Universal Tooth Designation System –Value Set – Version 1 – August 2022 – Page 1 of 5

©2023 American Dental Association (ADA). All rights reserved.

Code American Dental Association

System 211 East Chicago Avenue
Owner Chicago, IL 60610-2678

Copyright No official copyright statement is available. For general information see paper form
Information located here: https://www.ada.org/-/media/project/ada-organization/ada/ada-
org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf

Code ADA Universal Tooth Designation System

System
Names

URL TBD

Introduction The American Dental Association (ADA) accepted the Universal/National Tooth
Designation System and the ISO/ANSI/ADA Specification No. 3950 for Designation
System for Teeth and Areas of the Oral Cavity as the human tooth and oral cavity
enumeration schemas in 1994.

The universal tooth designation or numbering system is accepted and approved by the
ADA and is the most commonly used system used by dental professionals in America.

Permanent teeth are numbered 1-32, starting with the third molar (1) on the right side
of the upper arch, following around the arch to the third molar (16) on the left side,
and descending to the lower third molar (17) on the left side, and following that arch
to the terminus of the lower jaw, the lower right third molar (32).

Supernumerary teeth in the permanent dentition are identified by the numbers 51

through 82, beginning with the area of the upper right third molar, following around
the upper arch and continuing on the lower arch to the area of the lower right third
molar (e.g., supernumerary #51 is adjacent to the upper right molar #1;
supernumerary #82 is adjacent to the lower right third molar #32).

Primary Teeth are lettered A-T, starting posterior part of the upper right quadrant
where the right second molar tooth is assigned the name A, and follows around until
letter J, the left second molar on the left posterior side of the dental arch. Tooth (K) is
the mandibular right second molar tooth and lettering continues to deciduous
mandibular right second molar tooth (T).

Supernumerary teeth in the primary dentition are identified by the placement of the
letter "S" following the letter identifying the adjacent primary tooth (for example,
supernumerary "AS" is adjacent to "A"; supernumerary "TS" is adjacent to "T").

The Universal Numbering System can be found in the ADA Dental Claim Form. For
more information see here: https://www.ada.org/publications/cdt/ada-dental-claim-
form.

The associated International Organization for Standardization (ISO) designation system

for teeth (ISO/3950) is included to assist with mapping and should not be used on the
ADA Claim Form.
 Universal Tooth Designation System –Value Set – Version 1 – August 2022 – Page 2 of 5
©2023 American Dental Association (ADA). All rights reserved.

Tooth Number(s) or Letter(s)

Include these codes as defined in https://www.ada.org/-/media/project/ada-organization/ada/ada-
org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf
Code Display Definition
1 Permanent maxillary right third molar Permanent maxillary right third molar tooth;
tooth Universal designation 1; ISO designation 18
2 Permanent maxillary right second Permanent maxillary right second molar tooth;
molar tooth Universal designation 2; ISO designation 17
3 Permanent maxillary right first molar Permanent maxillary right first molar tooth;
tooth Universal designation 3; ISO designation 16
4 Permanent maxillary right second Permanent maxillary right second premolar tooth;
premolar tooth Universal designation 4; ISO designation 15
5 Permanent maxillary right first Permanent maxillary right first premolar tooth;
premolar tooth Universal designation 5; ISO designation 14
6 Permanent maxillary right canine Permanent maxillary right canine tooth; Universal
tooth designation 6; ISO designation 13
7 Permanent maxillary right lateral Permanent maxillary right lateral incisor tooth;
incisor tooth Universal designation 7; ISO designation 12
8 Permanent maxillary right central Permanent maxillary right central incisor tooth;
incisor tooth Universal designation 8; ISO designation 11
9 Permanent maxillary left central Permanent maxillary left central incisor tooth;
incisor tooth Universal designation 9; ISO designation 21
10 Permanent maxillary left lateral incisor Permanent maxillary left lateral incisor tooth;
tooth Universal designation 10; ISO designation 22
11 Permanent maxillary left canine tooth Permanent maxillary left canine tooth; Universal
designation 11; ISO designation 23
12 Permanent maxillary left first premolar Permanent maxillary left first premolar tooth;
tooth Universal designation 12; ISO designation 24
13 Permanent maxillary left second Permanent maxillary left second premolar tooth;
premolar tooth Universal designation 13; ISO designation 25
14 Permanent maxillary left first molar Permanent maxillary left first molar tooth;
tooth Universal designation 14; ISO designation 26
15 Permanent maxillary left second molar Permanent maxillary left second molar tooth;
tooth Universal designation 15; ISO designation 27
16 Permanent maxillary left third molar Permanent maxillary left third molar tooth;
tooth Universal designation 16; ISO designation 28
17 Permanent mandibular left third molar Permanent mandibular left third molar tooth;
tooth Universal designation 17; ISO designation 38
18 Permanent mandibular left second Permanent mandibular left second molar tooth;
molar tooth Universal designation 18; ISO designation 37
 Universal Tooth Designation System –Value Set – Version 1 – August 2022 – Page 3 of 5
©2023 American Dental Association (ADA). All rights reserved.

