My 4.5 year old girl was hesitant to use it at first but after a little "training" she volunteered to brush her teeth! she and I will *all* brush our teeth. Using a conventional toothbrush, she brushed her front, maybe upper teeth and, if we really encourage it, some inner and back teeth. With this thing, I'm more confident that all of her teeth will come out. She bites down on a curved plate and then moves it from left to right as if making a circular motion around her teeth. After that, we just rinse it out and wipe dry, so maintenance isn't a problem either. In addition, she loves the color purple and loves unicorns, so she was immediately noticed even before she used them. Great idea to have fun! The only problem now is that my husband and I are a bit jealous and want one for ourselves (though maybe without the unicorn).
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