A federal proposal could remove the daily toothbrushing and dental care requirements from Head Start, the early-childhood program that serves many families across Los Angeles. The American Dental Association (ADA) is urging the government to keep them. Here is what is happening, and what parents can do at home.
What is being proposed?
The Administration for Children and Families has proposed changes to the Head Start Program Performance Standards, titled Reducing Federal Burden for Head Start Programs. The proposal would remove three oral health requirements:
- Supervised daily toothbrushing with fluoride toothpaste during the program day
- Oral hygiene instruction for children
- Help for families in getting access to dental care
What the ADA says
In comments to the federal government this month, the ADA said it understands the need to reduce paperwork in public programs, but that it strongly opposes the proposed changes to oral health. The ADA asked the administration to withdraw them and keep the current standards.
The ADA pointed to a gap in access to care. Only 49% of children covered by Medicaid or CHIP saw a dentist, compared with 67% of children with private insurance. The ADA also noted that only seven states meet Medicaid standards for having enough dentists in their networks.
Why daily brushing at school matters
Tooth decay is one of the most common chronic conditions of childhood, and it is almost entirely preventable. For many young children, brushing with fluoride toothpaste at their Head Start program is a daily habit that protects their teeth and helps them learn a routine they carry home.
What has not changed
This is a proposal, not a final rule. For now, Head Start programs still follow the current standards. And no matter what happens, the most important dental care happens at home, every day.
What parents can do today
- Brush twice a day with fluoride toothpaste. Use a smear the size of a grain of rice for children under 3, and a pea-sized amount for ages 3 to 6.
- Help with brushing until your child can do a thorough job alone, usually around age 7 or 8.
- Schedule the first dental visit by your child’s first birthday, then checkups every six months.
- Limit sugary drinks and snacks, especially between meals and at bedtime.
- Ask us about fluoride varnish and sealants, two quick treatments that help prevent cavities.
We are here to help
Little Kids Dentistry cares for children at offices across Los Angeles County. If your child is due for a checkup, or you have questions about brushing, fluoride, or dental coverage, schedule a visit or find the office nearest you. For more tips by age, visit our Smile Academy parent guides.
Source: ADA opposes proposed removal of Head Start oral health standards, ADA News, September 10, 2026. This article reflects information available as of September 28, 2026.
