Key Messages:
- Brush teeth twice a day, last thing at night and at one other time.
- Use fluoride toothpaste (1350-1500ppm)
- 0-3 years use a smear of toothpaste, 3+ years use a pea-sized amount.
- After brushing, spit out but don’t rinse.
Establishing a Brushing Routine
- Brush your child’s teeth twice a day –before bed and at another time of day.
- Set a consistent brushing time as part of their routine, e.g., bath, pyjamas, brush teeth, story, and bed.
- Supervise and help with brushing until at least age 7.
- Encourage younger children to try brushing first, then assist them to clean.
- Children with additional support needs may require assistance beyond age 7.
Creating a Supportive Environment
- Provide a step stool for better sink access.
- Use a mirror so they can see themselves brushing.
- If the bathroom is overwhelming, try brushing in a different location, such as their bedroom or a cosy chair.
Helping Children Understand the Brushing Process
- Use videos (see resources before) or step-by-step picture guides to help children follow the process.
- Read books about brushing teeth to make it relatable.
- Brush your teeth together to encourage imitation and make it a family activity.
Selecting the Right Toothpaste
- Introduce small amounts of toothpaste gradually when your first start tooth brushing.
- 0-3 years use a smear of toothpaste, 3+ years use a pea-sized amount.
- Consider non-foaming or flavourless toothpaste if mint flavours are too strong. Consider brands like OraNurse 0-3 or OraNurse original for children who are sensitive to strong tastes.
Motivation and Engagement
- Use a reward chart – mark each successful brushing with a sticker or tick (see resource link below).
- Set a timer (e.g., phone timer) for two minutes to guide brushing duration.
- Play a fun song during brushing or use a countdown method (e.g., counting down from 10).
Choosing the Right Toothbrush
- Start with a finger toothbrush for better control.
- Try softer bristles if traditional brushes are uncomfortable.
- A baby toothbrush can help toddlers transition to a regular brush.
- Three-sided toothbrushes can make brushing easier.
- Consider an electric toothbrush, especially for sensory-seeking children.
- Try a toothbrush that lights up or plays music for added engagement.
- Allow the child to hold the toothbrush while you gently guide their hand.
Supporting Children with Sensory Sensitivities
- Massage their cheeks and jawline before brushing with a warm cloth.
- Wrap them in a blanket for deep pressure calming before and after brushing.
- Use weighted blankets or shoulder wraps to help them stay calm.
- Noise-cancelling headphones or ear defenders can reduce sound sensitivity.
- Wearing compression clothing may provide comfort during brushing.
- Allow them to sit in a chair with feet flat on the floor for stability.
- Give them a fidget toy to hold during brushing to ease anxiety.
With patience, the right environment, and creative approaches, brushing can become a positive and stress-free experience for your child, setting them up for a lifetime of healthy smiles!
Resources to help:
For fun videos to help: https://www.bspd.co.uk/Kidsvids
Toothbrushing guide: https://www.childsmile.nhs.scot/parents-carers/toothbrushing/
Printable toothbrushing diary: https://www.childsmile.nhs.scot/wp-content/uploads/4352-MyToothbrushingDiary3_6-3.pdf