This is a very fun age! Kid’s imaginations are soaring and they love life. Limit screen time and encourage outside play. Keep their teeth clean with a “pea size” amount of fluoridated tooth paste 2 times per day. Spit it all out but don’t rinse. Spaces will become much tighter so flossing is needed. Make brushing teeth fun! Sing songs, make noises, etc. Let them brush independently, but always brush after them to make sure the teeth are being properly cleaned, especially before bedtime. Establish a nighttime routine that includes brushing teeth. Studies show that kids sleep better with these routines. We encourage reading to your kids instead of screen time! If thumb or finger habits continue to this age, you will most likely see bony changes. Intervention may be needed depending on the child.