7 min read • By Dr. Kevin Baharvand, DMD, MS • Updated August 2026

The short answer
For families in The Colony, the hard part of kids dental care is never the dentistry. It is the calendar. Book cleanings in the first two weeks of a semester before the sports schedule fills up, get a mouthguard before the season instead of after the chipped tooth, know what to do in the ten minutes after a tooth gets knocked out, and check whether your kids qualify for Medicaid or CHIP dental, because coverage for anyone under 21 in Texas is genuinely good.
Kids dental care is not complicated. Two cleanings a year, sealants on the back teeth, a guard for contact sports, and somebody looking at how the adult teeth are coming in.
What is complicated is fitting that around school, practice, and a sibling on a different schedule. That is the part parents in The Colony actually ask about, and it is the part most dental articles skip entirely.
So this one is about logistics.
On this page
- Book around the school year, not around the reminder card
- The mouthguard conversation, before the season
- What to do in the ten minutes after a tooth gets knocked out
- The two preventive things that actually move the needle
- If cost is the issue, check coverage before you assume
- Getting here from The Colony
- Common questions
Book around the school year, not around the reminder card
Reminder cards go out six months after the last visit, which lands wherever it lands. That is how families end up trying to book in October when every after school slot within fifteen miles is gone.
The two best windows are the first couple of weeks of a semester and the week before school starts back. Early morning appointments are the other lever. If you can take the first slot of the day, your kid misses one class instead of a whole afternoon, and you are not competing with everyone else in Lewisville ISD for a four o clock.
Ask for siblings back to back. Any office that will not do that is costing you a second trip up 423 for no reason.
The mouthguard conversation, before the season
The Colony puts a lot of kids into contact sports, and a mouthguard is the cheapest dental insurance that exists. A custom fitted guard costs a fraction of what a broken front tooth costs to fix, and unlike the boil and bite version from the sporting goods store, kids actually wear it, because it fits and they can talk in it.
The boil and bite guards are not useless. They are just bulky enough that a lot of kids end up chewing on them or carrying them in a hand, which protects nothing.
If your kid is in braces, this stops being optional. A guard over brackets prevents the inside of the lip from getting shredded on impact.
What to do in the ten minutes after a tooth gets knocked out
This is the one thing on this page worth actually remembering, because the window is short and most parents have never been told.
If it is a permanent tooth: find it, pick it up by the crown and not the root, and if it is dirty rinse it gently with milk or saline. Do not scrub it. If you can, put it back in the socket and have your kid hold it in place by biting on gauze. If you cannot, put it in a cup of milk. Not water. Then get to a dentist immediately.
The odds of saving that tooth drop with every ten minutes it spends out of the mouth. Call the office on the way rather than after you arrive.
If it is a baby tooth, do not put it back. Reimplanting a baby tooth can damage the permanent tooth developing above it. Call anyway, but the urgency is different.
Milk, not water. Back in the socket if you can. Call on the drive, not from the parking lot. Those three things save more knocked out teeth than anything that happens at the office.
The two preventive things that actually move the needle
Sealants and fluoride. That is most of it.
Sealants are a thin coating over the chewing surface of the back molars, where the grooves are too deep and narrow for a toothbrush to clean properly. That is where the overwhelming majority of childhood cavities start. They go on in minutes, no numbing, and they are worth doing as soon as the six year molars are fully in.
Fluoride varnish at each cleaning is the other one. Two minutes, and it measurably reduces decay in kids.
Everything else, the brushing charts and the timers and the apps, matters at the margins. These two are the ones with the evidence behind them.
If cost is the issue, check coverage before you assume
Texas covers dental care for kids far better than it covers adults. Medicaid and CHIP cover comprehensive dental for anyone under 21, through plans like DentaQuest, MCNA Dental, and UnitedHealthcare Dental. A lot of parents assume no good local office takes it. We do, and here is how it works for kids and teens.
The Texas Department of State Health Services keeps the current list of programs, and Texas Health Steps will help you find a participating dentist at 1-877-847-8377.
