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It’s time to leave fast fashion in the dust — with one-of-a-kind designs, quality fabrics, and the assurance your dollars are supporting a more responsible fashion industry, these slow fashion brands are sure to win you over.

Before we go any further, though, I think we need to clarify what exactly slow fashion is…

What Do We Mean By “Slow Fashion?”

Slow fashion is about being more mindful and thoughtful about how clothing (and other fashion items) are being produced, how they’re being purchased, and how they’re being used/worn.

Instead of mass-producing garments cheaply and quickly, slow fashion production is about creating a piece to last by using high-quality materials, transitional designs (i.e. not super “trendy”), and durable construction.

For individuals, slow fashion purchasing habits means buying less, but better. A slow fashion mindset is all about choosing well — it’s about picking well-made items that are built to last and also selecting pieces that fit your lifestyle and body well, to ensure they’ll not only be durable but will actually be useful for years to come.

Adopting slow fashion in your life, though, doesn’t necessarily have to mean spending money — this concept is also about slowing down to appreciate your clothes and closet. Slow fashion can mean wearing what you have as much as possible, mending and repairing worn clothing, or upcycling and DIY-ing.

Slow Fashion vs. Eco-Fashion vs. Ethical Fashion

While slow fashion is a term that’s often used quite generally, it’s important to note that some larger ‘green’ fashion brands use mass-production models to create their organic or recycled clothing to increase output and reduce costs.

Slow fashion companies to me — and the criteria used to select brands for this guide — are brands that produce in smaller batches, make most of their pieces by hand, craft each piece with attention to detail and quality, and ideally, partner with skilled artisans, sewers, and craftspeople (who are of course fairly paid).

Now without further ado, here are our picks for…

The Best Slow Fashion Brands

To be clear: you do not need to purchase from slow fashion brands to participate in slow fashion. However, when the time comes that you want to add a new piece to your wardrobe, you probably want your dollars to go towards supporting responsible brands that are doing things better; that are producing with quality and intention.

You want to invest in pieces for the long-haul — and pieces that have a positive impact. And these slow fashion brands will help you do just that.

Note that this article features affiliates and partners. As always, we only feature brands that meet high standards for sustainability that we love — and that we think you’ll love too!

1. Christy Dawn

Feminine and vintage-inspired, Christy Dawn’s dresses are a true dream. And so are their sweaters, jumpsuits, bottoms and every other garment they sell.

Each garment is ethically sewn in Los Angeles or India by makers earning living wages, and is made with regenerative cotton grown by their partners Oshadi Collective in India, organic cotton, or deadstock fabrics.

Conscious Qualities: Eco & Regenerative Fabrics, Ethical Production

Size Range: XS – 3XL + petite sizes

Price Range: $$$

model wearing a blue slow fashion dress from Christy Dawn

2. Asket

Asket is upping the ante for slow clothing by offering a responsibly made timeless permanent collection that transcends trends.

The brand also details their ecological footprint in their Impact Reports, has 93% product traceability down to the raw material level, and shows the exact cost breakdown of each product.

This slow fashion label also has a care program, repair program, and revival program

Size Range: XXS – XXL

Price Range: $$

model wearing a white button-up and sweater as a scarf from the slow fashion brand Asket

3. Kotn

Kotn creates timeless, high-quality essentials with a focus on traceability and social impact. The brand works directly with family-run farms in Egypt to source its premium, long-staple cotton, ensuring fair wages and ethical production. Beyond apparel, Kotn reinvests in the communities it works with, funding education initiatives and infrastructure projects.

Conscious Qualities: Ethically-Sourced Cotton, Direct Trade Partnerships, Fair Wages, Community Investment, B-Corp certified

Size Range: XS–XL

Price Range: $$

Model wearing black sweater from slow fashion brand Kotn

4. Encircled

Encircled is here to shake up the way we think about fashion, one ridiculously comfortable, wear-everywhere piece at a time. Based in Toronto, this women-led brand designs timeless, versatile staples that make getting dressed easier and more sustainable. Every garment is thoughtfully crafted with lower-impact fabrics like TENCEL™, Modal, and organic cotton and sewn locally to ensure ethical production.

Conscious Qualities: Ethically Made, Sustainably Sourced, Transparent & Local Production

Price Range: $$

Size Range: XS – 2XL

woman wearing pink blouse and gray pants from slow fashion brand

5. Loud Bodies

Loud Bodies is redefining fashion with a joyful blend of sustainability, inclusivity, and unapologetic style. Founded by Patricia Luiza Blaj, this Romanian-based brand offers an extensive size range, ensuring that everyone can find clothing that resonates with their unique identity. Each piece is thoughtfully crafted from certified sustainable fabrics, including organic cotton, linen, Tencel, and Ecovero, reflecting a deep commitment to environmental responsibility. Loud Bodies operates on a made-to-order model to minimize waste, producing garments only after an order is placed.

Conscious Qualities: Ethically Made-to-Order, Size Inclusive, Low Impact Materials

Size Range: 2XS – 10XL

6. AGAATI

AGAATI is redefining fashion by blending eco-conscious practices with exquisite craftsmanship. Founded by Saloni Shrestha, a Parsons graduate with experience at renowned fashion houses, AGAATI offers accessible luxury made by skilled artisans. The label is reviving traditional techniques to create vibrant, handcrafted designs that celebrate individuality and elegance. With a commitment to sustainability, AGAATI utilizes natural fibers such as organic cotton, silk, and wool, and embraces zero-waste design principles by upcycling fabric scraps.

Conscious Qualities: Artisan-Crafted, Ethically-Made, Made-to-Order Options

Size Range: XS – L (+ custom options)

Price Range: $$$

artisan-made dress from slow fashion label AGAATI

7. Oneoff

Affordability is one of the most commonly cited barriers to slow fashion. Oneoff is helping bridge this gap, while reducing pre-consumer fashion waste. As an off-price retailer, Oneoff sources excess inventory from slow fashion brands and sells them for up to 60% off. This helps brands reduce wastage and gives consumers access to responsibly-made garments at more accessible price points.

Conscious Qualities: Sources From Conscious Labels, Helps Reduce Clothing Waste

Size Range: XS – XXL

Price Range: $

models wearing white and black two-piece slow fashion clothing sets

8. Banai

If you’re in the market for a unique look that’ll help you stand out while supporting a heritage Indian craft, then you’ve come to the right place. Banai offers an array of timeless pieces that are treated with natural dyes and feature distinctive embroidered patches that have been crafted by artisans from Kutch, Gujarat.

Craftsmanship is at the center of everything that Banai does, so the expectation of receiving a well-made, high-quality item that’s sure to become a wardrobe mainstay isn’t too far-fetched!

Conscious Qualities: Handcrafted, Natural Dyes, Zero Waste, Small Batch production, Pays Fair Wages

Price: $$-$$$

model wearing orange jacket from slow fashion label Banai

9. Brook There

Founded with ethics and sustainability at the heart of their business, Brook There creates comfy organic cotton undergarments with care.

They keep their production close to home — their undergarments are cut and sewn in a small mill town in Massachusetts and their GOTS-certified organic cotton yarn is even milled and dyed in California.

Size Range: XS – XXL

Price Range: $

Conscious Qualities: GOTS-Certified Organic Fabrics, Domestic Production

organic cotton undergarments from Brook There

10. GRAMMAR NYC

Your classic white shirt just got a major upgrade. GRAMMAR NYC crafts garments inspired by the classic wardrobe staple that are anything but basic.

Conscious Qualities: Uses Organic Cotton, Ethical and Small-Batch Production

Size Range: 0 – 12

Price Range: $$$

white button-up dress from sustainable slow fashion brand GRAMMAR NYC

11. ABLE

Ethical fashion brand ABLE has slow clothing and fair trade accessories made ethically by makers around the world.

ABLE is leading the way for transparency in the fashion industry by publishing their wages.

They have their ABLE Signatures, which are foundational wardrobe pieces like white t-shirts, alongside their pretty blouses, cozy knitwear, and detailed dresses.

