Dental emergency? Seen today8175 Custer Rd, Suite A110 · Frisco, TX 75035Frisco, TXOpen today 9–6(469) 262-2111Book an appointmentBook now
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Children's Dentistry

Baby Teeth Timeline in Frisco, TX

Most of what worries parents about baby teeth is normal variation. Here is the usual pattern, the wide range around it, and the short list of things actually worth ringing about.

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First toothusually 6–10 months, and 3–14 is still normal
All 20 by threeroughly, and the order matters more than the date
First to gousually the bottom front, around six
Done by twelvemost children, give or take a year
The process

Baby teeth chart: usual order and normal ranges

Timing varies enormously between children and is largely inherited. The order is far more consistent than the dates, which is why order is what we actually watch.

  1. 6–10 months — the bottom front two

    The lower central incisors usually arrive first. Anywhere from three months to well past a year is still within normal, and a late first tooth on its own is very rarely a problem.

  2. 8–12 months — the top front four

    The upper centrals, then the ones either side. This is the stage that produces the gap-toothed toddler smile, and the gap between the top two closes on its own in the great majority of children.

  3. 12–18 months — the first molars

    The back chewing teeth arrive before the canines, which surprises parents who expect them in visible order. These are commonly the ones that cause the most obvious teething discomfort.

  4. 16–22 months — the canines

    The pointed teeth, filling the gap between the front teeth and the first molars.

  5. 24–33 months — the second molars

    The last to arrive, right at the back. By around three years most children have all twenty.

  6. 6–12 years — baby teeth fall out in roughly the same order

    Bottom front first, usually around six, and it broadly follows the sequence they arrived in. The last baby teeth are typically gone by eleven or twelve.

Good to know

What to know about baby teeth and when they change

Shark teeth in kids: an adult tooth behind a baby tooth

An adult tooth appearing behind a baby tooth that has not fallen out, usually at the bottom front around six. It looks alarming and it is very common and almost always resolves on its own. The baby tooth is generally loosened by the tongue over the following weeks and comes out, and the adult tooth then moves forward into place under the pressure of the tongue and lip. Encourage wiggling; do not pull. It is worth having looked at if the baby tooth is still firmly in place after two or three months, or if the adult tooth is coming through well behind where it should be. Otherwise the default answer is to leave it alone. Parents are often surprised how frequently the honest advice in children's dentistry is to do nothing.

A chairside monitor showing a child's lower front teeth, with a permanent tooth erupting behind a retained baby tooth.

Baby teeth lost too early or too late

Both directions have a threshold worth knowing. Losing baby teeth early, before about five, matters because of space. A back baby molar lost at four or five leaves a gap the adult molar drifts into, which is why we may recommend holding it. Losing them late matters far less than parents fear. A child with no loose teeth at seven is usually just running a slower clock, and the useful check is simply an X-ray to confirm the adult teeth are there and on their way. Genuinely missing adult teeth is uncommon but not rare, and finding out at seven gives everybody years to plan, long before it would otherwise turn into a surprise at twelve.

An adult's open palm beside a child's, a lost baby tooth resting in the child's hand.

Children's dental checks near Frisco, Prosper and Plano

Routine children's dental checks are done in our office at 8175 Custer Rd, Suite A110, Frisco, TX 75035. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM. Wednesday and Sunday we are closed, though the phone is still answered on Wednesday. Patients come from Frisco and from Prosper, Plano, Little Elm, Allen, Celina and McKinney. Call (469) 262-2111 to book a visit.

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Choosing between options

Baby teeth: normal, or worth calling us?

Almost everything on the left is what parents actually ring about, and almost all of it is fine.

