When to Start Brushing Baby Teeth:
A Dentist Explains

Last Updated: August 4, 2025

🕒 5 min read


When to Start Brushing Baby Teeth: A Dentist Explains - Key Visual

🚀 Short answer

You might be surprised by the answer:

As soon as the first tooth shows up.

Baby teeth might be temporary, but they’re far from irrelevant.
They’re often ignored because they eventually fall out —
which is like saying seatbelts don’t matter because
you won’t crash every day.

These first baby teeth help your child transition to solid foods.
And chewing isn’t just about breaking food apart — it’s the first step of digestion.
Good chewing helps the body absorb nutrients that support your baby’s growth and development.

Healthy baby teeth also play a major role in speech, jaw development, and holding space for adult teeth to come in where they’re supposed to.
On the flip side, tooth decay and root infections in baby or toddler teeth can cause pain, inflammation, and stress —
especially when infections are ignored because “they’re just baby teeth.”

So yes, they’re temporary.
But they still deserve real care.


🪥 How to Clean Baby Teeth

A standard toothbrush isn’t exactly user-friendly inside a tiny mouth that moves unexpectedly.
The good news: you have better options early on.

Two pieces of Compress Gauze on a blue background
  • Gauze Compress:
    Not exactly glamorous, but surprisingly effective.
    Wrap a clean, damp gauze around your finger and gently wipe your baby’s teeth and gums.
    Simple. Gentle. Effective.
    Try it once yourself — you’ll be impressed by how much plaque it removes.

  • Finger Toothbrush:
    Soft silicone brushes that slide over your finger.
    They clean teeth and massage gums without turning brushing into a wrestling match.

  • Baby Toothbrushes:
    Small heads, soft bristles, made for tiny mouths.
    They work well as more teeth appear — but they take a bit of practice (for both of you).

The goal isn’t artistic brushing.
The goal is to remove plaque.

Find what works best for you and your baby.
The routine will come with time.


🛁 Brushing Habits Start Early

At this stage, brushing is less about perfection and more about consistency.

Illustration of teenager brushing teeth with a cloud of remembering when he was a baby and brushing his teeth

Once or twice a day is enough — especially before bedtime.

While brushing, try to:

  • Gently clean all sides of the teeth
  • Make brushing part of the bedtime routine
  • Let your baby watch you brush your own teeth

Kids copy what they see.
Use that to your advantage.


🍬 Avoiding Sugar Is Just as Important

Brushing matters — but sugar control matters just as much, if not more.
The biggest risk to baby teeth isn’t missing a brushing once in a while.
It’s frequent exposure to sugar, especially before sleep.

Common troublemakers include:

  • Sweetened milk or drinks
  • Fruit juices
  • Baby snacks with hidden sugars

🤱 Breastfeeding does NOT cause tooth decay, despite how often that myth pops up.
Breastfeeding is actually beneficial for your baby’s health.
Breast milk contains antibodies and lactoferrin, which help fight bacteria linked to tooth decay.

So if you’re breastfeeding — relax.
Breast milk alone isn’t the problem.


🫧 What About Toothpaste?

Here’s something that surprises many parents:

Toothpaste is optional in the beginning.

The toothbrush does the real work — at any age, including adulthood.
Good brushing technique beats toothpaste every time.

Illustration of a toothbrush with a happy face holding a toothbrush standing on a podium at the first place, second place is a tube of toothpaste, 
and third place is a mouthwash bottle

Toothpaste is an assistant, not the star.
It helps speed things up and makes brushing more enjoyable — especially since most baby toothpastes are flavored.

If you prefer to avoid fluoride, that’s fine.
If you choose a fluoride toothpaste, use one made for infants and apply only a tiny smear — about the size of a grain of rice.

Toothbrush vs toothpaste and everything about fluoride will be covered in future articles — stay tuned.


📌 No Time, Have to Rush

  • 🦷 Start brushing with the first tooth
  • ✋ Use gauze, a finger brush, or a baby toothbrush
  • 🛁 Build the habit, not perfection
  • 🍬 Watch out for hidden sugars, especially during weaning
  • 🤱 Breastfeeding is protective, not harmful
  • 🪥 Toothbrush > toothpaste, especially early on

❓ FAQ: Brushing Baby Teeth

How old should you start brushing a baby's teeth?
The short answer: the moment the first tooth shows up. This is usually between 6-8 months when the first tooth appears. Not when they "have more teeth." Tooth equals plaque equals bacteria. Waiting doesn’t make things easier — it just gives bacteria a head start.
How do I clean my 7 month old's teeth?
Keep it simple. Use a damp gauze, a finger toothbrush, or a soft baby toothbrush. Gently wipe or brush the tooth surfaces once or twice a day. You’re not scrubbing a frying pan — you’re removing plaque. It's not about perfection, especially at this age when they are not eating over-sugary foods (or not supposed to), it's more about developing the habit.
Is it OK to use water only to brush baby teeth?
Yes. Especially in the beginning. Brushing with water is far better than not brushing at all. The mechanical action of removing plaque matters more than toothpaste at this stage.
Does my 7 month old need toothpaste?
No. Toothpaste is optional early on. If you do use it, a tiny smear of baby-safe toothpaste is enough. Toothbrush first, toothpaste second — always.
What toothpaste is safe for babies?
If you choose toothpaste, use one made specifically for infants. If it contains fluoride, keep the amount to a rice-grain size. More is not better — it’s just messier.
Can I use a finger toothbrush for my baby?
Absolutely. Finger toothbrushes are gentle, effective, and easier to control in tiny mouths. They’re often the best option when brushing first teeth — and less likely to start a wrestling match.
What happens if I don't brush my baby's teeth?
Plaque builds up. Bacteria multiply. Cavities don’t wait for kindergarten. Baby teeth can decay surprisingly fast — and decay can mean pain, infection, and dental visits nobody enjoys.
What are signs of decay in baby teeth?
Early signs include white chalky spots, yellow or brown discoloration, and sensitivity. Later signs are visible holes, pain, or swelling. If something looks off, it probably is — get it checked.
Should I let my 1 year old brush their own teeth?
You should definitely let him — for fun and building a habit. But you still do the real brushing. Toddlers don’t have the coordination to clean teeth properly, and they won't for long time (if they can't tie their own shoelaces then you know). Think of it as "assisted brushing" for the next few years.
Should you brush baby teeth before or after milk?
After the last feeding — especially before sleep. Milk sugars sitting on teeth overnight are exactly what cavity-causing bacteria love. Brushing before bed matters most.

A clean start beats a complicated fix later. 🍀

Good tips deserve to be shared.

Logo icon of a dentist holding a dental mirror instrument

Author: DMD Alexander K.
Doctor of Dental Medicine on dental topics. Facts first. Drama optional.
Learn more on the About page.

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