Oral health is integral to a child’s overall health and well-being and physicians have the rare opportunity to provide a major line of defense against future oral disease. Although it is recommended that a child’s first dental visit occur at the eruption of the first tooth and no later than 12 months of age, most parents do not know this or do not have a relationship with a dentist who will see a child that young.  Due to these barriers, a child’s primary care provider is often the first clinician to examine a child’s mouth.