Oral care compositions, systems, and methods of using and forming the compositions and systems are disclosed. The composition includes a surfactant and/or a foaming agent to cause the composition to foam prior to administration to an oral cavity. The foaming composition readily and quickly reaches interstitial areas within the oral cavity and at a gum line. In addition, the foaming action makes the composition enjoyable for use by children, which, in turn, encourages compliance with use.