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When Should Baby Visit the Dentist for the First Time?

Medical review policy, latest update:, when to schedule baby's first dental visit, how to choose a dentist for your child, read this next, what happens at baby's first dentist visit, tips to make your child’s dentist visit easier, how often to visit the dentist.

Based on how your toddler’s teeth look, your dentist will let you know when to make the next visit. Most experts recommend that toddlers see the dentist about every six months — as long as there are no major problems. So don’t forget to schedule your child’s second appointment on your way out the door!

What to Expect the First Year , 3rd Edition, Heidi Murkoff. What to Expect the Second Year , Heidi Murkoff. WhatToExpect.com, Toddler Dental Care , March 2019. WhatToExpect.com, Is Your Toddler Teething? , April 2020. WhatToExpect.com, Preventing Cavities and Keeping Baby's Teeth Healthy , April 2020. WhatToExpect.com, Brushing Baby's Teeth , July 2020. American Academy of Pediatrics, Baby's First Tooth: 7 Facts Parents Should Know , November 2020. American Academy of Pediatrics, Good Oral Health Starts Early , November 2020 American Academy of Pediatric Dentistry, Frequently Asked Questions , 2021. American Dental Association, Taking Care of Your Child’s Smile , May 2014.

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A Child's First Dental Visit Fact Sheet

When should your child first see a dentist? You can take your child at a younger age, but experts recommend taking him or her within 6 months of the first tooth coming in (erupting), or by about 12 months at the latest.

At this time, the dentist can give you information on:

Baby bottle tooth decay

Infant feeding practices

Mouth cleaning

Pacifier habits

Finger-sucking habits

Prepare your child

If possible, schedule morning appointments so young children are alert and fresh.

Prepare a preschooler or older child for the visit by giving him or her a general idea of what to expect. Explain why it is important to go to the dentist. Build excitement and understanding.

Prepare yourself

Discuss your questions and concerns with the dentist. Remember that your feeling toward dental visits can be quite different from your child's. Be honest with your view of the dentist. If you have dental anxieties, be careful not to relate those fears or dislikes to your child. Parents need to give moral support by staying calm while in the dental exam room. Children can pick up parents' anxieties and become anxious themselves.

Prepare the dentist

At the first visit, give the dentist your child's complete health history. For a restoration visit, such as getting a cavity filled, tell the dentist if your child tends to be stubborn, defiant, anxious, or fearful in other situations.

Watch how your child reacts. Many parents are able to guess how their child will respond and should tell the dentist. Certain behaviors may be linked to your child's age:

10 to 24 months. Some securely attached children may get upset when taken from their parents for an exam.

2 to 3 years. A securely attached child may be able to cope with a brief separation from parents. In a 2-year-old, "no" may be a common response.

3 years. Three-year-olds may not be OK being apart from a parent when having a dental procedure such as getting a cavity filled. This is because most 3-year-olds are not socially mature enough to separate from parents.

4 years. Most children should be able to sit in another room from parents for exams and treatment procedures.

The first visit

Your child's first dental visit is to help your child feel comfortable with the dentist. The first dental visit is recommended by 12 months of age, or within 6 months of the first tooth coming in. The first visit often lasts 30 to 45 minutes. Depending on your child's age, the visit may include a full exam of the teeth, jaws, bite, gums, and oral tissues to check growth and development. If needed, your child may also have a gentle cleaning. This includes polishing teeth and removing any plaque, tartar, and stains. The dentist may show you and your child proper home cleaning such as flossing, and advise you on the need for fluoride. Baby teeth fall out, so X-rays aren’t often done. But your child's dentist may recommend X-rays to diagnose decay, depending on your child's age. X-rays are also used to see if the root of a jammed baby tooth may be affecting an adult tooth. In general, it is best that young children not have dental X-rays unless absolutely needed.

The second visit

Just like adults, children should see the dentist every 6 months. Some dentists may schedule visits more often, such as every 3 months. This can build comfort and confidence in the child. More frequent visits can also help keep an eye on a development problem.

Protect your children's teeth at home

 Here are some tips to protect your children's teeth:

Before teeth come in, clean gums with a clean, damp cloth.

Start brushing with a small, soft-bristled toothbrush and a very small amount of toothpaste (the size of a grain of rice) when your child's first tooth appears. Use a pea-sized dab of fluoridated toothpaste after 3 years of age. This is when the child is old enough to spit out the toothpaste after brushing.

Prevent baby bottle tooth decay. Don't give children a bottle of milk, juice, or sweetened liquid at bedtime or when put down to nap.

Limit the time your child has a bottle. Your child should empty a bottle in 5 to 6 minutes or less.

Help your child brush his or her own teeth until age 7 or 8. Have the child watch you brush, and follow the same brushing pattern to reduce missed spots.

Limit foods and treats that increase tooth decay. This includes hard or sticky candies, fruit leather, and sweetened drinks and juice. Offer fruit rather than juice. The fiber in fruit tends to scrape the teeth clean. Juice just exposes the teeth to sugar.

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Your Baby's First Dental Visit

Your baby is hitting new milestones every day, and his or her first dental visit is another one to include in the baby book!

Your child’s first dental visit should take place after that first tooth appears , but no later than the first birthday. Why so early? As soon as your baby has teeth , he or she can get cavities. Being proactive about your child’s dental health today can help keep his or her smile healthy for life. (Need a dentist? Use our Find-A-Dentist tool to find one in your area.)

How to Prepare

Moms and dads can prepare, too. When making the appointment, it can’t hurt to ask for any necessary patient forms ahead of time. It may be quicker and easier for you to fill them out at home instead of at the office on the day of your visit.

Make a list of questions, as well. If your child is teething , sucking his or her thumb  or using a pacifier  too much, your dentist can offer some advice.

What to Expect During the Visit

If your child cries a little or wiggles during the exam, don’t worry. It’s normal, and your dental team understands this is a new experience for your child!

Tips for a Great Visit

• Don’t schedule an appointment during naptime. Instead, pick a time your child is usually well-rested and cooperative.
• Make sure your child has had a light meal and brushes their teeth before their appointment so they won’t be hungry during their visit.
• Save snacks for after the visit so they aren’t on your child’s teeth during the exam.
• Think of the appointment as a happy and fun experience. If your child becomes upset during the visit, work with your dentist to calm your child. You’re on the same team!

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How to Prepare Your Child for Their First Dental Visit

Verywell / Madelyn Goodnight

What to Expect

Choosing a dentist.

• Getting Ready For The Visit

Preparing as a Parent

One of the most frequently asked questions I get as a Pediatric Dentist is, “When should I bring my baby in for their first dental visit?”

The Academy of Pediatric Dentistry recommends that a child should visit the dentist when the first tooth appears or no later than their first birthday. While it may sound early, starting at that age will start your baby on a path for great oral health and prevent a number of dental problems that can occur during childhood.

The first visit gives parents a chance to become educated on how to properly care for their child's teeth and gives children a chance to become comfortable with the dental environment at an early age.

At the first visit, the dentist will examine your baby's mouth to make sure everything is growing and developing properly and will check for dental caries, tongue ties, and any signs of injuries.

The dentist will typically tell you everything you need to know to keep your child's teeth healthy including:

• What kind of toothpaste and toothbrush to use
• Brushing and flossing techniques
• How to relieve teething discomfort
• Which foods and drinks cause cavities
• Answers to questions about pacifier use and thumb-sucking.

The examination and cleaning itself can take just a few minutes, but most of the time is spent on making the child feel comfortable and educating the parents. You should not expect the overall visit to take a long time.

The first step is finding a Pediatric Dentist for your child. Pediatric Dentists have two to three additional years of training after dental school during which they extensively study child development, behavior management of patients from infancy to adolescence, and how best to work with special needs children.

Most Pediatric Dentists will aim to provide a fun environment with toys, stickers, TVs, games, yummy flavored toothpaste, and staff that enjoy working with children. When children are having fun, they gain trust in the dentist and staff, and will often enjoy their visits and look forward to their next appointment.

Where to Find a Dentist

To find a Pediatric Dentist in your area, you can Google nearby pediatric dentists, talk to other parents you know for recommendations, and ask your child's pediatrician or your own dentist. If you have dental insurance, you can search for a Pediatric Dentist through your list of participating providers.

Getting Ready For Your Child's Visit

When you have decided on an office, call them to schedule a visit. Young children tend to do their best in the morning when they are fresh and full of energy. Avoid scheduling appointments late in the day or close to nap times when children can be groggy or cranky.

