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Dental and oral health problems such as caries and cavities occur on many children, because they do not know how to maintain dental and oral hygiene properly. One effort to improve tooth brushing skills on children is through the health education counseling about dental and oral hygiene and the result are expected to improve the children’s skills in brushing their teeth. This study aims to determine the effect of counseling through audio visual and simulation methods on the level of tooth brushing skills at the elementary scool no. 51 Ambon. This type of research is quasi-experimental with the approach of one pre-post test group designs with a total sample of 32 people for respondents simulation method The audio visual method uses the number of total sampling. Data collection techniques using observation sheets, data analysis using statistical test, Wilcoxon test. The results of data processing uses the Wilcoxon test in the simulation group get p = 0.000 or |