First Pediatric Dental Visit for Infants

The American Academy of Pediatric Dentistry (AAPD) recommends that parents schedule a child’s first “well-baby” dental appointment about six months after the first tooth appears, and no later than the child’s first birthday.

Although this may seem early, cases of infant and toddler tooth decay have been increasing. Early cavities can be painful and may impact oral health later in childhood.

Pediatric dentists are specialists in child behavior and psychology. They serve as an essential resource for parents, offering guidance on oral care routines and strategies for eliminating habits such as pacifier use or thumb sucking.

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Potential Dental Problems in Babies

Babies are at risk for tooth decay as soon as the first tooth emerges. During the first visit, the pediatric dentist will:

  • Provide preventative strategies to protect the teeth.
  • Demonstrate proper brushing and flossing techniques for infants.

Infants who consume breast milk, juice, formula, soda, or sweetened water from bottles or sippy cups are especially prone to early childhood caries. The pediatric dentist will advise parents to:

  • Avoid filling cups with sugary liquids.
  • Refrain from dipping pacifiers in honey or sweet substances.
  • Prevent transmission of oral bacteria through shared spoons or cleaning pacifiers in the mouth.

The dentist will also monitor fluoride intake. Too much fluoride between ages one and four can cause fluorosis, while too little may leave teeth vulnerable to decay.

What to Expect During the First Visit

Pediatric dental offices are designed to be engaging and child-friendly. All staff are trained to interact with infants and young children.

During the visit, the pediatric dentist will:

  • Review and advise on a proper daily oral care routine.
  • Ask about the child’s oral habits and diet.
  • Examine emerging teeth while the parent and child sit knee-to-knee, allowing the infant to see the parent.
  • Clean stained teeth if necessary and apply a topical fluoride treatment.

Questions the Pediatric Dentist May Ask

The dentist will inquire about:

  • Current oral care routine
  • Diet and sugar intake
  • Overall health and oral habits
  • Fluoride exposure

Guidance Provided by the Pediatric Dentist

Based on the evaluation, the pediatric dentist can offer advice on:

  • Accident prevention
  • Adding xylitol and fluoride to the diet
  • Choosing ADA-approved toothpaste (non-fluoridated for infants)
  • Selecting an appropriate toothbrush
  • Using an orthodontically correct pacifier
  • Proper head positioning during brushing
  • Transitioning from sippy cups to adult-sized cups (12–14 months)
  • Reducing fussing during oral care routines
  • Establishing a drink-free bedtime routine
  • Maintaining healthy dietary habits
  • Minimizing tooth decay risk
  • Monitoring teething and developmental milestones

For any additional questions about your child’s first dental visit or oral care, please consult your pediatric dentist.