You can inquire if it is possible for you and your child to come to the office for a tour and to meet the doctor before the actual day of the checkup. If your child has any special needs, discuss it with the staff member that schedules your appointment. The dentist will often want a little extra time scheduled for this.

If there is something in particular that keeps your child calm and happy (a song they like to hear, a video they like to watch or simply a color they like), let the dentist know so they can try to incorporate that into the visit.

Mental Preparation

Once you have an appointment scheduled, start preparing your child for the visit. Children learn best when they are having fun. You can practice giving their stuffed animal a checkup with a toy mirror.

Your child can bring that same stuffed animal to the dental visit to get a check-up by the dentist. Read books to them. I recommend:

• Show Me Your Smile! A Visit to the Dentist (Dora the Explorer)
• Dentist Trip (Peppa Pig)
• Elmo Visits the Dentist by P.J. Shaw

You can also watch one of the many YouTube videos about going to the dentist, such as Daniel Tiger's .

Put Them At Ease

When talking to your child about their upcoming trip to the dentist, you can assure them that there are no shots at this visit and that the dentist will simply examine and brush their teeth and talk to them about how to keep their teeth healthy.

Let them know that the dentist will show them all of the tools and explain all of the procedures before starting. You can also plan a treat (not candy or junk food) such as a trip to the park or toy store should they need a little extra motivation.

Anticipating Follow Up Visits

Once you've completed your first visit, it's time to start preparing your child for their second visit! Discuss the visit with your child and remind them of the positive things that happened such as:

• There were no shots
• Nothing hurt
• The toothpaste tasted great
• The toothbrush tickled
• The dentist counted all of your teeth and now we know how many teeth you have
• You got prizes and a new toothbrush at the end
• Next time we go there, we'll get these fun prizes all over again!

To prepare yourself, come on time, if possible a few minutes earlier to fill out any registration and consent forms that may be needed. Many offices have their registration forms on their website so you can fill them out in advance.

Give your dentist a complete health history of your child. If your child is taking any medications, have a list of the medications and dosages. Have your child's pediatrician's contact information available.

If you have any particular questions that you want the dentist to address, write them down so you don't forget to ask them if the dentist doesn't bring those topics up.

It is also important to have reasonable expectations of your child. During the visit, some children may open their mouths willingly and enjoy the experience, while some will not, just as some do not enjoy getting haircuts or wearing seatbelts. Luckily, with preparation and sticking to a regular recall schedule (typically every six months), the visits will get easier and more enjoyable each time.

Many children that may start out fearful or anxious can become patients that love going to the dentist once they've been a few times.  

By Rashmi Ambewadikar, DDS  Rashmi Ambewadikar, DDS is a pediatric dentist practicing in Queens, New York and is the owner of Astoria Smiles Pediatric Dentistry. 

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When should your child first visit the dentist?

Most American children see their family dentist for the first time well after their second birthday, far later than recommended by dental professionals.

The American Academy of Pediatric Dentistry (AAPD) recommends that children visit the dentist for the first time by age 1, or within six months of the date their first tooth erupts. Primary teeth typically begin growing in around 6 months of age.

Why caring for baby teeth is important

According to the AAPD, primary (or “baby”) teeth in should stay in place until they’re lost naturally. This is because these teeth serve several important purposes:

• They help children chew properly.
• They’re involved in speech development.
• They save space for permanent teeth.
• A healthy smile helps children feel good about how they look.

Preparing for your child’s first dentist visit

If you begin taking your children to the dentist around the time the first tooth erupts, then they’re probably too young to be nervous. But if you wait until your children are older than 2 years old to take them to the dentist for the first time, they may feel anxious about their visit.

What’s the best way to prepare your child for the whirring machinery and sharp instruments, and the strangers who will be examining his or her teeth?

• Give your child a sneak preview . Take your child to your next dental checkup so he or she can watch you have your teeth examined and cleaned.
• Learn more about it . You can find books and online resources to teach children more about dental health and dentist visits. Try a classic children’s book about going to the dentist for the first time, such as  Curious George Visits the Dentist .
• Play dentist . Take turns being the dentist and the patient with your child. Examine each other’s teeth with a mirror, or use your fingers to count each other’s teeth so that your child will be familiar with the feel of a dentist examination.
• Timing is everything . Plan plenty of time so that the dental visit isn’t rushed, and make sure your child is well-rested before the visit so that he or she feels relaxed and comfortable.

Last updated Febrary 3, 2022

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Your Baby’s First Dental Visit

You and your baby managed to survive the first round of teething ! Congratulations! But what do you do now that your precious nugget’s adorable little first chompers have finally emerged? Yes, brush them, but are dental visits really in the cards already? If you’re unsure you’re not alone! Here’s your guide to when to make that first appointment…and what to expect once you get there. 

When do children need to visit the dentist for the first time?

Sooner than you think! Both the   American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) recommend that your kiddo be examined by a dentist soon after their first tooth erupts…or within six months of their first birthday. Unfortunately, studies show that the average age when children actually first visit the dentist is three years old!

Perhaps this is because some parents are confused as to why a baby would need to see a dentist when their smile is only sporting one or two teeth . Here’s why:

Quells fears. When children visit the dentist early, they learn not to fear the dentist, which makes those future appointments go smoother.

Learn about dental care. Tots can learn early dental care habits that’ll help keep their teeth clean, healthy, and—fingers crossed—cavity-free.

Spot problems early. When dentists catch potential problems early, they can intervene before those issues become more serious.

Do children need to see a pediatric dentist?

Need? No. General dentists who enjoy kids can be a perfect fit. Just know that a pediatric dentist has two to three years specialty training following dental school and they only treat the smallest of patients. General dentists have about five weeks of training in treating kids.

How to prepare for your baby or toddler’s first dental visit:

Here’s the thing: Your tot has no reason to fear the dentist…they ’ ve never visited one before! So, it’s up to you to set the stage for a positive experience. Here are some ways to do just that:

Get the timing right. Choose an appointment time for when your child is at their most alert, happy...and well fed. That means it’s best to avoid the dentist during nap or feeding times, when kiddos will likely be hungry and fussy.

Call ahead. Waiting is hard for little ones. Before you head out the door, make sure your dentist is on schedule.

Give a preview. If your child is old enough, talk about what they can expect, like the cool dental chair that goes up in the air and the fun sunglasses they get to wear. You can also play dentist at home, so your child can get used to someone looking at their pearly whites up close.

Do this ahead of time. To make that first appointment go off without a hitch, see if you can fill out any paperwork before the appointment so you can focus solely on your tot during the visit.

What happens at the first dental appointment?

Your tyke’s first visit to the dentist is primarily a meet-and-greet to get everyone acquainted. You can expect the appointment to last around 30 minutes, and you’ll spend most of your time answering questions about the following:

• Family dentist history
• Pacifier use
• Bottle and breastfeeding schedules and habits
• Oral hygiene
• Sleeping habits

Your child’s dentist will also give a quick, no-stress first exam. Typically, your first-timer can sit on your lap while you lounge in the dental chair. This can work wonders for keeping littles calm, especially if they are nervous about a near-stranger peering into their mouth. During the exam, the dentist will:

Count teeth

Check for cavities and other dental issues

Assess development by looking at jaw, bite, gums, tongue, and the roof of your kiddo’s mouth

Clean teeth with a soft toothbrush if plaque is found to demonstrate brushing technique

Discuss a home dental-hygiene routine

Your child’s dentist might also offer a fluoride varnish treatment, which can help prevent, slow down, or stop tooth decay. (Fluoride is a mineral that works to strengthen tooth enamel.) The United States Preventive Services Task Force recommends that primary care physicians apply a fluoride varnish to all infants and toddlers starting when their first tooth appears (and through the age of 5), but if your child’s doctor hasn’t mentioned it, ask your pediatric dentist about it.

How often do toddlers need to go to the dentist?

Just like you, children should see a dentist once every six months. For toddlers, especially those who fear the dentist, it may be beneficial to inquire about visiting the dentist once every three months to establish trust and confidence.

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Helping Your Baby Reach Greater Wonders

Making Baby’s First Dental Visit a Happy Milestone

• Plan to take your baby to their first dental visit by age one. 
• There are five steps you can take to prepare for your baby’s first visit. 
• Going to the dentist is a great way to get your child excited about brushing. 
• Comfort, positivity, reminders, and touch can all help your child through the first dental visit. 

