Three ways to number the same tooth
Dentists use three main systems to name teeth. The same tooth can be "19", "36" or "┌6" depending on who wrote the chart:
| System | Where you'll see it | Adult teeth | Baby teeth | Example: lower left first molar |
|---|---|---|---|---|
| Universal | US dental offices, insurance claims | 1–32 | A–T | 19 |
| FDI / ISO 3950 | International charts and research, including WHO surveys | 11–48 (two digits) | 51–85 | 36 |
| Palmer | Some charts and dental anatomy textbooks | 1–8 in each quarter, with a bracket | A–E in each quarter | ┌6 (LL6) |
The converter above reads all three. Type what's on your chart and it shows the other two codes, the tooth's name, when it usually comes in, and a link to a full page about that tooth.
The Universal system (US)
The Universal system is the one accepted by the American Dental Association, and it is the system used on the ADA dental claim form. Adult teeth are numbered 1 to 32:
- 1–8: upper right, from the wisdom tooth at the back to the front tooth
- 9–16: upper left, from the front tooth back to the wisdom tooth
- 17–24: lower left, from the wisdom tooth forward to the front tooth
- 25–32: lower right, from the front tooth back to the wisdom tooth
Think of it as one path around the mouth: across the top from your right to your left, then down and back along the bottom. Baby teeth follow the same path with letters: A–J on top and K–T on the bottom.
Wisdom teeth keep their numbers (1, 16, 17 and 32) even if they never grow. That's why someone with no wisdom teeth still has a tooth 2, but no tooth 1.
FDI two-digit notation (international)
The FDI system, standardized as ISO 3950, is described in the World Health Organization's oral health survey manual. Each tooth gets two digits:
- The quarter of the mouth. 1 = upper right, 2 = upper left, 3 = lower left, 4 = lower right. Baby teeth use 5, 6, 7 and 8 in the same order.
- The position from the middle. 1 = central incisor, out to 8 = third molar (wisdom tooth). Baby teeth go from 1 to 5.
The digits are read separately: WHO notes that tooth 38 is said "three-eight", not "thirty-eight". The ADA lists the ISO system next to the Universal system to help map between them, but it shouldn't be used on the ADA claim form.
Palmer notation
Palmer notation (also called Zsigmondy–Palmer) numbers each quarter on its own, from 1 to 8 for adult teeth and A to E for baby teeth, counting out from the middle. A bracket shows the quarter, drawn as if you were facing the patient:
| Quarter | Adult example | Baby example | Typed as |
|---|---|---|---|
| Upper right | 6┘ | E┘ | UR6, URE |
| Upper left | └6 | └E | UL6, ULE |
| Lower right | 6┐ | E┐ | LR6, LRE |
| Lower left | ┌6 | ┌E | LL6, LLE |
The two lines of the bracket stand for the middle of the mouth and the biting line between the jaws. Because brackets are hard to type, software and emails usually write UR6, UL6, LR6 and LL6. The converter accepts both, and the bracket buttons under the input add one for you.
Why the same number can mean two different teeth
Many numbers are valid in two systems but point to different teeth. Numbers 11–18, 21–28, 31 and 32 are all real Universal numbers and also real FDI codes:
| You see | As Universal | As FDI |
|---|---|---|
| 11 | Upper left canine | Upper right central incisor (Universal 8) |
| 16 | Upper left wisdom tooth | Upper right first molar (Universal 3) |
| 24 | Lower left central incisor | Upper left first premolar (Universal 12) |
| 31 | Lower right second molar | Lower left central incisor (Universal 24) |
Some numbers can only belong to one system. A one-digit number, or 10, 19, 20, 29 or 30, can only be Universal, because FDI codes need two digits and their second digit is always 1 to 8. Any valid code from 33 to 48 can only be FDI, because Universal numbers stop at 32. When you leave the converter on Auto-detect, it shows every match so you can choose the one that fits your chart. If the number is on a US insurance claim or estimate, read it as Universal, the system the ADA claim form uses. The Dental Insurance Calculator can then estimate what your plan pays for that tooth's treatment.
How to read a dental chart
Charts are drawn as if you are facing the patient. The patient's right side is on the left of the chart, and the upper teeth are on the top row. So tooth 1 sits at the top left, tooth 16 at the top right, tooth 17 at the bottom right and tooth 32 at the bottom left.
When you check your own teeth in a mirror, it's the other way around: your right side shows on the right of your reflection.
Adult and baby teeth at a glance
- 32 adult teeth: 8 incisors, 4 canines, 8 premolars and 12 molars, including the 4 wisdom teeth.
- 20 baby teeth: 8 incisors, 4 canines and 8 molars. There are no premolars or wisdom teeth among baby teeth.
- The adult premolars replace the baby molars, and the adult molars come in behind the baby teeth without replacing any.
The Tooth Eruption Chart shows which of these teeth are usually in at any age.
How this tool works
- It tidies what you type: it ignores words like "tooth" and "#", turns "upper right 6" or "ur-6" into UR6, and accepts bracket look-alikes such as ⌋ and ⌊.
- It checks your input against all 52 teeth in each system. The tooth list and the ages come from the ADA eruption charts and standard dental anatomy (see Sources).
- On Auto-detect, every system where your input is a real tooth is shown. If you pick a system, only that one is used, and you'll see a note if your input only works in a different system.
- Typing a name, like "lower left canine" or "upper wisdom tooth", finds teeth by name.
It covers the 32 adult and 20 baby teeth. Extra (supernumerary) teeth have their own codes on some claim forms, and sources differ on those, so the converter leaves them out.
Frequently asked questions
What is the difference between Universal and FDI tooth numbers?
Which tooth is number 1?
Why does my X-ray or report say tooth 36 or 46?
How are baby teeth numbered?
Which side is right on a dental chart?
Sources
- American Dental Association. ADA Dental Claim Form (tooth designation systems). Accessed October 26, 2026.
- World Health Organization. Oral health surveys: basic methods, 5th edition (tooth notation after ISO 3950). 2013. Accessed October 26, 2026.
- Nelson SJ. Elsevier. Wheeler's Dental Anatomy, Physiology and Occlusion, 11th edition. 2019.
- American Dental Association (MouthHealthy). Permanent Tooth Development (eruption chart). 2012. Accessed October 26, 2026.
- American Dental Association (MouthHealthy). Primary Tooth Development (eruption chart). 2012. Accessed October 26, 2026.
- Dentalcare.com (continuing education course CE500). An Overview of Dental Anatomy: Permanent Dentition. Accessed October 26, 2026.
- Dentalcare.com (continuing education course CE500). An Overview of Dental Anatomy: Primary Dentition. Accessed October 26, 2026.
- Cleveland Clinic. Teeth: Anatomy, Types, Function & Care. last updated January 26, 2023. Accessed October 26, 2026.
- Dentalcare.com (continuing education course CE500). An Overview of Dental Anatomy: Types of Teeth and their Functions. Accessed October 26, 2026.
Last reviewed by the Dental Health Time editorial team, against the sources above. How we review.