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  • Writer's pictureDr. G

Brushing Baby Teeth: When to Start and Best Practices

Updated: 7 days ago

brushing baby teeth

As an experienced pediatric dentist, I often encounter one pivotal question from new parents: "When should I start brushing my baby's teeth?" Navigating early childhood dental care can seem like a maze, but it's an essential part of ensuring a lifetime of healthy smiles for your little one. Establishing good oral hygiene practices early sets the foundation for strong, healthy teeth and gums. This is not only about keeping cavities at bay but also about instilling habits that will last a lifetime. Addressing when to start brushing baby teeth and understanding the importance attached to it are crucial first steps in this journey.

In this article, we’ll embark on a comprehensive guide, exploring when and how to begin oral hygiene for your infant. We’ll delve into choosing the right tools that make brushing effective yet gentle, mastering brushing techniques suited for delicate mouths, and uncovering tips and tricks for making toothbrushing a smooth and enjoyable experience for both you and your child. Additionally, I'll share insights on the significance of regular dental visits and strategies for maintaining optimal oral health. Join me as we outline best practices and answer the common question many parents have: "When should I start brushing my baby's teeth?"

Importance of Brushing Baby Teeth

Benefits of Early Dental Care

  • Foundation for Lifelong Oral Health: Baby teeth play a crucial role in helping children chew and speak properly. They also guide the permanent teeth into their correct positions. Starting oral care early, such as brushing as soon as the first tooth appears, sets the foundation for strong, healthy teeth and gums. This early intervention prevents the buildup of plaque and bacteria that can lead to tooth decay and gum disease.

  • Prevention of Dental Problems: Regular brushing, at least twice a day, removes food particles and bacteria that are the primary cause of cavities. By maintaining clean teeth and gums, we can prevent the onset of tooth decay, which is not only painful but can also lead to more serious dental issues in the future. Early dental visits are recommended within six months after the first tooth erupts to ensure any potential issues are addressed promptly.

Implications of Neglecting Baby Teeth

  • Risk of Chronic Conditions: Neglecting the care of baby teeth can lead to chronic conditions such as cavities, which are reported to affect a significant percentage of young children. These dental issues, if not addressed, can affect a child's ability to eat and speak comfortably and may lead to infections that require more intensive treatments.

  • Impact on Child Development: Dental problems can cause pain and discomfort, leading to difficulties in eating and potentially affecting nutritional intake. This discomfort can also distract children from their daily activities, including school and play, impacting their social development and academic performance.

  • Long-Term Dental Issues: Cavities in baby teeth can increase the likelihood of cavities in permanent teeth. If baby teeth fall out too early due to decay, it can lead to misalignment of permanent teeth, requiring more complex orthodontic treatments later on.

By emphasizing the importance of brushing baby teeth and scheduling regular dental check-ups, we can help ensure our children enjoy a lifetime of healthy smiles. It's not just about avoiding immediate discomfort but also about setting up a routine that will prevent future dental issues. As parents and caregivers, our role is to guide and support our children in these healthy habits from the start.

brushing baby teeth

Choosing the Right Tools

Selecting a Toothbrush

  1. Infant Toothbrushes: For infants, a finger slip toothbrush made of soft silicone is ideal. This type fits snugly on an adult's finger, allowing easy cleaning of gums and emerging teeth. These brushes are gentle and help remove milk or sugar build-up effectively.

  2. Toddler Toothbrushes: As your child grows, transition to a toddler-specific toothbrush. Look for options like the Oral B 0-3 Winnie the Pooh toothbrush, which is designed to be the perfect size for small mouths and has soft bristles that are gentle on tender gums.

  3. Electric Toothbrushes for Older Children: For children over five, consider an electric toothbrush to make brushing more engaging. Models like the Philips Sonicare for kids are recommended due to their soft bristles, appealing design, and interactive apps that encourage proper brushing habits.

  4. Toothbrush Features to Consider:

    1. Soft Bristles: Always choose toothbrushes with soft bristles to protect young gums and enamel.

    2. Appropriate Size: The brush head should fit comfortably in your child’s mouth, allowing easy access to all surfaces of the teeth.

    3. Easy-to-Grip Handle: Handles should be easy for little hands to hold, ideally with a non-slip surface to aid in control.

Picking the Right Toothpaste

  • Fluoride-Free Options: For children under two, select fluoride-free toothpaste to minimize ingestion risks. Toothpastes like Hello blue raspberry and Tanner’s Tasty Paste are great SLS-free options that come in child-friendly flavors.

  • Fluoride Toothpaste: From age three, you can introduce fluoride toothpaste to help strengthen the enamel and protect against cavities. Use only a pea-sized amount and ensure your child learns to spit it out after brushing.

  • Natural and Safe Ingredients: Opt for toothpastes that do not contain SLS, parabens, or artificial flavors. Brands like Tom’s of Maine offer natural toothpaste varieties that are both safe and appealing to children.

  • Taste Matters: While the primary function of toothpaste is to clean teeth and protect against decay, a pleasant taste can significantly enhance a child’s willingness to brush regularly. Offer various flavors to find one that your child enjoys.

By choosing the right tools for brushing, you not only make the process easier but also more enjoyable for your child, encouraging lifelong healthy oral hygiene habits.

Brushing Techniques

Preparing Your Baby for Brushing

As soon as your baby's first tooth appears, usually around 6 months, it's key to start the brushing routine. Initially, you can gently wipe your baby’s gums with a soft, clean washcloth. This not only cleans their mouth but also gets them used to the sensation of brushing. For a more thorough clean, use a soft, infant toothbrush with water.

brushing baby teeth

Step-by-Step Brushing Guide

  1. Choosing the Right Toothbrush and Toothpaste: Use a small-headed, soft-bristled toothbrush designed for infants. Apply a tiny smear of fluoride toothpaste, about the size of a grain of rice.

