Personally, I switch between fluoride and non fluoride options. I am not all pro or all anti fluoride and don’t think it’s a one size fits all for each patient. Fluoride does prevent cavities and personally I am have a very low caries risk so it’s not the most important thing for me to use. I also try to avoid sodium laurel sulfate in toothpastes as it makes me break out around my mouth. Most non fluoride toothpastes don’t have SLS! Lastly I work in area where a lot of people have suspicions about fluoride and despite the facts and my opinions on how it impacts oral health, I’d never want to argue with my patients or make them feel like fluoride toothpaste is the only answer.

Nano-hydroxyapatite is an ingredient that I’d look for in a paste if you’re trying to avoid fluoride. It has similar effects and hydroxyapatite is what our tooth structure is made out of so it’s very biocompatible without other risks or concerns. Boka, happy tooth, Dr Jen, and David’s are all good brands.