Dr. Greg Jorgensen
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Rio Rancho, NM 87124

The Jorgensen Orthodontics Blog

At What Age Do Baby Teeth Normally Fall Out?

Posted by Dr. Jorgensen on June 11th, 2012

Pulled a Baby ToothMany parents worry that their children’s teeth are not falling out on time. At what age should the first baby tooth be lost? When should the last one fall out? Is there a predictable order?

The first baby teeth (also known as primary teeth) to come in are usually the lower central incisors around the age of six months. The last baby teeth to show up are the upper second primary molars, and they appear between 30 and 36 months of age. There are normally 20 baby teeth by the time a child reaches age 3. These primary teeth then remain unchanged for about three years.

primary teeth eruption chartNot much happens to the baby teeth between 3 and 6 years of age. Between 6 and 8 years however, there is a flurry of activity as kids normally lose eight primary teeth in rapid succession. Between age 8 and age 10 there is another two-year pause that catches many parents by surprise since they have become accustomed to teeth being lost left and right. The last twelve primary teeth are then lost between ages 10 and 13. The following chart summarizes primary tooth loss:

Ages 3-6: Not much happens
Ages 6-8: First eight baby teeth lost
Ages 8-10: Not much happens
Ages 10-13: Last twelve baby teeth lost

Although there are always exceptions, there is a basic sequence for the loss of the baby teeth. The upper and lower front four teeth are usually lost between the ages of 6 and 8. This typically begins around age 6 with the lower central incisors followed by the upper central incisors. The upper and lower lateral incisors then come in between 7 and 8. So by age 8, children should have all eight of their permanent incisors in place.

After a two-year break (about age 10), the next four baby teeth to be lost are the lower canines and upper first molars. These are typically followed around age 11 by the lower first molars. The lower second molars tend to be lost about the same time as the upper canines and second molars. This usually happens in the 12th year. In summary, here is the order in which baby teeth are normally lost:

Age 6: Lower and upper central incisors
Age 7: Lower and upper lateral incisors
Age 10: Lower canines and upper first molars
Age 11: Lower first molars
Age 12: Upper and lower second molars and upper canines

These are merely averages however. Some kids lose teeth faster than this. Others lose them slower. It is not unusual to see a 10-year-old with no baby teeth remaining, nor is it surprising to see a 14-year-old still hanging on to a few. The actual ages are not as important as the pattern.

If baby teeth are not lost in the right order, or if a tooth is lost and more than three months go by without a permanent replacement coming in, there may a problem. Some possibilities include missing teeth, crowding, problems with the tooth loss mechanism, or the underlying tooth is just crooked and it is not pushing out the one above it. These are all conditions that your orthodontist will look for during your child’s orthodontic evaluation. Your doctor can tell you if everything is normal or if interceptive procedures are warranted (i.e. having your dentist help move things along by removing some primary teeth). Set up an orthodontic appointment for your child around age 7 so that you can benefit from the expertise of a doctor who specializes in dental growth and development. Even if there is nothing wrong, it is always a comfort having that peace of mind.

NOTE: The author, Dr. Greg Jorgensen, is a board-certified orthodontist who is in the private practice of orthodontics in Rio Rancho, New Mexico (a suburb on the westside of Albuquerque). He was trained at BYU, Washington University in St. Louis, and the University of Iowa in the United States. Dr. Jorgensen’s 25 years of specialty practice and 10,000 finished cases qualify him an expert in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems (including conventional braces, Damon and other self-ligating brackets, Suresmile, and lingual braces). This blog for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. Jorgensen is licensed to diagnose and treat patients only in the state of New Mexico. He cannot diagnose cases described in comments nor can he select treatment plans for readers. Because he has over 25,000 readers each month, it is impossible for him respond to all questions. Please read all of the comments associated with each article as most of the questions he receives each week have been asked and answered previously. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

976 comments so far in response to “At What Age Do Baby Teeth Normally Fall Out?”

  1. Madz says:

    I am 12 turning 13 and I have lost 16 teeth. I still have my upper 2nd mollers and my 2 upper teeth which are next to my front 4. Should I be worried because lots of people which are 12 turning 13 have lots of teeth that are lost. Most of them only have 18 teeth left. I am scared because I always think I will need a needle to remove all of these teeth. Should I get them wobbly and let them fall out when they do or should I get a local dentist to pull them out using a needle???
    Please answer and I hope I shouldn’t be worried.

  2. katy says:

    hello, I had lost every single one of my baby teeth by the time I was 8, and most of the kids in my class had lost theirs by 10 at the latest. I don’t think I’ve ever met a person who didn’t lose their last tooth until 12, let alone 13 or 14. I’m almost 21 now, not that that matters, but I’ve never heard of someone not losing baby teeth until 13 or 14?

    • Although there are variations from normal, the average 8-year-old has only lost 8 teeth and the average dental patient loses their last baby tooth when they are 12. These are documented averages that I have observed in my practice every day for the past 25 years. Some lose their teeth earlier and some later, but I’ve never seen an 8-year-old with all of her permanent teeth ever.

  3. Sharon says:

    Hi my grandson just lost his lateral incisor today at the age of10 years is this normal thanks

  4. Lyndsey says:

    My son is 5 and a half. He lost his lower central incisor about 3 months ago (no replacement showing as yet) he came to me this morning with wiggly lateral and central incisors.the ones either side of the one that came out. Is this normal at such a young age? I think he has loosened them by keep pushing his tongue through the gap. He just seems so young and tiny to lose them already? I will make app with dentist but in the meantime any reassurance would be greatly appreciated.
    Thanks

    • It is absolutely normal. The underlying teeth are larger than the baby ones and sometimes two must be lost to make room for the permanent ones. It does indicate crowding and treatment may be necessary at some point. Don’t worry about him loosening the teeth with his tongue. He can’t cause this. The teeth get loose on their own.

  5. Nairovi says:

    Iam very worried about my son two front tooth he lost one when he was 6years old now he’s 8 years old and he still have one of them with baby tooth and his gum is like little swollen and the tooth is black because when he was a baby he hit himself

  6. Divyansh Koundal says:

    I am getting worried for my daughter she is 14 years old and she have lower central incisor and upper left lateral incisor milk teeth I am so much worry about her how she can get rid of these milk teeth?

    • The only way to know why her primary teeth are still in place is by having her examined by a local doctor. I suspect either missing, crowded, or impacted permanent teeth associated with the baby teeth that are still in place. The only way to know is by having an x-ray taken and read by a dentist.

  7. Jessica says:

    My daughter Is 8 yrs old she had a cap on her cuspid Teeth she just lost it is this normal or should I take her to the dentist

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