what age is the first dental visit

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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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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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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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Health Encyclopedia

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 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

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 them a general idea of what to expect. You can tell them about the exam room, the instruments they might see, the face masks the dentist and hygienist may wear, and the bright exam light. 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

If you don't know the dentist, interview the person first to see if they sound right for your child's needs and personality. 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. Ask the dentist how they handle such behavior. If you aren't comfortable with the answer, find another dentist.

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 correct 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 developmental problem. Talk to your dentist about payment options if the cost of dental care is a problem for you.

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 fluoride 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. Children should spit after brushing. Encourage them not to swallow extra toothpaste.

Prevent baby bottle tooth decay. Only put breastmilk or formula in bottles. Don't give children a bottle of juice, soft drinks, or sweetened liquid.

Limit the time your child has a bottle. Children should finish bottles before going to sleep.

Encourage your child to use a cup around their first birthday.

Help your child brush their 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 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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How to Prepare for Your Child's First Dental Visit

Top articles, more articles.

Medically Reviewed By Colgate Global Scientific Communications

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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• Find-a-Dentist

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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Preparing Your Kid for Their First Visit to the Dentist

Dentist visits, like annual physicals, are a regular part of taking care of our health.

Explaining a dentist visit to a child—especially their first visit—should be simple and reassuring, helping them feel comfortable and prepared. It should also encourage checkups throughout their life.

We spoke to Amy Herbert, DDS, MHA , to learn more.

When should a child first see a dentist?

When the first tooth comes in, typically around six months, or by the time the child turns one.

What do all parents ask you about a child’s first dental appointments, and what do you tell them?

Why start going when children are young?

In addition to identifying early concerns, it is good to establish the practice of visiting the dentist and establishing a positive routine. This first appointment helps get a child used to visiting the dentist.

It is also an opportunity to teach a parent about their child’s oral health: various kinds of toothpaste, diet, and nutrition (snacking habits and food and drink choices), and when and how to brush effectively are discussed.

We may also talk about teething, non-nutritive sucking habits (thumb sucking and pacifier use), sippy cups, utensils, and transitioning to table food and regular cups.

After the first dentist visit, you always have someone to call if your child has a dental injury.

Is there a best time or day of the week for the first dentist visit?

Typically, the morning is the best time for young patients, not only because they are fresh and alert, but so is the caretaker!

Try to avoid taking your child to the dentist the same day you take them to the pediatrician or other doctor. It can be too much.

How long does the first dentist visit last?

30 to 45 minutes.

What happens at the first dentist’s visit, and how should a parent or caregiver explain it to a child?

Depending on their age and level of cooperation, the child may be seated on the parent’s lap or in the dentist’s chair on their own. Like all visits, the first visit usually includes an exam of the teeth, jaws, bite, gums, and oral tissues to check growth and development. If needed, a child may also have a gentle cleaning. This includes polishing teeth and removing any plaque, tartar, and stains.

The dentist should show the child and parent or caregiver how and when to properly clean teeth, floss, and brush at home. Sometimes, there may also be X-rays. But typically, they aren’t done until a child has contact between their teeth (they are touching). If there are any issues or concerns, the dentist will discuss treatment options.

What should I say or do for my kid to prepare them?

Here are a few things you might want to cover with your child:

• A dentist looks at your teeth and gums to see if everything is okay and healthy.
• A dentist—or dental hygienist—cleans teeth with special tools that remove tartar and plaque and floss and polish your teeth to help keep them healthy.
• “sugar bugs” (bacteria)
• “spinny brush” (handpiece)
• “vitamins for teeth” (fluoride treatment)
• Use a book to help
• Read books together about a character going to the dentist , such as Curious George Visits The Dentist  or Peppa Pig’s Dentist Trip .

What age should dental X-rays start?

X-rays usually start when the contact areas (where the teeth touch) are not visible. That’s typically after all primary teeth have come in. This happens at different ages. The schedule of follow-ups is decided based on individual risk and diagnoses.

If the dentist sees signs of decay or other pathology in the primary dentition, they may decide to take radiographs sooner.

Early loss of baby teeth can lead to other oral health issues. Additionally, untreated decay in baby teeth increases the likelihood of a child experiencing cavities in their permanent teeth.

What do all kids ask you, and what do you say?

Is it going to hurt?

To help them relax, we explain what will happen during the exam, show the instruments, and allow them to touch them if they wish. The key is explaining things in a language they can understand: “special pen” instead of the probe; “go for a ride” when manipulating the dental chair.

Preparing children and not surprising them is important.

What’s the best way to pick a dentist for your child?

Many people find their dentist by word of mouth, from their pediatrician, and by treatment philosophy. In addition, the American Academy of Pediatric Dentistry and the American Board of Pediatric Dentists have search tools on their websites.

Amy Herbert, DDS, MHA , is an assistant professor of dental medicine at Columbia.

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Health Begins in the Mouth | Dr. Mark Burhenne

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When Should My Child First See the Dentist?

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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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A Child’s First Dental Visit

An exploration of why the age 1 visit is a game changer in terms of overall oral health and childhood caries.

EDUCATIONAL OBJECTIVES

After reading this course, the participant should be able to:

• Explain the concept and value of a dental home and the Age 1 dental visit, as well as utilization rates for this model of care.
• Describe fundamental clinical practices and challenges when caring for infants and young children.
• Detail key issues surrounding childhood caries and the need to educate parents and caregivers of young pediatric patients.

