I took my daughter to the dentist for the first time when she was 3yold. A little earlier than normal, but I had my reasons at the time. What resulted was an idea that we still use most nights to get us through the brushing part of the night routine. You wouldn't need to make a full appt. Maybe just take him with you on your next appt and let him watch. Maybe tell the hygienist that you're experiencing a rough patch as far as brushing your son's teeth. The expanation from someone other than mom/dad at times has a greater impact than it would otherwise. Our hygienist let Catherine ride in the chair and play with the air and water hoses.... That particular office also had a small stuffed lion with a full set of teeth that a child could brush with the foot long toothbrush someone in the office brought it :-)
Catherine had a great time on that visit. And the next time that we went (3yrs 3mos), she had a full cleaning (check, brush, floss, etc) without incident.
Here are some ideas that we've stumbled upon in our quest for ending our days on a lighter note:
1. Play dentist. Have the child lay down with head toward you and make noises like the dentist's tools do while brushing teeth.
2. Name the food(s) that you're brushing away that have been consumed since the last brushing. "Oh there's some pb&j! I better get it! Oh, and this tooth has some spaghetti sauce on it...."
3. One boy I know loves bugs. His parents explained mouth germs to him in terms of "bugs" - so his mom chases the bugs around his mouth with the toothbrush and then he spits them all out at the end.
4.Race. Have dad brush his teeth while you brush your son's, and see who can be done (thoroghly ;-) brushing first
5. Do you have House Rules? We do. No food outside the kitchen. No running with food in your mouth. Wash hands before eating. Brush teeth (at least) twice a day. etc...
Before using these techniques, we used to hold our daughter down to brush her teeth. That's not to say that she doesn't give us trouble anymore...just that she's 4.5yrs now and can be reasoned with differently. If I'd known then what I know now I would not have held her down then either. But you will have to judge for yourself. What will be harder? The pain of holding down a child and brushing his/her teeth while s/he screams like a maniac? OR having them restrained and sedated to put in fillings, crowns, etc because brushing didn't happen?
I hope that the ideas I listed help. Know that you are not alone in the nightly challenge of oral hygiene :-)
K., mama to
Catherine, 4.5y
Samuel, 18m
Sorry for any typos - nak today :-)