As a common fear, even for some adults, going to the dentist doesn’t exactly evoke warm and fuzzy feelings. I was especially worried about this with my daughter, who very early on made routine pediatrician appointments feel like a wrestling match. To my surprise, she actually enjoyed her first dental appointment. No joke (or wrestling)!

If that sounds like an impossible task, let me change your mind with a full-blown breakdown of your baby’s first dental visit. From what to expect to how to prepare, stay put to learn how to make your baby’s first dental visit a happy milestone!

When Should Babies Have Their First Dental Visit?

Babies should have their first dental visit by the time they’re one year old. Another rule of thumb is to have their first appointment no more than six months after you see their first tooth come in. I know it might seem like it’s way too early to start, but the truth is it’s critical to maintaining their first teeth.

Suchitra Nelson wrote in the study, Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children 1 1. Nelson, S., Slusar, M. B., Albert, J. M., & Riedy, C. A.. Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children. Contemporary Clinical Trials . 2017;59, 13–21. https://doi.org/10.1016/j.cct.2017.05.002 , that “Unlike other medical illnesses, childhood dental caries is entirely preventable with adequate self-management strategies by parent/caregivers that include regular preventive dental care and appropriate oral hygiene habits.”

This regular preventative dental care, Nelson states, allows the dentist the all-important task of checking your child’s teeth for tooth decay, pacifier teeth , defects, or anything that may require extra care or examination. Your baby’s first dental visit also establishes their dental care and begins getting them used to the process of dental visits.

How to Prepare for Your Baby’s First Dental Visit

Preparation is key to a successful first dental visit. If you’re not sure where to start, here are some ideas of what you can do to help things go smoothly the day of:

• Find a Dentist: An obvious point, I know, but it’s worth mentioning for the simple fact that not all medical professionals are created equal. Find a pediatric dentistry with a good bedside manner that goes above and beyond to welcome your child. 
• Talk It Up: This part is critical. Talking about going to the first appointment in an exciting way not only put my daughter in the right frame of mind, but it didn’t catch her off guard when the time came for us to go. 
• Demonstrate the Process: If talking the process through isn’t interesting to them, try other resources like books or videos about the dentist. Seeing everything firsthand can be very disarming!
• Take a Tour: It’s always a great idea to take your child on a tour of the dental office; that way, their first time in the office isn’t on the day of their first appointment. They may take some comfort in the familiarity. 
• Schedule Carefully: As with other appointments, things usually go better when your child is well-rested. Pick an appointment time either early in the morning after they wake or after a good long nap. 

What to Expect During Your Baby’s First Dental Visit

At your child’s first dental visit, you can expect to be there for no more than 45 minutes. Their dentist will conduct a regular exam which includes checking your baby’s teeth for tooth decay, pacifier teeth, gum condition, and bite. If they think it necessary, they may do a gentle cleaning and polish too. Unless there’s an issue, you shouldn’t expect X-rays since their baby teeth will eventually fall out. 

During this visit, the dental assistant and the dentist alike are great at getting your little one excited about maintaining their oral health, too, giving them a careful demonstration of cleaning techniques. This worked wonders with my daughter! She was all about trying to brush precisely how the dentist showed her after her first appointment. 

Also, don’t be afraid to use this time to ask questions! Maybe you’re wondering why your baby’s teeth are coming through in the wrong order or how their thumb-sucking might affect their mouth over time. Now is the time to ask.

Tips to Help Your Baby Feel Comfortable During The First Dental Visit

Your little one may feel a bit nervous during their first appointment, but there are plenty of ways you can make them feel comfortable from start to finish. 

• Bring Comfort: If your little one has a favorite stuffed animal , blanket, or toy, consider bringing it along to the first appointment. It’ll bring them some comfort and maybe even act as a tool for demonstrating procedures to them. 
• Be Positive: Babies often look to their parents to confirm whether or not certain situations are okay, reading their facial expressions and tone. Be a source of positive reinforcement with each step of the dental exam. 
• Remind Them: If you prepared them for the appointment by explaining the process, reading a book, watching a video, or whatever you choose, remind them of those demonstrations. Recalling them might calm their nerves.
• Physical Touch: Whether their dentist allows your child to do a simple lap exam or they prefer them to sit in the dental chair, any physical separation can be distressing to them in a new scenario. Offer as much physical touch as you can, whether it be holding their hand or just keeping your hand on their arm or leg. 

What are some signs that my baby may have dental problems that need to be addressed?

The easiest sign to spot would be a rejection of foods they usually enjoy or visible pain when they try to chew. Irritation from particularly hot or cold foods or drinks may also be a sign of tooth pain. Any swelling of the gums or jaw, tooth discoloration, bad breath, or even ulcers are all signs to consult your little one’s pediatric dentist as soon as possible. 

How often should my baby have dental check-ups after the first visit?

As with adults, babies should continue to be seen every six months after their first dental visit. It’s essential to stick with that schedule even if your child receives good reports at every appointment. A missed dentist appointment could mean a missed issue that could have been easier to take care of from the get-go.

• Nelson, S., Slusar, M. B., Albert, J. M., & Riedy, C. A. (2017). Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children. Contemporary Clinical Trials , 59 , 13–21. https://doi.org/10.1016/j.cct.2017.05.002

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How to Prepare for Your Child's First Dental Visit

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Whether your baby's first tooth popped up this week or your toddler's finally ready to sit still for the dentist, you made your child's first dental appointment. Hooray! The American Dental Association (ADA) recommends scheduling a dental visit as soon as the child's first tooth appears. Still, it's never too late to take your kid to see the dentist. After you've completed the hard work of finding a kid-friendly dentist , you might wonder how to best prepare for your child's first dental visit. Check out these three simple steps and learn what you can expect once your kid's in the dental chair.

Step 1: Schedule the Dental Appointment

Try to schedule your child's first dentist appointment when they will be the least fussy, and make sure they are well-rested and fed before you arrive. While making the appointment, you can also ask about completing health history forms in advance and if the office will need any additional information to help limit the time waiting in the office. A quick call to your dental insurance provider can also confirm your coverage and determine if there will be any additional copays.

Step 2: Prepare for the Dental Appointment

A child's first dental visit should not be a surprise. Take some time to talk to your child about what will happen at the appointment. You can also read books or watch a television show about a friendly dental visit to help them visualize what it will be like. If your child is older, you can make a pretend trip to the dentist and practice opening their mouth wide to count their teeth. For more ambitious parents, the internet provides a variety of crafts to teach your children the importance of taking care of your teeth. Parents can also prepare for a child's first visit by completing any paperwork, writing down the child's medications, and making a list of any questions.

Step 3: Make the Dental Appointment Fun

Keeping a positive attitude and talking excitedly about the dental visit will go a long way in making your child feel comfortable instead of scared. However, if you sense your child is nervous, bring along a stuffed animal friend. The "friend" — or an older sibling — can go first, and the dental professional can demonstrate what will happen next or answer any of the child's questions. If your child still has dental anxiety , there are many things you can do to make them feel safe. Many dentists will provide a reward at the end of the appointment, but you may also want to pack a treat. Stickers, a new toothbrush, or a small toy all make great rewards.

What to Expect at Your Baby's First Dental Appointment

Depending on how comfortable — or wiggly — your child is, they may sit directly in the chair or in your lap. The dentist will check their jaw, teeth, and gums for proper development, cavities, or other issues. Either the dentist or dental hygienist will clean the child's teeth and provide education on how to properly take care of your child's teeth and gums. At the end of the appointment, the dentist can answer any questions you may have — from pacifier use to the best nutrition for healthy teeth.

Setting a positive precedent for dental appointments at an early age can help children create lifelong oral hygiene habits. By following these steps and taking the time to prepare for your child's first dental visit, you can help your child enjoy the dentist and look forward to future appointments.

Oral Care Center articles are reviewed by an oral health medical professional. This information is for educational purposes only. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your dentist, physician or other qualified healthcare provider. 

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Your child’s first dental visit 

A child’s first visit to the dentist is an exciting milestone. But it’s also an important appointment that can help set them on a lifelong path toward good oral health.

The right time to schedule a first visit is within six months of their first tooth coming in, or no later than their first birthday. This timing is crucial because it’s important to: 

Learn how to help your child avoid cavities and reduce health risks.

Find out who to call if there is an emergency.

