
Quick Answer
Children’s dental care builds the habits and healthy foundation that protect teeth for life. Children should see a dentist by age one, then every six months. Early visits prevent decay, the most common chronic disease of childhood, and guide permanent teeth into place. Good habits started young rarely need undoing later.
Ask any dentist what they wish more parents knew, and you will hear the same answer. The trouble almost never starts with a teenager. It starts with a toddler who was put to bed with a bottle of juice, or a five-year-old whose brushing was never supervised.
Baby teeth fall out, so it is easy to assume they do not matter much. They matter enormously. They hold space for adult teeth, shape speech, make eating comfortable, and set the tone for how a child feels about the dentist for the rest of their life. Here is what parents in Fairhaven need to know, and when to act.
Why Children’s Dental Care Matters More Than Parents Think
Tooth decay is the most common chronic disease of childhood in the United States. According to the Centers for Disease Control and Prevention, more than half of children (52 percent) have had a cavity in their baby teeth by the age of eight, and around one in five adolescents has untreated decay in a permanent tooth.
Untreated decay is not just a sore tooth. It affects eating, sleeping, speech, concentration at school, and confidence. Because baby teeth have thinner enamel than adult teeth, cavities travel through them quickly, which is why a small spot can become an abscess in a matter of months.
There is a longer-term issue too. Baby teeth act as placeholders. Lose one early and the neighbouring teeth drift into the gap, leaving the permanent tooth with nowhere to erupt. We explore this in more detail in our guide to why baby teeth matter, which is worth a read if your child is still in nursery or primary school.
Dental Milestones: What to Expect and When
Knowing what should happen, and roughly when, takes a lot of the guesswork out of parenting a small mouth.
| Age | What Is Happening | What You Should Do |
|---|---|---|
| 0 to 6 months | First tooth usually appears | Wipe gums with a clean, damp cloth |
| By age 1 | Several teeth through | First dental visit, within 6 months of first tooth |
| Ages 2 to 3 | Full set of 20 baby teeth | Brush twice daily with fluoride toothpaste |
| Ages 6 to 7 | First permanent molars arrive | Ask about sealants, supervise brushing |
| Ages 7 to 12 | Baby teeth give way to adult teeth | Early orthodontic assessment if crowded |
| Teens | Wisdom teeth and cosmetic questions | Mouthguards for sport, alignment options |
Prevention: The Least Expensive Dentistry There Is
Almost every cavity we treat in a child could have been prevented. These habits do most of the heavy lifting:
- Brush twice a day with a fluoride toothpaste, for two full minutes.
- Floss daily as soon as two teeth touch each other.
- Supervise brushing until age seven or eight. Younger children lack the dexterity to do it properly on their own.
- Make water the default drink and keep sugary or acidic drinks to mealtimes.
- Never put a child to bed with milk or juice, which bathes the teeth in sugar overnight.
- Use a mouthguard for sport to protect against chipped and knocked-out teeth.
Routine Check-Ups and Cleanings
Children should visit every six months. A dentist for teeth cleaning removes the plaque and tartar a toothbrush cannot reach, while a dental exam catches problems while they are still small and inexpensive to fix. These visits also let us track growth, spot alignment issues early, and keep your child comfortable in the chair.
Sealants and Fluoride
Two simple treatments do a remarkable amount of good. Fluoride varnish strengthens enamel, and dental sealants are thin protective coatings painted onto the grooves of the back molars, where nine out of ten cavities occur. The CDC reports that sealants prevent around 80 percent of cavities in back teeth over the first two years, and children aged 6 to 11 without them get nearly three times as many first-molar cavities. They also cost roughly a third of what a filling costs.
| Is your child due a check-up?Our team makes dental visits calm, friendly and quick. Call Smiley Dental Fairhaven on 508-967-1000 or request an appointment online. We see children from their very first tooth. |
Common Dental Problems in Children
Tooth Decay
The most common childhood disease, and it moves fast through thin baby enamel. When a cavity does appear, we treat it with cosmetic dental fillings that are colour-matched to the tooth, so children do not end up with visible metal in their smile. Treated early, a filling is a short, straightforward appointment.
