Good oral health is an important part of overall health, and bright, healthy smiles begin in childhood. That’s why Colgate Bright Smiles Bright Futures® (BSBF) has been a part of early education programs since 1991. By helping educators like you promote good oral care, BSBF encourages children and their families to start building bright smiles through healthy habits.
In this guide, you’ll find resources that will help you and the families and communities you serve support children’s health, development, and school readiness. These materials:
- Teach the importance of oral health.
- Offer guidance on oral care in early childhood.
- Help children and families establish healthy habits like toothbrushing, flossing, choosing healthy foods, and getting regular and recommended healthcare.
Use these materials in your classroom, or photocopy and share them with caregivers to engage families, extend learning at home, and introduce children to the habits that lead to lifelong bright smiles and oral health.
Baby (primary) teeth are a child’s first set of teeth. These teeth help children speak and eat, and save space for permanent teeth. Here’s why baby teeth are important and how caregivers can keep them healthy.
What Do Baby Teeth Do?
- Help children form sounds and words.
- Allow children to chew solid foods.
- Save space for adult teeth and guide them into place.
- Build healthy, bright smiles children can feel confident about.
Children usually have 20 baby teeth by age two—ten on top and ten on the bottom. As permanent teeth grow in the roots of baby teeth dissolve, and baby teeth loosen and fall out
Birth to 8 months
First baby teeth appear.
Caregivers should clean gums with a soft, damp towel once a day, brush teeth with fluoride toothpaste and a soft toothbrush, and floss between teeth that touch. Regularly check teeth and gums for white spots or discoloration, and visit your child’s dentist if you see any.
All baby teeth grow in.
Children can start brushing their own teeth with caregiver supervision. Caregivers should continue to floss children’s teeth for them once a day.
Six-year molars appear.
These first permanent teeth grow in at the back of the mouth behind baby teeth, but do not replace them. Children should take extra care to brush them on all sides.
Age 6 and older
Permanent teeth replace baby teeth.
Caregivers should continue to floss children’s teeth and supervise toothbrushing until age 8.
Brushing teeth with fluoride toothpaste removes plaque that can lead to tooth decay. Help children brush their teeth at least twice a day, especially after breakfast and before bed.
What is Fluoride?
Regular brushing with fluoride toothpaste removes plaque and bacteria that can cause cavities. It also keeps breath fresh and smiles bright.
Fluoride is a natural element. When applied to teeth, it combines with the tooth’s enamel to strengthen, or remineralize it. Remineralization builds up the tooth enamel that plaque may have eaten away (demineralized).
Using fluoride is one of the most effective and least expensive ways to help prevent tooth decay in children and adults. Check toothpaste ingredients to make sure fluoride is listed. If you have access to fluoridated tap water, drink it daily. It is also safe to mix fluoridated tap water with infant formula.
How to Brush
Flossing cleans the places where toothbrushes can’t reach: between teeth and around the gumline. Prevent plaque buildup and tooth decay by flossing children’s teeth once a day.
Flossing is the best way to clear away food particles and bacteria that get caught between teeth. But, young children don’t yet have the motor skills to floss. An adult should floss children’s teeth for them until they are able to do it themselves, usually around age eight.
How to Floss for a Child
Begin flossing children’s teeth in babyhood, as soon as two teeth are touching.
Pull the floss in the other direction and do it again.
Floss between all teeth that touch. Be sure to floss both sides of back teeth.
Visiting a dental office regularly is a habit that should start early. Caregivers should take children to their first dental checkup as soon as teeth begin to appear, and return twice a year.
When To Go
A child’s first dental checkup should happen when their first baby tooth comes in—around age six months—and no later than their first birthday. Regular dental checkups keep teeth and gums healthy
Some medical providers and health professionals can also apply fluoride varnish during medical visits for infants age 8 months and older. Fluoride treatments protect and strengthen teeth. After fluoride treatments, avoid brushing teeth for 4-6 hours.
What Happens at a Dental Visit?
A dentist or dental hygienist will
- Check, clean, polish, and floss teeth
- Apply fluoride
- Take X-rays in some cases
- Offer guidance and answer your questions
- Ask the dentist or dental hygienist questions
- Schedule a child’s next appointment
Nutrition and oral care go hand-in-hand. Choosing healthy foods and understanding how to prevent plaque attacks can help you keep children’s teeth safe, strong, and healthy.
Watch Out For Sneaky Sugar
Sugars hide in foods like raisins, granola bars, and sweetened cereals. Check food labels for ingredients that end in “-ose” such as fructose, glucose, and lactose, which are different types of sugar.
What’s a Plaque Attack?
- Plaque is a sticky film that forms on teeth. It is made of bacteria that live in the mouth.
- When we eat or drink, plaque mixes with sugar in foods and creates acid.
- Acid dissolves the enamel on the outsides of teeth.
- This is called tooth decay and is how cavities start.
- Plaque attacks last for up to 30 minutes.
Sugary foods cause plaque attacks the fastest, and sticky foods can attach to teeth making plaque attacks last longer. Limit sweet and sticky foods, and brush teeth in the morning, at night, and after snacking.
Most dental injuries and emergencies are preventable, but in case they occur it’s important to know how to act. Here’s what to do.
Do’s and Don’ts
Tooth and mouth injuries can happen at school, on the playground, in the car, and while playing sports. To prevent falls, trips, and bumps make sure that children
- Hold onto handrails
- Wear protective sports gear
- Use booster seats and seatbelts
- Walk behind playground equipment that’s in use
- Stand on chairs, desks, or swings
- Push and shove
- Chew on nutshells, pencils, or ice
- Run around swimming pools or dive in shallow water
If a child has a… Then... Toothache Rinse their mouth with warm water and use floss to remove any trapped food. Apply ice or a compress, then visit the dental office. Object stuck between teeth Remove it with dental floss. If you can’t get it out, see a dentist or dental hygienist. Knocked-out tooth Put the tooth in water or milk and go to the dental office right away. Do not clean the tooth or try to put it back. Broken tooth Clean and apply ice or a compress. Keep any pieces of the tooth you can find, and go to the dental office right away Bitten lip or tongue Apply cold and pressure to swelling. Call your child’s doctor or dentist if there’s a lot of bleeding. Loose permanent tooth Visit the dental office right away