Conscious Qualities: Transparent and Ethical Production

Size Range: XS – XL

Price Range: $ – $$

denim jean jacket from ethical slow fashion brand ABLE

12. Eileen Fisher

Sustainable designer Eileen Fisher has long been ahead of the curve when it comes to earth-minded practices.

Their team produces minimalist slow clothing crafted with care from better fabrics like organic linen, hemp, and regenerative wool.

Conscious Qualities: Eco Fabrics, Circular Model (has take-back program)

Size Range: XS – 3XL + petite sizes

Price Range: $$$

brown cord set from slow fashion company Eileen Fisher

13. Saya Designs

Level up your updo with a bit of help from the wooden hair accessories from Saya Designs. Handmade in Indonesia from waste root wood offcuts left over from plantations, you’ll find a range of hair forks, sticks, slides, and combs for all hair types and textures.

Made from the roots of rosewood, tamarind, and teak, these accessories are designed in natural shapes that are inspired by the flora and fauna in Indonesia and are sure to shower you with compliments every time you wear them.

Conscious Qualities: Natural Materials, Plastic-Free, Recyclable Packaging, Gives Back

Price: $$

Wooden hair accessories from slow fashion brand Saya Designs

14. Tradlands

Rather than following the trends of the moment, Tradlands designs classic, functional pieces that will become wardrobe staples. Many of Tradlands pieces are made with ecologically-minded fabrics like linen and Tencel, too.

Conscious Qualities: Ethical Production, Many Eco Fabrics

Size Range: XXS – 3XL

Price Range: $$

Slow minimalist fashion brand Tradlands

15. Covry

If you’re in the market for a new pair of sunglasses or looking to update your outdated prescription frames, then Covry has you covered! Using sustainable materials like plant-based acetate that come from cotton and wood pulp, their diverse range of eyewear is a far cry from any of the flimsy plastic or metal frames you’re bound to find in the market.

When it comes to eyewear, one size doesn’t fit all, which is why Covry eyewear boasts of an Elevated Fit® that has been designed to rest easy on all face shapes and sizes. No more headaches from tight frames.

Conscious Qualities: WOC-Founded, Natural Materials, Plastic-Free, Size Inclusive

Price: $$$

Sunglasses from slow fashion brand Covry

16. OhSevenDays

OhSevenDays is a sustainable slow fashion brand that creates gorgeous pieces out of would-be waste. While the label used to source from middlemen deadstock fabrics, the brand now sources certified organic and recycled fabrics directly from mills, which enables better transparency.

Their zero waste misfits collection features imperfect pieces for lower price points.

Conscious Qualities: Sustainable Fabric Sourcing, Intentional Production

Size Range: XS – XL

Price Range: $$

Red ruffle off the shoulder dress from slow fashion brand OhSevenDays

17. Kayu

Beach-ready accessories you just might want to wear all year long, Kayu creates straw bags and hats that’ll mentally transport you to a tropical destination, even if travel is not on your cards.

Using natural straw and raffia, Kayu’s bags and hats are handcrafted using time-honored techniques by artisans in the Philippines, Indonesia, Malaysia, and Ecuador, who earn a living wage. Their bags come in a covetable range of shapes and sizes to suit all your needs.

Our suggestion? Don’t just restrict these beauties to the beach, make like a chic Parisian and use them to store a baguette or bouquet of flowers next time you’re taking a stroll down the farmers market.

Conscious Qualities: Natural Materials, Fair Labor, Zero Waste

Price: $$-$$$

Straw bag from slow fashion brand: Kayu

18. Santos by Monica

If you’re the kind of person who needs to carry your essentials at all times, then look no further. Santos by Monica’s handbags come in various deceptively spacious shapes and sizes, ranging from mini shoulder bags to XL totes.

Available in sculptural shapes and bold colors, even the tiniest bag seems roomy enough to hold at least four to five of your essentials.

Their vegan leather handbags are made using a cactus-based biomaterial and are lined with organic cotton.