For the better part of the last 100 years, dentistry followed the “see and treat” concept; meaning that oral health care was, for the most part, treatment oriented. Dentists did what they were trained to do, which was to treat dental caries. Most patients visited the dentist to address a specific problem (usually prompted by the occurrence of pain). Many did not consider primary teeth important, since they were looked upon as being transitional, and would soon be exfoliated and replaced by permanent teeth. In fact, in the 1950s some dental offices had signs in their waiting rooms proclaiming, “No children under age 13 treated.”

With an increase in the knowledge of the dental caries process, dentists gradually began to see children at earlier ages. Many dentists were ill equipped to communicate with and/or treat such young patients; consequently, the recommended age for the child’s first dental visit was on or after the 3rd birthday. Dentistry for patients under the age of 3 was largely approached didactically and not clinically. Prevention of dental disease for this group was a mere afterthought.

PARADIGM SHIFT

Once dental caries was understood as a chronic bacterial disease with a behavioral component, the paradigm shifted from treating the resulting damage to addressing the cause (prevention). In turn, this shift had a significant impact on determining the optimal age for the first dental visit.

Dentistry will never “drill its way out” of the early childhood caries (ECC) epidemic. For practitioners to succeed in the fight against ECC, they must improve preventive efforts and manage lesions in their earliest stages. A patient’s risk of developing dental caries starts with the introduction of oral pathogens into an infant’s mouth; therefore, first seeing the dentist at age 3 could prove too late. The age 1 visit not only allows for preventive therapies and early treatment, it also benefits the child by helping to establish optimal feeding and oral hygiene habits.

In a 1992 policy statement, the American Academy of Pediatrics proposed a definition of the medical home and referred to the “delivery of advanced primary care, with the goal of addressing and integrating high quality health promotion, acute care, and chronic condition management in a planned, coordinated and family centered manner.” 2 In 2001, the AAPD adopted its Policy on the Dental Home, based on the American Academy of Pediatrics’ medical home concept. Children who have a dental home are more likely to receive appropriate and routine preventive care and thus have a reduced risk of dental disease. 3

The recommendation for a child’s first dental visit to occur at or before age 1 has been the standard since 2001. Yet, practically speaking, dentistry for patients under the age of 3 continues to be largely spoken of didactically, and not widely implemented clinically in general practice. This is not a criticism as much as an observation. Dentists are busy addressing the functional and physical effects of dental caries and have little time to address the process. Many have not been adequately trained to understand the purpose and method of introducing the age 1 patient to clinical practice. This article will explain the rationale, benefit and technique for implementing the age 1 dental visit. The goal is to make dental practitioners comfortable and competent in meeting this standard of care.

RATIONALE FOR EARLY CARE

Dental caries is a preventable, chronic disease that is influenced by social and behavioral factors. Improving access to — and the use of — preventive and disease management strategies, along with early dental visits, will contribute to better patient outcomes, reduction of per capita health care expenses, and improved utilization of services.

According to research, annual treatment costs for children who had their first dental visit by age 1 are significantly less than for patients who wait until they are older. 4 Children seen by a dentist before age 1 are more likely to see the dentist on an ongoing basis, and less likely to require restorative or emergency visits. By comparison, those seen for the first time at age 2 and age 3 have an increased need for preventive, restorative and emergency visits over time. 5

Unfortunately, 23% of children continue to experience dental caries, with children from ages 2 to 5 experiencing increasing rates. 6 In 2015, 57% of children on Medicaid did not receive preventive oral health services. 7 Previous research showed that Medicaid patients ages 1 to 5 accounted for 45% of total dental costs, even though this age group represented only 5% of the insured population. 6 In a 2015 retrospective review of privately insured patients, only 1% had their first dental visit by age 1. 8

It is logical to ask, “If so much could be done to enhance oral health with effective preventive strategies implemented in the first year of life, why hasn’t dentistry been more effective in this regard?” This is a good question with a complex answer.

Seldom is a patient under the age of 3 cooperative in the dental office. If the dentist’s role is only restorative, there is a dilemma of how to perform complicated procedures on kicking, screaming and crying patients. In years past, many dentists were ill prepared to cope with such patients, therefore treatment was delayed until after the patients were better able to cooperate, usually after their 3rd birthday.

Only recently have the age 1 visit, the value of a dental home, and the clinical skills to complete an infant oral examination been emphasized in dental school curricula. While practicing general dentists may have been exposed to these concepts, as previously noted, many have not been trained in the delivery of care for such young patients.

In addition, dentists are trained to diagnose and restore the consequences of dental disease. Far too often, dentistry is viewed as a surgical specialty, and the schedules of many dentists are customarily filled with patients having broken-down teeth needing immediate attention. If this pattern is to be reversed, there must be a complete paradigm shift emphasizing preventive care and, when possible, nonsurgical management.

THE THREE PILLARS

A proper infant oral examination visit rests upon three pillars:

• Risk assessment
• Oral examination
• Anticipatory guidance

Risk Assessment: Effective infant preventive dentistry begins with an assessment of individual risk factors, as established through the medical, social and dental histories (Table 1). Preventive strategies are subsequently developed to address the patient’s specific risk. These activities occur before the patient’s oral exam and are aimed at providing the primary caregiver with adequate information to reduce the risk of dental caries.

