When chewing teeth fall out. Caring for the child’s oral cavity and teeth during the replacement period

Temporary teeth, called baby teeth, function in children until they are replaced by permanent teeth, that is, until the age of 13-15. Baby teeth follow the structure of permanent teeth, but they are smaller, the roots are shorter, and the enamel has a bluish tint. Among the primary teeth on each half of the jaw there are 2 incisors (central and lateral), 1 canine and 2 large molars.

As permanent teeth form and grow, the roots of baby teeth are reabsorbed. First, the tops of the roots dissolve, then their remaining sections (this is why the tooth begins to wobble). The remains of baby teeth are replaced by growing permanent teeth. Each baby tooth has its own period of root resorption. When the root has completely resolved, the replacement tooth pushes the baby tooth out of its socket and takes its place.

The loss of baby teeth occurs in the same order as their eruption. Loss of primary teeth usually occurs symmetrically on the right and left sides of each jaw; in girls this process occurs earlier than in boys. With the exception of second molars, lower teeth fall out earlier than their corresponding upper teeth.

The order and timing of replacement (loss) of baby teeth.

Start and dates
root resorption
Change
(tooth loss)
Lower central incisorsfrom 5th year
(within 2 years)
6–7 years
Upper central incisors
Lower lateral incisorsfrom 6th year
(within 2 years)
7–8 years
Upper lateral incisors
Upper small molars (first molars)from 7th year
(within 3 years)
8–10 years
Lower small molars (first molars)
Upper caninesfrom 8th year
(within 3 years)
9–11 years
Lower canines
Lower large molars (second molars)from 7th year
(within 3 years)
11–13 years old
Upper large molars (second molars)

At the end of the exciting and painful period of eruption of the first incisors and canines, parents begin to worry about the next problem, at what age, how, when do children change their milk teeth to permanent ones, what complications and difficulties may lie in wait at this part of their life’s journey.

Knowing the approximate number corresponding to age periodization makes it possible to understand how many baby teeth fall out in children over the entire period allotted by nature for this.

Their presence can be independently calculated by subtracting the number 4 from the age (in months). Consequently, a baby can have 8 erupted milk jugs per year (12 – 4). Of course, it is difficult to expect such accuracy in reality; each baby is individual. Therefore, he can demonstrate all twenty young teeth at both two and a half and three years old.

Changing teeth: the essence of the process

Baby teeth appear in children for a relatively short time. Already by the age of six, their loss begins, due to the natural course of growing up. During normal flow, gaps form, indicating the imminent beginning of the important stage of farewell. In this case, the permanent replacement canines and incisors will easily be placed in their rightful places.

Scheme of loss of milk teeth and eruption of permanent teeth

If there are no gaps, difficulties may arise due to lack of space.

The process of changing types of teeth in the ideal course of events does not cause difficulties. The shallow root gradually dissolves, which is accompanied by pronounced wobbling. Children actively help by constantly touching the tooth with their tongue and fingers. This often leads to the fact that the milk jug falls out before its permanent counterpart hatches.

Approximate dates

In the theory of medicine, of course, patterns have been developed for the entire process of changing teeth, taking into account that it begins with the front incisor, which is lost at 5.5 ÷ 6 years. Next, a certain sequence can be traced, which allows us to understand at what age children’s milk teeth change to permanent ones. The diagram showing up to what age the process of forming a permanent smile extends demonstrates this clearly. It is built as follows:

  • 6 ÷ 7 years – central incisors of the lower jaw, first molars – lower and upper;
  • 7 ÷ 8 – upper central incisors, lower lateral incisors;
  • 8 ÷ 9 – lateral incisors of the upper jaw;
  • 9 ÷ 10 – fangs from below;
  • 10 ÷ 12 – premolars – the first simultaneously with the second on both jaws;
  • 11 ÷ 12 – upper canines, second premolars from below;
  • 11 ÷ 13 – lower second molars;
  • 12 ÷ 13 – second molars on the upper jaw;
  • 18 ÷ 22 - “wisdom teeth” - not every person appears.