Comparison of Normal, Worth a call
FeatureNormalWorth a call
First tooth lateNothing by 12 months, no other concernsNothing by about 18 months
Adult tooth behind a baby oneVery common at six — encourage wigglingBaby tooth still firm after 2–3 months
Gap between the top front teethUsual, and it mostly closes on its ownPersisting once the canines are through
Teeth look crowdedCommon at 7–9 while adult teeth arriveA tooth erupting well out of position
Nothing loose yetAt six, or even sevenBy about eight, with nothing moving
A gray baby toothAfter a knock, fading over monthsGray with swelling, a spot on the gum, or pain
Discomfort while teethingGrizzly, dribbling, chewing everythingA fever — teething does not cause fevers
In depth

When do baby teeth fall out?

The order matters more than the dates.

Almost every worried phone call about baby teeth is about timing — too early, too late, nothing happening. Timing varies enormously between children, is largely inherited, and on its own is very rarely a problem.

What is worth attention is the pattern: a tooth erupting well out of position, one side developing very differently from the other, or a sequence that has clearly stalled while everything else has moved on.

Those are the things a routine checkup is watching for, and they are why visits between six and twelve matter more than they look. There is usually no treatment at those appointments. There is a lot of watching a sequence unfold, and knowing what to do about it in the small number of cases where it does not.

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Related pages: your child’s first dental visit, space maintainers after an early tooth loss and children’s dentistry.

Cost & insurance

Baby teeth dental visit cost in Frisco: what to expect

Watching costs nothingMost of what is on this page is answered at a routine checkup you were having anyway, at no extra charge.
An X-ray, occasionallyWhere a tooth is late or missing, one image answers it. Usually covered, and always explained before it is taken.
Extracting a stubborn baby toothA short appointment and a small fee, and it is needed far less often than parents expect — most come out on their own with a bit of wiggling.
Space maintainersWhere a back baby tooth is lost early, this is the appliance worth asking about, and it is commonly covered on PPO plans and under Medicaid and CHIP.

You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.

Using your insurance

How plans usually cover children's dentistry.

Preventive and diagnostic — Class I on most plans

What plans pay
Usually paid at 100%, which is why children's dentistry feels free at the desk. It is not free; it is prepaid, and it is the part of the plan worth using every year.
Deductible
Usually waived. Most plans do not apply the deductible to preventive care, which is one of the few pieces of good news in plan design.

What catches people out

  • Frequency limits are counted by date — not by calendar year. "Two cleanings a year" usually means six months and a day between them, so an appointment moved a week early can be the one that is not paid.
  • It still spends your annual maximum. The plan paying 100% is the plan paying out, and that draws the ceiling down even though you hand over nothing — which is exactly how two ordinary visits can leave very little behind.
  • Some plans exclude preventive care from the maximum altogether. We check whether yours does, because it changes how the whole year should be sequenced.

These are how dental plans usually classify this treatment — not a statement about your own plan. Yours is the one that governs, plans differ more than people expect, and the only reliable answer comes from reading your specific benefits, which we always do ahead of treatment and give you in writing.

And what changes out-of-network

A dentist who is in-network has signed a contract fixing what may be charged for each procedure and cannot bill you the difference. One who is out-of-network has signed nothing, so the full fee stands.

So the first difference is the price itself — the same treatment is simply allowed to cost more out-of-network, before anyone's plan is considered.

What you personally pay out of that depends on your own deductible and coinsurance, which is why there is no percentage here: it is not a property of the treatment, it is a property of your plan, and we verify yours before you commit. But two things follow for everybody. Your share is a share of a bigger number. And your annual maximum is spent by what the plan pays toward that bigger number, so the same treatment eats more of your benefit out-of-network.

An illustration, not a quote. Both allowed fees for children's dentistry are not yet on hand, so the chart above shows a crown instead — the one procedure we hold both sides for. The in-network side is today's contracted allowance; the out-of-network side is what a single carrier allowed during a period when we were not contracted with it, and it is a few years old. Across the 23 procedures where we hold both allowed fees, out-of-network is between 1.2 and 5 times the in-network figure — most often a little over twice.

