How Children’s Teeth Erupt and Fall Out

Children develop 20 primary (baby) teeth, followed by 32 permanent teeth. Understanding the timeline helps parents know what’s normal and when to seek evaluation.

Typical Eruption Timeline

Primary Teeth (Baby Teeth)

6–10 months: Lower and upper central incisors
9–13 months: Lateral incisors
13–19 months: First molars
16–23 months: Canines
23–33 months: Second molars

Most children have a complete primary dentition by age 3.

Permanent Teeth

6–7 years: First molars and lower incisors
7–8 years: Upper incisors
9–11 years: Premolars and canines (varies by child)
11–13 years: Second molars
17–21 years: Wisdom teeth

Why Some Teeth Erupt Earlier or Later

Variations may occur due to:
• Genetics
• Premature birth
• Nutritional factors
• Trauma to primary teeth
• Space or crowding issues

Consistent delays should be evaluated by a pediatric dentist.

How Baby Teeth Fall Out

The roots of baby teeth dissolve naturally as permanent teeth grow underneath.
A tooth becomes loose when:
• The root has resorbed enough
• Gum tissue loosens
• The permanent tooth pushes through

Loose teeth typically fall out naturally between ages 6–12.

Signs of Eruption Problems

• Pain that lasts more than a few days
• Severe swelling
• No permanent tooth after 6 months of losing a baby tooth
• Adult teeth erupting behind baby teeth (“shark teeth”)
• Baby teeth not loosening on schedule

Managing Eruption Discomfort

• Cool washcloths
• Teething rings
• Gentle brushing
• Avoiding hard foods

Never use teething gels with benzocaine—they are unsafe for children.

Why Eruption Matters

Tooth eruption affects:
• Speech development
• Chewing function
• Jaw growth
• Orthodontic planning

Regular dental checkups ensure teeth erupt on time and in proper alignment.

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