  2. Comfortable Positioning: Sit your baby on your lap, facing away from you, with their head resting against your body. This position gives you good visibility and control while brushing.

  3. Gentle Brushing Technique: Hold the toothbrush at a 45-degree angle to the gums. Brush gently in small circles, covering all surfaces of each tooth—front, back, and chewing surfaces. Don’t forget to brush along the gum line.

  4. Duration and Frequency: Aim to brush for about 2 minutes, twice a day. This includes in the morning after the first feeding and right before bed.

  5. Finishing Up: Encourage your child to spit out the toothpaste after brushing. Avoid rinsing with water immediately after to maintain the fluoride's protective effects.

By following these steps, you'll help ensure that your baby's teeth are clean and healthy, setting a strong foundation for their future dental health. Remember, making brushing a positive experience can help foster good oral hygiene habits that last a lifetime.

Tips and Tricks for a Smooth Brushing Experience

Making Brushing Fun

  1. Storytelling and Games: Engage your child's imagination by turning tooth brushing into a heroic adventure. Pretend the toothbrush is a superhero fighting off cavity-causing monsters, making the routine both fun and impactful.

  2. Rewards and Incentives: Implement a reward system such as a sticker chart. Each time your child brushes their teeth, they earn a sticker. Once the chart is full, they can trade it in for a small reward, linking positive outcomes to good brushing habits.

  3. Music and Dance: Play a favorite song that lasts around two minutes to time the brushing session. Dancing along can turn a mundane activity into a joyful experience, encouraging your child to look forward to brushing.

  4. Customize the Tools: Allow your child to pick their toothbrush and toothpaste. Choices like toothbrushes with favorite characters or toothpaste in fun flavors like berry or bubblegum make brushing more appealing.

  5. Interactive Apps: Use child-friendly apps like BrushDJ or Star Teeth, which play music or provide interactive encouragement, making the brushing experience engaging and appropriately timed.

brushing baby teeth

Dealing with Resistance

  1. Practice on Toys: Let your child practice brushing on a doll or stuffed animal. This not only makes it fun but also teaches them the importance of brushing in a relatable way.

  2. Mirror Brushing: Brushing in front of a mirror can help children see exactly what they are doing, making them more involved in the process and helping them understand the importance of thorough brushing.

  3. Parental Participation: Children learn by imitation. Brush your teeth alongside your child to model good oral hygiene habits and make the process a joint activity, which can reduce resistance.

  4. Explaining the Why: Take the time to explain why brushing is important in simple terms. Understanding the reasons behind brushing can help motivate your child to participate willingly.

  5. Make it Routine: Consistency is key. Incorporate tooth brushing into your daily routine in a way that it becomes a non-negotiable regular activity, just like eating or sleeping.

Regular Dental Visits and Maintaining Oral Health

When to Start Dental Visits

It's crucial to introduce your child to dental care early. We recommend scheduling the first dental visit by the time your baby's first tooth emerges or by their first birthday, whichever comes first. Starting early can significantly reduce the risk of cavities and helps your child become accustomed to dental checkups. This proactive approach not only catches potential issues early but also sets the stage for a lifetime of good oral health.

Ongoing Care and Check-ups

Regular dental visits are essential for maintaining your child's oral health. Ideally, your child should visit the dentist every six months for a comprehensive examination and cleaning. During these visits, the dentist can spot and address developmental issues, apply preventive treatments like fluoride varnish, and provide guidance on proper oral hygiene practices at home. For children with special health care needs, we may recommend more frequent visits to ensure their unique dental needs are met effectively. Regular check-ups are a cornerstone of preventing dental problems and ensuring your child's smile remains healthy and bright.


Embarking on the journey of maintaining your baby's oral health is a profound step towards ensuring they enjoy a lifetime of healthy smiles. Starting early, choosing the right tools, and applying correct brushing techniques form the bedrock of effective dental care for infants. The significance of these practices extends beyond merely preventing cavities; it instills lifelong habits that guard against serious dental issues, underscoring the importance of early and consistent care for your child's teeth.

Learn more about Agape Pediatric Dentistry and Dr. Gia here. You can register your child's appointment with us by filling out our simple form. Also, follow us on social media Facebook @apapepediatricdentistry and Instagram @apapepediatricdentistry. Call today at 678-730-8951 for your child's next dental visit.


When should I start brushing my baby's teeth?

You should begin brushing your baby’s teeth as soon as their first teeth emerge, which is typically around 6 months old. Use a small amount of fluoride toothpaste, as recommended by both the American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD).

How often should I brush my baby's teeth?

It's important to brush your baby's teeth at least twice a day for two minutes each time. Make sure to brush after the last meal of the day and before bedtime to prevent food or milk from remaining in the mouth overnight, which could lead to tooth decay.

When is it appropriate to start cleaning my baby's mouth?

You can start cleaning your baby's mouth when they are about 3 months old. Use a damp, clean face washer or gauze to gently wipe your baby's gums twice a day. This practice helps prepare them for tooth brushing once their first tooth comes in. When the first tooth appears, switch to using a soft infant toothbrush designed for children under 2 years.

Is it better to brush my baby's teeth before or after breakfast?

Brush your baby's teeth after breakfast in the morning and again at night before they go to bed. It is advisable to wait at least 30 minutes after eating before brushing to allow saliva a chance to neutralize the acids in the mouth.


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