Supervised Tooth Brushing Programme

Oral Health Promotion Competition

National Smile Month runs form the 16th May – 16th June 2023. Looking after children’s teeth has never been more important. Tooth decay is largely preventable yet it remains a serious problem with a quarter of 5-year-olds experiencing tooth decay in England. The EYFS currently sets a requirement to promote the ‘good oral health of children‘.

We’re delighted to announce our new oral health competition! To be in with a chance of winning one of three amazing prizes, we’d love to hear about the oral health promotion activities and initiatives in your setting!

1st Prize – Dental play set, a children’s book about oral health, 12 open top cups

2nd Prize – A giant tooth brushing timer, a children’s book about oral health, 12 open top cups

3rd Prize – Two children’s books about oral health, and 12 open top cups.

Click Here to Enter our Competition Today

Oral Health Competition Prizes. Prize 1- toy dental kit, children's oral health book, open top cups. Prize 2- tooth brushing timer, children's oral health book, open top cups. Prize 3- two children'd oral health books, open top cups.

Delivering a Tooth Brushing Programme in your Nursery

As set out in the revised Early Years Foundation Stage (EYFS) Framework, early years providers are required to promote the good oral health of children. This has been included because good oral health habits need to be formed from an early age. Tooth decay is largely preventable, but it’s still a serious problem among young children, effecting around a quarter (25%) of 5 year olds!

Children who have toothache, or need treatment, may have pain or infections. This can have a wider effect and lead to problems eating, sleeping, socialising and learning. Tooth extraction is one of the most common procedures for children under 6 in hospital.

Promoting Oral Health

You can decide how you promote oral health, based on what works best in your setting. It’s a good idea to link oral health to things you already promote, like self-care, healthy eating and physical development. Try to be creative and imaginative, for example:

  • Encourage children to brush the teeth of dolls or soft toys.
  • Use large teeth models and brushes for children to practice on.
  • Read stories about keeping teeth happy and healthy.
  • Talk about tooth friendly food and drinks that help to grow strong teeth, and those that we should limit as they’re no so tooth friendly (be mindful about the language you use and avoid labelling foods as ‘good’ and ‘bad’).
  • Roll play going to the dentist- book children and teddies in for check-ups!

Another great way to promote and support good oral health is by delivering a supervised tooth brushing programme.

What is a Supervised Tooth Brushing Programme?

Delivering a supervised tooth brushing programme in your early years setting supports children to integrate tooth brushing into their daily routines.

Once trained, practitioners will be able to support children to:

  • Correctly wash their hands
  • Brush all surfaces of the teeth for 2 minutes – front teeth, back teeth, biting surface, outside, inside, upper and lower teeth
  • Brush the tongue
  • Spit toothpaste out and not rinse.

Practitioners will also gain confidence in discussing the importance of tooth brushing and good oral health practices with families so they can continue these at home.

Examples of Settings Delivering the Programme

Following training and support from the Dental Wellness Trust (DWT), Susan Lawrence and Shrewsbury Nurseries have been successfully delivering a daily LiveSmart Supervised Tooth Brushing Programme. Staff at the settings are extremely positive in delivering the programme, and children look forward to brushing their teeth each day. Some parents have even reported that their child who was once a reluctant brusher, is now happily brushing their teeth at home!

Hear what they’ve got to say about the Supervised Tooth Brushing Programme in the video below:

Supervised Toothbrushing Programme in Early Years Settings Feedback

The team received feedback from seven nursery settings in the London Borough of Newham who are taking part in the LiveSmart Supervised Toothbrushing Programme (opens in new tab) from the Dental Wellness Trust.

The majority of settings (5) reported delivering the programme daily, in the morning and afternoon. This ensures all children have the opportunity to be part of the programme and learn about the importance of looking after their teeth. Two settings delivered it daily, in the afternoon only. Most settings offered the programme to all children in the baby, toddler and pre-school rooms. Two settings delivered it in the toddler and pre-school rooms only.

Supervised Toothbrushing Feedback received from Early Years settings in May 2023. Settings reported delivering the programme daily, in the morning and afternoon and in baby, toddler and preschool rooms

We received lots of top tips on how to successfully deliver the programme:


  • Some settings have an oral health lead to encourage and support children and staff to brush teeth together
  • Other settings get all staff get involved and take the children in small groups to the bathroom
  • Staff found the Dental Wellness Trust training in helping them to deliver the programme and also the Early Start Nutrition Oral Health Promotion training to support their conversation with children and families.

Consider the Room Layout

  • Have an area set up to brush teeth together. This can include a display board to motivate children and remind children of the key oral health messages. Staff use this area to talk about the importance of oral health and do other activities to help them be more encouraged
  • Toothbrushing can take place in the bathroom where you can also play songs to go with their teeth brushing.


  • Some settings have books around brushing our teeth and rotate a dentist role play area.
  • During the session staff can use the resources provided by the Dental Wellness Trust e.g. a plate to place the toothpaste on, children take the paste from the plate with their toothbrushes.
  • Settings also use a 2 minute timer (e.g. sand timer) and give out stickers weekly too.
  • Settings love using the acrylic containers to store their toothbrushes hygienically (provided by DWT)
  • Have display boards showing the importance for the children and evidence of how we do this through children play also to give them understanding of good tooth brushing

Image of toothbrushes in a toothbrush holder, image of a sand timer beside two toothbrushes in a glass, image of girl role playing at the dentist

There was lots of positive feedback from the children, parents and staff involved in the programme:

Feedback from Children:

  • Children talk about their teeth, they know how long they should clean their teeth for, they know that healthy foods make healthy teeth, they know the sweet foods make unhealthy teeth
  • Children are very keen and like to show staff how well they have brushed them
  • During role play (dentists) the children are ensuring that every part of their teeth are covered when brushing including the backs / tongues

Feedback from Parents

  • Parents have an increased understanding about tooth-brushing. Families are able to talk to staff about difficulties they have at home and staff are confident to share how their children get on cleaning their teeth at nursery
  • Parents have said how they can see brushing teeth in nursery has helped there children at home with it and some children have asked their parents to play the 2 minute song

Feedback from Staff

Staff reported feeding confident to:

  • encourage parents to visit the dentist
  • identified children with dental decay and support parents to go to a dentist for intervention
  • raise the subject with families and support them to brush their child’s teeth at home with tips on engaging and reducing the home battle with toothbrushing

Staff who completed the toothbrushing/oral health training have more more knowledge on the important of the oral health and also built on their confidence to deliver the toothbrushing programme in their nursery

*Data received May 2023

How can our setting take part?

Newham early years settings

  • If you’re setting is in Newham, London and you’re interested in rolling out the programme, please contact our team today to express your interest
  • You’ll need to attend a short training session with the DWT (around 20-30 minutes)
  • Toothbrushes and toothpaste will be provide free of charge by the DWT.

Outside of Newham early years settings

Online Oral Health Training

Oral health promotion training is another great way of ensuring your staff have a basic understanding of what good oral health is.

Our Oral Health Promotion online training explores the factors that can impact on children’s oral health, such as diet, tooth brushing and dental visits. Practitioners will also learn useful tips and strategies to help them support families in looking after their children’s teeth at home. If you are a Newham Early Years setting contact the Early Start Nutrition team today (opens in new tab) for a code to access the training for FREE!

Book now for only £30!


Oral Health Training Blurb

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