Acknowledge fluoride refusal is a problem.
Assess parents’ knowledge, beliefs, and attitudes about fluoride.
Incorporate caries risk into discussions with parents during preventive visits.
Obtain information about why a parent refuses fluoride.
Provide parents a tailored explanation of why topical fluoride is important.
If a parent continues to refuse fluoride, discuss alternative fluoride sources and behavioral strategies.
Maintain open communication.
Some parents will continue to refuse fluoride.
Communicate with local health professionals to reinforce the importance of fluoride.
Engage in public health advocacy.