A Parent's Guide to Your Child's Smile

From first tooth to first set of braces, here's what to expect at every stage — and how you can help your kids grow up loving the dentist.

0–6

The Growing Years

First teeth come in, baby teeth fall out, and the foundation for a lifetime gets built.

1

First Dental Visit

The AGD recommends the first visit by age one — and how you talk about it matters.

7+

Time for an Ortho Check

Age 7 is when we can start spotting alignment issues early — before they get harder to fix.

0–6

The Growing Years

Baby's first teeth — and everything that follows

What every parent should know

All 20 of your baby's primary teeth are already present in the jaw bones at birth. They erupt during the first three years, and while they're “just baby teeth,” they matter — a lot. They shape how your child chews, speaks, and even how their face develops.

Why primary teeth matter

Baby teeth aren't just placeholders. They help your child learn to chew properly, develop clear speech, and guide the permanent teeth into the right positions underneath.

Both primary and permanent teeth also help give the face its shape and form — which is why early dental care has effects well beyond the mouth.

What you can do at home

Start cleaning your baby's gums with a soft cloth even before the first tooth appears. Once teeth come in, brush twice a day with a soft child-sized brush and a rice-grain-sized smear of fluoride toothpaste.

And bring them in by their first birthday. We'll take it from there.

Primary Teeth — When they erupt, when they fall out

Every child is different — these are typical ranges, not a schedule to worry about.

Upper Teeth

Tooth
Erupts
Sheds
Central incisor
8–12 mos
6–7 yrs
Lateral incisor
9–13 mos
7–8 yrs
Canine (cuspid)
16–22 mos
10–12 yrs
First molar
13–19 mos
9–11 yrs
Second molar
25–33 mos
10–12 yrs

Lower Teeth

Tooth
Erupts
Sheds
Central incisor
6–10 mos
6–7 yrs
Lateral incisor
10–16 mos
7–8 yrs
Canine (cuspid)
17–23 mos
9–12 yrs
First molar
14–18 mos
9–11 yrs
Second molar
23–31 mos
10–12 yrs

Permanent Teeth — When they come in

The first permanent molars typically show up around age 6 — often before the first baby tooth is lost. Hover any row or tooth below to link the two.

Upper Teeth

Tooth
Erupts
Central incisor
7–8 yrs
Lateral incisor
8–9 yrs
Canine (cuspid)
11–12 yrs
First premolar
10–11 yrs
Second premolar
10–12 yrs
First molar
6–7 yrs
Second molar
12–13 yrs
Third molar (wisdom)
17–21 yrs

Lower Teeth

Tooth
Erupts
Central incisor
6–7 yrs
Lateral incisor
7–8 yrs
Canine (cuspid)
9–10 yrs
First premolar
10–12 yrs
Second premolar
11–12 yrs
First molar
6–7 yrs
Second molar
11–13 yrs
Third molar (wisdom)
17–21 yrs
Patient's RightPatient's Left
Upper Arch · Maxilla
Midline
Lower Arch · Mandible
Hover a tooth name in the table — or a tooth in the chart — to see its role.
Incisorsfor cutting
Caninesfor tearing
Premolarsfor crushing
Molarsfor grinding

1

The First Visit

How to make your child's first dental visit a good one

The recommendation

Both River Street Dental and the Academy of General Dentistry recommend bringing your child in for their first visit by age one. It's early — but that's the point. The first visit sets the tone for every visit after.

The Big Idea

How you talk about the dentist matters more than you'd think.

Kids pick up on everything. The words you use before that first appointment can shape how they feel about dental care for years — so a little intention goes a long way.

Do

  • Speak in general, positive terms
  • Frame it as something that keeps them feeling good
  • Lead by example — let them see you going every six months
  • Keep it casual. It's a normal part of growing up.

Avoid

  • Negative words: “hurt,” “needles,” “drill”
  • "It won't hurt" — mentioning pain at all plants the idea
  • Sharing your own dentist anxiety in front of them
  • Using the dentist as a threat or consequence

What happens at the first visit

Short, gentle, and mostly about getting acquainted. We'll check the teeth that have come in, look at the gums, and talk with you about brushing, fluoride, pacifier and thumb habits, and what to expect next.

No drills, no needles, no pressure. Just a chance for your child to meet us.

When children see you going, they follow your lead

The single best thing you can do for your kids' dental health is to model it yourself. When visiting the dentist every six months looks normal and easy to them, it becomes normal and easy for them too.

That's the whole trick.

7+

Orthodontic Evaluation

Age 7 is the time to check in on alignment

Why age 7

By age 7, enough permanent teeth have come in — and enough jaw growth has happened — for us to see how things are developing. Catching alignment issues now means we can often guide the way teeth come in, rather than correcting them later.

What an early evaluation can spot

Crowding, crossbites, overbites, underbites, thumb-sucking effects, and narrow jaws are easier to address while a child is still growing. Some conditions respond beautifully to early interceptive orthodontics — and can save your child from bigger procedures down the road.

Early doesn't mean braces now

Most 7-year-olds who get an ortho check won't need treatment right away. The evaluation is about timing — knowing whether to act early, wait and watch, or start planning for braces or Invisalign in a few years.

Know a family with kids ages 7–12?

If your friend's children are in this age range, tell them about us. A lot of parents don't realize how young an ortho evaluation can happen — and word of mouth is still how most of our families find us.

Ready When You Are

We love seeing your kids grow up.

From first teeth to first braces, River Street Dental is here for the whole journey. Schedule a visit whenever you're ready — no pressure, no judgment, and we'll keep things gentle.

Schedule an AppointmentOr give us a call — (715) 635-8282