Today we bring you a guide to toothbrushing for under-fives, inspired by children at Little Acorns Nursery taking part in Lancashire’s Let’s Get Lancashire Brushing campaign. An initiative of Lancashire County Council Public Health, the programme is designed to educate and encourage young children, including toddlers, to brush teeth for 2 minutes twice a day using age-appropriate toothpaste. What’s more, their message is that it’s never too young to begin and can even start before the first tooth has surfaced. At Little Acorns Nursery, the programme is supervised by staff and is intended to take place in tandem with toothbrushing at home — it does not replace it. Nursery staff guide children to establish a positive and proactive routine around toothbrushing, to foster good habits around oral hygiene, and thereby minimise tooth decay and problems associated with it.

“Children who start brushing at a young age tend to have healthier teeth as they get older.”— Lancashire County Council Public Health.

As part of the “Let’s Get Lancashire Brushing” initiative:

• Children at Little Acorns have each received a free toothbrush (replaced every quarter), a toothbrush holder, toothpaste, a brushing timer set for 2 minutes, and interactive learning resources that will help encourage them to brush regularly and thoroughly;
• Children’s families have received information leaflets about the campaign along with a reusable toothbrushing chart. If needed, more can be requested from your local Family Hub, Lancashire’s Healthy Young People and Families Service^∞ or via a family’s health visitor.
• Learn more about the Let’s Get Lancashire Brushing initiative here.

Little Acorns children have loved taking part in this scheme and the good news is that appropriate toothbrushing has already become embedded in their daily routine. This approach is a great way to encourage children to look after their teeth from an early age. That’s something that’s known to keep teeth, gums, and oral health in good order as children get older, thereby reducing the need for fillings and the prospect of losing teeth.

“Taking care of your children’s teeth is essential for them to eat, drink, smile, talk, sing – and even shout, as well as protecting them from tooth decay!”— Michael Green, cabinet member for Health & Wellbeing.

Quick Guide to Brushing Children’s Teeth

Children’s teeth should be brushed twice per day, including once in the evening before bedtime. Brush for 2 minutes each time and, where possible, encourage children to spit out excess toothpaste. This may not be possible, of course, for babies and the youngest children. There is no need to rinse. Some additional guidelines for brushing children’s teeth follow:

Babies

• The NHS recommends that you start brushing babies’ teeth as soon as one or more teeth have begun to appear.
• Use an infant’s toothbrush, a “finger brush”, or a piece of clean gauze wrapped around a clean finger.
• Use just a smear of toothpaste.
• Use children’s fluoride toothpaste containing a minimum of 1,000 parts per million (ppm) of fluoride, unless a qualified dentist recommends the use of family toothpaste containing 1,350ppm to 1,500ppm of fluoride. (Source: NHS).

Children 3 to 6 Years

• Brush under adult supervision.
• Use a pea-sized amount of toothpaste.
• As with babies, the NHS recommends the use of children’s fluoride toothpaste containing a minimum of 1,000ppm of fluoride, unless a qualified dentist recommends the use of family toothpaste containing 1,350ppm to 1,500ppm of fluoride.
• Encourage the child to spit out excess foam after brushing.
• Don’t rinse – the fluoride toothpaste will not work as well.

Children Aged 7 or More

• Children aged 7 or more should now be able to brush independently. However, they should be monitored to ensure they brush each time for the full 2 minutes.
• They should use a pea-sized amount of toothpaste on the brush.
• Children of this age should use a family toothpaste containing 1,350ppm to 1,500ppm of fluoride.
• The child should spit out excess foam after brushing but, as with younger children, not rinse.

Supervising

When brushing a baby or infant’s teeth, one of the best approaches is to sit them on your knee (taller/older children can stand), in front of a mirror so that you can both see their reflection. Tilt their head slightly backwards onto your chest and face them away from you towards the mirror. In this way, they can see how you are brushing their teeth and learn from your example. Small circular movements on their teeth and gums are a good way to start when they’re very young. Ensure all areas of their teeth and adjacent gums are brushed. By using the mirror approach, they will see how best to brush teeth and pick up the idea as they grow older. Once they learn to brush teeth independently, however, ensure you continue to supervise them. In this way, you can ensure that they remain thorough and spend a minimum of 2 minutes brushing each time. Guide children’s hands if they need help. An egg timer is useful as a reminder and may also be used to inject a bit of fun into the activity.

Safety tip: Never let children run around when they’re brushing their teeth; it’s dangerous and they could potentially end up hurt.

Little Acorns Nursery, Padiham

Please get in touch if you’d like to explore a possible nursery place for your child at Little Acorns Nursery in Padiham, Lancashire. As well as providing for Padiham families, we’re located conveniently close to those in Hapton, Rose Grove, Burnley, Altham, Huncoat, Read, Simonstone, Sabden, Higham and Wood End. We provide a first-class early years education and high-quality weekday childcare for families. We also support many of the free childcare schemes funded by the UK Government, making it much more affordable for Lancashire families.

Interested in a nursery place for your child? Choose a button to start your child’s journey at Little Acorns Nursery: