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Dental Milestones for Your Child

Closeup of a young baby smiling with her bottom baby teeth

Kids go through many growth milestones when they’re young. As a tired parent juggling many responsibilities, some days it feels like time passes very slowly. And then other times, it seems like you blink and your child looks so much older and bigger than before! These moments make you wish time would slow down again.

In regard to your child’s dental development, these are some milestones you can expect!

First Tooth: 6 months to 1 year old

While many children get their first baby tooth when they’re around 6 months old, kids can get their first baby tooth earlier or later. As soon as that first tooth erupts or by their first birthday, it’s time to visit a children’s dentist like CarolinasDentist! Even if your child doesn’t have their first tooth by age 1, we invite you to still come visit us.

Full Set of 20 Baby Teeth: 3 years old

By 3 years old, your child should have a full set of 20 baby teeth: 4 central incisors, 4 lateral incisors, 4 canines,  and 8 molars. But you can help them establish good oral care habits long before this time! These baby teeth affect the health of their underlying adult teeth and help a child learn to speak and eat.

As soon as any teeth emerge, brush them every day with a child toothbrush and child-friendly toothpaste. Floss between their teeth every day too. Doing so from a young age helps them become familiar and comfortable with routine oral hygiene!

Baby Teeth Start Falling Out: 6 years old

Most children start losing their baby teeth around 6 years old. This process lasts a few years so your child will have a mix of baby and adult teeth for a while.

Your child may be able to start brushing their teeth independently with supervision around this time. Keep up with their regular dental appointments so any problems are caught early. You don’t want your child getting cavities and losing their baby teeth before they’re ready!

Full Set of 28 Adult Teeth: 13 years old

By age 12 or 13, you child should have 28 adult teeth: 4 central incisors, 4 lateral incisors, 4 canines,  8 premolars, and 8 molars. They may still have 1-4 extra molars, called wisdom teeth, that will emerge between age 17-26.

They can maintain great oral health by brushing flossing every day; drinking plenty of water; consuming a balanced diet; and visiting our office for routine professional cleanings. If your child plays sports, they should protect their teeth with a sports mouthguard. Orthodontic treatments like braces or Invisalign® can correct misaligned teeth and improve their confidence.

Children’s Dentistry at CarolinasDentist

We’re proud to serve patients of all ages, including kids, at our many office locations. Keep in mind that children can reach their dental milestones earlier or later than the ages given here and still experience excellent oral health! If you have any concerns about your child’s dental development or questions about our services, please contact us today!

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Andrew Callender

Andrew Callender

Regional Director of Operations

Andrew Callender was born and raised in Denver, Colorado, and serves as one of our Regional Directors of Operations at CarolinasDentist, focusing on our Western NC and Charlotte regions. He joined the leadership team in 2025 and earned his degree from Western Colorado University. Andrew brings over 12 years of experience in dentistry, including more than 10 years of progressive leadership in healthcare operations and three years serving as a Regional Director of Operations. He relocated to North Carolina in 2023 and has quickly made an impact across the region.

Andrew is passionate about delivering outstanding patient care through operational excellence. He is committed to fostering an environment that aligns with CarolinasDentist’s values and culture while leveraging diverse perspectives and experiences to support team success and growth. His leadership style is rooted in collaboration, consistency, and continuous improvement.

Outside of work, Andrew enjoys spending time with his wife and their four children. He’s an avid golfer and also enjoys walking his lab, Harper—making the most of his time outdoors with family and fresh air.

Nate Bunyak

Nate Bunyak

Regional Director of Operations

Nate Bunyak brings a little bit of Pittsburgh grit and a whole lot of energy to everything he does. He is one of the Regional Director of Operations at CarolinasDentist focusing on our Triangle region, joining the team in 2026. Originally from Pittsburgh, PA, Nate graduated from Indiana University of Pennsylvania (IUP) with a degree in Marketing and Management—and has been putting both to work ever since. Three years ago, he traded in steel city winters for North Carolina sunshine—and hasn’t looked back.

When he’s not working, Nate is all about family life with his wife, Melissa, and their three kids—Bryce, Molly, and Connor. Whether cheering on their activities, exploring the outdoors, or simply embracing the joyful chaos of a busy household, he makes the most of every moment with his family.

An avid hiker and nature enthusiast, Nate loves adventures that combine fresh air, beautiful views, and lasting memories. That same adventurous, positive spirit carries into his work—he’s driven, all-in, and always ready to take on what’s next.

Jenna Holland

Jenna Holland

Regional Hygiene Director

Jenna Holland is a Fayetteville native and serves as Regional Hygiene Director, joining the leadership team in 2026. She began her career with CarolinasDentist in June 2016 as a dental hygienist in the Fayetteville office after graduating from Fayetteville Technical Community College. Over the years, she has grown within the organization, building strong relationships with both patients and team members while staying rooted in her passion for patient care.

Jenna is deeply committed to promoting overall well-being through oral health and believes in the powerful connection between a healthy smile and a healthy body. In her leadership role, she especially loves mentoring and coaching hygienists, helping them grow in confidence, strengthen their clinical skills, and develop into exceptional providers. She takes pride in supporting her team and fostering an environment of continuous learning and encouragement.

Her best advice for patients is simple: stay consistent with routine check-ups and cleanings to maintain optimal health. Outside of the office, Jenna enjoys traveling—especially to warm, tropical destinations—and is engaged to her high school sweetheart, adding a personal touch to her passion for caring for others.