Supervised Toothbrushing Programme

Regular daily toothbrushing with an appropriate fluoride toothpaste is highly effective in preventing dental decay. The programme supports good oral hygiene practice to be established at an early stage in a child’s life and to become an integral part of normal daily hygiene.

These resources are designed to support Early Years settings to start a programme

Please access the toolkit for more detailed information: Improving Oral Health: Supervised toothbrushing programme toolkit; Commissioning and delivering supervised toothbrushing schemes in early years and school settings. Office for Health Improvement & Disparities, (updated 17 April 2025).

Useful information and resources are also available at: https://www.supervisedtoothbrushing.com/ 

For each setting, appropriate governance and quality assurance arrangements will need to be considered, including information for parents/carers and consent forms.

Setting staff are responsible for:

  • Ensuring that staff who implement and supervise the scheme have had training
  • Managing permission or consent forms, keeping these in the child’s personal file and making all staff aware of the children who are not taking part in the toothbrushing scheme
  • Committing to the scheme, providing daily supervised toothbrushing and following the guidelines
  • Ensuring the scheme follows infection prevention and control procedures
  • Checking equipment on a regular basis and ensuring the appropriate resources are used
  • Ensuring that the brush storage units are stored carefully and looked after for continued use
  • Liaising to give feedback on uptake and to enable evaluation of the national scheme.

Please find the following information and templates:

  1. Supervised Toothbrushing Consent Form

2. Quality Assurance Checklist for Supervised Toothbrushing

3. Training Slides on Oral Health

4. Training Pack and Information on Supervised Toothbrushing

5. Toothbrushing Record for Staff

6. Poster Guide for Staff

7. Poster – Top Tips for Toothbrushing

8. Handwashing Poster

9. Video – Mouth care Matters – Toothbrushing What is the best way?

10. Video – Mouth care Matters – Now you have teeth

11. Leaflet to Support Toothbrushing for Children with Special Educational Needs