Pediatric dentist

Pediatric dentists: questions answered

A pediatric dentist cares for children's teeth from infancy through the teens. Cleveland Clinic says they train for two to three years beyond dental school and recommends a first visit by the first birthday or when the first tooth appears. The ADA says the same. Family dentists treat all ages, and either can be right for your child.

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What is a pediatric dentist?

Cleveland Clinic describes a pediatric dentist as a dentist who cares for children's teeth from infancy through the teen years, doing preventive care and treating cavities and infections. The ADA's MouthHealthy page says a pediatric dentist specializes in the oral health of infants, children and teens, including those with special needs. Both describe an option alongside a family dentist who treats patients of all ages, and neither says one is required.

What extra training do they have?

Cleveland Clinic says pediatric dentists complete four years of dental school, the same as general dentists, and then add two to three years of education covering child psychology, growth and development, relaxation techniques for childhood anxiety, and treating children and sometimes adults with special needs. The ADA page does not describe their training. Training rules differ between countries, so if you are outside the United States, ask the practice what qualifications its dentists hold.

Why choose a pediatric dentist?

Cleveland Clinic says pediatric dentists know more about conditions that can affect a child's teeth, jaws and gums as they grow, and that their offices are designed to be comfortable for children. It also says they check the jaws, facial bones and developing permanent teeth to catch problems early. The ADA page does not give reasons to choose one over a family dentist. A family dentist who is comfortable with children, and a visit that goes well, can matter as much as the title, and that comparison is ours and flagged.

When should a child first go to the dentist?

Cleveland Clinic says to schedule the first visit by the child's first birthday or when the first tooth appears. The ADA's MouthHealthy page says the first visit should take place after the first tooth appears, and no later than the first birthday, because babies can get cavities once they have teeth. The two sources agree. After that, Cleveland Clinic recommends regular check-ups and cleanings without setting a frequency, and suggests asking the dentist how often your child should have cleanings.

What happens at the first visit?

The ADA says the dentist checks that the teeth, jaw, bite and gums are developing normally and looks for injuries, cavities or other problems. Depending on age and the number of teeth, the dentist may do a gentle cleaning and may give tips on caring for your baby's teeth and gums at home. You will likely sit in the chair with your child on your lap, and wiggling or crying is normal. Cleveland Clinic lists the services a pediatric office provides: check-ups, cleanings, X-rays, fillings, sealants, fluoride treatments, crowns, extractions and emergency care for injuries.

Loose baby teeth and pulling them

Parents often ask whether they should pull a loose baby tooth. HealthyChildren.org, from the American Academy of Pediatrics, covers when children begin to lose baby teeth, and our guides on loose teeth explain the cautious approach: let a loose tooth come out on its own where possible, and see a dentist if it is stuck or the child is in pain. See the guide on how to pull out a loose tooth without pain, which reports the advice and its limits, and the guide on how many teeth children lose.

Yellow baby teeth

Cleveland Clinic's page on tooth discoloration says it does not discuss baby teeth. Our guide on why children's teeth look yellow explains what we could and could not source, including that adult teeth often look more yellow beside white baby teeth, which is general and flagged. A single tooth that has darkened, especially after a fall, is worth a dental assessment.

What about sleep, tonsils and other non-dental questions?

This hub's plan keywords include enlarged tonsils and which ages a pediatrician sees. Those are medical questions, not dental ones, and the dental sources we read do not cover them. For sleep problems in children, such as snoring or pauses in breathing, a doctor is the right first contact, with a dentist in a supporting role. Our sleep apnea guides explain how dental devices fit into care for adults.

Questions to ask a pediatric dentist

Take these to the first appointment.

  • How often should my child come for cleanings?
  • Does my child need fluoride or sealants?
  • What should I do if a tooth is knocked out?
  • When should we check how the jaws and bite are growing?
  • How do you help anxious children?

Guides in this topic

Frequently asked questions

What is a pediatric dentist?

A dentist who cares for children's teeth from infancy through the teens.

When should a child first see a dentist?

By the first birthday or when the first tooth appears.

Why choose a pediatric dentist?

They have extra training in child development and anxiety, says Cleveland Clinic.

How much extra training do they have?

Two to three years after dental school, says Cleveland Clinic.

Can a family dentist treat my child?

Yes. Family dentists treat all ages.

Should I pull my child's loose tooth?

See our guide on loose teeth. Let it come out on its own where you can.

Sources

General education only. Where sources give different timings, this guide shows the range and tells you to follow your own clinician.

This guide provides general information only and is not a substitute for professional medical or dental advice. If you have a concern about your health, please consult your nearest doctor or dentist.