What teeth do babies get

Baby teeth chart: What order do babies' teeth come in?

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Teething chart: Which baby teeth come in first?

As you can see from the teething chart above and the illustration below, it's usually the two front teeth on the bottom (the lower central incisors) that come in first.

Even before your baby was born, tooth buds were developing under his gums. Here's a schedule of when teeth start to appear and when baby teeth begin falling out to make way for permanent ones.

Keep in mind that this is a general timeline. It's perfectly normal for your baby's first tooth to show up at 3 months – or after his first birthday. (Some babies are even born with teeth!) It's also fine if your child's teeth come in or fall out in a different order than what's outlined here.

Lower central incisors: 6 to 10 months

Teething begins. Your baby's gums may be swollen and red where the teeth are coming through. The two middle teeth on the bottom (lower central incisors) are usually the first to erupt, often at about the same time.

Fast fact: Girls usually get their teeth before boys do.

Upper central incisors: 8 to 12 months

Upper middle teeth (the upper central incisors) emerge.

Fast fact: Baby teeth, or primary teeth, have wavy edges that smooth out with use.

Upper lateral incisors: 9 to 13 months

Top teeth right next to the middle teeth (lateral incisors) appear, giving your baby a row of what look like four little Tic Tacs.

Fast fact: Teeth usually emerge in pairs – one on the right and one on the left.

Lower lateral incisors: 10 to 16 months

The lateral incisors appear on the bottom. Now your baby can flash quite the toothy smile.

Fast fact: Baby teeth hold space for permanent teeth developing under the gums.

Upper first molars: 13 to 19 months

Your child's first molars – the wider teeth toward the back of the mouth – erupt on the top. They won't have much to do until the ones on the bottom show up.

Fast fact: Baby teeth are whiter and smaller than permanent teeth.

Lower first molars: 14 to 18 months

The companion molars on the bottom emerge. Now your toddler can really do some serious chewing.

Fast fact: Sometimes the first molars on the top and bottom will erupt on one side before they erupt on the other side.

Upper canines: 16 to 22 months

Also called a cuspid, the upper canine fills the gap between the incisors and first molars.

Fast fact: These teeth are sometimes called dog teeth.

Lower canines: 17 to 23 months

The lower cuspids appear.

Lower second molars: 23 to 31 months

The second molars, or very back teeth, emerge on the bottom.

Upper second molars: 25 to 33 months

The final teeth – the rear molars on the top – work their way in.

By age 3, most kids have a full set of 20 baby teeth and can give you a brilliant grin.

Growth of jaw and facial bones: Ages 4 to 6

The bones in your child's face and jaw grow and develop, creating space between the baby teeth for permanent teeth to come in.

Tooth loss: Ages 6 to 12

Photo credit: Thinkstock

Your child starts losing teeth. During these years, his grin features both baby teeth and permanent teeth as one type starts to replace the other.

Your child's teeth can fall out in any order, but baby teeth are often lost in the same order they arrived. If your child's baby teeth came in later than his peers, he may lose them later too.

The middle teeth are usually the first to go (at 6 to 7 years), followed by the ones on either side (at 7 to 8 years). The molars can be lost any time after that but will likely fall out between 9 and 12 years. The bottom canines will probably fall out between 9 and 12 years, and the top canines will come out between 10 and 12 years.

A full set: Age 13

Photo credit: iStock.com / PeopleImages

Your child will probably have all 28 permanent adult teeth at around age 13. (Her four wisdom teeth will come in when she's 17 to 21 years old.)

If you have any concerns about your child's teeth, talk to your child's dentist.

Learn more:

Teething and baby teeth

Solutions for teething pain

Taking care of your baby's gums and teeth

How to handle tooth accidents

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Karisa Ding

Karisa Ding is a freelance health writer and editor with expertise in preconception, pregnancy, and parenting content. A mother of two, Ding finds great joy in supporting new and expectant parents by providing information they need for the life-changing journey ahead. Ding lives in San Francisco with her family.

