Healthy dental habits start in infancy. A simple wipe of the gums after feedings, a soft toothbrush when the first tooth comes in, and a first dental visit by age one set the foundation.
Before the first tooth
Wipe your baby's gums with a clean, damp cloth after feedings. This removes milk residue and starts the routine of mouth care.
The first tooth (around 6 months)
When teeth start to appear, brush twice a day with a soft, infant-sized toothbrush and a smear of fluoride toothpaste the size of a grain of rice. The American Academy of Pediatric Dentistry has updated its guidance: even at this age, a small smear of fluoride toothpaste is appropriate and effective.
Ages two and up
Increase to a pea-sized amount of fluoride toothpaste. Help your child brush until they have the dexterity to do a thorough job on their own, typically around age six to eight.
Avoid early childhood caries
Don't put your baby to bed with a bottle of milk, formula, or juice. The sugars pool around the teeth overnight and create a high cavity risk. Water is fine.
The first dental visit
Plan the first visit by age one or within six months of the first tooth, whichever comes first. We use a knee-to-knee position with the parent, count and inspect the teeth, and review at-home routines. It is fast, friendly, and mostly about coaching parents.
Teething: what helps
A clean, chilled (not frozen) teething ring or a clean, cool washcloth to chew is usually enough. Avoid teething gels with benzocaine in young children; the FDA has warned against them. If your child is very uncomfortable, talk with your pediatrician about an age-appropriate dose of acetaminophen.
What about thumbs and pacifiers?
Most children give up the habit on their own. If thumb-sucking or pacifier use continues past age four or five, talk with us about gentle strategies, the bite and palate can be affected if it lingers.
