Right Age to Start Orthodontic Treatment

Baby Teeth Won’t Fall Out: 5 Smart Steps to Take

Baby teeth won’t fall out? Discover 5 smart steps parents can take when a child’s baby tooth won’t budge — plus how orthodontics can help support healthy smiles.- Bee Cave Orthodontics – Austin, Texas

Losing baby teeth is a rite of passage in childhood. But what happens when those tiny teeth hold on for a little too long? If your child’s baby teeth aren’t falling out on schedule, it’s completely normal to feel concerned.

The good news? You’re not alone — and there are simple, proactive steps you can take to support your child’s dental development. Here’s everything you need to know if those wiggly teeth aren’t wiggling enough.


1. Understand What’s “Normal” for Baby Teeth Falling Out

Most children start losing baby teeth between ages 6 and 7, beginning with the lower front teeth. The process typically continues until about age 12 or 13, when the last baby molars are replaced by permanent teeth.

But every child is different. Some kids start earlier, others later — and that can still be completely normal. However, if a baby tooth is holding on well beyond its expected timeline (especially if the adult tooth is already visible behind it), it may be time to check in with your orthodontist or pediatric dentist.


2. Watch for “Shark Teeth” — and Know When to Worry

If you notice your child has a permanent tooth growing in behind or in front of a baby tooth, but the baby tooth isn’t moving, this is commonly called a “shark tooth” situation.

It sounds scarier than it is! In many cases, the baby tooth will fall out on its own within a few weeks. But if the permanent tooth continues to grow in and the baby tooth stays firmly in place, this could cause crowding, misalignment, or bite issues.

🔍 Pro tip: If the baby tooth doesn’t loosen after a few weeks of the permanent tooth erupting, schedule an orthodontic evaluation.


3. Know the Causes Behind Stubborn Baby Teeth

Several reasons can explain why baby teeth aren’t falling out:

  • Lack of root resorption — Normally, the root of the baby tooth dissolves as the adult tooth pushes up. If this doesn’t happen, the baby tooth won’t loosen.

  • Misaligned permanent teeth — If the adult tooth isn’t positioned right beneath the baby tooth, it might not trigger the shedding process.

  • Extra teeth (supernumerary teeth) or missing permanent teeth can both disrupt the timeline.

  • Genetics — Sometimes late tooth loss simply runs in the family.

An orthodontic exam with digital X-rays can easily determine the cause.


4. How Orthodontics Can Help with Stubborn Baby Teeth

Orthodontists play a crucial role in managing delayed baby teeth loss. Here’s how:

  • Monitoring jaw development and tooth eruption patterns to catch problems early.

  • Recommending gentle extractions if needed to allow permanent teeth to come in correctly.

  • Planning for space management — If a baby tooth holds on too long, it can block other teeth or create crowding. Space maintainers or early orthodontic treatment may be recommended.

  • Using Invisalign First or other tools to guide proper alignment as permanent teeth arrive.

The goal is always to make sure your child’s smile develops in the healthiest, most natural way possible — with minimal intervention when appropriate.


5. Stay Proactive: When to See an Orthodontist

If your child is:

  • 8 years old or older and still has baby front teeth,

  • Developing “shark teeth” that persist,

  • Showing signs of crowding or misaligned teeth,

  • Or if you simply want peace of mind about their dental development…

…it’s the perfect time to schedule an orthodontic evaluation.

🦷 At our office, we specialize in creating a comfortable, fun, and supportive environment for kids — including those with special needs — to ensure every smile grows bright and healthy.


You’ve Got This! Schedule Free Consultation Now!

Baby teeth that won’t fall out can feel like a big deal, but with the right guidance, it’s just a small bump in the road. Early orthodontic evaluation can make a huge difference — helping prevent bigger problems, keeping smiles on track, and giving parents peace of mind.

If you’re wondering whether your child’s dental development is on the right path, we’re here to help.

👉Schedule a Free Consultation with Dr. D now and get personalized guidance from Austin’s trusted pediatric orthodontist.

Want to get to know us a little better? Check out our YouTube Videos!

Early Orthodontic Treatment

Early Orthodontic Treatment: How Dr. D is Shaping Conversations About Why Experience Matters

Discover Dr. D’s expert strategies from the Ortho Summit on discussing early orthodontic treatment with families. Learn how empathy, visual aids, and tailored conversations boost trust and treatment acceptance – Bee Cave Orthodontics – Austin, Texas

This past weekend, Dr. D took the stage at the prestigious 2024 Invisalign Ortho Summit Las Vegas, sharing her expertise with orthodontists from around the world.

Early Orthodontic Treatment

As an accomplished Invisalign speaker and faculty member, Dr. D continues to redefine how orthodontists approach communication with families, focusing on creating meaningful, trust-based connections that lead to better patient outcomes.

Her lecture, titled “Practical Strategies for Discussing Early Orthodontic Treatment,” equipped attendees with innovative tools to address a key challenge: guiding parents and young patients through the decision-making process for orthodontic care. Here’s an inside look at the impactful lessons Dr. D shared during her session.


Why Early Orthodontic Treatment Matters

Early orthodontic intervention, often referred to as Phase 1 treatment, can address potential issues before they become more complex. While the benefits of early treatment are clear to professionals, parents often have concerns about the timing, necessity, and cost. Dr. D’s lecture focused on bridging this gap in understanding by equipping orthodontists with empathetic and effective communication strategies.

