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Admittedly, I'm not entirely sure how one goes about rating the quality of a child's toothpaste. The most honest thing I can say is-- my daughter loves it! She's a bit over 2 years and, as we're trying to help her develop good hygiene practices, JackNJill toothpaste has been a great help. The strawberry toothpaste is yummy enough to entice my toddler to brush 3 times a day!