19 Permanent mandibular left second Permanent mandibular left first molar tooth;
molar tooth Universal designation 19; ISO designation 36
20 Permanent mandibular left second Permanent mandibular left second premolar tooth;
premolar tooth Universal designation 20; ISO designation 35
21 Permanent mandibular lower left first Permanent mandibular left first premolar tooth;
premolar tooth Universal designation 21; ISO designation 34
22 Permanent mandibular left canine Permanent mandibular left canine tooth; Universal
tooth designation 22; ISO designation 33
23 Permanent mandibular left lateral Permanent mandibular left lateral incisor tooth;
incisor tooth Universal designation 23; ISO designation 32
24 Permanent mandibular left central Permanent mandibular left central incisor tooth;
incisor tooth Universal designation 24; ISO designation 31
25 Permanent mandibular right central Permanent mandibular right central incisor tooth;
incisor tooth Universal designation 25; ISO designation 41
26 Permanent mandibular right lateral Permanent mandibular right lateral incisor tooth;
incisor tooth Universal designation 26; ISO designation 42
27 Permanent mandibular right canine Permanent mandibular right canine tooth;
tooth Universal designation 27; ISO designation 43
28 Permanent mandibular right first Permanent mandibular right first premolar tooth;
premolar tooth Universal designation 28; ISO designation 44
29 Permanent mandibular right second Permanent mandibular right second premolar
premolar tooth tooth; Universal designation 29; ISO designation 45
30 Permanent mandibular right first Permanent mandibular right first molar tooth;
molar tooth Universal designation 30; ISO designation 46
31 Permanent mandibular right second Permanent mandibular right second molar tooth;
molar tooth Universal designation 31; ISO designation 47
32 Permanent mandibular right third Permanent mandibular right third molar tooth;
molar tooth Universal designation 32; ISO designation 48
51 Supernumerary permanent maxillary Supernumerary permanent maxillary right third
right third molar tooth molar tooth, Universal designation 51
52 Supernumerary permanent maxillary Supernumerary permanent maxillary right second
right second molar tooth molar tooth; Universal designation 52
53 Supernumerary permanent maxillary Supernumerary permanent maxillary right first
right first molar tooth molar tooth; Universal designation 53
54 Supernumerary permanent maxillary Supernumerary permanent maxillary right second
right second premolar tooth premolar tooth; Universal designation 54
55 Supernumerary permanent maxillary Supernumerary permanent maxillary right first
right first premolar tooth premolar tooth; Universal designation 55
56 Supernumerary permanent maxillary Supernumerary permanent maxillary right canine
right canine tooth tooth; Universal designation 56
57 Supernumerary permanent maxillary Supernumerary permanent maxillary right lateral
right lateral incisor tooth incisor tooth; Universal designation 57
 Universal Tooth Designation System –Value Set – Version 1 – August 2022 – Page 4 of 5
©2023 American Dental Association (ADA). All rights reserved.

58 Supernumerary permanent maxillary Supernumerary permanent maxillary right central

right central incisor tooth incisor tooth; Universal designation 58
59 Supernumerary permanent maxillary Supernumerary permanent maxillary left central
left central incisor tooth incisor tooth; Universal designation 59
60 Supernumerary permanent maxillary Supernumerary permanent maxillary left lateral
left lateral incisor tooth incisor tooth; Universal designation 60
61 Supernumerary permanent maxillary Supernumerary permanent maxillary left canine
left canine tooth tooth; Universal designation 61
62 Supernumerary permanent maxillary Supernumerary permanent maxillary left first
left first premolar tooth premolar tooth, Universal designation 62
63 Supernumerary permanent maxillary Supernumerary permanent maxillary left second
left second premolar tooth premolar tooth; Universal designation 63
64 Supernumerary permanent maxillary Supernumerary permanent maxillary left first molar
left first molar tooth tooth; Universal designation 64
65 Supernumerary permanent maxillary Supernumerary permanent maxillary left second
left second molar tooth molar tooth; Universal designation 65
66 Supernumerary permanent maxillary Supernumerary permanent maxillary left third
left third molar tooth molar tooth; Universal designation 66
67 Supernumerary permanent Supernumerary permanent mandibular left third
mandibular left third molar tooth molar tooth; Universal designation 67
68 Supernumerary permanent Supernumerary permanent mandibular left second
mandibular left second molar tooth molar tooth; Universal designation 68
69 Supernumerary permanent Supernumerary permanent mandibular left first
mandibular left first molar tooth molar tooth; Universal designation 69
70 Supernumerary permanent Supernumerary permanent mandibular left second
mandibular left second premolar tooth premolar tooth; Universal designation 70
71 Supernumerary permanent Supernumerary permanent mandibular left first
mandibular left first premolar tooth premolar tooth ; Universal designation 71
72 Supernumerary permanent Supernumerary permanent mandibular left canine
mandibular left canine tooth tooth; Universal designation 72
73 Supernumerary permanent Supernumerary permanent mandibular left lateral
mandibular left lateral incisor tooth incisor tooth; Universal designation 73
74 Supernumerary permanent Supernumerary permanent mandibular left central
mandibular left central incisor tooth incisor tooth; Universal designation 74
75 Supernumerary permanent Supernumerary permanent mandibular right
mandibular right central incisor tooth central incisor tooth; Universal designation 75
76 Supernumerary permanent Supernumerary permanent mandibular right lateral
mandibular right lateral incisor tooth incisor tooth; Universal designation 76
77 Supernumerary permanent Supernumerary permanent mandibular right canine
mandibular right canine tooth tooth; Universal designation 77
78 Supernumerary permanent Supernumerary permanent mandibular right first
mandibular right first premolar tooth premolar tooth; Universal designation 78
 Universal Tooth Designation System –Value Set – Version 1 – August 2022 – Page 5 of 5
©2023 American Dental Association (ADA). All rights reserved.