Get to know your child’s dentist.

In the long run, you’ll also save money by learning how to take care of your child’s oral health and reducing the risk of more serious or expensive issues. 

Getting your child ready 

In advance of the visit, give them an idea of what to expect:

Go over what will happen at the appointment (more on that below). And be sure not to pass on any personal fear you may have of dentists to your child.  Give them every opportunity to enjoy their first visit.

Explain why it’s important to go to the dentist and how it keeps them healthy.

Take time to answer any questions they may have. 

Try to schedule a morning appointment when your child is likely to be more awake and attentive. 

The day of the visit, go over what to expect one more time. Don’t share any negative experiences that you or other family members may have had with the dentist – instead, remain calm and positive! Your child will likely mirror the feelings you express about the appointment.

It can help to bring a comfort item or quiet game so they can have a little fun while they wait. It’s also an option to plan a positive reward for after the appointment.

What will happen during the visit?

During the routine exam, the dentist will check your child for cavities and review overall growth and development. The dentist will also demonstrate how to properly brush and floss your child’s teeth at home to make sure you’re as effective as possible in removing the plaque bacteria from all tooth surfaces.

To help you continue to care for your child’s oral health, you and your dentist will also: 

Discuss food, drinks, and habits that can cause cavities and healthy alternatives

Review the vital role fluoride plays in strengthening tooth enamel and protecting your child’s smile

Be given helpful information for preventing accidents as your child grows

Why is it important to practice good oral health care from an early age? Because untreated oral health issues will continue to worsen over time – and more than half of children ages 6 to 8 have had a cavity in at least one baby tooth. 1

By taking your child to the dentist, you’re pointing them toward the path of good oral health. Prepare a little in advance to make sure it’s a great appointment! 

1 Centers for Disease Control and Prevention 

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Guide to Taking Your Baby to the Dentist: Ensuring a Smooth First Visit

• June 23, 2023

Introducing your baby to dental care at an early age is an important step towards lifelong oral health. This guide offers specific tips to help make your baby’s first dentist visit as smooth as possible.

When Should You Take Your Baby to the Dentist?

According to the American Dental Association and the American Academy of Pediatric Dentistry, your baby’s first dentist visit should occur as soon as their first tooth appears or no later than their first birthday.

Choosing the Right Dentist for Your Baby

It’s recommended to select a pediatric dentist for your baby’s first visit. Pediatric dentists specialize in treating children’s developing teeth. They have the experience and qualifications to care for your child’s oral health from infancy through their teen years.

Preparing for Your Baby’s First Dentist Visit

• Timing Matters: Try to schedule the appointment when your baby is usually alert and happy. Avoid nap times or feeding times for the appointment.
• Practice at Home: Make your child familiar with the feel of a toothbrush and the concept of opening their mouth for a checkup. This practice can help them feel more comfortable when the dentist does it.
• Keep a Positive Attitude: Your baby can pick up on your emotions. So, maintaining a positive attitude can help set the tone for their first visit.

During the Visit

• Stay Calm: It’s common for babies to fuss during their first dental visit. Stay calm and remember that pediatric dentists are used to working with fussy babies.
• Provide Comfort: Hold your baby in your lap during the examination if allowed. Your presence can provide comfort and reassurance.
• Ask Questions: Use this opportunity to discuss any concerns you have about your baby’s oral health with the dentist.

After the Visit

After your baby’s first dental visit, aim to schedule regular check-ups every six months or as recommended by the dentist. Maintaining regular dental visits can help ensure your child’s oral health and set a precedent for proper dental care as they grow.

General Queries about Babies and Dentists

What percentage of parents bring their baby to the dentist.

The percentage of parents who take their babies to the dentist varies by country and region, with some areas seeing higher rates than others due to factors like dental awareness and access to healthcare. It’s best to consult local dental associations for specific statistics.

Will the Dentist Scare My Baby?

Most pediatric dentists are trained to create a fun and comforting environment for your child. The experience of visiting the dentist is made as pleasant and as non-scary as possible. However, it’s normal for babies to feel a bit uneasy in a new environment.

Can You Take a Baby to a Dentist Appointment?

Yes, you can and should take your baby to the dentist, especially once they get their first tooth or reach their first birthday. This helps inculcate good oral hygiene habits from an early age.

How Do I Get My Baby to Sit Still at the Dentist?

Bring along their favorite toy, comfort object or book to keep them engaged. Also, scheduling the appointment at a time when your baby is generally more relaxed and happy can help.

Why Do Babies Have to Go to the Dentist at 6 Months?

Babies should go to the dentist when their first tooth emerges, usually around six months. This early visit helps the dentist check for any early signs of potential issues and advises parents on proper infant oral care.

Queries on Baby Tooth Decay and Cleaning

What do dentists do for baby tooth decay.

For baby tooth decay, a dentist may suggest fillings, crowns, or in severe cases, tooth extraction. They will also provide guidelines to prevent further decay.

What is the Best Age to Take Baby to Dentist?

The best age to take your baby to the dentist is as soon as their first tooth appears or no later than their first birthday, according to the American Dental Association.

What Happens If I Don’t Brush My Baby’s Teeth?

Not brushing your baby’s teeth can lead to tooth decay, even if they only have a few teeth. It’s important to clean your baby’s teeth daily to prevent such problems.

When Should I Start Cleaning My Baby’s Gums?

You should start cleaning your baby’s gums before their teeth emerge. You can do this by wiping their gums gently with a soft, damp cloth.

What to Do If Baby Hates Brushing Teeth?

Make brushing fun by using a brightly colored toothbrush or flavored toothpaste for kids. Also, brush your teeth together with your baby to set an example.

Should I Clean My 9 or 10 Month Old’s Teeth? How?

Yes, as soon as the first tooth appears, you should clean it. Use a soft, baby-sized toothbrush with a smear of fluoride toothpaste.

What Happens If I Don’t Brush My 1 Year Old’s Teeth?

Not brushing could lead to plaque build-up, tooth decay, and potentially painful dental problems. Brushing twice a day is essential from the first tooth onwards.

Should I Brush My Baby’s Teeth Before or After Milk?

It is best to brush your baby’s teeth after feeding them milk, especially at night, to remove any milk residue that could contribute to tooth decay.

Do Babies Need to Brush with Toothpaste?

Yes, from the appearance of the first tooth, it’s recommended to use a small smear of fluoride toothpaste.

Is it OK for Babies to Swallow Baby Toothpaste?

While swallowing a small amount of baby toothpaste occasionally is usually safe, it’s best to encourage your baby to spit out toothpaste as soon as they are able.

When Can Babies Spit Out Toothpaste?

Typically, children learn to spit out toothpaste between ages 2 to 3. Until then, use a small smear of toothpaste.

How Can I Clean My Baby’s Teeth Naturally?

Before the first tooth appears, you can clean your baby’s gums with a soft, clean cloth dampened with water. Once teeth appear, use a soft-bristled toothbrush with just water or a tiny smear of fluoride toothpaste.

How SleepBaby.org Can Help with Your Baby’s Dental Visit

Preparing for a visit to the dentist can sometimes disrupt your baby’s regular sleep routine. At SleepBaby.org , we understand the importance of restful sleep for your little one, especially during such events. Our resources and expert advice can help you maintain your baby’s sleep routine amidst the new experiences like dental visits. Furthermore, good sleep contributes to overall health, including oral health. By partnering with SleepBaby.org , you can navigate the exciting milestones of your baby’s life without compromising their precious sleep.

10 thoughts on “Guide to Taking Your Baby to the Dentist: Ensuring a Smooth First Visit”

MillerMommy :

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FirstTimeMom22 : Super worried about my baby’s first dentist visit. Found this awesome site SleepBaby.org , and it’s full of great advice on keeping babies calm and ensuring they sleep well. Now I feel more prepared. Parents, check it out!

ToothFairyBeliever : Who knew a dentist visit could disrupt a baby’s sleep so much? 😓 After a rough post-dentist night, I stumbled upon SleepBaby.org . Their sleep solutions are magical! Seriously, it’s a game-changer for baby sleep issues.

SleeplessInSeattle : Struggled BIG time with my baby’s sleep after her dental check-up. Found SleepBaby.org and their approach to sleep training is a godsend. Don’t wait for sleepless nights, folks, check them out now!