Tailoring Conversations for Parents

One of the highlights of Dr. D’s lecture was her emphasis on customizing conversations to address the unique concerns of parents. She shared actionable strategies, including:

  • Addressing Timing Concerns: Parents often wonder, “Why start now?” Dr. D recommended explaining the benefits of early intervention, such as preventing more extensive treatment later, in clear, relatable terms.
  • Clarifying Costs: For many families, cost is a major concern. Dr. D encouraged orthodontists to highlight the value of early treatment as a long-term investment in their child’s health and confidence.
  • Demonstrating Necessity: Using real-life examples and visual aids can help parents understand why early treatment is essential in certain cases, such as correcting severe crowding or bite issues.

Engaging Young Patients

Communicating with children about orthodontic treatment requires a different approach. Dr. D stressed the importance of making kids feel comfortable and empowered throughout the process. Her tips included:

  • Age-Appropriate Explanations: Avoiding technical jargon and using simple, fun analogies to explain how braces or aligners work.
  • Building Trust: Showing genuine care and understanding of a child’s fears or hesitations, and reassuring them with positive, age-appropriate language.
  • Using Visual Aids: Demonstrating progress with before-and-after photos or animations can help young patients see what their future smile might look like, fostering excitement and motivation.

The Power of Empathetic Listening

Dr. D highlighted empathetic listening as a cornerstone of effective communication. She encouraged orthodontists to truly hear and validate the concerns of both parents and children, creating a foundation of trust and understanding. This approach not only helps families feel more confident in their decisions but also strengthens their connection to the practice.

Using Visual Aids and Relatable Examples

Dr. D’s lecture also explored how visual aids and real-life scenarios can simplify complex information, making it more accessible to families. Whether it’s showing how a child’s bite will improve over time or using analogies like comparing teeth movement to puzzle pieces falling into place, these tools can demystify orthodontic treatment and foster informed decision-making.

The Results: Treatment Acceptance and Patient Satisfaction

By implementing the strategies shared in Dr. D’s session, orthodontists can achieve:

  • Higher Treatment Acceptance Rates: Clear, empathetic communication helps parents and patients feel confident in starting treatment.
  • Stronger Relationships: Building trust leads to lasting connections with families, enhancing loyalty and satisfaction.
  • Improved Patient Experiences: When patients and parents understand the “why” and “how” of treatment, they’re more likely to stay engaged and motivated throughout the process.

Dr. D’s Impact on the Orthodontic Community

Dr. D’s role as a thought leader in the orthodontic field extends far beyond her practice. As a top Invisalign provider and expert in early treatment and complex cases, she continues to inspire fellow orthodontists with her innovative approaches to patient care. Her lecture at the Ortho Summit is yet another testament to her dedication to advancing the field of orthodontics.

Schedule your Consultation Now!

Dr. D’s lecture reminded orthodontists that communication is just as important as clinical expertise. By addressing concerns with empathy, engaging patients with relatable examples, and building trust, orthodontists can empower families to make confident, informed decisions about early treatment.

At Bee Cave Orthodontics, we’re proud to carry forward Dr. D’s vision, ensuring every family feels supported, understood, and excited about their journey toward a healthier, happier smile.


If you’d like to learn more about early orthodontic treatment and how it could benefit your child, schedule a consultation now with Dr. D today!

8 Years of Smiles: A Heartfelt Thank You to Our Amazing Patients!

As we celebrate our 8-year milestone at Bee Cave Orthodontics in Bee Cave, Texas, we are filled with gratitude and joy. Our journey thus far has been an incredible one, and it’s all thanks to the trust and support of our wonderful patients!

A Dream Come True

Bee Cave Orthodontics Invisalign for adults and kids in Austin

Eight years ago, our vision was to create a warm and welcoming orthodontic practice where patients of all ages could receive top-notch care and achieve the smile of their dreams. Today, we are proud to have become a leading orthodontic practice in the Austin area, serving patients from Bee Cave, Lakeway, Westlake, and beyond!

The Reason for Our Success

Bee Cave Orthodontics Invisalign for adults and kids in Austin

Our success is not just about the latest technology, cutting-edge treatments, or our experienced team (although these are all important!). It’s about the relationships we’ve built with each and every one of you. Your loyalty, referrals, and kind words have been the driving force behind our growth and motivation.

Thank You for Your Trust

Bee Cave Orthodontics Invisalign for adults and kids in Austin

We want to express our heartfelt appreciation to each of our patients for entrusting us with their orthodontic care. Whether you’ve undergone traditional braces, Invisalign, or other treatments, we are honored to have been a part of your journey to a healthier, happier smile.

Austin’s Choice for Orthodontic Care

Bee Cave Orthodontics Invisalign for adults and kids in Austin

As we look to the future, we remain committed to providing exceptional orthodontic care to our community. If you’re seeking an orthodontist in Austin, Texas, we invite you to experience the Bee Cave Orthodontics difference. Our practice offers:
  • Personalized care for children and adults
  • Advanced treatments, including Invisalign and clear braces
  • Flexible scheduling and emergency appointments
  • A welcoming and comfortable environment

Join Our Family!

With over 25 years of experience as an orthodontist and 17 in Austin as Chief of Orthodontics at Dell Medical Center, Dr. Adriana Da Silveira is a trusted expert in the field of orthodontics, renowned for her Invisalign expertise in treating even the most challenging cases. Her advocacy for Invisalign has taken her to numerous national and international platforms, including the AAO annual meeting and the Invisalign Ortho Summit. Her dedication to ongoing education and research ensures that Bee Cave Orthodontics remains at the forefront of advancements in treatment, technology, and care approaches.
Whether you’re a long-time patient or just starting your orthodontic journey, we thank you for being part of our family practice. Let’s celebrate many more years of smiles together! Contact us at beecaveorthodontics.com to start your journey to a healthy partnership.