Check the going rate yourself

FAIR Health's dental cost lookup is free, needs no account, and is not ours — it reports what a procedure typically costs in your area. It does not know your plan, so treat it as a ballpark figure — not a final answer.

Ask us for the number first

We verify your specific plan before your appointment and give you a written estimate: what the plan is expected to pay, and what you pay. If we get it wrong we tell you why.

Bring an Explanation of Benefits

Treated somewhere else? Your EOB shows exactly what the plan paid and what it counted against your maximum. Bring one in and we will read it with you — whether or not you become a patient here.

None of this says out-of-network dentists are worse dentists. Plenty are excellent, plenty are out-of-network for sound reasons, and people choose a dentist for who that person is. What we think you are owed is the information, so that whatever you choose, you chose it knowingly. The whole thing, explained properly, or call (469) 262-2111 and ask.

What happens next

What we check at each age as baby teeth change

The point of routine visits through these years is not finding cavities. It is watching a sequence unfold.

  1. Ages 1–3New teeth arriving and habits to watch

    That teeth are coming in roughly in order, and that bottles, cups and brushing are set up sensibly before habits harden.

  2. Ages 4–6Spacing between baby teeth

    Gaps between baby teeth are a good sign — room for the larger adult teeth. Tightly packed baby teeth often mean crowding later.

  3. Ages 6–8The first adult molars and front teeth

    The first permanent molars arrive at the back around six, with nothing falling out first, and they are often mistaken for baby teeth. They are the teeth most worth sealing.

  4. Ages 7–9The mixed-teeth stage: baby and adult teeth together

    Big teeth in a small jaw. Some crowding here is expected and often resolves as the jaw grows. This is also when we can see whether it will not.

  5. Ages 9–12Losing the last baby teeth

    Canines and back baby teeth go last. This is the window when orthodontic timing is genuinely decided, and it is why routine visits at this age matter more than they appear to.

Getting here

Booking baby teeth timeline in Frisco

Teething does not cause a fever. A baby who is genuinely unwell with a temperature has something else going on and should be seen by their doctor. It should not be attributed to teeth.

Hours
Weekdays 9–6
Saturdays 9–3
Languages
English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Also serving
McKinneyPlanoProsperLittle ElmAllenCelina
Before you call

Baby Teeth Timeline FAQs in Frisco, TX

Grouped so you can go straight to the one you came for.