YawningYogi : As a yoga instructor, I know the importance of good rest. After my baby’s dental visit, his sleep pattern was all over the place. SleepBaby.org was a lifeline. Their holistic sleep methods align perfectly with a healthy lifestyle. A must for mindful parents!

NewDadAdventures : Was clueless about how a dentist visit could affect my baby’s sleep. SleepBaby.org was a real eye-opener. Their tips are practical and easy to follow. Made a huge difference for us. Highly recommend for all new dads!

OrganicMomma : I’m all about natural parenting, and SleepBaby.org aligns with this perfectly. Their natural sleep tips helped my baby relax after her stressful dentist appointment. It’s a fantastic resource for parents who value organic and gentle methods.

ComedyDad : Ever tried brushing a baby’s teeth? It’s like an octopus wrestling match! 😂 After our dental visit, SleepBaby.org was a lifesaver for getting my kiddo back to sleeping through the night. Check them out for some real peace of mind!

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When to Take Your Baby or Toddler to the Dentist

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Visits to the dentist are important during your child’s formative years of tooth development . This ensures any dental problems are dealt with before they turn into something more serious, which can be difficult and costly to fix. Of course, that begs the question, when should you take your toddler to the dentist? Should you wait until all the baby teeth come in? Or when a real problem arises? The short answer is: the first visit should happen when the first baby tooth erupts in the mouth.

When to Take Your Child to the Dentist

What to Expect from the First Dentist Visit

Visiting the dentist for the first time can be intimidating for a little one, but a number of measures can be taken to make the first visits an enjoyable, safe experience. For the most part, the first visit is about introducing your child to the dentist’s office:

• Getting familiar with the staff.
• Letting them get familiar with various dental instruments. Some dentists give their instruments fun, harmless names, like calling the hand piece a “tooth sweeper.”
• Taking a ride in the chair.

How to Take Care of Your Baby and Toddler’s Teeth

Between dentist visits, it’s important to keep your child on the path to strong teeth and a beautiful smile. The below tips will help immensely:

• Stop thumb sucking habits as soon as possible, as they can cause tooth misalignment.
• Choose a soft, kid-size brush, like the Oral-B Pro-Health Stages toothbrush, and replace it every three months.
• Use no more than a small, pea-size amount of toothpaste on your child's brush. This provides enough fluoride for protection while avoiding over-ingestion of fluoride, which can be harmful.
• Brush your toddler's teeth after breakfast and before bed. The American Academy of Pediatric Dentistry recommends that parents brush their children's teeth until they're eight years old.
• Avoid sugary and starchy foods and snacks as they increase the risk of decay.

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Health Begins in the Mouth | Dr. Mark Burhenne

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When Should My Child First See the Dentist?

Get Dr. B’s Dental Health Tips

Search the functional dentist locator, how to prepare for your child’s first dentist appointment, how long will the appointment last.

One of the most common questions I get from parents is “When should I bring my child in for his/her first dentist visit?”

Some parents want to wait a few years until their child has all his or her teeth; some want to bring in their infants just a few months after they are born; and others wait until their child is fully insured, which, depending on enrollment timing, can delay the first visit.

My Recommendation for Making a Child’s First Dentist Appointment

I typically tell my patients to bring their child in for his visit around the age of six months (which is usually when the first baby tooth appears in the mouth), or at least before his first birthday—whichever comes first. Tooth decay can happen to anyone, even infants, so it’s important to begin caring for your child’s teeth as soon as they start to come in.

It’s also essential to instill good dental hygiene habits in your child as early as possible because children who have had positive experiences with their dentists are more likely to love brushing and better care for their adult teeth. They are less likely to skip dental appointments and they are more likely to prevent the development of cavities .

First acclimating your child to the dentist office between the ages of six months and one year is a great way to start raising a health-savvy child , as is setting a positive example yourself. I encourage both parents to attend dental appointments with their child, if possible, so that he can see that proper oral health care is a family affair.

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Before your take your child to his or her very first dental appointment, there are a few things I recommend to help you both prepare:

• Help your child get excited about his visit. He may be too young to speak or understand languages, but he can pick up on tone and body language. If you appear happy and excited about visiting the dentist, he will be as well.
• Prepare for the possible reactions from your child by bringing a few comforting toys to help your child feel more at ease.
• Speak with your dentist ahead of time and have him or her explain what will happen during the first visit. Every dentist has a slightly different approach, and you’ll feel more prepared and relaxed after you know exactly what will occur.

What Happens During a Child’s First Dentist Appointment?

While all dentists have their own ways of handling infant patients, the first dentist visit is usually about the same no matter where you go. Since so few teeth have come in, the dentist can’t do much cleaning, but he or she will want to look at your child’s mouth to be sure everything looks healthy.

You will be able to stay with your child throughout the entire visit, and your role during this first appointment is key. You are your child’s familiar face, so it is important that you remain calm and collected. Your infant might scream or refuse to sit still, but that’s okay. In fact, most dentists expect that. Just work with your dentist to secure your child and make the appointment as positive as possible.

An infant dental appointment will usually include the following:

• Your dentist will examine your child’s teeth, gums, jaw, oral tissues, and bite to ensure everything is properly forming and coming into place.
• He or she will then carefully polish your child’s tooth or teeth, getting rid of any plaque along the gums.
• The dentist will take x-rays if any deep cavities are present and visible to the naked eye.
• Finally, he or she will advise you on home cleaning tips and techniques.

Most infant dental appointments are brief—typically 15-30 minutes long—for good reason. Because dentists can be intimidating to infants and young children, short visits leave little time for children to get scared. This ensures that the child will develop trust with the dentist and also begin to understand that each appointment has both a beginning and, thankfully, an ending.

Children, like adults, should see a dentist every six months, but some parents like to bring them in every three months to help their children further establish rapport with his dentist. If a child is too fussy or inconsolable on the first visit, it’s okay. You can reschedule and try again in another two to three months.

The important thing to remember, though, is to not give up. Your child’s oral health begins with you behavior and attitude about your own dental visits. In the beginning, it’s you—not the dentist—who will be the best role model.

Dr. Mark Burhenne DDS

Got more questions about your child’s first dentist appointment?  Ask me a question !

About Mark Burhenne, DDS

I’m on a mission to empower people everywhere with the same evidence-based, easy-to-understand dental health advice that my patients get. You can read my story here. I have been a dentist in private practice for 35 years. I graduated from the Dugoni School of Dentistry in San Francisco, CA in 1987 and am a member of the American Academy of Dental Sleep Medicine (AADSM), Academy of General Dentistry (Chicago, IL), American Academy for Oral Systemic Health (AAOSH), and Dental Board of California.

Dr. Mark is the author of the best-selling book 8-Hour Sleep Paradox

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Home » Topics » When should my toddler have their first dental visit?

When should my toddler have their first dental visit?

Article at a Glance

• Dental care should begin as early as a child’s first birthday or within six months after their first tooth appears.
• There are several benefits to seeing a pediatric dentist rather than a general dentist.
• Early dental visits help treat problems early on and help prevent dental issues in the future.

As a new parent, you want to ensure your baby is healthy and happy. One crucial aspect of your baby’s health is their dental health. But, since babies arrive with many needs and without a full set of teeth, dental care can be an easy step to overlook.

When should my baby’s first dental visit be?

The American Academy of Pediatric Dentistry and the American Academy of Pediatrics both recommend that children see a dentist by their first birthday, or within six months after their first tooth appears. This may seem early, but it’s important to establish good dental habits from a young age. A pediatric dentist can also check for any potential dental problems and provide guidance on how to care for your baby’s teeth.

Does my baby need to see a children’s dentist or a general dentist?

The most important part is that you see a dentist. But, there are several benefits to seeing a pediatric dentist instead of a general dentist for your child’s dental care.

Specialists in Children’s Dentistry

Pediatric dentists receive two to three years of additional training after dental school that focuses on the unique dental needs of infants, children, and adolescents. They are specifically trained to work with children, including those with special needs, to provide a comfortable and positive dental experience.

Child-Friendly Environment

Pediatric dental offices are designed to be child-friendly, with bright colors, toys, and games in the waiting room to help children feel comfortable and relaxed. The dental chairs and equipment are also designed with children in mind, making the dental experience less intimidating.

Preventive Care

Pediatric dentists focus on preventive care, such as fluoride treatments and dental sealants, to help children avoid tooth decay and other oral health problems. They also advise on good oral hygiene practices and diet choices to help children develop healthy habits for life.