Special attention should be given to the primary caregiver’s dental history. The infant’s oral pathogens are the result of vertical transmission from the primary caregiver. Untreated caries and high bacterial counts from periodontal conditions in the caregiver’s mouth result in the infant having a bacterial flora conducive to caries development. 9

Feeding habits affect caries risk through both what is eaten, and how it is eaten. Carbohydrate-rich diets are highly cariogenic and should be limited. Feeding on demand and/or at night leads to what was formerly referred to as “baby bottle decay,” but now is now known as ECC. 10 The American Academy of Pediatrics recommend infants be breastfed until age 1. 11 Breastfeeding or bottle-feeding should not be ad lib. Feeding at night increases the risk of caries formation. During sleep, the body’s systems slow and respirations and the heart rate decreases. There is also reduced salivary flow, and this diminishes the natural cleaning and buffering effect of saliva.

Oral Examination: The examination of the infant’s oral cavity takes place in a knee-to-knee fashion (Figure 1). The dentist cradles the infant’s head in his or her lap while supporting the head. The caregiver holds the infant’s hands and feet. It is normal and beneficial for the infant to cry, as this ensures the mouth is open and an adequate visual examination is possible. The dentist should communicate throughout the examination and remain complimentary of the infant and caregiver. Clinical observations should be pointed out, and the provider should demonstrate proper technique for cleaning the teeth using a gauze, toothbrush or washcloth. Finally, fluoride varnish should be applied. (Additional clinical resources are found in Table 2.)

Anticipatory Guidance: In terms of diet and feeding habits, breastfeeding should be encouraged and added carbohydrates avoided. Feeding should be on a schedule and infants should never be put to bed with a bottle. Water after feeding should also be encouraged.

The child should be introduced to toothbrushing when the first tooth erupts. A soft-bristle brush with an age-appropriate amount of fluoridated toothpaste is recommended (refer to the AAPD’s guideline on fluoride use). As noted, the dentist should demonstrate the technique to the caregiver during the knee-to-knee examination. Other sources of fluoride include drinking fluoridated water and use of fluoride varnish, which should be placed on primary teeth at each dental visit.

TOOTH ERUPTION

NONNUTRITIVE HABITS

Nonnutritive oral habits are common in infants. The caregiver should be assured these are normal and that most infants discontinue them in time. Persistent habits that are causing distortion of the oral cavity can be addressed when the patient is mature enough to want to quit. Until then, the dentist should monitor the habit and any resulting oral changes it is causing.

RECALL VISITS

High-risk patients should be placed on a three-month recall schedule. Fluoride varnish should be applied at these visits. Additional anticipatory guidance information should be reemphasized at each appointment. More information on the infant examination can be found in the AAPD Guideline for Infant Oral Health Care ( aapd.org/ media/ Policies_ Guidelines/ G_ InfantOralHealthCare.pdf ).

Dentists who provide care for pediatric patients are highly encouraged to adopt the age 1 visit. It is the standard of care for young patients and supported by the AAPD, American Dental Association and American Academy of Pediatrics. While preventive measures are important for all patients, waiting to institute these measures at age 3 would be too late for patients at high risk of dental caries. The patient with ECC will require more dental care, incur more expense, and is likely to face a lifetime of caries. For dentistry to address this dilemma in any significant way requires intervention upon the eruption of the first primary tooth.

Just as pediatricians are the primary medical care providers for infants, dentists are the primary oral health care providers for this patient population. The role and responsibility of the dentist is to provide education and training to the parents/caregivers and, when appropriate, the child, too. The value of the child’s first dental visit, and subsequent routine appointments, is not merely the dental prophylaxis. It is the supervision and educational information the parent/caregiver and patient receives from the dental team that will provide a lifetime of value in terms of oral and overall health.

• American Academy of Pediatrics. Maintaining and improving the oral health of young children. Section on oral health. Pediatrics. 2014;134:1224–1229.
• American Academy of Pediatrics. Medical Home definition. Available at: https://www.aap.org/en-us/professional-resources/practice-transformation/ medicalhome/Pages/home.aspx. Accessed January 17, 2019.
• American Academy of Pediatric Dentistry. Definition of Dental Home. Available at: http://www.aapd.org/ media/policies_guidelines/d_dentalhome.pdf. Accessed January 17, 2019.
• Dye BA, Thornton-Evans G, Li X, Iafolla TJ. Dental caries and sealant prevalence in children and adolescents in the United States, 2011–2012. NCHS Data Brief . 2015;191:1–8.
• Nowak A, Christensen JR, Mabry TR, Townsend JA, Wells MH. Pediatric Dentistry: Infancy through Adolescence . 6th ed. Philidelphia: Saunders; 2018:137.6.
• Lee JY, Bouwens TJ, Savage MF, Vann WF Jr. Examining the cost-effectiveness of early dental visits. Pediatr Dent . 2006;28:102–105.
• Casamassimo PS, Hammersmith K, Gross EL, Amini H. Infant oral health: an emerging dental public health measure. Dent Clin North Am . 2018;62:235–244.
• Kolstad C, Zavras A, Yoon RK. Cost-benefit analysis of the age one dental visit for the privately insured. Pediatr Dent . 2015;37:376–380.
• Dye BA, Vargas CM, Lee JJ, Magder L, Tinanoff N. Assessing the relationship between children’s oral health status and that of their mothers. J Am Dent Assoc . 2011;142:173–183.
• Kierce EA, Rainchuso L. Comprehensive approach to early childhood caries. Decisions in Dentistry. 2017;3(12):34–36,39.
• The American Academy of Pediatrics Policy on Breastfeeding. Available at: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/ Breastfeeding/Pages/AAP-Policy-on-Breastfeeding.aspx. Accessed   January 17, 2019.

