Self-Care: Toothbrushing Strategies Young Children

These instructions for caregivers of Children's Hospital of Philadelphia (CHOP) patients offer tips for brushing their child's teeth.

Is toothbrushing a challenge for your child?

This can be a difficult activity for some children. Some of the common challenges of toothbrushing may include:

• Difficulty accepting a toothbrush into the mouth

• Sensitivity of touch to teeth, gums, or tongue

• Difficulty coordinating the brush to access all areas of the mouth

• Dislike of toothpaste

• Poor attention on completing task independently and thoroughly

What are some ways I can help my child be more successful in brushing their teeth?

Help your child learn about toothbrushing:

• Read about it! There are many children's books about brushing your teeth. "Pony Brushes His Teeth" is an example.

• Popular children's television series have short videos that highlight toothbrushing. Sesame Street, Mickey Mouse, and BabyFirst are a few.

Help them brush longer:

• Count to 10 or sing a song (such as the ABCs) to set a time expectation. Gradually make the time longer.

• Set a visual timer (such as on your smart phone or an egg timer).

If your child has trouble with a toothbrush entering their mouth:

• You may need to start by helping your child tolerate touch near their mouth. Washing their face with a soft, warm washcloth and giving gentle massages to the cheeks and mouth area can be a good place to start in de-sensitizing this area. Your occupational therapist can show you how to do this.

• Use a mirror to help your child see that you are helping to bring a toothbrush towards their face. This will help them to understand what is happening.

Help your child focus on toothbrushing and complete thoroughly:

• Use some of the interactive smart phone apps to help your child stay more engaged in toothbrushing and make it a fun experience!

  • BrushUp, Brusheez, Disney Magic Timer, T-Rex Toothbrush Timer, and Let's Brush are a few to check out!

• Use a mirror to let your child see how they are doing with the toothbrush.

• Use plaque-dissolving tablets. These are chewable tablets that will show your child where plaque is located on their teeth for efficient brushing.

If your child does not like the taste or texture of toothpaste:

• Try dipping a toothbrush into water first. Then try using mouthwash, diluted toothpaste, and child-friendly toothpaste.

• Don't forget to explore with flavors!

What kind of toothbrush should my child be using?

Your occupational therapist can help you in choosing an appropriate toothbrush for your child's specific needs and experience.

When should I expect my child to be independent in toothbrushing?

Dentists often say when your child can tie their shoelaces, they should be independently brushing their teeth (without any supervision or help)!

Reviewed on February 28, 2023, by Diana Lansinger, MOTR/L