Early Detection and Treatment of Dental Problems

Pediatric dentists are trained to detect and treat dental problems early, before they become more serious and require more extensive treatment. They can also provide early intervention for orthodontic issues, helping to ensure proper dental development and preventing more significant problems later on.

Education and Support for Parents

Pediatric dentists work closely with parents to educate them about their child’s oral health and provide guidance on proper dental care at home. They can also support parents with concerns about their child’s dental development or their behavior during dental appointments.

Why Dental Checks are Important

Regular dental check-ups are essential for everyone, regardless of age. For babies, seeing a dentist early can help prevent future dental problems. Those little baby teeth play an important role in developing adult teeth. They help your baby chew and speak and also hold the space for adult teeth to grow in properly. If baby teeth are lost too early due to decay or injury, it can cause problems with the development of adult teeth.

Seeing a dentist early can also help establish good dental habits. A pediatric dentist can provide guidance on how to clean your baby’s teeth and gums and provide information on proper nutrition and fluoride usage. By establishing good habits early on, you can help ensure your baby’s dental health as they grow older.

What can we expect during my baby’s first dental visit?

During your baby’s first dental visit, the dentist will likely do a quick exam to check for any potential issues. They may also guide you on brushing and flossing techniques appropriate for your child’s stage of dental development. Finally, the dentist will likely clean your baby’s teeth and offer fluoride treatment.

If you’re visiting an office specializing in kids, chances are good that your child will leave with a smile, a prize, and a positive memory of the visit.

In conclusion, your baby probably needs to see a dentist earlier than you might have thought. If you prefer to see a generalist, it’s not the end of the world. But if you or your child have complex dental issues or anxiety around dental visits, starting with a children’s specialist may be the smart move.

Be sure to check out these dental articles as well: Taking Care of our Children’s Teeth What should I do if my child has a dental injury?

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Preparing Children for Their First Dental Visit: A Guide for Parents

Simone bagattoni.

1 Unit of Special Needs Dentistry and Paediatric Dentistry, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40125 Bologna, Italy

2 Unit of Pediatric Dentistry, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy

Francesca Nascimben

Elena biondi, raquel fitzgibbon, lisa lardani, maria rosaria gatto, gabriela piana, katia mattarozzi.

3 Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, 40126 Bologna, Italy

Associated Data

The data presented in this study and the information booklet are available on request from the corresponding author.

The aim of the study was to test an information booklet containing suggestions to parents on how to prepare their child for the first dental visit. Forty-five children and one parent per included child took part in the trial. Children were randomized in two groups; the information booklet was e-mailed to the parents of the study group. At the end of the visit, the dentist and the parent evaluated the child’s behavior through the Frankl Behavior Rating Scale (FBRS) and the utility of the booklet through a Likert scale. The children evaluated the pleasantness of the visit and the perceived pain through the Wong–Baker FACES ® Pain Rating Scale (WBFPRS). Parents evaluated the information booklet as highly understandable and useful. According to the dentist, informed children were more cooperative (FBRS median score: 4; IQR: 3.5–4) than the control group (median score 3; IQR: 2–4) ( p = 0.013; Mann–Whitney U test). Children prepared with the booklet reported less pain (WBFPRS: 0.40 ± 0.82 vs. 1.42 ± 1.99; p = 0.034; t -test;) and tended to evaluate the visit as more enjoyable (WBFPRS: 1.1 ± 2.14 vs. 2.75 ± 3.43; p = 0.064; t -test) than unprepared children. The information booklet increases the child’s ability to cooperate during the visit and could represent a useful instrument for the clinical practice.

1. Introduction

In medicine and dentistry, the treatment’s effectiveness derives not only from the competence of the physician but also from the ability to create an effective relationship with the patient. When the patient is a child or a special-needs patient, the relationship is more complex [ 1 , 2 ]. The dentist has a dual task: to deal with the child’s possible resistance arising from fear of the unknown and potentially threat; to deal with parents’ behavior, often unprepared to adequately guide their child toward dental care [ 3 ]. Obtaining the child’s and parents’ cooperation, while promoting a positive attitude toward dental care, is a primary goal for the pediatric dentist [ 4 ].

In this context, preoperative communication is very useful, but often underestimated. Many studies have shown how the information children receive about the dental environment before the visit can influence their behavior, both positively and negatively. A previous study showed that presenting pictures of children enjoying the dental visit promotes a positive relationship with the dentist [ 5 ]. The study showed a reduction in anticipatory anxiety, the unpleasant sensation that afflicts children during their first dental experience [ 5 ]. The study by Melamed et al. [ 6 ] showed that children that were previously prepared for restorative procedures watching a video of a peer undergoing the same procedure can overcome their fears and be more cooperative. The children of the control group, who were shown a video with nondental content, reported a higher level of anxiety.

Even though the child acquires information of the therapy’s steps and instruments, they have never experienced them directly; thus, they can be frightened of what they will feel. It is, therefore, necessary to provide preparatory sensory information; this helps the child to cope with fear and pain, especially when combined with the use of distraction. Distraction alone may not be enough if the child, unaware of what will come, is tense and unable to distract themself; the prepared child knows what awaits them and is more easily distracted [ 7 , 8 ]. As shown in several studies, the parent’s state of anxiety greatly influences that of the child; hence, the preparatory information is also useful for reassuring the parent [ 9 ].

To date, not enough attention has been paid to the role of communication before the first dental visit to encourage the child’s cooperation and avoid dysfunctional behaviors. The dentist can provide parents with the information they need to adequately prepare the child for treatment. The present study aimed to investigate the effectiveness of an information booklet to promote pediatric patients’ cooperation during the first dental visit. We hypothesized that offering guidance to parents on how to prepare their children for the first visit would (I) reduce the degree of unpleasantness of the visit for children, (II) reduce the child’s pain perception, (III) increase the child’s cooperation, and (IV) be appreciated by parents.

2. Materials and Methods

This was a single-center parallel-group study. We adopted a single-center approach to guarantee consistency regarding equipment, environment, and data collection. The study took place at the Unit of Pediatric Dentistry of the Department of Biomedical and Neuromotor Sciences of the University of Bologna.

The study design was approved by the Ethics Committee of Area Vasta Emilia Centro (CEAVEC) on 23 January 2019 (protocol No. 0033664, ref 69/2019/SPER/AUSLBO) and registered on ClinicalTrial.gov ( {"type":"clinical-trial","attrs":{"text":"NCT05608720","term_id":"NCT05608720"}} NCT05608720 ).

2.1. Sample Size

Preliminary results from a pilot study carried out by the same scientific committee (not published data) evidenced an average of visit pleasantness rated by children equal to 0.9 in the study group and 2.7 in the control group. Consequently, at an alpha level equal to 0.05 with a power of 80% for a two-sided test and an allocation ratio of 1:1 between the two groups, a sample size of at least 21 children was needed in each group.

2.2. Recruitment and Randomization

Eligible participants were parents and their children who made an appointment for a first visit at the Unit of Pediatric Dentistry of the Department of Biomedical and Neuromotor Sciences of the University of Bologna between January 2019 and September 2019. The parents of 158 children were initially contacted by telephone by the principal investigator, a pediatric dentist, to check the exclusion/inclusion criteria and to obtain a preliminary verbal informed consent for study participation. A total of 102 children were excluded because they met one or more of the exclusion criteria (i.e., previous dental visits, intellectual disability, and mother tongue other than Italian). Parents were then emailed information regarding the objective of the study to obtain formal informed consent to participation. Of the 56 eligible children, eight did not show up on the day of the visit, and the parents of three children did not consent to participation in the study. Forty-five children and one parent each were included in the study. After obtaining informal consent by e-mail, participant randomization was performed. Each participant was assigned an alphanumeric identification code. The parent and respective child were identified with the same number and a different letter code (example: child C_01, mother M_01, and father F_01). The participants were randomly assigned to the study or control group.

2.3. Procedure

Two days before the dental visit, the parents within the study group received the information booklet as a PDF file by e-mail. The parents and children in the control group received the usual information (i.e., day, time, place of the appointment, and bureaucratic information) along with a thank you for participating in the study.

The day of the dental visit, written informed consent was collected, and the children of both groups were visited by a pediatric dentist on duty at the time, blinded to patient group allocation. The first dental visit consisted of a visual examination of the oral cavity with the aid of a dental mirror and a dental probe to assess the oral health status of the child. A tell–show–do approach was utilized. No operative procedures (e.g., fillings or X-rays) were performed. At the end of the dental visit, the principal investigator handed the pediatric dentist, the parent, and the child a paper questionnaire.

