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A first visit for a toddler is short, about 20 to 30 minutes. The dentist may do a "knee-to-knee" exam with the parent holding the child. They will check for cavities, assess bite development, and clean the teeth if the child cooperates. For older children, visits include X-rays (typically starting around age four to five), professional cleaning, fluoride treatment, and an exam. The dentist will discuss brushing technique, diet (sugary drinks are the top cavity cause in children), and fluoride recommendations. If treatment is needed, the dentist will explain behavior management options based on the child's age and temperament.
Take your child to a pediatric dentist for their first visit by age one. After that, visits every six months for cleanings and exams are standard. See a pediatric dentist specifically (rather than a general dentist) if your child has significant anxiety about dental visits, special healthcare needs that affect cooperation, multiple cavities requiring treatment under sedation, dental trauma (knocked-out or chipped tooth), or unusual tooth development. Pediatric dentists also manage space maintainers when baby teeth are lost early and can identify early orthodontic issues.
Exam and cleaning: $0-50 copay · Fluoride treatment: $0-25 · Filling: $100-250 · Stainless steel crown: $200-400 · Sedation: $150-500 · Sealants: $30-60 per tooth
A child should see a dentist by their first birthday or when the first tooth appears. Pediatric dentists make early visits positive experiences that set the foundation for a lifetime of good oral health.
Cavities in baby teeth still need treatment because they can cause pain, infection, and damage to developing permanent teeth. Pediatric dentists use child-friendly techniques and, when needed, sedation options.
Fear of the dentist is common in children and can carry into adulthood if not addressed. Pediatric dental offices are designed to be welcoming, and the staff is trained to help anxious children feel safe.
Prolonged thumb sucking or pacifier use can affect tooth alignment and jaw development. A pediatric dentist monitors these habits and recommends intervention timing when needed.
Dental sealants coat the chewing surfaces of back teeth, reducing cavity risk by up to 80%. Combined with fluoride treatments, they are one of the most effective preventive tools for children.
Most dental insurance plans cover pediatric preventive care (exams, cleanings, fluoride, sealants) at 100% with no copay. Basic restorative work (fillings) is covered at 80%. Crowns and sedation have lower coverage, typically 50% to 80%. The ACA requires pediatric dental coverage in marketplace plans, making children's dental care one of the 10 essential health benefits. Medicaid and CHIP cover dental care for children in all states, often with $0 copay. Space maintainers and interceptive orthodontics may need pre-authorization. If your child needs treatment under general anesthesia, medical insurance may cover the hospital facility fee.