Such an algorithm is considered the norm, allowing it to become an approximate guideline that determines when and at what age a child’s baby teeth – canines, incisors – change.

If any violations of the order are discovered, it is imperative to seek consulting help from a dentist.

Diagram - at what age do baby teeth change to permanent ones?

Oral hygiene

In order to maintain the excellent condition of the enamel of emerging permanent incisors and fangs for many years, careful monitoring by parents over the child’s compliance with hygiene procedures is needed. For morning and evening cleaning, select types of brushes with soft bristles that are not capable of causing damage to the gums.

Pastes are purchased that are recommended for children and contain calcium and fluorine in the structural formula. Children do not like lengthy procedures and may not perform them thoroughly enough without parental supervision. Therefore, control is necessary to form the habit of properly cleaning all dental surfaces.

An important component of hygiene measures is rinsing the mouth with herbal decoctions - chamomile, St. John's wort, yarrow, a weak salt solution or just water after finishing a meal. This simple and accessible method for the child, which has become a familiar ritual, will prevent negative consequences in the form of inflammation when plaque accumulates. It is advisable to visit the dentist every six months, even in the absence of visible disorders.

Sometimes children's teeth, when they change, leave a bleeding socket. A piece of sterile bandage must be applied to it, which the child bites and holds for about ten minutes. If the appearance of blood lasts more than twenty minutes, you must definitely get the help of a doctor. Eating is stopped for two hours immediately after the tooth falls out. The child must know about this and make the right decision on his own if his parents are not around at that moment. There is no need to eat excessively hot or cold foods, as well as sour or spicy foods during the day.

At what age and when do children change their baby teeth to permanent ones?

The necessary vitamin and mineral complex that promotes the formation of healthy and strong enamel, the duration of the course of treatment, and the frequency are determined by the doctor.

Violation of deadlines

The length of the period determined by the natural course of the child’s growing up for the complete replacement of temporary milk jugs is quite long. The diagram and photos that are presented on the website clearly show which teeth change in children.

In some cases, irregularities do occur, the cause of which can be discussed with your dentist. The most common cause of concern is when all acceptable deadlines have passed, and there are still no permanent analogues. By this time, the milkmen may hold their positions, or they may already fall out. A plain radiograph prescribed by a doctor can clarify the picture. Analysis of the resulting image will reveal the stage of formation of all teeth.

The child will experience the most severe discomfort when he or she is deprived of baby teeth, which makes chewing difficult. To organize a complete diet, parents should prepare various types of cereals, pureed soups and vegetable purees.

“Shark teeth” - the reasons for their appearance

In a normal process, a loose baby tooth first falls out and is helped in this by its permanent counterpart that grows after it. However, not all children follow the algorithm in full and the real representative is in a hurry to appear before the milkman gives way to him.

It is especially alarming if, in a similar way, a whole series of permanent analogs erupt in parallel to the temporary teeth that have not fallen out. It was this position, externally similar to the three-row jaws of a shark, that gave rise to such a figurative name for the incorrect flow of replacement.

Timely provision of dental care in the form of removal of overdue primary teeth will help to avoid the manifestation of unaesthetic growth in permanent replacements. If teeth continue to grow crooked, you will need the help of an orthodontist, who will select a special device that will help prepare favorable conditions for further proper growth. This device expands the growing jaw, creating enough space for new teeth.

How many baby teeth do children lose?

They also resort to forced removal of a baby tooth in the situation of a serious inflammatory process on the gum, at the site where the swaying has begun. You will need to see a doctor if the baby is hindered by the mobility of an incisor or canine tooth, causing discomfort and even pain when chewing.

Features of changing molar milk teeth

Due to confusion with concepts and terms, many parents ask pressing questions about whether all baby teeth fall out in children. the radicals are changing. Which are chewable and which are not. It should be noted that the word indigenous is not synonymous with the concept permanent. A molar is a tooth that is responsible for chewing movements. These include four milk jugs - the last in a row on both jaws.

