Dental care begins long before the first tooth “pops.” Following these age-specific milestones ensures your child develops a healthy foundation for their permanent teeth.

0 to 6 Months: The Pre-Teething Phase

Even without visible teeth, oral bacteria can build up on the gums.

• Oral Hygiene: Gently wipe your baby’s gums with a clean, damp washcloth or gauze after feedings.
• Nutrition: Infants should be exclusively breastfed for approximately the first 6 months of life
• Avoid “Bottle Propping”: Never leave a baby with a bottle in their crib. This prevents “Baby Bottle Tooth Decay,” caused by prolonged exposure to milk sugars.

6 to 12 Months: The First Tooth & The First Visit

Most babies get their first tooth (usually the lower central incisors) during this window.

• The “First Visit” Rule: The AAP recommends your baby see a dentist within six months of the first tooth appearing, or by their first birthday.
• Brushing Begins: As soon as the first tooth erupts, start brushing twice a day (morning and night).
• Fluoride Guidance: Use a “smear” of fluoride toothpaste no larger than a grain of rice, specific to their age.

12 to 24 Months: Establishing Routine

As more molars begin to emerge, the risk of trapped food increases.

• Weaning the Bottle: The AAP suggests transitioning fully from the bottle to a cup by 15 months to prevent pooling of liquids around the teeth.
• Dietary Habits: Limit 100% fruit juice to no more than 4 ounces per day, though whole fruit is preferred. Avoid all sugar-sweetened beverages.
• The “Lift the Lip” Check: Continue monthly inspections. Look for chalky white spots (early decay) or dark spots (cavities).

3 Years and Up: The “Pea-Sized” Transition

By age three, most children have all 20 of their primary teeth.

• Toothpaste Increase: You can now increase the amount of fluoride toothpaste to a pea-sized amount.
• Spitting Practice: Teach your child to spit out the excess toothpaste rather than swallowing it.
• Supervision: While toddlers want independence, the AAP recommends parents continue to brush their child’s teeth (or provide a “thorough follow-up” brush) until the child is at least 7 or 8 years old.

When do baby teeth come in?

Symptom Management: Teething vs. Illness

It is a common misconception that teething causes high fever or diarrhea. According to the AAP:

• Normal Teething: Low-grade temperature (under 101°F or 38.3°C), fussiness, and increased salivation.
• Not Teething: If your baby has a fever over 101°F, vomiting, or a persistent cough, these are likely signs of a viral illness and require a call to your pediatrician.

Recommended Soothing Techniques

1. Manual Pressure: Use a clean finger to rub the gums.
2. Cold Objects: Use solid (not liquid-filled) teething rings or a cold washcloth.
3. Medication: Use acetaminophen or ibuprofen only under a doctor’s guidance. Avoid topical teething gels containing benzocaine or belladonna, as the FDA and AAP have issued warnings against them for infant safety.

Summary of Dental Standards

If starting solids feels daunting, I’ve got you covered