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The proper way to understand breaking the fast is the way you eat: food in mouth, chewed, and then swallowed. If it doesn’t meet this criteria, it’s not breaking the fast. I do believe that it’s still 1 hour rule for nothing but water and medicine but I could be wrong.
St. Thomas held that something must be ingested per modum cibi ... in the manner of food. So, for instance, if you accidentally swallow a bit of mouthwash or some food that gets dislodged form your teeth, etc. that's not considered "eating". So it's based on a common sense understanding of the human activity called "eating". Swallowing a bit of toothpase is NOT eating in the commonly-understood meaning of the term. Church law is based on common sense.