Teeth should be brushed by a parent or carer. As the child gets older, a parent or carer should assist them to brush their own teeth:• on all tooth surfaces• at least twice a day• last thing at night (or before bedtime) and on at least one other occasion• with toothpaste containing at least 1,000 ppm fluoride• using a pea-sized amount of the toothpaste• spitting out after brushing rather than rinsing, to avoid diluting the fluoride concentration
Clinical Recommendation
🏴 England • Public Health England (PHE)
Recommendation Statement
Teeth should be brushed by a parent or carer. As the child gets older, a parent or carer should assist them to brush their own teeth:• on all tooth surfaces• at least twice a day• last thing at night (or before bedtime) and on at least one other occasion• with toothpaste containing at least 1,000 ppm fluoride• using a pea-sized amount of the toothpaste• spitting out after brushing rather than rinsing, to avoid diluting the fluoride concentration
Teeth should be brushed by a parent or carer. As the child gets older, a parent or carer should assist them to brush their own teeth:
- on all tooth surfaces
- at least twice a day
- last thing at night (or before bedtime) and on at least one other occasion
- with toothpaste containing at least 1,000 ppm fluoride
- using a pea
- sized amount of the toothpaste
- spitting out after brushing rather than rinsing, to avoid diluting the fluoride concentration
Clinical Topics
Keywords
Fluoride
References
Department of Health and Social Care (2021). Periodontal Diseases. Moynihan P, et al. Systematic review of evidence pertaining to factors that modify risk of early childhood caries. Community Dent Oral Epidemiol. 2019;47(3):217-225.; Tinanoff N, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatr Dent. 2019;29(3):238-248.; Colak H, et al. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med. 2013;4(1):29-38.
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Evidence Assessment
About GRADE Assessment
GRADE (Grading of Recommendations Assessment, Development and Evaluation) is a systematic approach to rating the quality of evidence and strength of recommendations in clinical practice guidelines.