Starting at Age 1
The American Academy of Pediatrics (AAP), the American Dental
Association (ADA), and the American Academy of Pediatric
Dentistry (AAPD) all recommend establishing a "Dental
Home" for your child by one year of age.

The Dental Home is intended to provide a place other than the
Emergency Room for parents.
Pleasant First Visit
When the child is seen at one year, the first visit can be
pleasant and uneventful, introducing the child and parents to
the dental office. Emphasis is on the developmental
assessment of the childs oral health. Caries (tooth
decay) or
developmental disturbances can be managed early. Fluoride
varnish may be applied to counteract beginning decay on newly
erupted teeth.

Five Steps for Babys
First Dental Visit
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Step 1
Clinical Examination by
age 12 months |
Complete medical history
Knee-to-knee exam with guardian
Note clinical dental caries
Soft tissue irregularities
White-spot lesions, tongue anatomy
Enamel decalcification, hypoplasia
Dietary staining |
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Step 2
Caries Risk Assessment |
Bottle or breast fed at night on demand
Non-water in bedtime bottle
Decalcification/caries present
No oral home care
Sugary foods, snacks |
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Step 3
Diet Counseling for Infants |
No juice or milk in bed
Sippy cups can encourage decay
Avoid sugar drinks, sodas
Encourage variety and a balanced diet
Low-sugar snacks
Fluorides topical and systemic |
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Step 4
Oral Home Care for Infants |
Brush/massage teeth and gums 2x daily
Small, soft toothbrush
Tiny amount of toothpaste, with Fluoride
Guidance on thumb sucking, pacifier
Response for home accidents, trauma |
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Step 5
Future visits |
Based on Risk Assessment
At age one year
Two years if delayed in development |
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