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Kids dentistry · First visit by age 1

Infant Dental Care

The first dental visit should happen within six months of the first tooth, and no later than the first birthday. It's short and friendly, and it's mostly time for your questions.

At a glance

  • First visit by age 1

    Within six months of the first tooth, and no later than the first birthday.

  • A quick, gentle look

    Babies and toddlers usually sit in your lap for a knee-to-knee exam.

  • Fluoride from the first tooth

    A rice-grain smear of toothpaste under age 3, a pea-sized amount from 3 to 6.

  • Your questions answered

    Teething, bottles, thumbs, snacks and first-tooth questions.

Why so early?

The American Academy of Pediatric Dentistry (AAPD), the American Dental Association (ADA) and the American Academy of Pediatrics (AAP) all recommend a dental visit within six months of the first tooth, and no later than the first birthday. Most babies get their first tooth around six months, though some wait until 12 to 14 months.

Baby teeth can get cavities as soon as they appear. Early childhood tooth decay is one of the most common chronic conditions in kids, and it’s largely preventable. An early visit lets us spot risk before it becomes a problem. The AAPD calls this a “dental home”: one place that knows your child and their history.

What happens at the first visit

For babies and toddlers it’s usually a knee-to-knee exam. Your child sits in your lap facing you, then leans back onto the dentist’s knees for a quick look. We check teeth and gums, may paint on fluoride varnish, and spend most of the time on your questions.

What we talk about

Brushing, bottles, snacks, teething and thumbs: bring every question. An early visit gives you a plan for home.

Brushing and fluoride

Start brushing twice a day as soon as the first tooth appears. The ADA, AAP and AAPD agree on the amounts:

  • Under age 3: a smear of fluoride toothpaste about the size of a grain of rice
  • Ages 3 to 6: a pea-sized amount
  • A grown-up does the brushing, then supervises as kids learn, and encourages spitting rather than swallowing

Your first-visit checklist

  • Insurance or Medicaid card and a photo ID
  • A list of any medications and medical conditions
  • Forms completed online before you arrive (new patient info)
  • A favorite toy or blanket
  • Your questions, written down so nothing gets forgotten

Try to book a time of day when your child is usually rested and fed. Mornings often work best for little ones.

Quick answers

Your questions,
answered.

Short answers to what parents ask us most.

All kids dentistry
Is it normal for my baby to cry at the first visit?

Completely normal at this age. It doesn't mean the visit went badly.

How much toothpaste should my baby use?

Start brushing twice a day with fluoride toothpaste as soon as the first tooth appears. Use a smear the size of a grain of rice under age 3, and a pea-sized amount from 3 to 6. A grown-up does the brushing.

Do you accept Medicaid for babies?

Yes. We accept military and most commercial plans, and Virginia Medicaid and FAMIS (Cardinal Care Smiles).

When should my child have their first dental visit?

Within six months of the first tooth, and no later than the first birthday. It is a short, friendly visit focused on prevention.

Read: When should my child first see a dentist? →
Do you accept Medicaid?

Yes. We accept Virginia Medicaid and FAMIS dental (Cardinal Care Smiles) and most commercial plans. Children under 21 are covered for medically necessary dental care.

Read: Medicaid and insurance, decoded →
What are sealants and does my child need them?

Sealants are a thin protective coating painted on the chewing surfaces of back teeth. The CDC reports they prevent about 80% of cavities for two years.

Read: Sealants, explained in 60 seconds →