Gum Inflammation
Plaque build-up irritates the gums, causing puffiness or bleeding when brushing. It is especially common in children wearing braces, where food traps more easily. Better cleaning usually reverses it quickly.
Crowding and Alignment
Genetics, early tooth loss, thumb sucking and prolonged dummy use can all crowd a developing bite. Early assessment matters, because guiding growth is far easier than correcting it later. For older children and teens, Invisalign clear braces offer a discreet way to straighten teeth.
Knocked-Out or Chipped Teeth
Falls and sports injuries happen. If a permanent tooth is knocked out, hold it by the crown and never the root, keep it moist in milk, and get to a dentist within the hour. Our tooth trauma care handles these emergencies quickly, and acting fast can sometimes save the tooth.
| Expert Dental TipWatch the words you use. Saying “it will not hurt” plants the idea that it might. Avoid needle, drill and pain altogether, and let the dental team use their own child-friendly language instead. Book the first visit before there is a problem, so your child’s earliest memory of the dentist is a happy one rather than a painful one. |
Helping an Anxious Child
Dental anxiety is learned, not inborn, and it is easier to prevent than to unpick. A few things that genuinely help:
- Start early. A first visit at age one is little more than a lap exam and a chat.
- Read books about the dentist so the setting feels familiar before you arrive.
- Book morning appointments, when children are rested and less fractious.
- Stay calm yourself. Children read a parent’s nerves instantly.
- Praise the effort, not the outcome, and skip sweets as a reward.
What About Teenagers?
As children grow, their dental needs change. Teenagers face different risks: sports injuries, wisdom teeth, braces, energy drinks, and a sudden interest in how their smile looks in photographs.
Is Teeth Whitening Suitable for Children?
This question comes up often, and the honest answer is no, not for young children. Whitening is not recommended while a child still has baby teeth, and gels only lighten natural enamel anyway. Most dentists advise waiting until the permanent teeth have fully come through, generally in the mid-teens, and only after a check-up confirms healthy teeth and gums. When the time is right, a teeth whitening dentist can advise on safe, supervised options. In the meantime, a professional clean removes most surface staining without any bleaching at all.
Why Families Choose Smiley Dental Fairhaven
Finding a dental clinic where children actually feel comfortable makes all the difference. Our founder was inspired by her father, a respected pedodontist, and that emphasis on gentle care for young patients still runs through the practice. Our team includes dentists trained at Harvard, Boston University, the University of Michigan and New York University, including one recognised with the Academy of Operative Dentistry Award for Outstanding Achievement, one with a Master of Public Health from Harvard and a strong focus on prevention, and another with a background in paediatric dentistry.
We have been named among America’s Best dentists in recent years. Our multilingual team offers Saturday appointments, and we welcome families from Fairhaven, New Bedford, Acushnet, Mattapoisett, Dartmouth, Marion and Rochester.
You can learn more about our full range of children’s dentistry services, or about preventative dental care for the whole family.
Frequently Asked Questions
Everything you need to know about your child’s dental care.
The Bottom Line
Childrens dental care is not really about baby teeth. It is about the adult teeth waiting underneath, the habits forming now, and whether your child grows up seeing the dentist as a friendly routine or something to dread. Regular check-ups, sensible brushing, sealants on the back molars and a bit of common sense about sugar will prevent the overwhelming majority of problems.
The best time to start was your child’s first tooth. The second best time is today.
| Give your child a healthy startBook your child’s check-up with Smiley Dental Fairhaven. Call 508-967-1000, request an appointment, or contact our Fairhaven office at 17 Berdon Way. Saturday appointments are available, and new patients are always welcome. |




















