Tooth Brushing

All children need to brush their teeth at least two times a day. At night before bedtime, and in the morning after breakfast. By disturbing and removing the plaque formation twice a day, parents can minimize or eliminate their children's potential for decay. For younger children a parent should brush their teeth using a pea-sized amount of toothpaste. As the child gets older and you see they have the dexterity and patience to properly take care of their teeth, you may give over the task. But do periodically monitor their care. Toothpaste should be approved by the American Dental Association. Toothbrushes should be the proper size, smaller is better than bigger, and always use a soft nylon brush in a circular manner. This will prevent toothbrush abrasion, excessive wear of the enamel at the gum line. Also a toothbrush should be replaced when it is worn, bristles splayed, or after more serious colds, infection, Strep throat, etc.

Infants - teeth should be wiped off with a gauze or washcloth with minimal toothpaste.

Toddlers - parents should brush their teeth twice a day with a very small amount of toothpaste. They should be encouraged to take some responsibility and "help" brush.

3-6 year olds - let them brush, supervise them, and do the final brushing to make sure all surfaces of the teeth are cleaned. Also you need to floss their teeth as they get older as the posterior teeth get closer and tighter over time. Make sure they can rinse their mouth so toothpaste doesn't get swallowed.

6 and older - continue supervision until you are sure they can brush and floss properly.

In general, make brushing fun and a game for young children. Brushing away the pasta, crackers, etc., gives them the understanding that brushing is to remove food from the teeth. Imitation of siblings and parents helps.

Center for Pediatric Dental Care * 1560 Beacon Street * Brookline, MA 02446 * 617-731-KIDS (5437)