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It's important to note that eruption times vary
form child to child just as the individual growth rates between children vary.
Normally, no teeth are visible in the mouth at birth. Occasionally, however,
some babies are born with an erupted incisor (neonatal tooth), but these are not
true teeth and are lost soon after birth. |
The first baby teeth to erupt are
usually the lower two front incisors (mandibular central incisors) at about 6
months of age. They are followed by the 4 upper front teeth. The remainder of
your child's teeth will appear periodically, usually in pairs on each side of
the jaw, until all 20 baby teeth have come in at about 2 1/2 years of age. The
last teeth to emerge are the top two molars (maxillary second molars at 30
months). The complete set of baby teeth are in the mouth from 2 years to 5 3/4
or 6 years of age (when no permanent teeth are present). Shortly after your
child's 4th birthday, their jaw and facial bones will begin to grow creating
spaces between their teeth. This is frequently a concern to parents, but it’s a
perfectly natural process of providing the necessary space for the larger
permanent teeth to emerge.
A good rule of thumb
concerning baby teeth is that for every 6 months, approximately 4 teeth
will erupt. So, if your child is 12 months, you should expect 8
teeth.
Though baby
teeth are only in the mouth for a short time, they play a vital role in
reserving space for their permanent counterparts. The primary teeth are
crucial to your child's normal facial appearance and the formulation of clear
speech. Missing or decayed baby teeth often cause children to reject foods
that are difficult to chew. Decay and infection in baby teeth can cause dark
spots on the permanent tooth developing beneath it.
The following
diagram shows approximately when each baby tooth should erupt. Many variations
occur, but the usual order of appearance is as follows

Eruption Patterns
- Teeth tend to erupt in pairs
- Lower teeth usually erupt before the upper
teeth
- Girls generally preceded boys in tooth
eruption
- The teeth in both jaws usually erupt in
pairs - one on the right and one on the left.
- By the time the child reaches the age of two
to three years, all the deciduous (baby) teeth should have erupted.
Eruption Dates for Baby
Teeth
|
Tooth |
Lower |
Upper |
|
Central Incisor |
6 1/2 months |
7 1/2 months |
|
Lateral Incisor |
7 months |
8 months |
|
First Molar |
12 - 16 months |
12 - 16 months |
|
Canine |
16 - 20 months |
16 - 20 months |
Second Molar |
20 - 30 months |
20 - 30
months | |
Permanent
Teeth
At about 6 years
of age, the first permanent molars (upper and lower) and lower permanent
incisors begin to erupt. Between the age of approximately 6 and 12 years,
children have a mixture of permanent and deciduous teeth. This is known as the
mixed dentition stage. By the age of 12 most children have all their permanent
teeth, except for their wisdom teeth.
Eruption Dates for Permanent Teeth
|
Tooth |
Lower |
Upper |
|
Central Incisor |
6 - 7 years |
7 - 8 years |
|
Lateral Incisor |
7 - 8 years |
8 - 9 years |
|
Canine |
9 - 10 years |
11 - 12 years |
|
1st Premolar |
10 - 12 years |
10 -11 years |
|
2nd Premolar |
11 - 12 years |
10 - 12 years |
|
1st Molar |
6 - 7 years |
6 - 7 years |
|
2nd Molar |
11 - 13 years |
12 - 13 years |
|
3rd Molar |
17 - 21 years |
17 - 21
years | |
Development
of Baby Teeth
Calcification begins during
the fourth month of fetal life. By the end of the sixth month, all of the
deciduous teeth have begun to calcify. By the time the deciduous teeth have fully erupted
(2 to 2 1/2 years of age), calcification of the permanent crowns has begun.
A Little on
the Importance of Baby Teeth...
As a rule, baby teeth that become
decayed should be restored and preserved until their normal time of
exfoliation. Though the issue of cost is relevant (baby teeth are
temporary), they’re all your child has to chew with, speak with, and smile
with for a number of years. They play an important role in their social
development. The deciduous second molars are particularly important.
It is imperative that the deciduous second molars be preserved until their
normal time of exfoliation. This prevents the mesial migration of the first
permanent molars.
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