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Children's dentistry
Children's Dentistry (Pedodontics)
Children's dentistry (pedodontics) is dental care for babies, children and teenagers: regular check-ups, prevention such as fluoride varnish and fissure sealants, and treatment of decay in baby and adult teeth. Take your child to the dentist when the first milk teeth appear, or before their first birthday, then for regular check-ups.
Published by Vita Smile Dental Clinic Sources (6)
Key takeaways
- Take your child to the dentist when the first milk teeth appear, or before they are 12 months old [1][2].
- Baby teeth help children chew and speak, and hold space for the adult teeth [2].
- Fluoride varnish reduced new decay by about 43% in adult teeth and 37% in baby teeth in a Cochrane review [3].
- Resin sealants on adult back teeth reduced decay by 11% to 51% at 24 months compared with no sealant [4].
- A first check-up with an orthodontist is recommended no later than age 7 [5].
At a glance
- First visit
- First tooth, or before age 1
- Check-ups
- As often as the dentist advises
- Fluoride varnish
- From age 3, at least twice a year
- Fissure sealants
- When adult back teeth come through
- Orthodontic check
- By age 7, with an orthodontist
- Consent
- Parent or legal guardian
The basics
What is children's dentistry?
Children's dentistry, also called pedodontics or paediatric (pediatric) dentistry, covers the teeth and gums from the first milk tooth to the late teens. Most of it is prevention; the rest is treatment when decay or an injury has already happened.
Baby teeth matter even though they fall out. They help children chew and speak clearly, and form a path for the adult teeth to follow [2]. Losing them too early or too late can create problems for the adult teeth that replace them [5].
When a baby tooth has decay, the dentist may suggest:
- A filling, to stop a small cavity from growing.
- Pulp treatment, when decay has reached the nerve: a baby-tooth version of root canal treatment that aims to keep the tooth until it falls out.
- Extraction, when a tooth cannot be saved, with a check of how the gap will affect the adult teeth.
Dental X-rays carry very little risk, and children's exposure to radiation should be kept as low as possible [2].
When to come
When should you bring your child to the dentist?
Bring your child when the first milk teeth appear, or before their first birthday [1], then at the interval your dentist sets [1][2]. Some signs mean your child should be seen sooner.
Book a routine check-up
See a dentist sooner if
- Your child has toothache or a swollen face [2]
- An adult tooth has been knocked out: this is an emergency [2]
- You notice dark spots, holes or broken teeth
- The gums often bleed when your child brushes
- Your child still sucks a thumb or fingers after age 3 [2]
- Baby teeth are lost much earlier or later than usual [5]
Step by step
Your child's first dental visit
A first visit is mostly about getting to know the dentist. Just opening the mouth for the dentist to look is useful practice for the future [1].
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Before the visit
Talk about it positively
Be positive and make the trip fun, so your child does not worry about future visits [1]. Keep explanations short and avoid frightening words.
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At the clinic
A parent or guardian comes too
A parent or legal guardian gives the medical history and consents to any check or treatment. Tell the dentist if your child is nervous.
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The check
Teeth, gums and bite
The dentist looks at the teeth, the gums and how the teeth are coming through. X-rays are taken only if the dentist needs them.
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Afterwards
A plan and the next visit
Any treatment is explained before it is done, and the dentist tells you when to come back [2].
Each visit depends on your child's age and teeth.
A question about your child's teeth?
Send us a short message, and photos if you have them. A dentist reads it and replies with advice on the next step.
Compare your options
Fluoride varnish vs fissure sealants vs check-ups alone
Both add protection on top of brushing and check-ups: varnish strengthens the enamel [1], sealants close the grooves of adult back teeth [1]. Cochrane reviewers could not say which works better; sealant plus varnish may help more than varnish alone, on very low-certainty evidence [6].
| Fluoride varnish | Fissure sealants | Check-ups and home care alone | |
|---|---|---|---|
| What it is | High-fluoride varnish painted on the teeth | Thin plastic coating on back teeth | Examinations, advice, fluoride toothpaste |
| Which teeth | Baby and adult teeth | Adult back teeth | All teeth |
| When | From age 3, at least twice a year; earlier if needed | At about 6 or 7, and again at 11 to 14 | From the first tooth, as often as advised |
| How long it lasts | Repeated about every 6 months | Up to 4 years | Depends on daily brushing and diet |
| Evidence | 43% less new decay in adult teeth, 37% in baby teeth | 11% to 51% less decay at 24 months | The comparison group in these trials |
Use and timing: NHS [1]. Evidence, moderate quality: varnish vs none, 22 trials [3]; resin sealants on first adult molars vs none, ages 5 to 10 [4]. Varnish vs sealants: 11 trials [6].