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Baby’s First Tooth: 7 Facts Parents Should Know

By: Dina DiMaggio, MD, FAAP & Julie Cernigliaro, DMD

1. Most babies will develop teeth between 6 and 12 months.

There is a wide range of variability of when a first tooth may appear—some babies may not have any teeth by their first birthday! Around 3 months of age, babies will begin exploring the world with their mouth and have increased saliva and start to put their hands in their mouth. Many parents question whether or not this means that their baby is teething, but a first tooth usually appears around 6 months old.

Typically, the first teeth to come in are almost always the lower front teeth (the lower central incisors), and most children will usually have all of their baby teeth by age 3.

2. Fluoride should be added to your child's diet at 6 months of age.

Fluoride is a mineral that helps prevent tooth decay by hardening the enamel of teeth. The good news is that fluoride is often added to tap water. Give your baby a few ounces of water in a sippy or straw cup when you begin them on solid foods (about 6 months of age). Speak with your pediatrician to see if your tap water contains fluoride or whether your child needs fluoride supplements. Fluoride is not typically found in most bottled water. See FAQ: Fluoride and Children for more information.

3. Massaging sore gums, offering something cold, or acetaminophen, on an occasional rough night, can help soothe your baby's teething pain.

Usually teething doesn't cause children too much discomfort, however, many parents can tell when their baby is teething. Babies may show signs of discomfort in the area where the tooth is coming in, the gums around the tooth may be swollen and tender, and the baby may drool a lot more than usual.

Parents can help ease teething pain by massaging their baby's gums with clean fingers, offering solid, not liquid-filled, teething rings or a clean frozen or wet washcloth. If you offer a teething biscuit, make sure to watch your baby while they are eating it. Chunks can break off easily and can lead to choking. Also, these biscuits are not very nutritious and most contain sugar and salt.

A baby's body temperature may slightly rise when teething; however, according to a 2016 study in Pediatrics, a true fever (temperature over 100.4 degrees Fahrenheit or 38 degrees Celsius) is not associated with teething and is actually a sign of an illness or infection that may require treatment. If your baby is clearly uncomfortable, talk with your pediatrician about giving a weight-appropriate dose of acetaminophen (e.g., Tylenol) or if over 6 months, ibuprofen (e.g., Advil, Motrin). Make sure to ask your pediatrician for the right dose in milliliters (mL) based on your child's age and weight.

Many children, however, will have no problems at all when their teeth come in!

4. Do not use teething tablets, gels with benzocaine, homeopathic teething gels or tablets, or amber teething necklaces.

Stay away from teething tablets that contain the plant poison belladonna and gels with benzocaine. Belladonna and benzocaine are marketed to numb your child's pain, but the FDA has issued warnings against both due to potential side effects.

In addition, amber teething necklaces are not recommended. Necklaces placed around an infant's neck can pose a strangulation risk or be a potential choking hazard. There is also no research to support the necklace's effectiveness. See Teething Necklaces and Beads: A Caution for Parents for more information.

5. You should brush your child's teeth twice a day with fluoride toothpaste.

Once your child has a tooth, you should be brushing them twice a day with a smear of fluoride toothpaste the size of a grain of rice, especially after the last drink or food of the day. Remember not to put your baby to bed with a bottle—it can lead to tooth decay.

Once your child turns 3, the American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD)recommend that a pea-sized amount of fluoride toothpaste be used when brushing.

When your child is able, teach them to spit out the excess toothpaste. It is best if you put the toothpaste on the toothbrush until your child is about age 6. Parents should monitor and assist their child while brushing until they are around 7 or 8 years old. When your child can write their name well, he or she also has the ability to brush well.

6. Ask your pediatrician about your baby's teeth and fluoride varnish.

During regular well-child visits, your pediatrician will check your baby's teeth and gums to ensure they are healthy and talk to you about how to keep them that way. The AAP and the United States Preventive Services Task Force also recommend that children receive fluoride varnish once they have teeth.

If your child does not yet have a dentist, ask your pediatrician if they can apply fluoride varnish to your baby's teeth. Once your child has a dentist, the varnish can be applied in the dental office. The earlier your child receives fluoride varnish the better to help prevent tooth decay.