When they appear, pain and other negative manifestations occur. During the change to permanent types of problems, if observed, they are not so acute. Minor pain, local inflammation, and low temperature pass quickly enough.

Factors affecting tooth stability

The stability of permanent teeth required for long-term use depends on a number of factors:

  • heredity;
  • conditions for the formation of rudimentary dental tissues;
  • correct formation of primordia;
  • inflammatory processes;
  • dairy workers' injuries;
  • compliance with hygiene procedures;
  • complete diet.

Causes of incorrect position of permanent teeth

The sometimes observed crooked arrangement of the growing incisors is explained by the fact that they did not have enough space, since their deciduous predecessors did not part in a timely manner, and there were no gaps between them.

When do baby teeth change to permanent teeth?

The reason for the growth of permanent species in a crooked direction may also be bad habits, consisting in the development of constant sucking of a finger, tongue, or any objects. Corrective measures are prescribed only by a specialist, who must be contacted immediately if negative situations are identified.

Sometimes parents have a question: is the 5th tooth milky or permanent, since it appears quite late. You need to understand that the fifth molar in the row is the last milk representative. If redness begins behind it and the gums swell, then these are manifestations of the imminent appearance of the sixth tooth, which will remain there for life, since it is permanent.

Modern dentistry has such an innovative arsenal of techniques that it is able to level out almost all deviations observed when children change teeth. It is important not to miss favorable dates by visiting a medical facility in a timely manner.

And the process of erupting the first teeth, the process of replacing them with permanent ones, is natural. As a rule, by the age of fourteen the dental system is almost completely formed. Only wisdom teeth remain, but not everyone has them.

What teeth change in children?? All milk teeth that have grown in the period up to twenty-four to thirty months must be replaced. The structure of a child’s dental system differs from that of an adult; if an adult has only thirty-two teeth, then children under four to five years old have only twenty.

These are the central and lateral incisors, primary canines, premolars and first molars. But the second molars, which begin to grow after four years, are already permanent, they will not change.

Changing teeth, unlike teething in babies, does not cause discomfort to the child. However, oral hygiene must be monitored especially carefully during this difficult period. After all, tooth loss is accompanied by tissue rupture, and if an infection gets into the wound, an inflammatory process may begin to develop. If this happens, contact your doctor as soon as possible, and before taking it, you can rinse your mouth with antiseptic and anti-inflammatory solutions or decoctions of medicinal herbs.

The loss of primary teeth, in most cases, begins with the lower central incisors, but any deviation from the order of loss is not a pathology. Which teeth change first in children depends on the individual characteristics of the child’s body and heredity.

Changing baby teeth

It would seem that only yesterday the baby’s first teeth appeared, but they are already starting to wobble and fall out. Change of teeth in children usually occurs starting from the fifth year of life. Dentists give approximate temporary norms for when teeth should be replaced, but this process is individual and any deviation, including in the order of changing teeth, is not considered a pathology.

Usually the lower central incisors fall out first in children, then the upper ones. This can happen from age four. Until the age of eight, children part with their lateral incisors, followed by them; up to the age of twelve they get rid of primary canines and premolars; by the age of thirteen or fourteen, they get rid of molars.

As mentioned above, a delay in changing teeth should not be a cause for concern for parents. In the end, all children have their own individual characteristics, and all changes in their bodies occur at the most favorable time for this.

Dental care during teeth changes

It is important to take good care of your teeth at all times. But parents should pay special attention to oral hygiene when changing teeth in children. New teeth have initially weak enamel, and are more susceptible to pathogenic microorganisms than the incisors, canines or molars of an adult.

It is important not only to teach your child to brush his teeth thoroughly in the morning and evening, but also to control this process. It's no secret that children, at any opportunity, shirk hygiene procedures, and you shouldn't expect them to be responsible.

Usually the process of changing teeth does not cause any discomfort to children. Baby teeth fall out due to the fact that their roots gradually dissolve, so the teeth are no longer held well in the gums, wobble and fall out.

If the process of changing teeth gives the child some discomfort or pain, then you can use gels designed to relieve pain in babies during teething. You can also rinse your mouth with a decoction of chamomile, calendula, sage, etc.

