider for fluoride varnish. Children who get at least 4 fluoride varnishes by age 4 years have 40% less tooth decay. Baby Teeth Matter