The sooner children begin getting regular dental checkups, the healthier their mouths will stay throughout their lives. Early checkups help prevent cavities and tooth decay, which can lead to pain, trouble concentrating and other medical issues. Youngsters with healthy teeth chew food easily, learn to speak clearly and smile with confidence.

The American Dental Association says that every child should visit a dentist by age 1 – or as soon as the first tooth appears. This “well baby visit” teaches parents and caregivers how to care for their children’s teeth and help them remain cavity-free.

A Child's First Dental Visit Fact Sheet

Our keiki dental experts recommend taking your child 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

• Teething

• 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.

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.