Helping Your Child Learn Not to Swallow Toothpaste

Posted on 12/15/2025 by NC Pediatric Dentisty

[[[pic:202008-PEDS-eN-toothpaste-530941150.jpg|400||right|TPimgRight|Little girl putting toothpaste on her toothbursh]]Getting kids to brush their teeth can sometimes feel like a battle, but it's a really important part of their overall health! One common challenge many parents face is their child swallowing toothpaste. While a tiny bit now and then isn't usually cause for alarm, consistently swallowing toothpaste can lead to problems. Let's talk about how to help your child learn to spit and rinse properly.

Why Swallowing Toothpaste Isn't Ideal

Most toothpastes contain fluoride, which is fantastic for strengthening tooth enamel and preventing cavities. In fact, fluoride is a cornerstone of prevention dentistry. However, too much fluoride, especially during the years when teeth are developing, can lead to a condition called fluorosis. Fluorosis can cause white or brown spots on the teeth. That's why we want to encourage kids to spit out the toothpaste after brushing.

When Can They Learn to Spit?

Most children develop the necessary muscle control to spit effectively around the age of three. However, every child is different! You'll know your child is ready when they can understand and follow simple instructions, and have pretty good control over their mouth muscles. Before that age, it's best to use a tiny smear of fluoride toothpaste – about the size of a grain of rice.

Making Brushing a Learning Experience

•	Start with Water: Before introducing toothpaste, practice spitting with plain water. Make it a game! Have your child pretend they're a dinosaur spitting water out of their mouth.
•	Model Good Behavior: Children learn by watching us. Let them see you brushing your teeth and spitting out the toothpaste. Explain what you're doing in simple terms. “See how I brush, brush, brush, and then spit it out? Now it's your turn!”
•	Use the Right Amount of Toothpaste: As your child gets older (around age 3), you can increase the amount of toothpaste to a pea-sized amount. This is usually enough to get the job done and reduces the risk of them swallowing too much.
•	Teach the "Spit and Rinse" Method: After brushing, encourage your child to spit out as much toothpaste as possible. Then, have them rinse their mouth with a small amount of water and spit again.
•	Make it Fun! Use flavored toothpaste your child enjoys (as long as it contains fluoride). Let them pick out their own toothbrush with their favorite cartoon character. A positive attitude goes a long way!

What If They Still Swallow Some?

Don't panic! A little bit of toothpaste isn't usually harmful. Just gently remind them to try to spit next time. If your child swallows a large amount of toothpaste, contact your dentist or family doctor.

Oral Care is a Team Effort

Teaching your child proper brushing techniques, including spitting, is a process. Be patient, consistent, and make it a fun part of their daily routine. By working together, we can help your child develop healthy oral care habits that will last a lifetime! And remember, regular dental checkups are also crucial for maintaining a healthy smile.

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