And one more point that you should definitely pay attention to when teeth change in children is whether the teeth are growing evenly. Usually, if temporary teeth do not interfere with permanent teeth and there is enough space on the jaw, the teeth take their rightful place in the dentition, and if there is interference, they can become crooked. Often, the child’s habits such as thumb, tongue, foreign objects, etc., also contribute to crooked teeth. If you observe malocclusion in a child, contact an orthodontist as soon as possible; the sooner you begin to solve the problem, the faster you will achieve success.

As mentioned above, the enamel of permanent teeth is not sufficiently mineralized and vulnerable at first. Therefore, it would be advisable to contact a dentist who will perform a series of procedures to strengthen your teeth. These include coating teeth with calcium, fluoridation, and sealing fissures, that is, natural chewing hollows on the surface of the tooth.

Do not forget also about preventive examinations, which should occur once every six months, and, according to appropriate indications, more often.

Milk teeth got their name thanks to the ancient Greek physician Hippocrates, who was convinced that they are formed from mother’s milk. Did you know that baby teeth don’t always change? In the absence of the rudiments of permanent crowns, a person can live with milk teeth all his life, right up to old age.

When should teeth normally change, what does this process depend on, what deviations may occur, and how to prevent them - read our article.

Timing of change of baby teeth

Factors influencing timing:

  • Heredity. Very often children change teeth at the same time as their parents did in childhood.
  • previous infections;
  • metabolic problems. Metabolic disorders occur due to rickets, phenylketonuria and other diseases affecting metabolic processes;
  • dyspepsia – disturbances in the functioning of the stomach;
  • absence of rudiments of molars. Such pathologies arise in the prenatal period due to pathologies during pregnancy.

How baby teeth are replaced with permanent teeth

When baby teeth change, their roots begin to gradually dissolve, giving way to new ones.

How does this mechanism start?

  1. All permanent tooth buds are separated from the deciduous roots by a bone plate. When the molar tooth germ begins to develop and increase in size, it puts pressure on the bone plate.
  2. During this process, osteoclasts appear - cells that dissolve the mineral component of the bone.
  3. In parallel with the “attack” of osteoclasts from the outside, the tooth experiences internal changes: its pulp (neurovascular tissue) changes and turns into granulation tissue, which also contains osteoclasts.
  4. Thus, the milky roots are exposed to osteoclasts from the outside and inside and are resorbed.
  5. There is only one crown left: it begins to wobble and soon falls off, because it simply has nothing to hold onto the jaw.

Often this process is accompanied by an increase in body temperature and general malaise. When a tooth “comes off” from the row, slight bleeding is observed. Normally it stops after 3-5 minutes.

  1. The central incisors are the first to fall out, at the age of six or seven.
  2. At seven or eight years of age, it is the turn of the lateral incisors.
  3. From nine to eleven years - the first molars, from nine to twelve - the lower canines.
  4. Later than everyone else - from ten to twelve years - the upper canines, first and second molars of both jaws fall out.

For most children, the process of replacing baby teeth with molars takes five to six years and lasts until the age of thirteen or fifteen.

FAQ

Do all 20 baby teeth change?

Absolutely everything must change. If some of them have not been replaced with radical ones, you need to see a dentist.

How to help a child with loss of baby teeth?

It is important to provide your baby with adequate nutrition: include foods rich in calcium, vitamin D, fluoride, fresh vegetables and fruits. It is also recommended to exclude sweets as much as possible. Great importance should be attached to oral hygiene (ideally brushing after every meal).

If there is bleeding at the site of a lost tooth, the child should be given a sterile cotton or gauze swab to bite on.

When is dental help needed?

You cannot do without consultation or professional help from a dentist if:

  • there is increased swelling and pain in the gums;
  • The molars have already appeared, but the “temporary” ones have not yet fallen out. They need to be removed, otherwise the permanent ones will grow crookedly;
  • the milk ones have fallen out, but the radical ones have not yet appeared. In such cases, they may cut through crookedly.

