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In the midst of a staff shortage, teachers and educators will supervise tooth brushing

Quebec students will learn how to brush their teeth in school every day. A “supervised toothbrushing” program devised by Quebec is starting to kick off in some regions, but school staff consider this entirely “unrealistic” in the current context.

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Quebec’s program for fluoride toothpaste-controlled toothbrushing in nurseries and elementary schools was developed a few years ago, but its implementation has been slowed by the pandemic, explains the Ministry of Health.

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Little Sacha, 5, may soon be one of the students who will brush their teeth in the kindergarten class every day.

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Photo Stevens Leblanc

Little Sacha, 5, may soon be one of the students who will brush their teeth in the kindergarten class every day.

Quebec expects that 80% of targeted children will participate in the long term, but this “ultimate goal” will vary “over time for each region,” it specifies.

  • Listen to the interview with Nicolas Prévost on Philippe-Vincent Foisy’s show broadcast live every day at 7:50 am via QUB Radio:

At school, supervised toothbrushing will take place for two minutes, in the classroom for kindergartens and in daycare for students from grades 1 to 6.

In some regions, including the Laurentians and the National-Capital, the regional public health authorities have recently informed the school network of the implementation of this program in 2022-2023. In the Quebec City region, its implementation will take place “on a gradual and voluntary basis,” reads a letter from CIUSSS sent to school leaders in the region (see box).

In recent days, educators and teachers have been surprised to learn that they will soon have to integrate the toothbrush into their daily activities.

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In the program drawn up by the ministry it is foreseen that “the person supervising the toothbrush must be present at every stage of supervised brushing”.

The educator or teacher must ensure that students wash their hands before and after the operation, that there are no more than two at the same time in the same sink, and that the toothbrushes do not come into contact with each other.

“Mission Impossible”

In the school network it is believed that the implementation of this initiative is completely “unrealistic”.

“We are already having trouble having the staff in place to adequately ensure the safety of the students, if we have to add this, it won’t work,” says Carol-Anne Dupré, head of a daycare service at an elementary school in the Vaudreuil-Soulanges region. .

“It’s a mission impossible,” adds Line Camerlain, vice president of Quebec central unions. Has the writer of this program ever set foot in a school?

In many contexts, students only have 30 minutes for lunch before having to make room for the next group, and there is often already congestion in the toilets, M points out.myself chamberlain.

With staff shortages, educators now have to take care of 30 students, instead of 20, when a colleague is absent. In this context, it is difficult to imagine how an educator could supervise the brushing of the teeth of every student in his group. “Is it really a school to do it?” asks the vice president of the CSQ.

No, the school administrators reply. “It is going too far,” says Nicolas Prévost, president of the Federation of Directors of Educational Institutions of Quebec (FQDE).

In addition to being “unrealistic,” the implementation of this program could also have side effects on school staff, who are already out of breath, he adds.

“We talk about shortages, but when we always add a layer, that’s what makes us lose teachers, educators and school leaders,” says Prévost.

A “shared responsibility”

The Ministry of Health argues that students’ dental health “has not improved significantly since the late 1990s,” while controlled tooth brushing with fluoride toothpaste has been shown to reduce tooth decay.

“The integration of healthy lifestyle habits in terms of dental health into the living environments of young people is a shared collective responsibility, and this, in the same way as the promotion of healthy lifestyle habits in terms of nutrition and physical activity in schools” adds its spokesperson, Robert Maranda.

Too many early cavities

Why is it necessary to brush your teeth in school, according to public health?

Here are some extracts from the letter from the CIUSSS de la Capitale-Nationale sent to the school network:

“More than half of 2nd year primary school students already have dental caries. Furthermore, despite the preventive measures already in place, this percentage has not decreased since the 1990s.

“This worrying situation demonstrates the importance of intensifying our actions, from an early age, with children”.

“Starting this year, we will prioritize a recognized more effective, equitable and universal approach to preventing cavities upstream.”

“Brushing your teeth twice a day with fluoride toothpaste is an essential step in maintaining good dental health. For some vulnerable children, brushing in the school setting will actually be the only brushing of the day.

“Tooth brushing (…) is an effective preventive practice against dental caries (reduction of 24%). It is also useful for reducing social inequalities in dental health ”.

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