Pre-schoolers’ tooth brushing behavior and association with
Toothbrushing is an important yet neglected behavior that affects the oral health of preschool children. Pre-schooler childrens' toothbrushing behavior was inadequate, according to this study.

The aim of this study by BMC Oral Health was to evaluate pre-schoolers’ toothbrushing behavior including parental involvement and its association with their oral health.

This was a cross-sectional study. A total of 92 preschool children were invited to participate with their parents/guardians. Nine parameters of toothbrushing behavior were assessed from parental responses and observation of the child and parents/guardians. The oral examination included recording plaque, gingival, and dental caries indices.

Differences were recorded in the reported and observed behavior.

--Thirty-five percent of parents/guardians reported using pea-sized toothpaste amount but only 28% were observed.

--Forty percent reported to brush for 30 s–1 min, however, 51% were observed to brush for 1–2 min.

--Half the children were observed to use fluoridated toothpaste under parental supervision.

--The mean (SD) plaque score reduction after toothbrushing was 10.80, mean pre-brushing plaque score was 90.3, mean gingival index was 0.89, and mean dental caries status was 18.87.

--Toothbrushing behavior in terms of toothbrushing technique, duration, pattern and frequency, toothbrush type and grip type, toothpaste type and amount, post-brushing mouth rinsing, and parental involvement contributed significantly to plaque score change, dental caries status, gingival index, and pre-brushing plaque score.

In conclusion, preschool children’s toothbrushing behavior was inadequate while their oral health was poor, with a significant association between the two parameters.

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