At home
Habits that protect, or harm, your child's teeth
Most of what keeps children's teeth healthy happens at home:
- Brushing: twice a day for about 2 minutes, last thing at night and at one other time of day. Parents brush up to age 3, supervise from 3 to 6, and still watch older children [1].
- Toothpaste: a smear with at least 1,000ppm fluoride up to age 3, a pea-sized amount from 3 to 6, and 1,350 to 1,500ppm from 7. Spit out, do not rinse [1].
- Sugar: limit sugars and starches. Avoid nursing a child to sleep, and put nothing but water in a bedtime bottle [2].
- Thumb and dummy habits: usually a problem only if they go on for a long time; past age 3, the dentist may suggest a mouth appliance [2].
- Sport: a mouthguard protects the teeth, lips, cheeks and gums; ask your dentist about a custom-fitted one [2].
- A knocked-out adult tooth: stay calm, hold it by the crown, not the root, and try to put it back in the socket. If you cannot, put it in a glass of milk and go to a dentist straight away [2].
- Toothache: rinse with warm salt water, use a cold compress on a swollen face, never put aspirin on the gums, and see a dentist soon [2].
If your child's gums often bleed when brushing, mention it at the next visit; see gum care.
From our dentist
“The best first visit for a child is a boring one: a quick look, a ride in the chair, nothing to treat. When that is a child's first memory of the dentist, the next visit is easier. At each check I watch how the teeth are coming through and show parents how to brush, because the evening routine at home matters more than anything I do in the chair. If your child is nervous, tell me beforehand and we will take it one step at a time.”
For parents
Choosing a dentist for your child
Before you book, ask:
- Who will see my child, and what training and experience do they have in treating children?
- Is the clinic licensed by the Turkish Ministry of Health?
- Can I stay with my child during the visit?
- How do you help children who are nervous about the dentist?
- Do you offer fluoride varnish and fissure sealants?
- What should I do if my child has toothache or knocks out a tooth outside opening hours?
- If my child needs treatment you do not provide, such as braces, which orthodontist would you refer us to?
A clinic should explain any treatment before asking for your consent. Vita Smile is licensed by the Turkish Ministry of Health. This page is reviewed by Dr. Hediye Nur Uygun, a general dentist whose areas of work include children's dentistry. You can meet our dentists or ask about your child's teeth in a free online consultation.
Questions
Children's dentistry: frequently asked questions
Can't find your answer? Our coordinators are happy to help on WhatsApp.
Ask on WhatsAppAt what age should a child first see a dentist?
When the first milk teeth appear, or before they are 12 months old [1][2]. Your child gets used to the dentist, and problems can be spotted early [1].
How often should children go to the dentist?
As often as your dentist advises [1]. The American Academy of Pediatric Dentistry recommends a check-up every six months, while your dentist can set a different interval based on your child's oral health [2].
What is the difference between a paediatric dentist and a general dentist?
In the United States, paediatric dentists complete two to three years of further training after dental school and treat only children [2]. General dentists also see children for check-ups, prevention and routine treatment. Ask any dentist about their experience with children.
Do baby teeth need fillings if they fall out anyway?
Often, yes. Baby teeth help children chew and speak, and they hold space for the adult teeth [2]. Losing them too early can cause problems for the adult teeth that follow [5]. Your dentist explains whether a filling, pulp treatment or extraction is the right choice for each tooth.
What is fluoride varnish, and how often does my child need it?
It is a varnish with high levels of fluoride, painted onto the teeth to strengthen the enamel [1]. From age 3, children should be offered it at least twice a year, and some children need it more often [1].
When should my child have an orthodontic check?
The American Association of Orthodontists recommends a first check-up with an orthodontist no later than age 7, when children have a mix of baby and adult teeth [5]. If something looks wrong earlier, you do not need to wait [5]. If the dentist sees a problem with the bite or the way the teeth are coming through, your child may be referred to an orthodontist.
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Sources
Studies and patient guides this page is based on.
- [1] Children's teeth — NHS (page last reviewed 30 June 2025) · nhs.uk
- [2] Frequently Asked Questions for parents — American Academy of Pediatric Dentistry · aapd.org
- [3] Marinho VC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews, 2013 · doi.org
- [4] Ahovuo-Saloranta A, Forss H, Walsh T, et al. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database of Systematic Reviews, 2017 · doi.org
- [5] Child Orthodontics — American Association of Orthodontists · aaoinfo.org
- [6] Kashbour W, Gupta P, Worthington HV, Boyers D. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database of Systematic Reviews, 2020 · doi.org