7. Make your first dental appointment when the first tooth appears.

Try to make your baby's first dental appointment after the eruption of the first tooth and by his or her first birthday.

Both the AAP and the AAPD recommend that all children see a pediatric dentist and establish a "dental home" by age one. A pediatric dentist will make sure all teeth are developing normally and that there are no dental problems. They will also give you further advice on proper hygiene. If you don't have a pediatric dentist in your community, find a general dentist who is comfortable seeing young children.

Additional Information:

Brushing Up On Oral Health: Never Too Early to Start
How to Prevent Tooth Decay in Your Baby
Brush, Book, Bed: How to Structure Your Child's Nighttime Routine
Give Your Baby the Best Possible Start

About Dr.

DiMaggio:

Dina DiMaggio, MD, FAAP, is a board certified pediatrician at Pediatric Associates of NYC and at NYU Langone Medical Center. She is the co-author of The Pediatrician's Guide to Feeding Babies and Toddlers, a comprehensive manual written by a team of medical, nutrition, and culinary experts. Follow her on Instagram @Pediatriciansguide.

About Dr. Cernigliaro:

Julie Cernigliaro, DMD, is a board certified pediatric dentist and the Associate Director of the Pediatric Dental Residency Program at Lutheran Medical Center in Brooklyn, NY. She holds a faculty position at NYU College of Dentistry and currently works in private practice at Happy Smile Pediatric Dentistry, PC in NYC.

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Milk teeth in children

The first teeth are formed in a baby, even during the mother's pregnancy. And their growth is part of the development and maturation of the child. Milk teeth are called temporary, but they serve for a long time - the change to permanent ends at the age of 13-14. Therefore, taking care of your child's teeth requires a lot of attention.

How many milk teeth do children have

Temporary teeth grow less than permanent ones - only 20. When milk teeth are replaced by permanent ones, another 8-12 new teeth appear. Therefore, dairy grow rarely - they save space. nine0003

By the age of one, all the incisors appear in the baby. Doctors assess development according to pediatric standards - by the age of 2 years, 16 out of 20 teeth should erupt. At the same time, you need to remember: the norms are average indicators, kids do not grow according to the training manual.

How children's teeth grow depends on many factors:

nutrition quality, balance of vitamins;
the time of appearance of the first tooth;
high/low jaw loading;
genetic features;
immunity and past diseases.

A complete set may not arrive by age 5 or may grow by age 2 - no cause for concern as long as you have regular check-ups and follow the recommendations of your dentists and pediatricians. There are no deviations, but baby teeth do not grow in children? Just wait, it's genetics.

When do baby teeth fall out?

The change of teeth in children begins at 6. Sometimes the first tooth can fall out at 5 or 7 years. There is a relationship between the beginning of the growth of milk teeth and loss - the incisor has grown at 5 months, it will begin to fall out at 5 years. nine0003

The incisors are changed first. At 9-11 years old, the canines change, up to 12 - the first and second premolars grow. The change of milk teeth ends at the age of 13-14: the second molars grow and a permanent bite is formed. Wisdom teeth, the third pair of molars, are the last to grow in an adult.

Diseased teeth fall out faster than intact, healthy ones. Girls renew temporary teeth for molars faster than boys.

Memo to parents

☑️ An empty hole should not bleed much. If the capillaries are affected, it is enough to apply a sterile swab until the bleeding stops. Postpone lunch for 1-2 hours. You can drink unsweetened liquids, preferably water. nine0003

☑️ There is no need to smear the wound with antiseptics or rinse your mouth - the blood clot that closes the hole will wash out.

☑️ Bleeding does not stop for more than 10 minutes - see a doctor.

☑️ To strengthen the roots of new teeth, you need to load the jaws. Give your child more fruits and vegetables to chew on: apples, young carrots.

☑️ Growing teeth need calcium. They are rich in dairy products, especially hard cheese, cottage cheese and kefir. There is a lot of calcium in greens and legumes, to “get” it from foods - add 10-20 grams of fat to the dish. nine0003

Candy for children! The main rule for the prevention of caries in children during the growth of teeth is that sugar or food particles should not remain in the mouth.

