Paediatric dentistry

A child's first dentist appointment: when and how?

The timing of the first visit, what should and should not be said at home before the appointment, and what is done in the first session.

Written by: Ecem Salmaz Utlu, DDS — Specialist in paediatric dentistry (paedodontics) · Published: 23 September 2026

The first experience of the dentist shapes the child's attitude in the years that follow. For this reason the first appointment is planned not as a treatment session but as an introduction.

When should you come?

The recommended time is within 6 months of the first tooth appearing, at the latest around age 1. An examination at this age is both to assess the risk of cavities and to guide the family on diet and brushing. A "we will come when there is a problem" approach leads to the child getting to know the clinic for the first time through pain.

At home before the appointment

  • Tell the child about the appointment in a calm tone, on the same day; talking about it days ahead can increase anxiety.
  • Do not use sentences such as "no needle", "it won't hurt" or "don't be afraid" — the child hears these words as a threat.
  • Do not recount your own dental experiences in front of the child.
  • Do not schedule the appointment at sleeping or meal times; a tired or hungry child will not cooperate.
  • Play a tooth-counting game at home and look at their mouth with a mirror.

What happens in the first session?

The child gets to know the chair, the chair is moved, and the mirror and air spray are introduced with familiar words such as "counting" and "wind". The teeth are counted and, if needed, fluoride varnish is applied. If there is a need for treatment, it does not have to be done in this first session; leaving it to the second appointment often gives a better result. The parent staying quiet and calm makes it easier for the child to build a relationship with the dentist.

"Tell – show – do"

Each procedure is first explained in language the child understands, then shown with the instrument, then carried out. This method reduces anxiety because it removes the unexpected stimulus. Sessions are kept short; success is measured not by the size of the procedure done that day but by the child's willingness to return to the clinic.

Primary teeth — "they will fall out anyway"?

Besides chewing and speech, primary teeth hold space for the permanent teeth. A primary molar lost early leads to the tooth behind it drifting forward and no room being left for the permanent tooth — a situation that may later require orthodontic treatment. For this reason cavities are monitored, and space maintainers are planned when needed.

When is a child referred to orthodontics?

If there are findings related to jaw development, crossbite, habits such as thumb-sucking, and the order in which the teeth erupt, an orthodontic assessment is requested at around age 7. This does not mean that treatment will start immediately; monitoring is often carried out to determine the right time.

Frequently asked questions

What if my child cries?

Crying is a normal reaction at this age; the session is shortened and the next appointment continues from where it left off.

Should I stay with them?

Generally yes. Some children cooperate better when the parent is outside; this is decided together with the dentist.

How often are check-ups needed?

It varies according to risk, but a check-up every 6 months is commonly recommended.

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The information on this site is for general guidance only; diagnosis and treatment require an examination by a dentist.

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