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When should I start brushing my child’s teeth, and how much toothpaste should I use?

Quick answer

Start when the first tooth appears, brushing twice daily with fluoride toothpaste. Use a rice-grain-sized smear under age three and a pea-sized amount at ages three to six, with adult help or supervision.

Details

Building the routine

Brush gently with a suitable child-sized brush and clean every surface. Make one session the last thing before bed and the other at another convenient time. Young children need hands-on help, not just reminders.

Using toothpaste

Use the age-appropriate amount. Encourage children who can spit to spit out toothpaste without rinsing with water afterwards. Do not let them eat toothpaste or lick it from the tube. Ask a dentist for help if brushing is difficult or your child has additional needs.

The first dental visit

Introduce dental visits when the first teeth appear, and by the first birthday. This allows discussion of cleaning and early decay prevention without waiting for a problem.

Related reading: Teething and fever in babies.

Note: This answer is for educational purposes and does not replace a consultation with a specialist who examines your case in person. Do not use it for self-diagnosis.

References

  1. Taking care of children's teeth — NHS
  2. Toothbrushes — American Dental Association