Candy is delicious and safe if you brush your teeth or rinse your mouth with clean water after dessert.

The order of change of milk teeth in children

There is a universal rule: as children's teeth grow, they fall out in this order. Does the schema fail? It's okay, it's a feature of the body.

In half of the cases, the "sixes" - molars - grow first. Their appearance often goes unnoticed - there are no temporary analogues. It is these molars that are the first to suffer from caries. It is necessary to take the child for preventive examinations so as not to miss the new "tenant".

After the appearance of the "sixth", the order of teeth growth corresponds to the rule:

central incisors;
side incisors;
fangs;
premolars;
first molars and second molars.

Should I visit a pediatric dentist?

If the child's teeth grow without pain and inflammation, it is enough to go for regular preventive examinations every six months.

You need to make an appointment at the dental clinic when:

molar do not grow for more than 5 months. Orthodontic treatment may be needed to correct the bite.
Indigenous began to grow, but dairy still remained. To form the correct bite, you need to remove temporary teeth.
baby tooth fell out due to trauma. Neighboring teeth can take up empty space and the root has nowhere to grow.
the child grinds his teeth violently at night. Because of this, the enamel is damaged, so the dentist prescribes special mouthguards that are put on the teeth before going to bed. nine0014
always see a doctor at the first sign of caries. The process quickly goes deep into the milk tooth, and can go to the rudiments of the molars.

Remember: timely prevention of oral diseases is a correct bite and a beautiful smile. Therefore, you need to take care of your teeth from childhood.

Molar (permanent) teeth in children

At the age of 6-7 years, milk teeth begin to fall out and are gradually replaced by permanent teeth. By the age of 13, there is a complete change of time units and a permanent bite is formed in the child. Normally, this is a painless process due to the natural physiology of changing teeth. nine0003

How does the change of teeth take place?

The rudiments of future permanent units are located under the root of the milk tooth and are separated from it by a thin bony septum. At 6-7 years old, osteoclasts of the connective tissue surrounding the milk tooth dissolve the mineral component of the septum and destroy it. At the same time, the pulp of the temporary unit is gradually transformed into a granulation connective tissue rich in osteoclasts, which gradually destroy the dentin of the milk tooth. At the same time, the roots of temporary units dissolve and, in fact, only the crown of the milk tooth remains. It is easily removed on its own, with the help of manipulations by the dentist, or it is pushed out by an actively growing molar (permanent) tooth. nine0003

Anatomy of Permanent Teeth The permanent units of a child (and adult) have a complex anatomy.

Visually, the tooth consists of three parts - crown, neck, roots.

Crown - the visible part of the tooth that rises above the gum.
Neck - part of the tooth at the level of the gums, in the place where the crown passes into the root, and the enamel unit into the cement.
Root - part of the unit invisible to the eye, located in the alveolar socket. The basis of each unit consists of dentine - hard tissue. In the coronal part, the dentin is covered with enamel, and in the root part, cementum. Inside the dentin is the pulp of the tooth - loose-fibrous soft connective tissue, penetrated by a large number of blood, lymphatic vessels and nerve endings. Passing through the root canal, through the apical opening located on the upper part of the root, they communicate with the main neurovascular bundle, providing nutrition to the tooth, outflow of excess fluid and its innervation. nine0014

Normally, by the age of 13, when a permanent bite is formed, a child has 28 permanent teeth. At the age of 17 - 25 years, the third molars (wisdom teeth) erupt and the number of units may increase - 32 teeth.

Terms and order of eruption of permanent teeth

Normally, the eruption of permanent units occurs 3-4 months after the loss of milk teeth. In girls, this process occurs a little earlier and faster than in boys. In both sexes, the first lower molars appear first. Then the sequence of eruption of permanent teeth is approximately the same as for milk teeth and is as follows. nine0003

6 - 7 years - central incisors.
7 - 8 years - lateral incisors.
9 - 12 years old - fangs.
10 - 12 years - premolars.
10 - 12 years - molars.

The eruption of the second molars completes the formation of a permanent bite.