The child’s questionnaire investigated the pleasantness of the visit and the perceived pain using the Wong–Baker FACES Pain Rating Scale (WBFPRS) with corresponding scores from 0 to 10 [ 10 ] ( Figure 1 ).

Wong–Baker FACES Pain Rating Scale.

The dentist’s questionnaire investigated the child’s behavior during the visit using the Frankl Behavior Rating Scale (FBRS) [ 11 ] (1 = definitively negative, 2 = negative, 3 = positive, and 4 = definitively positive).

The parent’s questionnaire investigated the behavior of the child during the dental visit through the FBRS; if part of the study group, it also investigated the evaluation of clarity, comprehensibility, usefulness, ease of application, and truthfulness of the booklet through the Likert scale to five points (1 = very little, 5 = very much).

2.4. Information Booklet Description

The information booklet was ad hoc written on the basis of the effectiveness of communication in the doctor–patient relationship [ 12 ]. The choice of concepts and words was based on the literature on stress and the nocebo effect [ 13 ]. The objectives were to increase knowledge about the first dental visit and to prevent the child from activating negative expectations and aggressive or avoidance responses. The booklet was written in Italian, and it consisted of four pages with texts and pictures showing a parent and a child talking about the visit. Specifically, the first part of the booklet explained to parents the importance of the first dental visit in promoting a positive attitude toward the dental environment. The second part suggested how the parent should prepare the child for the visit: “inform the child about the visit to the gentle dentist using truthful and positive words”; “accept the child’s fears and concerns without denying them”, using phrases such as “you must not be afraid”; “prepare the child for some simple procedures, such as ‘sit down, it is time to count your teeth’”; “welcome the concern and fear expressed by the child”; “propose a cartoon about Peppa Pig’s first dental experience ( https://www.youtube.com/watch?v=xLN0smEFoPI , Peppa Pig episode 2 × 37 ‘At the Dentist’, accessed on 15 December 2018)”; “do not use words with negative emotional valence”; “do not promise that unpleasant events will not occur”; “do not promise gifts”; “do not talk about negative dental experiences” ( Figure 2 ). Easy-to-understand language and colorful images consistent with written information were used to make communication more effective. The booklet is freely available upon request to the corresponding author.

Example of easy-to-understand language and colorful images adopted.

2.5. Statistical Analysis

Statistical analysis was conducted with SPSS software (27.0 version, SPSS Inc., Chicago, IL, USA). A Kolmogorov–Smirnov test verified the Gaussian distribution of the variables. Consequently, the mean and standard deviation were calculated for WBFPRS scores; the median and interquartile range (IQR) were calculated for FBRS scores. The t -test and Mann–Whitney U test were used for the comparison of continuous variables and the chi-square test was used for categorical variables. The significance level was set at p < 0.05. The biostatistics were masked to the group allocation.

3.1. Sample

Twenty-one children were included in the study group, along with 24 in the control group. Descriptive characteristics of children, parents, and operators are described in Table 1 . No significant differences were found between the two groups.

Descriptive characteristics of the study and the control group.

3.2. Information Booklet

The average scores provided by the parents concerning clarity, comprehensibility, usefulness, ease of application, and truthfulness of the booklet are shown in detail in Table 2 .

Evaluation of booklet’s contents.

The difference in pain reported by the children during the visit between the study group (0.40 ± 0.82) and control group (1.42 ± 1.99) was statistically significant ( p = 0.034; t -test). As shown in Figure 3 , children in the study group reported less pain than the control group.

Reported pain by children in the two groups.

The difference in pleasantness reported by the children during the visit between the study group (1.1 ± 2.14) and the control group (2.75 ± 3.43) was not statistically significant ( p = 0.064; t -test). As shown in Figure 4 , children in the study group tended to evaluate the visit as more pleasant than the control group (lower scores indicate higher approval).

Reported pleasantness of the visit by children in the two groups.

The difference in children’s behavior assessed by the operators between the study group (median: 4; IQR: 3.5–4) and the control group (median: 3; IQR: 2–4) was statistically significant ( p = 0.013; Mann–Whitney U test). As shown in Figure 5 , operators judged the children in the study group as more cooperative compared to the control group.

Dentists ‘evaluation of children’s behavior.

The difference in children’s behavior assessed by parents between the study group (median: 4; IQR: 3–4) and the control group (median: 4; IQR: 2.25–4) was not statistically significant ( p = 0.347; Mann–Whitney U test).

4. Discussion

Negative, painful, and invasive experiences play a central role in the etiology of dental fear, and they often date back to childhood and adolescence. Children who had a negative experience since the first approach to the dentist have a higher risk of suffering from dental fear than children who had only a negative or painful experience after several positive experiences [ 14 , 15 ]. Hence, this shows the importance of setting up a structured first dental visit that activates positive experiences and nontraumatic memories.

This is the first study in the literature to focus on the child’s preparation before the first dental visit. This preparation took place in a safe environment and by an affectively relevant person such as a parent informed by the booklet. Parents appreciated the information booklet considering it clear, easy to use, and truthful. Our results show that guiding parents to prepare their child for the first dental visit has a reassuring effect on both sides. Parents felt involved in the process from the beginning and felt ready to explain the situation to their child. Children showed a more cooperative behavior, and they tended to find the visit more enjoyable than the children in the control group. Notably, they felt less pain during the procedure. For clarity, the first dental visit in both groups did not include operative or invasive procedures. The reported pain is probably an expression of the stress experienced during the visit. However, the lower reported “pain” of the study group could be explained by less anticipatory anxiety and an increased sense of control toward an unknown experience [ 16 ]. Many studies agreed in identifying negative experiences and anxiety as powerful modulators of pain perception, including in dentistry [ 17 , 18 ]. However, the relationship between anxiety and preparation may have a twofold trend; too much or too little information can increase anxiety levels [ 19 ]. Therefore, it is important to pay attention to the quality and quantity of information; the booklet provides the parent with specific indications on what to say and what not to say to the child [ 20 ].

An important result emerged from the pediatric dentists’ evaluation: children in the study group were more cooperative than the unprepared children. This outcome represents a great advantage for the pediatric clinician and potentially even more so to the general practitioner. In contrast, parents did not see their children’s behavior as more cooperative. This could be explained by the fact that both groups were approached by experienced pediatric dentists, well trained in dental behavior management [ 21 ]. An increase in the number of participants could lead to a more consistent result, in accordance with the dentist’s assessment.

A limitation of the study concerned using single-item measures. However, we based our methodology on validated psychometric scales used to rate pain, emotional stimuli, and behavior during the visit. Randomization gave control over confounding variables that could not be held constant or measured, such as the reason for the first visit, the parents’ gender, age, and educational level, the parents’ personality traits and previous dental experiences, the child’s personality traits, or any other unknown confounding factors that could differentiate the group composition. Bias, potentially derived from the pediatric dentist who visited the child, was controlled by masking the procedure. Considering the aim of the study, masking of participants could not be applied. Data analysis potential bias was controlled by masking the biostatistics.

In accordance with the literature, our results confirm the importance of preparing parents and children for their first dental visit through booklets, simulation programs, or smartphone applications [ 22 , 23 ].

A further research project could evaluate the efficacy of the booklet in the long term (i.e., during dental treatment) and for children with previous negative dental experiences. In addition, it would be interesting to test the information booklet on general dental practitioners and to extend an adapted version to other care settings involving children. Lastly, a further evaluation of the difference between a written booklet and audiovisual material such as a video of a first visit could be tested.

5. Conclusions

Guiding parents to prepare children at home increases the ability to cope with the dental visit and decreases the perception of discomfort and pain. The information booklet is easy to implement in the clinical practice, both in private and in public facilities, and the cost is negligible.

Acknowledgments

We acknowledge the participants who made this study possible.

Funding Statement

This research received no external funding.

Author Contributions

Conceptualization, G.P. and K.M.; methodology, K.M. and S.B.; investigation, F.N., E.B., and L.L.; data curation, S.B., M.R.G. and K.M.; writing—original draft preparation, S.B., F.N., R.F., and K.M. All authors have read and agreed to the published version of the manuscript.

Institutional Review Board Statement

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of Area Vasta Emilia Centro (CEAVEC) on 23 January 2019 (protocol No. 0033664, ref 69/2019/SPER/AUSLBO).

