From the first tooth

Infant & Toddler Care

Answers on teething, bottles, thumbs and pacifiers for parents of children under three.

5.0from 300+ Google reviews
Ages seen First Tooth to Age 3
Exam Knee to Knee, with You
Brushing Shown on Your Own Child
Next visit Usually Six Months

The first three years

Care for their very first teeth

Most of what matters in the first three years is habit, not treatment.

What goes in the bottle at night, how long the pacifier stays, and how you brush teeth someone is actively resisting.

Is it right for you?

Babies and toddlers

From the first tooth to age three. Baby teeth guide chewing, speech and the adult teeth into place, so early visits watch how they come through.

We will talk it through with you at your child’s appointment.

Five steps

A visit designed around your little one

  1. Knee to knee

    You hold your child; we look together.

  2. Counting

    Which teeth are through, which are coming.

  3. Habits

    Bottle, breast, pacifier, thumb: what is fine and what is not.

  4. Brushing

    A practical demonstration on your own child.

  5. Next

    Six months, usually.

Pediatric dental specialist

Meet your child’s dentist

Dr. Neha Saggar, DMD

Elite’s pediatric dental specialist: first visits, cleanings, sealants and restorative care for infants, children and teens, with parents in the room.

  • Pediatric dental and general practice residencies, BronxCare Health System
  • Dental degree, Tufts University School of Dental Medicine
  • Master’s in Biomedical Sciences, University of Medicine and Dentistry of New Jersey
Read full profile

Your child’s appointment

Siblings can be seen back to back, so you make one trip.

Office hours
Mon9:00 - 5:00
Tue - Thu9:30 - 5:30
Fri9:00 - 4:00
Sat8:30 - 1:30 (select)
SunClosed
Book a Pediatric Appointment

Cost and coverage

Cost, insurance and financing

Our team guides you through your child’s dental benefits and the care HSA or FSA funds can pay for.

Is my child’s plan accepted?

The plans we accept for pediatric dentistry include Aetna, Cigna, Delta Dental, Guardian, Horizon and MetLife. The plan type matters, so check the full list below.

What will the plan cover?

Benefits differ from plan to plan. Call with the plan name on the card and we will confirm your child’s benefits.

Can we use HSA or FSA funds?

Yes. Exams, cleanings, X-rays, sealants, fluoride and emergency treatment can all qualify for pre-tax HSA or FSA funds.

Questions about a bill?

Our administrative team is here to help with insurance, scheduling and financial policy questions. Call 973-706-8339.

Eight common questions

What parents ask

When should my child first see a dentist?

By the first birthday, or within six months of the first tooth. The first visit is mostly a conversation with you.

How is an infant dental visit different from a regular appointment?

It is about prevention and advice rather than treatment. The dentist gently checks your baby’s teeth, gums and jaw development and talks with you about feeding, fluoride, brushing, teething and preventing cavities. If your baby has started teething, you are shown the best way to keep the new teeth clean.

Do babies under one year old need toothpaste?

Yes. Once the first tooth appears, brush twice a day with a soft-bristled toothbrush and a smear of fluoride toothpaste about the size of a grain of rice. Before the first tooth, wipe the gums with a soft, damp cloth.

When does teething start, and how can I soothe sore gums?

Teething usually begins around 6 months of age, although every child is different. A clean, chilled teething ring or a cool washcloth can comfort sore gums. If you are worried about teeth coming in late or a lot of discomfort, the pediatric team is happy to take a look.

What are the early signs of tooth decay in babies?

White or brown spots near the gumline, discoloration, or small areas of damage on the teeth. If you notice chalky white spots on your baby’s front teeth, book an appointment as soon as you can so the area can be checked and treated early.

Can my baby get cavities before their first birthday?

Yes. Decay can start as soon as the first tooth comes in if plaque and sugars stay on it. Regular brushing, healthy feeding habits and routine dental visits prevent it.

How can I protect my baby’s teeth at home?
  • Clean your baby’s gums with a soft, damp cloth before the first tooth appears.
  • Once the first tooth is in, brush twice a day with a soft-bristled toothbrush and a small smear of fluoride toothpaste.
  • Do not put your baby to bed with a bottle, and avoid long bottle feeding.
  • As your child grows, offer water between meals and limit sugary drinks and snacks.
  • Do not share utensils or clean a pacifier with your mouth; it passes on the bacteria that cause cavities.
  • Keep up regular check-ups so development can be monitored.
Why do dental visits matter in the toddler years?

Toddlers become more independent with eating, drinking and brushing, which can raise their risk of cavities if good habits are not in place. Regular visits let the team monitor the new teeth, reinforce brushing, check how the bite is developing and address habits such as long-term thumb sucking or pacifier use before they affect the teeth.