What to do if your teeth grow crooked?

Make an appointment with an orthodontist and begin treatment. Malocclusion is corrected with plates, braces, and trainers.

Is it possible to get vaccinations when baby teeth are changing?

If the child has a fever, this is not allowed. If it doesn’t affect your health and well-being in any way, then you can.

To make sure that your child’s teeth are changing normally, we recommend regular check-ups with a pediatric dentist.

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The order of loss of baby teeth

Style="float: none; margin: 0px;" src="https://kingad.ru/wp-content/uploads/59df2f17a745959df2f17a74a8.jpg"> What teeth do children change? Almost all milk erupted at the age of 24 - 30 months. The structure of the children's dental system is not similar to that of an adult. Instead of 32, as in adults, children up to the age of five grow no more than 20 milk teeth, ten on each jaw. Temporary teeth are smoother than permanent teeth and their roots are much wider, because the rudiments of permanent teeth should form under them.

Children's primary teeth are lateral incisors and central molars, premolars, primary canines, and first molars. Second molars, which begin to erupt at the age of 4, are already permanent teeth and cannot be replaced. Replacing teeth, unlike cutting baby teeth, does not cause much discomfort to the baby: temporary teeth fall out as their roots gradually dissolve. The teeth are held weakly in the gums, become loose and fall out. If a permanent tooth erupts, and its milk predecessor sits tightly and is not going to make room, the tooth will appear in the second row. Since this process is painless, it is important to have it removed promptly at your dentist's office. Sometimes pediatric dentists advise children to strengthen their teeth, helping loose ones to fall out on time.

Oral hygiene during the period of tooth replacement must be monitored especially carefully, since tooth loss is accompanied by tissue rupture, and inflammation often develops when an infection gets into the wound. If such a situation arises, contact your doctor immediately, and before the visit, rinse your mouth with antiseptic and anti-inflammatory solutions or infusions of calendula, chamomile, sage and other medicinal herbs.


There is a certain order in which baby teeth fall out. This sequence, as a rule, begins with the lower central incisors (the first to erupt are the first to fall out), but any violation of this sequence is not a pathology, although attention must be paid to all deviations. The order of tooth replacement depends on heredity and the individual characteristics of the child’s body. If there is not enough space for teeth, they can push out neighboring ones.

  1. The change of teeth begins on the lower jaw, with the central incisors, which erupt first in infants. Then (at the age of 6 - 7 years) the lateral incisors and the first molar fall out.
  2. What teeth change in children at 10 years old?? At 10-12 years old, canines, premolars and a second molar should be replaced.
  3. The sequence of teeth change on the upper dentition: at 7 years - central incisors, at 8 years - lateral incisors, at 11 - canines, at 10-11 years - molars.

If a molar has not appeared 3–4 months after the temporary tooth has fallen out, the cause must be found. There are rare cases when there is no permanent tooth germ. If the x-ray indicates such a diagnosis, the child will have to undergo prosthetics to maintain a normal bite and correct facial shape.


Normally, teeth change occurs painlessly and asymptomatically. If the child still feels a deterioration in his general condition, you can purchase gels and special toothpastes to reduce discomfort. If the process of replacing teeth is accompanied by an increase in temperature, this may indicate an inflammatory process, when tooth eruption is difficult with inflammation of the gums. This situation requires medical supervision. Look at the diagram to see which teeth change in children and in what time frame.

Fluoridation of baby teeth. Benefits of the procedure.

Read our article about how baby teeth are pulled out.

Oral care when changing baby teeth

The period of changing baby teeth for babies is not always easy. Proper oral hygiene prevents certain dental problems from occurring in the future. Your child should develop the habit of brushing their teeth twice a day every day. And while the child’s hand is not able to perform precise movements, it is necessary to help him brush his teeth. In addition to a toothbrush, the bathroom should have a tongue scraper and dental floss. It is important to teach your child to brush not only their teeth, but also their tongue. After each meal, the baby should rinse the mouth. You can purchase special children's teeth rinses for this, or prepare an infusion of medicinal plants that relieve pain and inflammation. --noindex-->


If caries is detected on temporary teeth, it must be treated as soon as possible, since the infection can spread to molars that are at the eruption stage. Milk teeth with severe caries must be removed earlier than their natural time, which contributes to irrational distribution of the chewing load and uneven development of the jaw. After tooth extraction, you cannot use rinses, as you can wash out the natural plug - a blood clot that protects the wound from germs and food debris.