Conscious Qualities: Biomaterials, Zero Waste, Small-Batch Production

Price: $$$

Green bag from slow fashion brand: Santos by Monica

19. Not Perfect Linen

As the name implies, this conscious fashion brand produces garments made from linen! Linen is a favorite fabric in the slow fashion community because of its lower environmental impact, versatility (thermo-regulating so it works in cold and hot), and natural beauty.

Conscious Qualities: Eco Fabrics, Made-to-Order

Size Range: XS – XL + custom sizes

Price Range: $$

Sustainable and slow fashion from Not Perfect Linen

20. Brother Vellies

Shoes made with a soul, Brother Vellies is keeping traditional African crafts alive through their range of luxurious yet timeless footwear. Handcrafted using vegetable-tanned leathers, recycled tire soles, and hand-carved wood, their styles will take you from corporate hour to cocktail hour seamlessly.

If you’re looking for something to compliment their covetable range of shoes, Brother Vellies also offers a collection of small handbags and belts that are sure to transform even the most basic look.

Conscious Qualities: Fair Labor, Better Materials

Price: $$$

Black and white high heels from slow fashion brand Brother Vellies

21. Apse

An appealing brand for sartorial minimalists, Apse creates unisex jewelry that doesn’t disappoint. From delicate rice pearl bracelets to subtle pendants that were made for not taking off, Apse creates its gorgeous pieces using recycled metals and responsibly sourced stones.

All of their jewelry is handcrafted on a made-to-order basis to eliminate excess inventory and waste, so expect to be patient with your orders when you shop with them.

Conscious Qualities: Slow Fashion, Recycled Materials

Price: $$-$$$

Unisex golden jewelry from slow fashion brand Apse

You May Also Want to Check Out:

Conscious Brands with Easy Breezy Linen Clothing

Organic Cotton Fashion Brands You’ll Feel Good in and Good About

What is Plant-Based Fashion? Plus, 3 Eco Vegan Fabrics to Know

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21 Best Actually Stylish Slow Fashion Brands to Leave Fast Fashion in the Dust

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Green Living

Earth911 Inspiration: What Provides Survives — Simon M. Lamb

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Today’s quote is from writer, businessman, and conservationist Simon M. Lamb. In his book, Junglenomics: Nature’s Solutions to the World Environment Crisis, he suggests that nature provides solutions to help us reform our environmentally destructive economic practices.

Lamb writes, “As in nature, so in economics — what provides survives.”

Earth911 inspirations. Post them, share your desire to help people think of the planet first, every day. Click the poster to get a larger image.

"As in nature, so in economics -- what provides, survives." --Simon M. Lamb

Editor’s Note: This poster was originally published on March 27, 2020.

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Green Living

Stop the Summer Reading Slide With Eco-Themed Kids’ Books

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Summer is a time for playing outside and enjoying the environment. At least one study has shown that playing outside as a child is an important predictor of protecting the environment as an adult. But parents need to ensure kids keep up their reading skills, which often slide over the summer.

These books with environmental themes, sorted by reading level, will improve both your kids’ literacy and their environmental awareness. We suggest reading them in a treehouse or on a picnic blanket in the sun.

Earth911 teams up with affiliate marketing partners to help fund our Recycling Directory. If you purchase an item through one of the affiliate links in this post, we will receive a small commission.

Picture Books

A Leaf Can Be …

by Laura Purdie Salas

A leaf can be a … shade spiller, mouth filler, tree topper, rain stopper. Find out about the many roles leaves play in this poetic exploration of leaves throughout the year. Pair it with the companion volumes A Rock Can Be … and Water Can Be … for a full nature-cycle set.

The Tantrum That Saved the World

by Megan Herbert and Michael E. Mann

A little girl inherits a huge problem she didn’t ask for — and then channels strong emotions into positive action. Co-written by climate scientist Michael E. Mann, the second half explains the science of climate change in age-appropriate language and closes with a kid-friendly action plan.

Seeds of Change: Wangari’s Gift to the World

by Jen Cullerton Johnson

It’s never too early for children to see examples of strong women who make the world a better place. This picture-book biography of Nobel Peace Prize winner Wangari Maathai illustrates the often-overlooked intersection between ecology and justice, which makes this example even better.