Featured image by ONDROOO/ISTOCK/GETTY IMAGES PLUS

From Decisions in Dentistry.  February 2019;5(2):30—32,35.

Orpheus L. Triplett, DDS, is an associate professor in the Department of Pediatric Dentistry and Community Oral Health at the University of Tennessee Health Science Center College of Dentistry, where he serves as director of Community Relations and Outreach. Triplett has more than 20 years experience in private practice and has also served as dental director for Christ Community Health Services, a multisite federally qualified health center in Memphis.

Larry Dormois, DDS, MS, is chair of Pediatric Dentistry and Community Oral Health at the University of Tennessee Health Science Center College of Dentistry in Memphis. Board certified by the American Board of Pediatric Dentistry, he is also a fellow of the American Academy of Pediatric Dentistry and American College of Dentists. Dormois serves as an examiner for the American Board of Dentistry and is a site visitor for the Council on Dental Accreditation with the American Dental Association. He can be reached at [email protected].

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Brushing is should start as soon as teeth appear, which can be as early as 4 months. Babies usually get bottom teeth first, then top ones. Don’t get too worked up about when baby teeth come in.

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Promoting the Age 1 Dental Visit

This Brush Up on Oral Health tip sheet discusses the importance of the age 1 dental visit. It also offers tips to help Head Start staff explain to parents what happens during the dental visit.

Importance of the Dental Visit

Some parents believe that because primary (baby) teeth are going to “fall out anyway” they do not need to take care of them. However, primary teeth are important to a child’s growth and development. The American Academy of Pediatric Dentistry, the American Academy of Pediatrics, and the American Dental Association all recommend that children have their first dental visit by age 1. A state’s Medicaid and Children’s Health Insurance Program (CHIP) dental fees and payment policies must line up with the state’s pediatric dental periodicity schedule. The American Academy of Pediatric Dentistry maintains a webpage with the dental periodicity schedule for each state.

The age 1 dental visit is a foundation for building a lifetime of good oral health. By beginning visits early, children learn that dental visits are usually not associated with pain or fear of the oral health professional. The visit is also an important opportunity to learn if a child is at high risk for developing tooth decay. During the visit, the oral health professional can talk to parents about steps to reduce their child’s risk for decay.

Explaining to Parents What Happens During the Dental Visit

• Describes what they will do during the visit and asks the parents if they have any questions. Parents should be encouraged to ask questions about their child’s oral health and their own oral health.
• Checks the child’s mouth and teeth. Using a small mirror, the oral health professional checks the child’s lips, cheeks, gums, and roof of the mouth for any problems and the teeth for signs of tooth decay.
• Checks the child’s bite and their jaw’s growth. The child’s teeth and jaw will be checked to make sure that they are developing in the right way. The oral health professional may also describe what to expect for the child’s oral development during the next few months.
• Provides preventive care. The oral health professional may provide care to prevent tooth decay. This care may include cleaning the child’s teeth with a toothbrush and applying fluoride varnish. Fluoride varnish is a liquid that is painted onto children’s teeth to prevent tooth decay and to repair early stages of tooth decay. This can be done up to four times a year depending on the child’s risk for developing tooth decay.
• Informs parents about healthy oral hygiene habits. Because home care is a vital part of good oral health, parents may be shown how to brush their child’s teeth and how much fluoride toothpaste to use. The oral health professional may also teach parents how and when to start flossing the child’s teeth. Other topics that may be discussed with parents include the timing of the next dental visit and setting goals to promote their child’s oral health. For example, a goal may be brushing their child’s teeth with fluoride toothpaste twice a day instead of once a day.
• Talks about foods, drinks, and habits that can cause oral problems. The oral health professional may ask questions about feeding practices and the use of sippy cups. Answers to these questions help determine if the child is at high or low risk for developing tooth decay. Parents may also be asked about their child’s thumb sucking, use of pacifiers, and other habits that may cause oral problems.
• Offers tips on how to prevent oral injuries. Injuries to the head, face, and mouth are common in young children, especially when they are learning to walk and climb. The oral health professional may offer tips on how to prevent oral injuries and what to do if an injury occurs.

Even if a child is fearful or cannot cooperate during the dental visit, the visit is still helpful. The child may enjoy riding up and down in the dental chair or seeing how dental tools work, such as the air, water, and suction hoses, and mouth mirror. Often, the oral health professional can get a quick look into the child’s mouth to see if there are any problems.

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Resource Type: Article

National Centers: Health, Behavioral Health, and Safety

Audience: Teachers and Caregivers

Series: Brush Up on Oral Health (BUOH)

Last Updated: April 26, 2023

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• Int J Clin Pediatr Dent
• v.15(4); Jul-Aug 2022

First Dental Visit: Age Reasons Oral Health Status and Dental Treatment Needs among Children Aged 1 Month to 14 Years

Neha padung.

