A Gentle Toothbrushing Guide from Dr. Dean Carlston
Children can start brushing as soon as their first tooth appears—usually around 6 months old. Use a baby toothbrush with a small head and extra-soft bristles. No toothpaste is needed at first—just water. By age 3, you can introduce a pea-sized amount of children’s toothpaste (fluoride-free or pediatrician-approved).
Teach kids to brush gently, in circles, and to treat their teeth with the same care they’d give a favorite toy. Let them pick out a toothbrush with a character they like, and brush together to build the habit.
- Always choose **soft or extra-soft bristles**.
- Look for a brush head that fits comfortably in the mouth.
- Replace toothbrushes every 3 months—or sooner if the bristles are frayed.
- Avoid medium or hard-bristled brushes—they can damage gums and enamel.
For children: choose toothbrushes labeled for their age group (typically 2–5, 6–9, or 10+).
For adults: ergonomic handles and smaller heads often lead to better control and comfort.
- Hold the brush at a **45-degree angle** toward the gumline.
- Use **gentle, circular motions**, not hard scrubbing.
- Brush each quadrant (top right, top left, bottom right, bottom left) for 30 seconds.
- Brush the front, back, and chewing surfaces of every tooth.
- Total brushing time: 2 minutes.
Remember: Brushing is not a race. Take your time—and take a deep breath before you start. Many people hold tension in their jaws and hands. Loosen up and be kind to your teeth.
- Let the brush do the work. Do **not** scrub.
- Gently guide the brush from tooth to tooth, pausing briefly at each.
- Hold the brush at the gumline with light pressure—no pushing.
- Move slowly, following the curve of your smile.
- Use the built-in timer if your brush has one.
**Watch out for:**
- Brushing too hard (some brushes have pressure sensors—use them!)
- Spending too little time in each area
- Letting kids play with the brush instead of using it intentionally
Brushing should never be rough. If your gums bleed or your teeth feel sore afterward, something isn’t right. Take 30 seconds before you start to breathe, release tension, and reset. Your teeth are not a floor to be scrubbed—they’re a gift to be cared for gently.
If you ever want a brushing demo in person, bring your toothbrush to your next visit. I’ll be happy to show you.
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