79 Supernumerary permanent Supernumerary permanent mandibular right

mandibular right second premolar second premolar tooth; Universal designation 79
tooth
80 Supernumerary permanent Supernumerary permanent mandibular right first
mandibular right first molar tooth molar tooth; Universal designation 80
81 Supernumerary permanent Supernumerary permanent mandibular right
mandibular right second molar tooth second molar tooth; Universal designation 81
82 Supernumerary permanent Supernumerary permanent mandibular right third
mandibular right third molar tooth molar tooth; Universal designation 82
A Deciduous maxillary right second Deciduous maxillary right second molar tooth;
molar tooth Universal designation A; ISO designation 55
B Deciduous maxillary right first molar Deciduous maxillary right first molar tooth;
tooth Universal designation B; ISO designation 54
C Deciduous maxillary right canine tooth Deciduous maxillary right canine tooth; Universal
designation C; ISO designation 53
D Deciduous maxillary upper right lateral Deciduous maxillary right lateral incisor tooth;
incisor tooth Universal designation D; ISO designation 52
E Deciduous maxillary right central Deciduous maxillary right central incisor tooth;
incisor tooth Universal designation E; ISO designation 51
F Deciduous maxillary left central incisor Deciduous maxillary left central incisor tooth;
tooth Universal designation F; ISO designation 61
G Deciduous maxillary left lateral incisor Deciduous maxillary left lateral incisor tooth;
tooth Universal designation G; ISO designation 62
H Deciduous maxillary left canine tooth Deciduous maxillary left canine tooth; Universal
designation H; ISO designation 63
I Deciduous maxillary left first molar Deciduous maxillary left first molar tooth; Universal
tooth designation I; ISO designation 64
J Deciduous maxillary left second molar Deciduous maxillary left second molar tooth;
tooth Universal designation J; ISO designation 65
K Deciduous mandibular left second Deciduous mandibular left second molar tooth;
molar tooth Universal designation K; ISO designation 75
L Deciduous mandibular left first molar Deciduous mandibular left first molar tooth;
tooth Universal designation L; ISO designation 74
M Deciduous mandibular left canine Deciduous mandibular left canine tooth; Universal
tooth designation M; ISO designation 73
N Deciduous mandibular left lateral Deciduous mandibular left lateral incisor tooth;
incisor tooth Universal designation N; ISO designation 72
O Deciduous mandibular left central Deciduous mandibular left central incisor tooth:
incisor tooth Universal designation O; ISO designation 71
P Deciduous mandibular right central Deciduous mandibular right central incisor tooth;
incisor tooth Universal designation P; ISO designation 81
Q Deciduous mandibular right lateral Deciduous mandibular right lateral incisor tooth;
incisor tooth Universal designation Q; ISO designation 82
R Deciduous mandibular right canine Deciduous mandibular right canine tooth; Universal
tooth designation R; ISO designation 83
S Deciduous mandibular right first molar Deciduous mandibular right first molar tooth:
tooth Universal designation S; ISO designation 84
 Universal Tooth Designation System –Value Set – Version 1 – August 2022 – Page 6 of 5
©2023 American Dental Association (ADA). All rights reserved.

T Deciduous mandibular right second Deciduous mandibular right second molar tooth;
molar tooth Universal designation T; ISO designation 85
FS Supernumerary deciduous maxillary Supernumerary deciduous maxillary left central
left central incisor tooth incisor tooth; Universal designation FS
IS Supernumerary deciduous maxillary Supernumerary deciduous maxillary left first molar
left first molar tooth tooth; Universal designation IS
GS Supernumerary deciduous maxillary Supernumerary deciduous maxillary left lateral
left lateral incisor tooth incisor tooth; Universal designation GS
JS Supernumerary deciduous maxillary Supernumerary deciduous maxillary left second
left second molar tooth molar tooth; Universal designation JS
CS Supernumerary deciduous maxillary Supernumerary deciduous maxillary right canine
right canine tooth tooth; Universal designation CS
ES Supernumerary deciduous maxillary Supernumerary deciduous maxillary right central
right central incisor tooth incisor tooth; Universal designation ES
BS Supernumerary deciduous maxillary Supernumerary deciduous maxillary right first
right first molar tooth molar tooth; Universal designation BS
DS Supernumerary deciduous maxillary Supernumerary deciduous maxillary right lateral
right lateral incisor tooth incisor tooth; Universal designation DS
AS Supernumerary deciduous maxillary Supernumerary deciduous maxillary right second
right second molar tooth molar tooth; Universal designation AS
Tooth Surface
Include these codes as defined in https://www.ada.org/-/media/project/ada-organization/ada/ada-
org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf
Code Surface
B Buccal
D Distal
F Facial (or labial)
I Incisal
L Lingual
M Mesial
O Occlusal