1-3 Department of Pediatric and Preventive Dentistry, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India

Sukhdeep Singh

Neha awasthi.

The aim of this study was to see the age and also the reasons for the child's first dental visit and to assess the oral health status and treatment desires.

Materials and methods

The study involved 133 children aged between 1 month and 14 years, who reported to the department of pediatric and preventive dentistry. All parents/legal guardians of the study participants gave written consent for participation in the study. Information on the child's age and reason for the dental visit were collected from a questionnaire given to parents. The children's dental condition was assessed by decayed, missing, and filled teeth (dmft) and DMFT values.

Statistical analysis used

Statistical Package for Social Sciences (SPSS) version 21 and categorical data were compared by using Chi-square test. The level of significance was set at 0.05.

Age of the child for first dental visit was male: 85.7% at 9 years and female: 75.00% at 4 years. Majority of children who visited the dentist were age 7 years. The most common chief complaint about the primary visit was caries, and the second was tooth pain.

Children report for the primary dental visit most commonly solely after 7 years and for complaints like caries and tooth pain. Children make their first dental visit too late (usually at the age of 7 years) in reference to medical recommendations (between 6 and 12 months of life). More of restoration was the treatment of need by 47.00%. The results of this study indicate unhealthy oral health creating their first dental visit and low health awareness of parents and guardians.

How to cite this article

Padung N. First Dental Visit: Age Reasons Oral Health Status and Dental Treatment Needs among Children Aged 1 Month to 14 Years. Int J Clin Pediatr Dent 2022;15(4):394-397.

I ntroduction

Dental caries is one of the most common chronic diseases affecting children in developing countries. Early childhood caries, or tooth decay in children younger than 6 years, is the most common chronic disease among children. 1 - 3 Early childhood caries prevalence increases and leads to psychosocial, functional, and growing problems among children. Early childhood tooth decay is preventable and largely reversible in its early stages through self-care, use of professional services, and exposure to community interventions such as water fluoridation. During dental visits, children can receive an assessment for disease risk, early detection and treatment services, preventive care such as fluoride therapy, and anticipatory guidance. To ensure exposure to prevention early in life, professional organizations recommend that children have a dental home by 12 months of age. 4 One of the reasons for unsatisfactory dental health among the youngest population is the delay in the first visit of the child to the dentist. The American Academy of Pediatric Dentistry (AAPD) and the American Dental Association (ADA) recommends that the child's first visit to the dentist should take place within 6 months of eruption of the first primary tooth and no later than at the age of 12 months (AAPD, 2014; ADA, 2000), 5 , 6 while other sources suggest 12–18 months as the optimal time for the first visit (Adamowicz-Klepalska, 2009; Marcinkowska et al., 2013). 7 , 8 Argentine researchers Furze and Basso indicate that the first dental visit of a preventive character should take place in the fourth month of intrauterine life. During this visit, the expectant mother receives information about caries, its infectivity, is instructed that the mother is the main source of transmittable Streptococcus mutans , and is advised on how to provide oral care to the child and possible preventive procedures. The aim of this visit is to stimulate the interest of the pregnant woman in her own health but also in the health of her unborn child (Furze and Basso). 9 The information offered to parents at the first visit could inspire greater interest in the child's dental health and could accordingly mitigate the course of caries. The child's first dental visit has a significant impact on shaping a positive attitude and tolerance towards further treatments and helps to develop trust in the dentist. Thus, exposing children to the dental setting at a very early age can diminish their dental anxiety, whereas early dental education may improve the parent's self-efficacy in managing the oral health of their children. 10 The ADA recognizes the patient's chief complaint as an essential component for the delivery of competent and quality oral health care. It serves as a source of information for both the care provider and the patient. Hence, the main aim of this study was to know the average age at which parents first seek dental care for their children and also to find out the common reasons for seeking dental care at the first visit to the School of Dental Sciences, Sharda University, Uttar Pradesh, India. 11

M aterials and M ethods

The research protocol obtained approval from the Institutional Ethics Committee, Ref. No. SU/SMS&R/76-A/2019/142 on 18 th October 2019. The study group consisted of 133 children who had their first dental visit. All subjects were patients and parents reporting to the outpatient department in the department of pediatrics and preventive dentistry. Sample selection of children in the age group of 1 month to 14 years, reporting to the department of pediatrics and preventive dentistry. Informed consent was obtained from parents. Data on the child's age and reason for the dental visit were collected by interviewing the parents; a clinical pro forma was designed to record data. The state of oral health and dental treatment needs were assessed based on clinical examination using mouth mirror and a dental probe. The reasons for their visit were divided into the following five categories:

• Prophylactic examination,
• Tooth pain,
• Tooth decay,
• Injury to tooth and associated structures,

Data were analyzed using SPSS version 21. Categorical data were compared by using Chi-square test. Continuous data were tested for normality by using Shapiro–Wilk test. Parametric tests of significance (independent t -test and one-way analysis of variance) were used for inferential statistics. Else, the nonparametric tests (Kruskal–Wallis test and Mann–Whitney U test) were used. The level of significance was set at 0.05.

