During those initial exams it allows us to check oral hygiene and diet so that each child has the opportunity to properly care for their teeth. Before the child has the dexterity to properly brush the parent will have to help brush when the child finishes. I was taught that when the child can color in a coloring book and can stay in the lines you can start to let them brush without helping them. Along with that before the age of two they usually can’t spit so only a smear of toothpaste can be used to prevent ingesting too much flouride and an upset stomach. We can also evaluate if the child needs fluoride supplimentation due to lack of flouride in well water or having a high caries risk. Remember even babies can get cavities especially when they are put to sleep with a bottle with any type of liquid with sugar in it. The only really safe liquid is water!