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FIRST VISIT

Helping a patient in the office of Orthodontist and Pediatric Dentist Dr. Steven Marcello in Thibodaux, LA

What to Expect

Our office, as well as the American Academy of Pediatric Dentistry, recommends that your child visit the dentist by his/her 1st birthday. You can make the first visit to the dentist enjoyable and positive. Your child should be informed of the visit and told that the dentist and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you refrain from using words around your child that might cause unnecessary fear, such as "needle", "shot", "pull", "drill" or "hurt". The office makes a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

We invite you to stay with your child during the initial examination. During future appointments, we suggest you allow your child to accompany our staff through the dental experience. We can usually establish a closer rapport with your child when you are not present. Our purpose is to gain your child's confidence and overcome apprehension. However, if you choose, you may come with your child to the treatment room. For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult.

Dental check-up at the office of Orthodontist and Pediatric Dentist Dr. Steven Marcello in Thibodaux, LA

Starting at Age 1

The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) all recommend establishing a "Dental Home" for your child by one year of age.

The Dental Home is intended to provide a place other than the Emergency Room for parents.

Pleasant First Visit

When the child is seen at one year, the first visit can be pleasant and uneventful, introducing the child and parents to the dental office. Emphasis is on the developmental assessment of the child’s oral health. Caries (tooth decay) or developmental disturbances can be managed early. Fluoride varnish may be applied to counteract beginning decay on newly erupted teeth.

Five Steps for Baby's First Dental Visit

Step 1
Clinical Examination
by Age 12 Months

  • Complete medical history
  • Knee-to-knee exam with guardian
  • Note clinical dental caries
  • Soft tissue irregularities
  • White-spot lesions, tongue anatomy
  • Enamel decalification, hypoplasia
  • Dietary staining

Step 2
Caries Risk Assessment

  • Bottle or breast fed at night on demand
  • Non-water in bedtime bottle
  • Decalcification/caries present
  • No oral home care
  • Sugary foods, snacks

Step 3
Diet Counseling for Infants

  • No juice or milk in bed
  • Sippy cups can encourage decay
  • Avoid sugar drinks, sodas
  • Encourage variety and a balanced diet
  • Low-sugar snacks
  • Fluorides – topical and systemic

Step 4
Oral Home Care for Infants

  • Brush/massage teeth and gums 2x daily
  • Small, soft toothbrush
  • Tiny amount of toothpaste, with Fluoride
  • Guidance on thumb sucking, pacifier
  • Response for home accidents, trauma

Step 5
Future Visit

  • Based on Risk Assessment
  • At age one year
  • Two years if delayed in development

We strive to make each and every visit to our office a fun one!