A total of 134 children visited the department of pediatric and preventive dentistry for the first time between November 2019 and January 2020. Records of 133 children were utilized, of which 77 were male (mean 8.32 ± 3.147) and 56 were female (mean 8.02 ± 3.446) p -value shows 0.595, NS ( Table 1 ).

Mean age association between sex

Table 2 shows the mean DMF(T) among males (0.41 ± 1.122) was high as compared to females (0.41 ± 1.385) p -value shows 0.998 NS, the decayed, missing, filled surface [DMF(S)] among males (0.72 ± 1.933) was high as compared to females (0.77 ± 2.565) p -value shows 0.898 NS, DMF(T) among males (mean 2.37 ± 3.080) was high as compared to females (mean 2.13 ± 3.015) p -value 0.645 NS, DMF(S) among males (mean 5.06 ± 6.493) was high as compared to females (mean 4.20 ± 6.493) p -value 0.477 NS.

Oral health status

Majority of children who visited the dentist were of age 7 years ( Fig. 1 ). Most common chief complaint for their visit was tooth decay (male 43.60% and female 33.90%) ( Fig. 2 ). The predominant reason for the child's first dental visit was caries, the need for treatment was restoration with 47.00%, followed by pulp therapy 29.90% and extraction 21.60% ( Fig. 3 ). The youngest patient who required treatment due to caries-related complications was a boy aged 2 years, visiting the dentist due to toothache.

Mean age at first dental visit

Reason for the first dental visit

Prevalence of need for various treatments

D iscussion

The child oral health care ought to be seen because the foundation on which a lifetime of preventive education and dental care are often built so as to help assure the best oral health into childhood. Oral examination, anticipatory guidance together with preventive education, and acceptable therapeutic intervention for the child will enhance the chance for a lifetime of freedom from preventable oral unwellness, emphasized in education regarding the importance of oral health for general health and adequate dietary and healthful habits, moreover as basic info concerning dental caries, so as to encourage the parents to stick to a program. 12 The longer a child's initial dental visit is delayed, more the chances he or she is to develop serious dental issues that might doubtless deteriorate rapidly in the absence of correct care and treatment. Unobserved and untreated dental caries will result in infection and moderate to severe pain, which may actively prevent children from eating, sleeping, and enjoying daily activities, additionally ultimately resulting in high-priced dental treatment and, in some cases, early loss of teeth. These consequences might have an effect on children's overall health and development. Given these problems, the investigation of early dental visitation is warranted. 13

Most of the kids within the current study visited dental clinics for the primary time at the age of 7 years. These results were not in accordance with the American Academy of Pediatrics (AAP) and AAPD tips. The mean age of kids visiting the dental workplace was more than the age suggested by the AAP, and therefore the AAPD, and this influences the dearth of information of parents about the age of the primary dental visit. The foremost common reasons for the primary dental visit were the presence of decayed teeth and dental pain perception. Only 2.60% of males and 4.40% females of children had visited the dentist for dental check-ups. Asymptomatic dental clinic attendance was not common in this report. This could provide evidence that parents are neither aware nor conscious of oral health prevention for their children. Very similar findings were presented by Wilk-Sieczak et al., who reported that 63% of children made their first dental visit due to the need for treatment (tooth decay and pain). 14 Daou et al. reported the reason for the first consultation; the most common was the presence of decayed teeth (50.9%) and dental pain perception (29.5%). 4 Yahya et al., Soxman, and Masiga in their respective studies suggested that the most common reason for the child's first dental visit was dental caries and its related complications. 15 - 17 Some study shows different reasons; Olatosi et al. reported the most common reason for visiting the dental clinic was dental pain (33.1%). 10 Ramakrishnan and Dharsini, in this retrospective study, the maximum number of children who reported their first dental visit was between 13 and 17 years (46%). The most common chief complaint for the visit was pain (47%) and the second common complaint was malocclusion (20%). 11

Results from the present study and other previous studies clearly suggest that universally, there are still no established practices for parents/caregivers to take their infants to visit the dentist at the recommended age. 12 Indian researchers reported an older age range for the child's first dental visit: Nino et al. indicated that children visit the dentist for the first time at age 7, 18 while a retrospective study by Meera et al. found that 59% of children have their first visit at the age of 6–12 years, and only 8.52% by the age of 3 years. 19 Studies carried out in Bulgaria by Mileva and Kondeva revealed that the greatest number of children making their first dental visit was 3–6 years old (51.9%), and the smallest number were those younger than 1 year (1.73%). 20

Ghimire et al. reported that in Nepal, most children making their first dental visit were 7–11 years old (52.7%), and only 7% were younger than 3 years. 21 Studies by Murshid found that in Saudi Arabia, most children visit the dentist at the age of 3–5 years (52.9%) and less often at the age under 3 years (32.2%). 22

In order to enhance oral health among children, it is essential that oral health-related education and education for motivating the parents of young children are provided throughout each dental visit. This additionally concerns pregnant women, who have been found to be a lot willing to follow all kinds of counsel throughout this period. 23 Cooperation in early childhood dental caries interference is additionally expected of non-dental medical employees (including pediatricians, general practitioners, and nurses). They should encourage their patients to schedule the primary dental visit for the child within 6 months of the eruption of the first tooth, and also make sure visits take place regularly. 24

Limitation of this study is that few children were included (smaller sample size). It is counseled that in children below the age of 6 years, brushing with fluoridated dentifrice should be supervised so as to stop general systemic. Regarding the preventive program, most of the children need pit and fissure sealant application. However, the practicability of pit and fissure sealants in the Indian state of affairs is questionable. However, on a priority basis for selected clusters of school children, pit and fissure sealant application can be taken as preventive measures. An honest protocol for dental and oral care should be necessary, and skilled dental follow-up should be integrated into the medical follow-up.

