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Natural consequence are the best!  I've been waiting for them to kick in with my difficult child who practically never brushes his teeth.  He has yet to have a cavity.  However, like Fran's difficult child, looks like mine will miss out on braces.  A few years ago they told us he needs them but they also said if he didn't brush regularly it wasn't worth it.  difficult child says he wants them but we told him first we had to see consistent brushing on his part. Hasn't happened yet.