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Track These Important Dental Milestones for Your Child

Mom and Dad smile as they embrace their young daughter on the couch in their family room

There are so many milestones in a child’s life! Have you ever considered all of the dental-related milestones that kids can achieve? While every child’s exact timeline is unique, here are some common dental milestones that most children should experience:

First Baby Tooth

Your baby could get their first tooth as early as 6 months old! By age three, they should have 20 teeth. While periods of teething can be a stressful time, it’s also exciting since it means your baby is growing! Their new chompers will open up a wider variety of food options, and eventually help them express themselves verbally.

First Visit to the Dentist

The American Dental Association recommends that children have their very first dental visit around the time their first tooth grows in or by their first birthday, whichever happens first. First dental visits involve introducing your child to the dental office, dental team, and a few tools. At our office, we examine their gums and any teeth to check that everything is developing normally and are healthy. We brush their teeth and answer any questions you may have about their oral healthcare. We’ll also give them a little prize!

Losing Their Baby Teeth

Unless a tooth suffers from gum disease or trauma, a loose baby tooth means some of your child’s underlying adult teeth are ready to start growing in. When their first tooth becomes wiggly, your child will likely feel eager to have it finally come out! However, refrain from pulling the loose tooth out. Encourage your child to keep wiggling it with a clean finger or tissue. It will fall out when it’s ready.

When your child’s first set of adult molars grow in around age 6, we recommend having their dentist fill the grooves with dental sealants to help protect these teeth from developing tooth decay.

Orthodontic Consultation

Patients as young as seven years old can be evaluated for orthodontic intervention. Some patients think that they should wait until their child is a teen before they are evaluated for orthodontic treatment. However, scheduling an orthodontic consultation a few years earlier can allow for more treatment options and result in a more efficient and shorter overall treatment plan for your child. While it may not be recommended for your child to receive treatment at their first consultation, their orthodontist can estimate an ideal time for them to begin treatment.

Wisdom Teeth Removal

Many patients have their wisdom teeth removed in their late teens or early twenties. Some lucky patients don’t have wisdom teeth or never need them removed. During your child’s routine dental exams, we will take X-rays and examine their teeth and jaw to determine if and when they should have their wisdom teeth removed. If your child is nearing the age of 17 and has been complaining of pain near the back of their mouth, contact us to schedule a wisdom teeth consultation. We can assess the situation to see if their wisdom teeth are growing in incorrectly, causing their discomfort.

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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.