The main differences between milk teeth and permanent teeth

Unlike the 28 permanent teeth, the milk bite suggests the presence of 20 units. However, they have a number of characteristic features. nine0003

Smaller than permanent teeth.
White with a slightly blue tint (permanent units have a slightly yellowish tint).
Less developed and slightly short roots compared to permanent teeth.
Enamel of temporary teeth is poorly formed - thinner.
Dairy units can wear off (permanent ones can also, but this is considered a pathology).

As the child grows, milk teeth fall out on their own - this is the norm. Permanent occlusion units should not fall out on their own. nine0003

How can you tell if your child will soon have molars?

An increase in the size of the jaw is the main sign of a future change of teeth. Visually, it may not be noticeable. But the appearance of three and diastema (gap) between milk teeth indicates that the child's jaw is growing and preparing for the formation of a permanent bite.

The following signs are purely individual - they may or may not be present in the child.

Increased salivation. nine0014
Redness, swelling of the gums and oral mucosa.
Sore gums.
Unpleasant itching of the gums.
Increased body temperature.
Unreasonable cough, runny nose.
Stool disorder.
General malaise, lethargy.
Loss of appetite.
Sleep disturbance or, conversely, drowsiness.
Anxiety, irritation, whims.

Important! During the period of eruption of permanent teeth, parents should monitor the condition of the child, the oral cavity and gums. If symptoms that cause concern appear, you should immediately contact a pediatrician and a pediatric dentist.

Possible problems

Despite the fact that the change of teeth is a natural physiological process, some children and their parents may encounter a number of problems that need to be addressed to a pediatric dentist. nine0003

No molars

The absence of permanent units can be caused by congenital adentia - the complete or partial absence of tooth buds.

Another reason for the absence of molars is previously transferred inflammatory diseases - periostitis or periodontitis, resulting from progressive caries. Inflammatory diseases of the periosteum and periodontal tissues have an extremely negative effect on the condition of the rudiments of the teeth and can lead to their death. nine0003

Important! It is absolutely necessary to treat milk teeth from caries. Do not assume that with the change of teeth, the problem will go away by itself. The progression of the disease can adversely affect the health of the rudiments of the teeth.

Molar pain

Enamel, newly appeared permanent teeth, is still poorly formed. The low level of its mineralization makes the teeth vulnerable to cariogenic microflora. This can lead to the development of caries and cause pain. nine0003

Due to poorly formed enamel, the sensitivity of teeth to external stimuli (cold, hot, sour, sweet) may increase, which is also accompanied by painful sensations.

Important! Normally, permanent teeth do not hurt. If pain occurs, you should contact a pediatric dentist. The specialist will determine the cause of the pain, carry out the necessary treatment, fluoridation or remineralization of tooth enamel.

Molar teeth grow crooked

The incorrect position of permanent teeth can be caused by two reasons - the growth of a permanent unit is ahead of the process of loss of milk teeth or they were removed ahead of time, which led to the incorrect formation of the rudiments of permanent teeth.

In this case, there is only one way out - orthodontic treatment of malocclusion.

Important! Malocclusion must be corrected. The sooner the visit to the dentist, the more successful the treatment will be. The child will be assigned to wear removable or non-removable orthodontic structures that will help align the permanent teeth and bite. nine0003

Injuries

Due to their activity and lack of experience, children can accidentally injure a newly appeared permanent tooth. Due to mechanical damage, cracks and chips may appear on it. Damage looks unattractive. Caring for such teeth is complicated, since food residues can fill up in the cracks, which will certainly lead to the development of caries.

Important! If a child accidentally injured a permanent tooth, then it is necessary to seek help from a dentist. The specialist will assess the complexity, depth of damage and build up the missing volume of tooth tissues with composite materials. nine0003

Lost tooth

Loss of healthy permanent teeth can only occur as a result of a severe trauma to the jaw, for example, during a fall or a fight of a child. A sick molar can fall out on its own. In this case, you will also need to consult a specialist. Most likely, the child will have a temporary prosthesis of the lost unit, which will not disturb the formation of the correct permanent occlusion.

Tooth is loose

The loosening of a permanent tooth is an alarming symptom indicating a pathology of the dentoalveolar apparatus or the presence of inflammation.

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