C onclusion

Within the limitations of the study, children report for the first dental visit most commonly only after 7 years, and for complaints such as tooth decay and tooth pain. Children make their first dental visit too late in relation to medical recommendations (between 6 and 12 months of life). Parents sought dental care for their children, mainly for curative reasons, and the most predominant reason for the first dental visit was dental caries. The results of this study indicate that bad oral health, making their first dental visit too late, and low health awareness of parents and guardians.

Source of support: Nil

Conflict of interest: None

R eferences

Your Child's First Visit

The Canadian Dental Association recommends the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age. The goal is to have your child visit the dentist before there is a problem with his or her teeth. In most cases, a dental exam every six months will let your child's dentist catch small problems early.

Here are 3 reasons to take your child for dental exams:

• You can find out if the cleaning you do at home is working.
• Your dentist can find problems right away and fix them.
• Your child can learn that going to the dentist helps prevent problems.

Your dentist may want to take X-rays. X-rays show decay between the teeth. They will also show if teeth are coming in the way they should. Your child's dentist may also talk to you about fluoride.

Once your child has permanent molars, your dentist may suggest sealing them to protect them from cavities. A sealant is a kind of plastic that is put on the chewing surface of the molars. The plastic seals the tooth and makes it less likely to trap food and germs.

When your child goes for a dental exam, your dentist can tell you if crooked or crowded teeth may cause problems. In many cases, crooked teeth straighten out as the child's jaw grows and the rest of the teeth come in.

If they do not straighten out, your child may have a bite problem (also known as malocclusion). This can cause problems with eating and with teeth cleaning. It can also affect your child's looks and make him or her feel out of place.

Your dentist can suggest ways to treat this, or refer your child to an orthodontist. An orthodontist is a dental specialist with 2 to 3 years of extra university training in this area.

The dentist says my child needs a filling in a baby tooth. Since the tooth is going to fall out, why bother?

Some primary (or baby) teeth will be in your child's mouth until age 12. The tooth that needs to be fixed may be one of those.

Broken teeth or teeth that are infected can hurt your child's health and the way your child feels about him or herself.

To do a filling, the dentist removes the decay and "fills" the hole with metal, plastic or other material. A filling can be a cheap and easy way to fix a problem that could be painful and cost more later because it stops decay from spreading deeper into the tooth.

If a filling is not done and decay spreads, the tooth may need to be pulled out. If this happens, your child may need a space maintainer to hold space for the permanent tooth.

When a baby (or primary) tooth is missing, the teeth on each side may move into the space. They can block the permanent tooth from coming in. To hold the space, your dentist may put a plastic or metal space maintainer on the teeth on each side of the space, to keep the teeth from moving in.

'Call Her Daddy' host Alex Cooper gets married to Matt Kaplan in 'emotional' ceremony

Alex Cooper is married!

The “Call Her Daddy” podcast host said “I do”  to Matt Kaplan, producer of TV shows like “To the Boys I’ve Loved Before” and “XO, Kitty.”

The pair got married  in an intimate beachside wedding in Riviera Maya, Mexico, according to a  Vogue  feature published April 24. The wedding weekend kicked off on April 4, reported the outlet, and Cooper shared  an Instagram pic  on April 24 of two cakes alongside the caption “4/6/24.”

Their nuptials were officiated by Cooper’s brother Grant, and Cooper chose not to have her father walk her down the aisle, according to Vogue.

“At the beginning of wedding planning, I really rejected the concept of being walked down by a man to be handed to another man,” she explained to the magazine. “Although to clarify I have such an incredible relationship with my father and both of my parents — it wasn’t about that. To me personally, I just never loved that tradition. It’s old and antiquated.”

At their nuptials, Cooper had her and Kaplan’s dogs be their ring bearers.

“It was perfection,” she said of having them involved in the wedding.

Looking back, Cooper said her wedding ceremony was “everything” she and Kaplan “wanted it to be.”

“It was emotional, heartfelt, and we tailored it to exactly how we always envisioned it,” she said.

Read on for a relationship timeline of Alex Cooper and Matt Kaplan’s relationship.

July 2020: Alex Cooper and Matt Kaplan meet for the first time

In the April interview with Vogue, Cooper recalled how she met Kaplan, and she said it happened in July 2020 during the COVID-19 pandemic when she was doing a few Zoom meetings with film and TV companies.

“After back-to-back meetings, I got on my last meeting of the day with ACE Productions, Matt’s company,” she recalled. “I got on Zoom and immediately started thinking, ‘Wow, this producer is very handsome — but, stay focused Alex.’ There were about five other people on the Zoom from his company, but I kept just staring at Matt’s video square.”

Alex Cooper and Matt Kaplan start dating

Cooper told Vogue in the April feature that she and Kaplan started dating during the coronavirus pandemic.

