Background: Parents play a crucial role in establishing oral hygiene practices during early childhood. Their knowledge and attitudes significantly influence children's brushing habits, use of fluoridated toothpaste, and adoption of appropriate toothbrushing techniques. Despite increasing awareness, gaps often exist between parental knowledge and implementation of recommended oral hygiene practices.

Aim: To assess parental knowledge, attitudes, and practices regarding toothbrushing techniques and oral hygiene habits among children aged 3–6 years.

Materials and Methods: A cross-sectional questionnaire-based survey was conducted among parents/caregivers of children aged 3–6 years attending KVG Dental College and Hospital, Sullia. A validated bilingual questionnaire comprising 15 close-ended questions was used to assess oral hygiene practices, parental awareness, and attitudes toward toothbrushing techniques. Data from 106 completed questionnaires were analyzed using descriptive statistics and Pearson's Chi-square test.

Results: Among the participants, 50% reported that their children brushed once daily and 50% brushed twice or more daily. Most children exhibited reluctance toward brushing (73.6%). Manual toothbrushes (89.6%) and fluoridated toothpaste (66.0%) were commonly used. Awareness regarding fluoride in caries prevention was reported by 70.8% of parents, while 67.9% were aware that circular brushing is recommended for children. Significant associations were observed between fluoride awareness and use of fluoridated toothpaste (χ²=29.13, p<0.001), awareness of circular brushing and its practice (χ²=12.45, p<0.001), and dentist demonstration with awareness of brushing techniques (χ²=16.70, p<0.001).