Toothpaste Amount Under 3 — ORE Part 1 MCQ
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Correct answer: D — A smear (thin film) of toothpaste containing no less than 1000 ppm fluoride
**A is the correct answer.** Delivering Better Oral Health (GOV.UK 2025) explicitly recommends a smear (thin film) of toothpaste containing no less than 1000 ppm fluoride for children aged 0–3 years. A smear minimises fluorosis risk while providing caries prevention. Option E describes a pea-sized amount and higher ppm—appropriate for age 3–6 or higher-risk children, not for 0–3 standard risk. Option C is factually wrong; fluoride toothpaste is evidence-based from early tooth eruption. Option B (full ribbon) is excessive and risks fluorosis. Option A (450 ppm) falls below the minimum 1000 ppm threshold.
Reference: Delivering Better Oral Health: An Evidence-Based Toolkit for Prevention, Chapter 9 (Fluoride). GOV.UK, September 2025. https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention/chapter-9-fluoride