If you are uninsured and paying cash, ask about an in house savings plan rather than buying an individual policy. For kids who mainly need cleanings, sealants, and the occasional filling, it is usually the cheaper math.
| Situation | What it usually needs | What it costs you to wait |
|---|---|---|
| Routine cleaning and exam | Twice a year, 45 minutes | Small cavities become big ones. Nothing else. |
| Six year molars just came in | Sealants | This is the highest risk window for a first cavity. Sealing them is cheap and fast. |
| Kid plays football, basketball, or hockey | Custom mouthguard | A broken front tooth is a lifetime of repairs, because a crown on a young tooth gets replaced more than once. |
| Permanent tooth knocked out | Emergency visit, same hour | Every ten minutes lowers the chance of saving it. |
| Two rows of teeth in front | Usually nothing, sometimes a quick extraction | See our piece on shark teeth. Most sort themselves out. |
| Adult teeth coming in crooked at seven | An orthodontic evaluation, not treatment | Nothing urgent, but growth is easier to work with than to undo. |
Getting here from The Colony
We are at 5605 FM 423 in Frisco, just north of the Lebanon intersection, which is ten to fifteen minutes from most of The Colony straight up 423.
If what you need is braces rather than general dentistry, our sister practice Elate Orthodontics has an office in The Colony itself, so that part does not require the drive at all.
And if you are still deciding between offices, here is how we would compare them from The Colony specifically.
Common questions
When should my child first see a dentist?
By their first birthday, or within six months of the first tooth. It is mostly a look and a conversation at that age, and it gets kids comfortable in the chair long before anything has to happen in it.
Do you see kids and adults in the same visit window?
Yes, and we schedule siblings back to back on request. Say so when you book so we block the time properly.
Are dental sealants worth it?
Yes. The deep grooves on back molars are where most childhood cavities begin, and a toothbrush physically cannot clean them. Sealants take minutes, require no numbing, and prevent the most common cavity kids get.
My kid knocked out a permanent tooth at practice. What now?
Pick it up by the crown, rinse gently with milk if it is dirty, and put it back in the socket if you can. If not, transport it in milk. Call the office on the way. Time matters more than anything else at that point.
Does Medicaid or CHIP cover my child at your office?
Yes. Dental coverage under Texas Medicaid and CHIP for anyone under 21 is comprehensive, and we see those patients. Adult benefits are much more limited.
How far is your office from The Colony?
Ten to fifteen minutes for most of town, straight north on FM 423. For orthodontics, Elate has an office in The Colony itself.
Get the whole family on one calendar
Book cleanings for the kids and yourself back to back, ask about sealants if the six year molars are in, and get the mouthguard handled before the season instead of after.
You may also be interested in these
- When should kids start going to the dentist?
- Shark teeth: why the new tooth comes in behind the old one
- Dentist near The Colony, TX: what families should compare
About Tribute Family Dentistry
200+ five-star Google reviews • Family owned and independent • D Magazine Best Dentist 2026 • Living Magazine Readers' Choice 2026 • Se habla espanol
Tribute is a family owned, independent practice on FM 423 in Frisco. I own it with my wife, Dr. Julia Kang, DMD, MS. We both trained at Boston University and we are both members of the Omicron Kappa Upsilon national honor society. I am a Diplomate of the American Board of Orthodontics. Day to day, most patients and their kids see Dr. Christina Pham, DMD, our general and family dentist, and oral surgery is handled by Dr. David Roberts, DDS, who has been doing it for more than 35 years. D Magazine named me a Best Dentist for 2026, and Living Magazine readers voted us Best Family Dentist in Frisco and Plano the same year.
We handle the whole family in one place: cleanings and preventive care, fillings, crowns, bridges, implants, root canals, extractions and wisdom teeth, whitening, night guards, and emergency visits. We are open Monday through Friday, 8:00 AM to 5:00 PM, we speak Spanish, we work with most major insurance plans, and we run an in house savings plan for families without dental benefits.
If you need braces or clear aligners, that is the other side of what we do. Elate Orthodontics, our sister practice, treats kids, teens, and adults out of three offices in Frisco and The Colony.
Tribute Family Dentistry
5605 FM 423, Suite 600-B, Frisco, TX 75036
Book an appointment: (469) 598-1021
About the author: Dr. Kevin Baharvand, DMD, MS is a Diplomate of the American Board of Orthodontics and a national speaker on clear aligner treatment. His clinical work was selected for the cover of the American Journal of Orthodontics and Dentofacial Orthopedics. He and his wife, Dr. Julia Kang, own Tribute Family Dentistry and Elate Orthodontics in Frisco, Texas.