Skip to content

The Evidence

Establishing a Dental Home by Age 1

The American Academy of Pediatric Dentistry (AAPD), the American Dental Association (ADA), and the American Academy of Pediatrics (AAP) all recommend that children have their first dental visit by Age 1. At this early visit, dentists perform a brief oral examination, deliver preventive information regarding oral health and development, discuss and demonstrate home care techniques, and provide anticipatory guidance for the child’s caregiver.  The concept of a dental home is derived from the AAP concept of the medical home. Referring a child for an oral health exam by a dentist who provides care for young children six months after the first tooth erupts or by twelve months of age establishes the child’s dental home and provides an opportunity to implement preventive dental health habits that meet each child’s unique needs and keep the child free from dental or oral disease. Read more about establishing a dental home by age 1.

Fluoride Varnish Prevents Tooth Decay 

If tooth decay is nearly 100% preventable, why do so many children suffer from dental problems?

Most children lack access to early preventive dental services. The two most effective ways to prevent tooth decay are:

  • Fluoride Toothpaste (daily)
  • Fluoride Varnish (from a medical or dental provider)

Research shows that children who receive at least four applications of fluoride varnish before age four have lower rates of tooth decay (18-59% less caries according to the USPSTF review of the evidence).

More decay is prevented the earlier children start receiving fluoride varnish. That’s why many providers are working to assure that children get at least 4 fluoride varnish applications by age 4 years – “4 by 4”. 

Why apply fluoride varnish in a medical setting?

Fluoride varnish (5% sodium fluoride) is an effective tool to use in the prevention of tooth decay in children. It works by lowering cavity-causing oral bacterial levels and repairing and strengthening teeth.

Fluoride varnish is the standard topical fluoride treatment for children below the age of 6 years. It has been endorsed by the following organizations:

American Dental Association

American Academy of Pediatric Dentistry

American Academy of Pediatrics

American Academy of Family Physicians

Additionally, in May 2014, the US Preventive Services Task Force released the following Recommendation (grade B):