We Are Water Protectors

by Carole Lindstrom, illustrated by Michaela Goade

New to this list. Winner of the 2021 Caldecott Medal, the first awarded to a Native American illustrator, this lyrical, gorgeously painted book follows an Ojibwe girl who rallies her community to defend the water against a “black snake” pipeline. It introduces the youngest readers to Indigenous environmental stewardship and the idea that water is life.

Books for Younger Middle Grade

The Magic School Bus and the Climate Challenge

by Joanna Cole

Trust the beloved kids’ science series Magic School Bus to explain the facts of global warming in ways kids understand, and to give them ideas about how they can help. Ms. Frizzle takes the class from the Arctic to the equator to see the signs of a warming planet firsthand.

The Last Bear

by Hannah Gold

New to this list. There are no polar bears left on Bear Island, or so April’s father tells her when his research takes them to a remote Arctic outpost. Then April spots one: hungry, lonely, and far from home. Hannah Gold’s award-winning debut (a Waterstones Children’s Book Prize and Blue Peter Book Award winner) pairs a tender friendship story with a clear-eyed look at melting sea ice, illustrated throughout by Levi Pinfold.

Operation Redwood

by S. Terrell French

The environmental movement is too often associated with white people. In Operation Redwood, a biracial boy challenges his rich relatives to look past the profit motive and protect an old-growth redwood grove on property they own.

Books for Middle-Grade Tweens

Two Degrees

by Alan Gratz

New to this list. From the #1 New York Times bestselling author of Refugee, this fast-moving novel braids together three kids facing three climate disasters — a California wildfire, stranded polar bears in Manitoba, and a Florida hurricane — into one connected story. It won the 2023 Green Earth Young Adult Book Award and reads like a thriller, which makes it a strong pick for reluctant readers.

Gorilla Dawn

by Gill Lewis

Two children living in the Congo’s war zone risk everything to protect a captured baby gorilla from a life in captivity. Although not graphic, this book is intense. It addresses the impact of violence on children and wildlife and reveals the connection between the rare-earth minerals in consumer electronics and devastating destruction in Africa.

Squirm

by Carl Hiaasen

While not as overtly environmentalist as the well-known Hoot, Hiaasen’s eco-adventure features tween protagonists who care about animals and appreciate the natural world more than the adults around them — here, a Florida kid who heads to Montana to find his father and ends up tangling with poachers, a spy drone, and a grizzly. His characteristic irreverent humor is on full display.

The Last Wild

by Piers Torday

A boy who can talk to animals — but not people — fights against extinction in a world where a virus has wiped out nearly all wildlife. The first book in a gripping trilogy, it’s a natural conversation-starter about biodiversity loss and what a landscape looks like once the wild things are gone.

The Casket of Time

by Andri Snær Magnason

From poetry to nonfiction, books by Icelandic author Andri Snær Magnason are unified by environmental concern. Now available in English, his 2013 novel for tweens and teens, The Casket of Time, tells the story of Sigrun, a teenager whose TimeBox® opens too early. Her family entered the TimeBoxes to sleep out “the situation,” but now she finds herself among the few who are left awake to fix the world. Younger readers will enjoy his first children’s book, The Story of the Blue Planet.

Make the Most of Summer Reading

A few simple habits help these books do double duty — building reading stamina and environmental awareness at the same time:

  1. Read outside. Pairing a nature story with time in a backyard, park, or trail reinforces the connection the research points to between outdoor play and lifelong environmental care.
  2. Borrow before you buy. Most of these titles are available through your local library or its e-book app, which keeps reading low-cost and low-waste. Buy the keepers your kids want to read again.
  3. Talk about the action steps. Several of these books — The Tantrum That Saved the World, Two Degrees, Old Enough-style activist stories — end with concrete things kids can do. Pick one and try it together.
  4. Pass them on. When your family outgrows a book, donate it to a school, Little Free Library, or shelter so it keeps circulating instead of heading to the recycling bin.

Editor’s Note: This article was originally published by Gemma Alexander on May 10, 2019, and was most recently updated with new titles in June 2026.

