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School Fluoride Program

The School Fluoride Program is a voluntary school-based program targeting children in elementary schools where at least 30% of the students are eligible for the Free and Reduced Lunch Program. The goal of the School Fluoride Program is to prevent tooth decay by providing resources to the community.

The School Fluoride Program began in 1974. Originally, the program was called the “Swish and Swash Program.” The name was changed to the “King Fluoride Program” and then later to the School Fluoride Program. The program is sponsored by Oregon Public Health and is provided at no cost to participating schools and students.


  • A school is eligible if at least 30% of the students are eligible for the Free-and-Reduced Lunch Program
  • Students are eligible if they have parental permission.

There are two ways to receive fluoride – Tablets or Rinse

School Fluoride Tablet Program (Grades K - 6th)

The School Fluoride Tablet Program is recommended for children who live in areas without optimum levels of fluoride in the water supply and who are not taking fluoride tablets at home. To check your water supply, go to My Water’s Fluoride. The tablets are taken daily, chewed for a half minute, swished for a half minute, and then swallowed.

School Fluoride Rinse Program (Grades 1st – 6th) (No kindergartners)

The School Fluoride Rinse Program is recommended for children who have other sources of fluoride, but who may still be at risk for cavities because of other factors (examples: poor nutrition, lack of access to dental care, low socio-economic status). The rinse is used once a week, swished for 1 minute, and emptied out into a cup.

School Fluoride Program Training Materials

All people administering the fluoride program are to be trained. Each school appoints a person responsible for the training.  Below are the training materials. Note that there are two PDF formats for the complete document – Word and PowerPoint. The trainer must be familiar with all 4 modules, but may choose specific modules to share during the training.