Did you know babies and children need their teeth brushed? Even if it's just one little tooth!
Starting good dental health habits early helps prevent tooth decay. Tooth decay is the most common chronic childhood disease, and it can hurt. Cavities can affect a child's ability to talk, eat, learn, play, sleep and more.
NC children experience preventable tooth decay by kindergarten

Stop Tooth Decay. Easy as 1, 2, 3
- As soon as baby's first tooth comes in, start brushing twice a day.
- Schedule a dental visit by baby's first birthday. Find a provider and learn what to expect during baby's first dental visit.
- Limit juice and other sugary drinks. Formula and breast milk are best for babies. For children 1 and older, offer drinking water instead of juice.
Get answers to common questions about baby teeth, fluoride, healthy snacking and more.
Find a dental provider
Most NC counties have a Safety Net Dental Clinic. Most accept insurance, NC Medicaid and NC Health Choice for Children.
No dental insurance? Many Safety Net clinics provide services on a sliding-fee scale based on income.

How Much Toothpaste?

From the first tooth to age 3: A smear the size of a grain of rice

Ages 3 and older: A pea-sized amount
6 Ways to Make Toothbrushing Fun!
- Play a game to keep it positive. "Open wide like your favorite animal."
- Count little teeth as you brush.
- Sing or play music.
- Reward children using a sticker chart (PDF).
- Make brushing a beloved bedtime routine.
- Praise your child for a job well-done.
ToothTalk From Experts
Learn about children's dental care from experts across NC.
Brush, Book, Bed
A nightly routine for healthy smiles
Start a nighttime routine to:
- Help your child develop healthy toothbrushing habits.
- Share the importance of dental care.
- Ease stress around bedtime.
The American Academy of Pediatrics recommends its Brush, Book, Bed routine.
- Each night, help your children to brush their teeth.
- Read a favorite book (or two)!
- Get to bed at a regular time each night.
More Resources

Keep Cavities Away Toothbrushing Chart
Tip: Reward good brushing habits by placing daily stickers on this chart.
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