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Green Living

How Clean Is Your Toothpaste?

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In 2025, independent lab testing found that roughly 90% of the toothpastes it examined contained detectable lead. The brands implicated were not fringe products, including household names like Crest, Colgate, Sensodyne, and Tom’s of Maine, along with dozens of formulas marketed for children and many sold as “natural” or “green.”

That headline rattled a lot of medicine cabinets, and it deserves a careful look rather than a panic. Toothpaste is, after all, a cleaner we put in our mouths twice a day for a lifetime. Knowing what’s in it, what the science says about the risk, and which ingredients raise legitimate environmental and health questions is worth a few minutes. Here’s where the evidence stands now.

Toothpaste, a History

The history of oral hygiene dates back nearly 7,000 years to an abrasive powder made from materials like eggshells, pumice stone, or ox hoof ashes. Egyptians would wet the powder and rub it on their teeth. Later the Romans and Chinese sought to improve the flavor of their abrasive powders with herbal ingredients like mint and ginseng. Not much changed until the 1800s, when inventors added soap and chalk to the powder.

The first toothpaste tube, which was made of lead, was introduced in the 1890s. (Yes, lead has a long and unfortunate history with this product.) It was the first of many changes that followed in the 20th century, as a host of new chemicals both increased the effectiveness and the environmental and health risks of toothpaste. In 1955, Procter and Gamble released the first stannous fluoride cavity-preventing toothpaste. Fluoride remains the most common active ingredient in toothpaste today.

Personal care products of all kinds were largely homemade until the last century, and that is still an option today. You can make your own toothpaste and mouthwash at home using simple ingredients you already have in your kitchen. Talk to your dentist before giving up fluoride, though, which is proven to deter cavities.

toothpaste on toothbrush on sink
Are there troublesome ingredients in your favorite brand of toothpaste?

The Heavy Metals Question

The 2025 lead findings came from Lead Safe Mama, a consumer-advocacy operation run by lead-poisoning-prevention activist Tamara Rubin. Its program crowdfunds samples and sends them to an independent, third-party lab. Across roughly 51 toothpastes and a few tooth powders, about 90% tested positive for lead, 65% for arsenic, just under half for mercury, and about a third for cadmium. All four are toxic; lead and arsenic are particularly concerning for children’s developing brains.

That sounds alarming, and the contamination is real. But context matters enormously here.

Where the metals come from

The contamination appears to be unintentional, traced to naturally sourced ingredients that carry trace metals when they aren’t purified: hydroxyapatite (often derived from animal bone or mineral sources), calcium carbonate (an abrasive), and especially bentonite clay, a natural “detoxifying” ingredient that was a recurring culprit in the highest-contamination products.

Rubin’s ingredient testing found the raw materials themselves were contaminated, which points to a supply-chain and sourcing problem rather than one or more bad actors.

The regulatory gap

None of the tested products exceeded the FDA’s federal limit for lead in toothpaste, which is 10,000 parts per billion (ppb) for fluoride-free pastes and 20,000 ppb for fluoride pastes. However, those thresholds are substantially higher than the limits set for food. By comparison, California caps lead in baby food at 6 ppb, and the proposed federal Baby Food Safety Act would set 10 ppb, neither of which covers toothpaste. Most tested pastes cleared the baby-food bar by a wide margin but sit far below the cosmetic ceiling.

Washington State has moved to close part of that gap. Its Toxic-Free Cosmetics Act set a 1,000 ppb lead limit for cosmetics, including toothpaste. A handful of products in the testing exceeded it, with the worst offender, a brand called Primal, containing 7,800 ppb. Companies have been given time to come into compliance.

What an independent risk assessment found

After the headlines, toxicologists reviewed the Lead Safe Mama results. A peer-reviewed screening-level risk assessment published in Public Health Toxicology in 2025 used Lead Safe Mama’s own data and deliberately conservative assumptions, including the worst-case scenario that a child swallows a full smear of toothpaste at every brushing. The conclusion: for cadmium and mercury, exposures fell below health-guidance values across the board. For lead and arsenic, on the other hand, a handful of products exceeded the most protective guidance levels under heavy-use scenarios, but the doses were still several times to several orders of magnitude lower than what children and adults already get from food, household dust, and soil.

