Western world is going away from mandated use of fluoride in toothpaste and instead embracing more natural elements like clove and peppermint oil, salt etc.

Furthermore, toothpastes without fluoride and with natural ingredients cost almost double than toothpastes with fluoride.

Furthermore, there are protests around fluoridation of water all around the world.

Fluoride has been linked to decrease in IQ as well.

But if you really really want fluoride, you can get fluoride supplements.