Fluoride is intentionally added to many types of toothpaste. It is a poison and would have extreme consequences if an infant were to ingest toothpaste all at once. However, millions of people use fluoridated toothpaste several times a day. The consequences are cumulative and pose a number of both short-term and longer-term health risks, starting with calcification of the pineal gland and ending, sometimes, in osteosarcoma. Many people have made a conscious decision to avoid fluoride to whatever extent possible. Here are our choices for fluoride-free toothpaste.