Peek-a-boo Exam (age 6 month-3 yrs)

Starting with 6 months after first tooth eruption, maximum 1 yrs

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 child’s oral health. Caries (tooth decay) or developmental disturbances can be managed early. Fluoride varnish may be applied if beginning decay on newly erupted teeth is observed.

Five Steps for Baby’s First Dental Visit

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

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

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

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, sippy cups
• Response for home accidents, trauma

Step 5 Future visits


• Based on Risk Assessment
• At age one year
• Two years if delayed in development

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Dentistry and orthodontics for infants, children, adolesents, and those with special needs.
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