The eruption timing varies a lot. There may be missing teeth. The front teeth may not touch when the child closes down because the back teeth have overerrupted. The saliva may be thick or the infant may have a dry mouth. As soon as the first tooth comes in the parent can start to gently brush the teeth each day.
Minimal toothpaste is needed or just a wet toothbrush is acceptable if the child tends to aspirate.
As more teeth come in, it becomes important to start flossing between teeth. The first appointment with a dentist should come by age one and a half or two. This should probably be with a pediatric dentist, though there may be a need for a dental team to be involved as the child grows. The team may include the general dentist, orthodontist, and oral and maxillo-facial surgeon. Examinations and professional cleaning should be performed at least every six months.