A new method for determination of fluoride in toothpaste employing the headspace solid-phase microextraction (HS-SPME) followed by gas chromatography/flame ionization detection (GC/FID) has been proposed. It is a development of the method for determination of fluoride using trimethylchlorosilane (TMCS) as the derivatization reagent to form trimethylfluorosilane (TMFS), with the liquid/liquid extraction (LLE) step replaced by HS-SPME. To introduce the latter, it was necessary to determine the conditions of the reaction and to optimize the two stages of the SPME procedure: extraction and desorption. The parameters of the SPME analysis using carboxen/polydimethylsiloxane (CAR/PDMS) fiber were defined and compared with the corresponding ones for the LLE method, used as a reference. Also, these two methods were compared with respect to their linearity, precision, and accuracy. Results from toothpaste analyses using these two methods were highly correlated, indicating the potential to use the SPME extraction as an inexpensive and solventfree alternative to the LLE method.