According to the Centers for Disease Control and Prevention (CDC), tooth decay is the most common childhood illness in the United States. The Cleveland Clinic also reports that approximately 36% of Americans are afraid of visiting the dentist—a fear that often begins in childhood.
However, experts say the Tooth Fairy may play an unexpected role in helping children develop healthier oral habits.
A survey conducted by Delta Dental found that children who received visits from the Tooth Fairy were more likely to pay attention to their oral health as adults.
“The Tooth Fairy is a fun motivator,” explains Dr. Nevin Mathai, director of dentistry at Delta Dental in Missouri. “Kids love stories, magic, and superheroes.
When you connect dental care with this sense of curiosity, losing a tooth becomes a positive milestone. The reward under the pillow isn’t just money—it’s a symbol of growth.”
According to the Centers for Disease Control and Prevention (CDC), more than half of children aged 6 to 8 have decay in at least one baby tooth, and more than half of adolescents aged 12 to 19 have decay in at least one permanent tooth.
Mathai emphasizes the importance of incorporating toothbrushing into children’s daily routines.
“I tell my kids: Brush in the morning to keep friends, brush at night to protect your teeth,” he says. “Children thrive on habits. When brushing becomes as habitual as drinking water or going to bed, it stays with them for life.”
When it comes to choosing a toothbrush, Mathai says the best toothbrush is the one you use.
“There’s no perfect answer,” he says. “If it’s certified by the ADA (American Dental Association), it’s a good toothbrush.”
He strongly recommends brushing before bed, noting that nighttime is when teeth are most vulnerable.
“Think of your teeth as a clean surface,” he explains.
“When you sleep, saliva production slows. This means your teeth are unprotected for about eight hours. Keeping your teeth clean before bed is crucial to preventing cavities.”
As children grow into teenagers and adults, Mathai says it’s equally important to warn them about nicotine use.
Despite claims that e-cigarettes are a safer alternative to smoking, studies have shown that they can damage gum tissue, which is crucial for maintaining strong teeth.
Finally, Mathai recommends that anyone experiencing oral pain, swelling, or inflammation should seek medical attention promptly. Ignoring symptoms can make the problem worse over time.