Informed Consent Statement

Informed consent was obtained from all subjects involved in the study.

Data Availability Statement

Conflicts of interest.

The authors declare no conflict of interest.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Baby's first tooth? Time for a visit to the dentist

by Helene Ragovin, Tufts University

About 1 in 5 children in the U.S. between the ages of 2 and 5 will develop at least one cavity, according to the Centers for Disease Control and Prevention—and the rate of tooth decay only becomes higher as children get older. The results are far more than cosmetic: Poor oral health affects children's nutrition, speech, and ability to learn, among other things.

The good news is that dental decay is preventable, and there is much parents can do to ensure a lifetime of happy and healthy smiles, says Cheen Loo, professor and chair of pediatric dentistry at Tufts University School of Dental Medicine. She offers some advice:

Start early

The American Academy of Pediatric Dentistry recommends a child's first dental appointment should be soon after that first pearly little tooth appears, or at least by a child's first birthday.

The visit is not so much for the baby or toddler in the chair, as for the parents, Loo says. Like an early pediatrician appointment, "it's for us to provide education to the parent about how to take care of the teeth and what they can anticipate," Loo says.

Emergency preparedness

Very young children often fall or bang into something, injuring their teeth or gums. That's another reason it's good to have an established relationship with a dental office early on, "because otherwise, you'll be trying to figure out where to go, who do you contact" as your child is hurt or bleeding, Loo says.

There's always the hospital emergency room , she says, "but if it's a bigger emergency department, dental trauma is not as high a priority," and you'll be spending a lot of time in the waiting area. A dentist who already knows your child may be able to offer advice over the phone and decide whether the youngster needs to be seen immediately.

Toothbrush time

Even the newest baby tooth should be cleaned with a toothbrush, Loo says; the tradition of using a washcloth to clean little teeth simply isn't as effective.

For children younger than 3, use a smear of fluoridated toothpaste, about the size of a grain of rice. For children older than 3, think the size of a green pea. It's important not to let children swallow toothpaste, Loo says, so parents should be the ones to put the toothpaste on the brush, and to supervise toothbrushing. Children should brush twice a day, morning and night.

Fluoride is fine

The preferred option for all children is toothpaste that contains fluoride, Loo says. In the case of small children who can't help swallowing the toothpaste, or for parents who are uncomfortable using fluoride for toddlers, Loo says she'll look at the child's risk factors for cavities, which can include whether they brush regularly; if they're eating a well-balanced diet that's not high in foods known to cause cavities; if they come for dental checkups every six months.

"If the child is not at high risk for cavities, it's fine to stick with the fluoride-free toothpaste," she says. But by about age 5 or 6, fluoride is the way to go to help prevent decay. "There really isn't solid evidence that fluoride can cause adverse outcomes when appropriate amounts are used," she says.

Easing teething

To relieve teething pain, Loo recommends "good old-fashioned teething rings," especially if refrigerated so that they are cool on the gums. Stay away from teething necklaces and beads, as they are a choking hazard.

Most once-popular teething medications, including those advertised as all-natural, have been taken off the market, and Loo advises against using over-the-counter products.

Off the bottle

Extensive use of bottles and sippy cups can interfere with jaw development, Loo says. For that reason, dental professionals recommend that youngsters be weaned off a bottle by age 1, and that they stop using sippy cups—particularly for juice or other sugary liquids—by age 2. By age 3, children should stop using pacifiers or sucking their thumbs.

"It changes the shape of the jaw if they are sucking on these things," Loo says. And while using a straw isn't as bad, access to unlimited sugary beverages poses a risk to oral health regardless of how it's consumed.

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Children's teeth

Lolkaphoto / Thinkstock https://www.istockphoto.com/gb/photo/childs-teeth-with-a-toothbrush-gm518435102-90041833 The stock library no longer exists. Image was incorporated into the webpage during the subscription term and can be used indefinitely in the same page - subject to thinkstock subscription rules.More info is at the bottom of this page regarding ThinkStock licensing: https://confluence.service.nhs.uk/display/VP/Photography+stock+sites

From brushing their first tooth to their first trip to the dentist, here's how to take care of your children's teeth.

A regular teeth-cleaning routine is essential for good dental health. Follow these tips and you can help keep your kids' teeth decay-free.

Toothbrushing tips 

It's important to use a fluoride toothpaste, as this helps prevent and control tooth decay.

Children aged up to 3 years

• Start brushing your baby's teeth as soon as the first milk tooth breaks through (usually at around 6 months, but it can be earlier or later).
• Parents or carers should brush the teeth.
• Brush teeth twice daily for about 2 minutes with fluoride toothpaste.
• Brush last thing at night before bed and on 1 other occasion.
• Use children's fluoride toothpaste containing no less than 1,000ppm of fluoride (check label) unless a dentist advises family toothpaste containing between 1,350ppm and 1,500ppm fluoride.
• Use only a smear of toothpaste.
• Make sure children don't eat or lick toothpaste from the tube.

NHS.UK/Annabel King

Children aged 3 to 6 years

• Brush at least twice daily for about 2 minutes with fluoride toothpaste.
• Brush last thing at night before bed and at least on 1 other occasion.
• Use only a pea-sized amount of toothpaste.
• Spit out after brushing and don't rinse – if you rinse, the fluoride won't work as well.

Children aged 7 and over

• Use fluoride toothpaste containing between 1,350ppm and 1,500ppm of fluoride (check label).

Children aged 7 and over should be able to brush their own teeth, but it's still a good idea to watch them to make sure they brush properly and for about 2 minutes.

How to help children brush their teeth properly

• Guide your child's hand so they can feel the correct movement.
• Use a mirror to help your child see exactly where the brush is cleaning their teeth.
• Make tooth brushing as fun as possible by using an egg timer to time it for about 2 minutes.
• Don't let children run around with a toothbrush in their mouth, as they may have an accident and hurt themselves.

Taking your child to the dentist

• NHS dental care for children is free.
• Take your child to the dentist when their first milk teeth appear. This is so they become familiar with the environment and get to know the dentist. The dentist can advise you on how to prevent decay and identify any oral health problems at an early stage. Just opening up the child's mouth for the dentist to take a look at is useful practice for the future.
• When you visit the dentist, be positive about it and make the trip fun. This will stop your child worrying about future visits.
• Take your child for regular dental check-ups as advised by the dentist.

Find a dentist near you

Fluoride varnish and fissure sealants

• Fissure sealants can be done once your child's permanent back teeth have started to come through (usually at the age of about 6 or 7) to protect them against decay. This is where the chewing surfaces of the back teeth are covered with a special thin plastic coating to keep germs and food particles out of the grooves. The sealant can last for as long as 5 to 10 years.
• Fluoride varnish can be applied to both baby teeth and adult teeth. It involves painting a varnish that contains high levels of fluoride onto the surface of the tooth every 6 months to prevent decay. Some children may need this more often. It works by strengthening tooth enamel, making it more resistant to decay.
• From the age of 3, children should be offered fluoride varnish application at least twice a year. Younger children may also be offered this treatment if your dentist thinks they need it.

Ask your dentist about fluoride varnish or fissure sealing.

Page last reviewed: 27 January 2022 Next review due: 27 January 2025

Celebrity News March 24, 2024

Bhad bhabie shares 1st pic of daughter.

Bhad Bhabie shared the first official snap of her first baby this weekend!

The rapper took to Instagram , posting a loving photo with a colorful heart over her newborn's face to maintain some privacy.

BB welcomed Kali Love with Le Vaughn earlier this month.

She had previously posted a black-and-white pic of herself cradling her bundle of joy on her Instagram Story, but her baby was completely hidden.

Last month, Bhad celebrated at a baby shower. In one photo from the party, Bhad was seen posing with a “Kali Love” backdrop.

She also captioned the series of photos, “A KALI LOVE STORY🩷.”

Bhad told E! News, “We had the best time celebrating our baby girl, Kali Love. Everything was perfect, and being surrounded by our closest friends and family was amazing."

She went on, “It came out better than I imagined and I can't wait to show our baby girl these photos when she gets older. It was the best day!"

In December, news broke that Bhad was pregnant.

Bhad Bhabie Welcomes First Child

Bhad confirmed her pregnancy with now-deleted photos on Instagram.

In the bathroom selfies, Bhabie put her growing baby bump on display in a white tee and gray sweatpants.

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