• You should start cleaning your baby’s teeth as soon as they erupt, initially with a soft cloth and then with a soft child’s toothbrush.
  • A small pea-sized amount of children’s toothpaste (low fluoride) can be used from 18 months of age.
  • Brush teeth and along the gum line twice a day.
  • You will need to help your child brush their teeth until they can do it themselves (usually about 6 or 7 years old).
Regular tooth brushing is important for both children and adults. It helps to remove the bacteria and plaque that cause tooth decay and gum disease. Everybody should brush their teeth twice a day – in the morning and before going to bed at night.

It is good to start this habit early so that children see tooth brushing as part of their daily routine. Children will need help and encouragement to develop this new skill.

When to begin tooth brushing

Start brushing your child’s teeth as soon as the first tooth comes through, usually at around six months of age. Clean your baby’s teeth with a soft wet cloth, or a small toothbrush with water. Clean all surfaces of the teeth and gums twice a day, in the morning and before bed at night.

Baby teeth help children to eat, speak and guide the permanent adult teeth into position, so it is important to take care of them right from the start.

Choosing the right brush and toothpaste

Choose a toothbrush that is designed for children. It should have a small head and soft bristles.

When choosing the right toothpaste, remember:
  • for children 0–18 months of age – use only water, no toothpaste
  • from 18 months until the child turns six years old – use a low fluoride children’s toothpaste (check on the pack)
  • from six years of age – use standard fluoride toothpaste.
For children who do not have access to fluoridated water, or who may have a greater risk of tooth decay for other reasons, guidelines about toothpaste use may vary based on professional advice. Ask your dentist or other oral health professional for more information.

Young children need help brushing their teeth

Tips to help clean your child’s teeth include:
  • Sit your child on your lap, facing away from you.
  • Cup their chin with one hand, with their head resting against your body.
  • Brush teeth and along the gum line. Brush gently in small circles. Clean all surfaces.
  • After brushing, encourage your child to spit out toothpaste, not swallow it or rinse with water. This leaves a small amount of fluoride in the mouth to keep protecting teeth. Spitting out can be difficult for small children. You will need to encourage and show them how to do it.

Teaching your child to brush their teeth

Encourage children to take part in this routine as they get older. Help them develop the skill by letting them have a go first before you follow up to make sure all surfaces have been cleaned.

At around the age of seven or eight years, children have developed the fine motor skills needed for tooth brushing. However, supervision is often needed past this age until you are sure they can do it well by themselves.

Tooth brushing tips

Not all children will enjoy tooth brushing at first. Some tips to encourage tooth brushing are:
  • Make it fun.
  • Children like to copy others, so ask other family members to show children how they brush.
  • If your child doesn’t like the taste of toothpaste, try brushing without toothpaste first. Then use a small amount of children’s low fluoride toothpaste to get them used to the flavour.
  • If you are not having any success in the bathroom, try another location in the house.
  • For older children, try using a reward system. For example, mark the number of times their teeth are cleaned twice a day on a calendar and offer a reward when they reach a goal.

Oral health checks

Children should have an oral health assessment by the time they turn two. This check may be done by a dentist, other dental professional or health professional, such as a maternal and child health nurse or doctor.

Older children should continue to have check-ups with a dentist or other oral health professional. Ask them how often your child should have a dental check-up.

Where to get help

  • Your maternal and child health nurse
    • Community dental clinics:
    • The Royal Dental Hospital of Melbourne:
      • General enquiries or to make an appointment Tel. (03) 9341 1000 or 1800 833 039 outside Melbourne metro 8.30 am to 5 pm, Monday to Friday
      • Dental emergencies Tel. 1300 360 054 8.30 am to 9.15 pm, Monday to Friday, 9 am to 9.15 pm, weekends and public holidays
  • Your private dental clinic:
  • Orthodontist
  • Psychologist, to help with stress management
  • Physiotherapist

Things to remember

  • Start cleaning your baby’s teeth as soon as they come through with a soft wet cloth or small toothbrush and water.
  • Brush teeth and along the gum line twice a day – in the morning and before bed.
  • Use a small pea-sized amount of low fluoride children’s toothpaste from 18 months to six years of age.
  • You will need to help your child brush their teeth until they can do it well by themselves.
  • National Oral Health Clearing House 2011, ‘Oral Health Messages for the Australian Public’ Australian Dental Journal, vol 56, no. 3, pp. 331-335. More information here.
  • Australian Research Centre for Population Oral Health, 2012, Outcome of fluoride consensus workshop 2012 to review Fluoride Guidelines from 2005, Health and Human Services, Victorian Government. More information here.
  • Australian Dietary Guidelines, 2013, National Health and Medical Research Council, Australian Government. More information here.

More information

Mouth and teeth

The following content is displayed as Tabs. Once you have activated a link navigate to the end of the list to view its associated content. The activated link is defined as Active Tab

Content Partner

This page has been produced in consultation with and approved by: Dental Health Services Victoria

Last updated: April 2015

Page content currently being reviewed.

Content on this website is provided for education and information purposes only. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your doctor or other registered health professional. Content has been prepared for Victorian residents and wider Australian audiences, and was accurate at the time of publication. Readers should note that, over time, currency and completeness of the information may change. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions.