Mrs Chidzley, assistant head at Brook Acre Community Primary School in Warrington, said: "Our supervised toothbrushing scheme has had a particularly positive impact on children with SEND. "For some pupils, sensory sensitivities can make toothbrushing challenging, but taking part alongside their peers helps build curiosity, confidence and encourages engagement. The oral health packs include adapted toothbrushes and non-foaming, flavourless toothpaste to support children who experience sensory sensitivities or other barriers to brushing. The SEND offer is part of the wider All Together Smiling scheme, which now reaches more than 16,400 children across 340 early years and primary school settings - around 57 per cent of eligible sites. The scheme also supports SEND pupils in mainstream settings and is currently trialling a universal supervised toothbrushing offer specifically for SEND children and specialist settings.