“We went on a few dinner dates in L.A. and sat in parking lots, pandemic-style, and there was no doubt in my mind after the first dinner that he would be the man I was going to spend the rest of my life with,” Cooper said. “I’m extremely picky so this was big for me.”

Alex Cooper considers getting married to Matt Kaplan

In her April interview with Vogue, Cooper said that she never really wanted to get married.

“I had always been a cynic when it came to marriage,” she said.

Despite her parents having a successful marriage and being wed for 40 years this year, Cooper told Kaplan that she was “more interested in the whole ‘life partner’ route” if they ever chose to be together for a long time.

Cooper said she didn’t change her mind about being married until she realized how committed Kaplan was to their relationship.

“I remember waking up one day and realizing that Matt’s unwavering love for me and his commitment to growing with me as an individual and to us as a partnership had completely shifted my opinion of marriage,” she said.

May 2023: Alex Cooper and Matt Kaplan get engaged

In December 2022, Cooper told Kaplan that she was interested in getting married when he took her on a date to Giorgio Baldi in Santa Monica.

“You can do it,” she recalled telling him in her interview with Vogue. “You can propose. We can get married.”

Cooper said that Kaplan then proposed to her at their home in May 2023. He set up a fake photo shoot for her so she got her hair and makeup done. Cooper then headed home, not realizing she was about to get engaged.

“I walked into our home, guard down, in sweatpants and a sweatshirt, ready to go lay on the couch and watch some ‘Grey’s Anatomy’ until he got home, but instead walked into the most romantic stunning setup. I was shocked,” Cooper recalled of the moment.

“Adele was playing all throughout my house, candles lit everywhere and there was a laptop that said ‘play me’ sitting on the table.”

On the laptop was a video that Kaplan had made of him talking about their life together. But, in the clip, he told Cooper that there was one thing missing from their love life, and sent Cooper on a scavenger hunt around the house to find it.

It was in their courtyard garden that Cooper saw Kaplan and their dog, Henry, waiting for her under a canopy of flowers.

“We cried, we kissed, we celebrated, and it was the most magical night of my life,” she said.

Alex Cooper and Matt Kaplan start planning their wedding

After they got engaged, Cooper and Kaplan started planning their wedding. The media personality told Vogue in April 2024 that her beau was the one leading the charge and that made the planning process “a dream.”

“Matt handled almost everything so I was quite stress free. In my defense, as a producer, Matt’s specialty is planning and visualizing and bringing things to life, so I knew if I wanted it to go perfectly, leave it to Matt,” she said. “Of course, I contributed where I could —like what flavor the cake would be — but I give Matt so much credit because he truly took on the heavy lifting, and it was perfect.”

February 2024: Alex Cooper and Matt Kaplan hold a pre-wedding celebration

In February 2024, Cooper  shared a bunch of photos  of her and Cooper “practicing for the big day.”

“We had a little pre-wedding celebration with Matt’s 100 yr old grandma last night,” she wrote in the caption. “She sadly won’t be able to travel to our wedding so we wanted to make her feel special and a part of everything❤️ sobbing love you grandmommy. The daddy gang loves you too you legend (yes she’s wearing Chd sweats).”

April 2024: Alex Cooper and Matt Kaplan get married

Cooper and Kaplan tied the knot in an intimate beachside wedding in April, which took place in Riviera Maya, Mexico.

Cooper told Vogue in her April interview that their ceremony started at 5 p.m. sharp.

“It was everything we wanted it to be,” she said. “It was emotional, heartfelt, and we tailored it to exactly how we always envisioned it.”

Putin announces plans to visit China in May

The Associated Press

April 25, 2024, 3:24 PM

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Russian President Vladimir Putin said Thursday he plans to visit China in May, in what could become the first foreign trip for the Russian leader after he extended his rule by six more years in an election that offered voters little real choice.

Putin announced the plans for the visit at a congress of the Russian Union of Industrialists and Entrepreneurs in Moscow. He didn’t say when exactly it would take place and didn’t offer any other details.

Putin’s inauguration is scheduled for May 7, Russian lawmakers said earlier this week. Last month, the 71-year-old Russian leader secured his fifth term in office in a vote with no real opposition, extending his 24-year rule.

Russia’s growing economic and diplomatic isolation because of its war against Ukraine has made it increasingly reliant on China, its former rival for leadership of the Communist bloc during the Cold War.

According to a recent U.S. assessment , China has surged sales to Russia of machine tools, microelectronics and other technology that Moscow in turn is using to produce missiles, tanks, aircraft and other weaponry for use in the conflict.

China has repeatedly said it isn’t providing Russia with arms or military assistance, although it has maintained robust economic connections with Moscow.

Beijing has not provided direct lethal military support for Russia and has sought to project itself as neutral in the Ukraine conflict. It has refused to condemn Moscow’s actions and declared in 2022 that it had a “no-limits” friendship with Russia. The country has denounced Western sanctions against Moscow, and accused NATO and the United States of provoking Putin’s invasion.

China has also proposed a peace plan that was largely dismissed by Ukraine’s allies, who insisted that Moscow must withdraw its forces from the neighboring country as a condition for peace.

Follow AP’s coverage of the war in Ukraine: https://apnews.com/hub/russia-ukraine

Copyright © 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, written or redistributed.

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