Box 16.2Principles of Toothbrushing with Fluoride Toothpaste

  • Brush teeth at least twice a day for two minutes with fluoridated toothpaste (1,200–1,500 parts per million fluoride concentration). Children up to age six years should use only a pea-sized amount of toothpaste.
  • Brush preferably after meals, especially breakfast, and before going to bed.
  • Do not swallow toothpaste; spit out the slurry after brushing, without rinsing with water.
  • Parents and teachers should supervise toothbrushing so that children do not swallow toothpaste.
  • Rinse toothbrush after use, store it in an upright position, allow it to air dry, and ensure that it does not touch other toothbrushes or surfaces to avoid cross-contamination.
  • Visit a dental or health professional for routine check-ups and in cases of discomfort, pain, or discoloration of the teeth.

From: Chapter 16, Promoting Oral Health through Programs in Middle Childhood and Adolescence

Cover of Child and Adolescent Health and Development
Child and Adolescent Health and Development. 3rd edition.
Bundy DAP, Silva Nd, Horton S, et al., editors.
© 2017 International Bank for Reconstruction and Development / The World Bank.

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