The researchers’ assessment concluded that the heavy metals detected “are not anticipated to increase health risk” through typical use, and that a normal pea-sized amount is safe. That doesn’t make the contamination acceptable; no level of lead exposure is considered safe, and unnecessary exposure is still worth avoiding. But it reframes the story from “your toothpaste is poisoning you” to “your toothpaste is one more avoidable trace source in a world that has too many.”

A small set of products came back as free of all four metals, proving cleaner sourcing is achievable. They included Dr. Brown’s Baby Toothpaste, Spry Kids’ tooth gel, Orajel Training Toothpaste, and Miessence. (Earth911 will receive a small fee if you make a purchase through these links.) As of mid-2025, Lead Safe Mama listed seven products meeting its non-detect threshold.

Other Ingredients Worth Watching

Heavy metals aren’t the only thing in the tube that draws scrutiny. A few others come up repeatedly:

  • Titanium dioxide. This white pigment (listed as CI 77891) does nothing for your teeth; it’s purely cosmetic, there to make the paste look bright white. The EU banned it as a food additive in 2022 over genotoxicity concerns, and the EU’s Scientific Committee on Consumer Safety has said a mutagenic effect from oral cosmetic use can’t be ruled out. It remains legal in toothpaste in both the EU and the US, and the FDA still permits it, but many manufacturers are dropping it voluntarily. Since it has no functional benefit, it’s an easy one to skip.
  • Sulfates (SLS). Sodium lauryl sulfate, the foaming agent, is not linked to cancer despite a persistent internet rumor. It can be a skin and tissue irritant for sensitive people and has been associated with canker sores. SLS-free options are widely available if you’re prone to either.
  • The sodium pyrophosphate used to prevent tartar can pass through wastewater treatment and feed algal blooms and create dead zones in waterways. Phosphates aren’t in every paste, and some mainstream brands offer phosphate-free formulas.

The Fluoride Debate Got Louder

Fluoride remains the most studied and most effective cavity-preventing ingredient in toothpaste, and major dental and pediatric organizations continue to recommend it. But the politics around it shifted sharply in 2025.

In May 2025, the FDA began action to pull ingestible fluoride supplements (drops and tablets that are swallowed) for children off the market, citing concerns about the gut microbiome and finalizing the move that October. It’s important to read what that action covers: the FDA explicitly distinguished swallowed supplements from topical fluoride in toothpaste and rinses, which you spit out and which it did not move against. The American Academy of Pediatrics and American Dental Association both pushed back hard, warning the broader anti-fluoride momentum could drive up tooth decay.

The underlying science is genuinely unsettled at the edges. A 2025 JAMA Pediatrics meta-analysis found an inverse association between fluoride exposure and children’s IQ, but mostly at exposure levels well above US water-fluoridation concentrations, with the dose-response uncertain at lower levels. The takeaway for toothpaste users is narrow: spitting out a topical fluoride paste is a different exposure than swallowing a concentrated supplement, and the evidence against topical use remains thin. If your water is already fluoridated and you’d rather avoid it, that’s a reasonable personal choice, and there’s now a better-supported alternative than there used to be.

Hydroxyapatite: The Fluoride Alternative That’s Earning Its Claims

Nano-hydroxyapatite is a synthetic version of the mineral that makes up tooth enamel, and has moved from niche fluoride alternative to credible option. A 2024 systematic review and meta-analysis in the Journal of Dentistry concluded that hydroxyapatite toothpaste can be an effective alternative to fluoride for preventing caries progression and remineralizing early lesions, with the added pitch of strong biocompatibility. A 2025 narrative review of recent clinical trials reached a similar conclusion, calling it a safe and effective option, especially for children or anyone at risk of fluoride overexposure, with possible added benefits for tooth sensitivity.

