Natural. Contains fluoride for cavity prevention and calcium & silica for gently cleaning teeth. ADA accepted. The ADA Council on Scientific Affairs" Acceptance of Tom"s of Maine Natural Anticavity Fluoride Toothpaste for Children is based on its finding that the product is effective in helping to prevent and reduce tooth decay, when used as directed. When we founded Tom"s of Maine in 1970, we based it on the idea that nature has answers to our everyday needs. Over the years, our team of herbal experts, dental health professionals, and scientists has proven our original belief: ingredients from nature really work. What makes our products so effective? We use natural ingredients in innovative ways without adding anything artificial. From toothpaste and mouthwash to soaps and deodorants, we think you"ll enjoy the effectiveness and natural flavors and scents of our products. Please let us know what you think! Tom"s of Maine is proud to be the first natural fluoride toothpaste for children to carry the ADA seal. We use calcium and silica to clean, and fluoride to help prevent decay. Delicious real fruit, not artificial sparkles and bubble gum flavor, appeals to your child"s taste, so brushing is an experience you"ll both enjoy! Naturally, it works.