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.

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

  1. Suzanne says:

    My daughter is 7 almost 8 and I came for the dentist to day and I am worryied she said several times that it was unusual that she has lost about 13 14 teeth almost all her adult teeth are in she has to cavities on the adult ones . should I be worried about her teeth coming out so fast ???

    • Your daughter is just ahead of schedule. There isn’t anything you can do about it. The biggest challenge for you is helping her take care of her adult teeth because she is so young.

  2. Anna says:

    Should I be concerned if my 12 year old daughter has all 4 second molars to lose?

  3. Jamie says:

    I’m 15 and still have baby teeth. They are the last 3 or 4 I’m pretty sure and my bottom molar on my right side has been bothering me for the last week or so. It’s been loose for a month or two but there is only I think one major root left and it hurts very badly to wiggle it and I haven’t been able to chew on the right side of my mouth for the last week either. I’ve put orajel on it but that only provides temporary relief. How do I lose the tooth without causing much pain?

  4. May lin says:

    I am 13 but I think my cuspid tooth hasn’t come out yet. And I need to get braces. How do I know if all my baby teeth have come out.

  5. Maria says:

    Hi, I’m 14 and my 2 upper cuspid teeth are loose is that good or bad.

  6. Anisa says:

    Hi, I’m 13 almost 14 and none of my molars have fallen out yet… Is that bad?

  7. Bala says:

    Hi, my daughter is going to complete age 7 in Oct 2015. Still there is no symptoms of teeth falling. Pl advice.

  8. Amarri says:

    Hi. So my dentist said that I should see an orthodontist to see if I need braces. I am 13 and I have only lost 8 teeth. The teeth that i have lost are my 4 front-most teeth on the bottom and top. 3 of my canine teeth are loose. Are there braces with only 4 brackets because that is what my dentist said I might need.

    • Although you may have been referred to an orthodontist, you may not be ready for actually treatment yet. Sometimes an orthodontist works with you for several appointments first to help you get all of the teeth into the mouth so they can be straightened.

  9. Maritza says:

    Hi my daughter is about to loose her lower right canine and shes only 6 is that normal

    • She is a little early, but you can’t tell if it is a problem without an x-ray. It may be that she is crowded and the permanent lateral incisor next to is it stealing some space and taking out two baby teeth instead of just one. Only a doctor with an x-ray can tell you for sure.

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