“…The determinants of oral health behaviors are complex, as they comprise both daily toothbrushing routines and sugar snacking behaviors. 9 Toothbrushing routines and sugar snacking behaviors are practiced mainly within home, school, and community environments for primary school age children and are predominantly influenced by significant social relationships and behaviors of those around them, such as parents, 10 , 11 especially mothers, 12 , 13 siblings, 14 and peers, and other social, economic, and cultural factors. Toothbrushing usually takes place within a home environment that, in itself, may be complex due to variability in social and domestic family structure (eg, lone parent families) 15 and wider influences such as grandparents (who may have different attitudes and beliefs about toothbrushing than the parents).…”