While the data is piling up fast, research on hydroxyapatite is earlier and thinner than fluoride’s decades of data, and some trials are industry-funded. Second — and this is the irony — hydroxyapatite is one of the ingredients flagged as a potential heavy-metals vector when it’s not well purified. The lesson isn’t to avoid it; it’s to favor brands that publish third-party purity testing.

Animal Welfare

It may surprise you that some toothpastes contain animal products. Propolis is sourced from bees. Unless specified otherwise, calcium phosphate and glycerin can be derived from animal bone and fat. If you’d rather not brush with animal byproducts, look for vegan-certified products.

Even toothpastes without animal ingredients may have been tested on animals. To avoid those, look for Leaping Bunny certified products. Vegan and cruelty-free aren’t the same thing, so a product can carry one certification without the other.

Packaging

Toothbrushes and toothpaste tubes can be recycled, but it’s not as simple as tossing them in the curbside bin. Most tubes are multi-layer plastic that local programs can’t process. That’s slowly changing: Tom’s of Maine, Colgate (though Bloomberg found the company’s recyclability claims aren’t well supported), and other brands are transitioning to recyclable plastic tubes.

Tube-free products sidestep the packaging problem entirely. Toothpaste tablets and chewables come in glass or metal-tin packaging, tooth powders ship in tins or jars, and some brands now use aluminum pods.

Sorting the Concerns by How Much They Matter

Not every flagged ingredient carries the same weight. Here’s a plain-language triage based on current evidence:

 
Concern What the evidence says What to do
Heavy metals (lead, arsenic) Real but small relative to diet and dust; below federal limits, above some state and baby-food limits. No safe level of lead exists. Use a pea-sized amount; favor brands publishing purity testing; supervise kids’ brushing.
Titanium dioxide Cosmetic only, no dental benefit; EU genotoxicity concerns; still legal in toothpaste. Easy to skip — it does nothing for your teeth. Check the label for CI 77891.
Phosphates Mainly an environmental concern (algal blooms), not a personal-health one. Choose phosphate-free if available; not in every brand.
SLS (sulfates) Not carcinogenic; can irritate sensitive tissue and trigger canker sores. Go SLS-free only if you get canker sores or have sensitivity.
Fluoride Topical use (spit out) remains well supported; concerns center on swallowed supplements at high doses. Keep using it, or switch to clinically supported hydroxyapatite if you prefer fluoride-free.

What You Can Do

You don’t need to throw out your toothpaste. A few practical moves address the real concerns without overcorrecting for the overblown ones:

  • Use a pea-sized amount. It’s the single most effective step for cutting any ingredient exposure. The risk assessment found it erases most heavy-metal concerns, and it make the tube last longer, which reduces waste.
  • Supervise young kids’ brushing. Children swallow more toothpaste than adults, so they’re the most relevant group for any ingestion concern. Use a rice-grain smear for under-3s and a pea for older kids.
  • Favor transparency. Choose brands that publish third-party testing for heavy-metal purity, especially if your paste contains hydroxyapatite, calcium carbonate, or bentonite clay.
  • Skip the purely cosmetic stuff. Titanium dioxide adds whiteness and nothing else. Check the ingredient list for “CI 77891” and pick a formula without it.
  • Keep brushing with an effective active. Fluoride (spit it out) or clinically supported hydroxyapatite both prevent cavities. Don’t trade a proven benefit for an unproven fear.
  • Ditch the tube where you can. Tablets, powders, and tinned formats avoid multi-layer plastic.
  • Don’t run the tap. Leaving the water running while you brush can waste up to four gallons of fresh water each time, even with a low-flow faucet.

Toothpaste is cleaner than the scariest headlines suggest and messier than the industry would like to admit. The contamination is real, the regulatory ceiling is too high, and the fixes are simple. Brush well, use less, read the label, and don’t let the noise talk you out of caring for your teeth.

Related Reading

Editor’s Note: This article was originally published by Gemma Alexander on January 3, 2022, and was substantially updated in June 2026, when we added the 2025 findings on heavy-metal contamination, the FDA’s fluoride-supplement action, titanium dioxide regulation, and clinical evidence on hydroxyapatite.

The post How Clean Is Your Toothpaste? appeared first on Earth911.

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