Even before the first tooth erupts, many infants enjoy a gentle massage of the gums with a moist cloth.  Once the first tooth erupts, it is important to clean the teeth daily.  You can use a cloth, a finger toothbrush or a small soft toothbrush.  Infant toothpastes can be used if they enjoy the taste, but it is the brushing action that cleans the teeth.  Never use toothpaste with fluoride until a child knows how to spit, usually after 3 years of age.  Toddler toothpastes (training toothpastes) so are okay for the child who does not spit.

Once a preschooler can spit the toothpaste, you can move to a pea-sized amount of toothpaste with fluoride.  Too much toothpaste encourages accidental swallowing.  It is important to supervise whenever the child has access to toothpaste.  Many children love the taste and will try to eat the toothpaste.  Too much fluoride can damage the permanent teeth, even before they erupt.  Allowing the toddler to "brush" first is okay, but they will not be able to clean their teeth well enough until about 7 years of age, so you must follow up with a good brushing.

Many toddlers resist toothbrushing.  Allowing them to watch you brush your teeth and allowing them to brush theirs along side you can encourage good habits.  Using toothbrushes with a favorite character or one that lights for the duration of brushing is also helpful.  Reading books about brushing teeth might even be helpful.  If the child still resists, you can sit on the floor and have the child lay with his head toward you.  If you need, you can put their arms and legs under your legs.  This will allow good visualization of their mouth.

Most children do not need to floss until about 3 years of age, when their molars start to contact one another.  There are flossers available in fun colors and shapes that allow easier flossing of a child's mouth.

The American Academy of Pediatric Dentistry recommends the first dental visit 6 months after the first tooth erupts or 1 year of age, whichever occurs first.  Please be sure your child sees the dentist by at least 3 years of age.  We have many good pediatric dentists in our area - just ask your doctor for some recommendations!