Baby Teeth Timeline — common questions

When do baby teeth fall out?
Usually starting around six with the bottom front two, then broadly in the order they arrived, and finishing at about eleven or twelve. There is a very wide normal range — a child who has lost nothing at seven is usually just running a slower clock. What we watch is the sequence more than the dates.
When do baby teeth come in?
The bottom front two come at six to ten months, the top front four by about a year, and first molars at twelve to eighteen months. Canines follow at sixteen to twenty-two months and second molars by three. The first tooth can appear from three months to well past a year, and timing is largely inherited.
Are shark teeth a problem when an adult tooth grows behind a baby tooth?
Usually not. It is common at around six and looks worse than it is. In most cases the baby tooth loosens over the following weeks and comes out, and the adult tooth moves forward into place. Encourage wiggling, but do not pull. Have it looked at if the baby tooth is still firm after two or three months.
My child has no loose teeth at seven. Should I worry?
Almost certainly not. Late is usually just late, and the range is wide. If nothing is moving by around eight, a single X-ray confirms the adult teeth are present and on their way, mainly for reassurance. Missing adult teeth are uncommon but not rare, and finding out at seven gives everyone years to plan.
Is teething making my baby feverish?
No. Teething can cause grizzliness, dribbling, chewing on everything and disturbed sleep, but it does not cause fever. A baby with a temperature has something else going on and should be seen by their doctor. This is worth being firm about, because blaming a fever on teething is how illness gets missed.
My child's teeth look crowded. Do they need braces?
Possibly. Seven to nine is when crowding looks worst and means least, with big adult teeth arriving in a jaw that has not finished growing. Some of it resolves. What matters is the pattern more than the crowding itself, and we watch it at routine visits through those years. If early treatment would help, the window is real.
There are gaps between my child's baby teeth. Is that bad?
It is a good sign. Baby teeth are smaller than the adult teeth that replace them, so gaps are room being held in advance. It is tightly packed, gap-free baby teeth that more often predict crowding later. This is the reverse of what most parents assume.
A baby tooth has gone gray after a knock. What now?
Very common, and often it settles. The tooth darkens from bruising inside and may fade over months, or stay gray and fall out on time. What matters is what comes with it. Swelling, a pimple on the gum above it or pain needs to be seen, because that suggests infection above the developing adult tooth.
When do babies get their first teeth?
Most babies get their first tooth at around six months, usually a bottom front one. Anywhere from three months to past a year is normal, and timing is largely inherited. Once a tooth appears, start brushing with a smear of fluoride toothpaste and plan a first dental visit by the first birthday.
Is it normal for a 5 year old to lose a tooth?
Sometimes. Baby teeth usually start to loosen around six, beginning with the bottom front two, and the range is wide. Losing a baby tooth before about five matters more, because of space, especially a back molar. Show us the gap at a routine visit and we will tell you whether it needs holding.
Can baby teeth fall out at age 3?
Not normally. By around three most children have all twenty baby teeth, so one that comes out at that age usually points to a knock or to decay. A baby tooth lost early matters because of the space it leaves. Call us and we will look at the area and the adult tooth beneath.
When do molars come in?
Baby molars come in two stages. The first molars arrive at twelve to eighteen months, ahead of the canines, and are often the teeth that cause the most teething discomfort. The second molars, right at the back, arrive between twenty-four and thirty-three months. By about three, most children have all twenty.
Dental emergency?

Toothache at 7am? You'll be seen today.

Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.

Other treatments

Everything else under this roof.

White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.

IPreventive dentistry and cleanings in Frisco

Preventive Dentistry

Regular dental checkups, professional cleanings, night guards, and jaw-pain care. Every routine exam includes an oral cancer screening to protect your long-term health.

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IIChildren's dentist in Frisco, TX

Children's Dentistry

Gentle first dental visits, protective sealants, fluoride applications, and space maintainers. We accept Children's Medicaid and CHIP, and every young patient receives a toy-machine token at the end of their visit.

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IIIOrthodontics and Invisalign in Frisco, TX

Orthodontics

Clear aligners with Invisalign® and comprehensive traditional braces. Your treatment is fitted, monitored, and adjusted in-house by your trusted dentist.

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IVDental implants, bridges and dentures in Frisco, TX

Missing Teeth

Permanent dental implants, dental bridges, and customized dentures planned using 3-D CBCT scans. Because our team includes a board-certified periodontist, your implant surgery, placement, and final crown are completed in the same building.

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VCosmetic dentistry in Frisco, TX — whitening and bonding

Cosmetic Dentistry

Professional Zoom whitening, custom take-home whitening trays, and composite tooth bonding designed to brighten and refine your natural smile.

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VIPeriodontist in Frisco, TX — laser gum disease treatment

Periodontics & Oral Surgery

Specialized gum disease therapy, scaling and root planing (deep cleanings), frenectomies, and periodontal surgery performed by our board-certified periodontist.

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VIICrowns, bridges and fillings in Frisco, TX

Restorative Dentistry

Custom porcelain crowns, bridges, tooth-colored fillings, and full-mouth restorations crafted to match the natural look, feel, and function of your teeth.

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VIIISedation dentistry in Frisco, TX

Sedation Dentistry

Relaxing dental care tailored to your comfort level. We offer nitrous oxide (laughing gas) for any routine clinic visit, as well as oral and IV sedation planned ahead with our periodontist.

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IXEmergency dentist in Frisco, TX — same-day appointments

Emergency Dentistry

Toothaches, broken teeth, knocked-out teeth and lost crowns — seen the same day, Saturdays included.

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