Untimely loss of primary teeth can be caused by previous diseases or hormonal disorders. Dentists today offer a special procedure for children that protects the enamel of new teeth from caries - fissure sealing with the application of paste to the molars. This is a good prevention of caries while the child has not yet learned how to properly care for the oral cavity and teeth on their own. Look at the photo to see what teeth change in children, and how to control this process.

If baby teeth are not an obstacle to permanent ones, the jaw has developed normally and there is enough space for them to erupt, the teeth grow evenly. Bad habits such as tongue sucking, finger sucking, pacifier sucking and other objects can hinder them. When a baby tooth falls out, neighboring teeth move towards each other to fill the resulting space. In this case, the molar tooth will not be able to grow normally; if the bite is disturbed, it may be necessary to seek advice from an orthodontist.

Watching your diet

Monitoring and controlling the change of baby teeth is an important moment for those who love their child and are responsible parents. As soon as the first teeth begin to fall out, it is necessary to diversify the child’s diet.

  1. During this period, the child needs vitamin D, which is responsible for the normal absorption of calcium - the foundation of strong and healthy teeth.
  2. The child's diet should contain a lot of dairy products, fresh herbs, cheeses, vegetables and fruits.
  3. Show your willpower in denying your child his favorite sweets. Now you should significantly limit your consumption of sweets and carbonated drinks.
  4. If a child has lost teeth, he should not be limited in solid food. Now such a load is very important for the proper development and growth of molars. Pieces of carrots and apples not only massage and strengthen the gums, but also effectively cleanse teeth of pathogenic bacteria.

Do not forget about medical examinations at least once every six months, developing a certain dental culture and, perhaps, you will be lucky enough to raise a person who is not familiar with toothache.

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Correct order of teeth falling out

The replacement of baby teeth begins at approximately six years of age and lasts until twelve. Typically, by the age of fourteen, a child should have a full arsenal of 28 permanent teeth. There are only 20 baby teeth, all of which will be replaced with new, stronger ones. Below we will take a closer look at which baby teeth change and when this happens. For ease of understanding, a visual table is presented on the right.

At six or seven years old, the first teeth begin to loosen. As a rule, these are the central lower incisors. At seven or eight, the lateral incisors fall out. The age of 9-11 years is accompanied by the loss of the first molars. Fangs begin to change at an average age of 10-12 years. At the same time, the child should lose his second molars.

It is worth noting that the lower canines and molars change earlier than the upper ones. Since the upper canines are one of the last to grow, when the jaw row is practically formed, they often do not have enough space, they grow unevenly, displace others, and lie on top. It is the canines that cause most orthodontic problems.

The initial stage of changing teeth may be accompanied by an increase in temperature, but in most cases it passes painlessly and without the participation of a dentist. Many parents and children look forward to new teeth and begin to get scared if the molars do not come out immediately after the baby ones fall out.

The incisors may be absent for up to a year, the rest for up to one and a half to two years. This is a normal condition and does not require concern. If these periods are exceeded, it is recommended to consult a dentist. He will take a photo and find out the reason, which may be lack of space in the row.

Oral care during the period of changing baby teeth

Proper oral hygiene is of great importance when changing baby teeth. New teeth are not as strong as those of adults, since their protective layer has not yet fully formed. It is for this reason that it is important to brush your teeth twice a day. Children prefer to avoid hygienic procedures, so at first it is necessary to help them, teach them to use a brush, a tongue spatula. The use of dental floss and rinses is encouraged.

Another necessary measure before the upcoming change of teeth is a complete sanitation of the oral cavity. Caries localized in baby teeth can also spread to newly growing ones. As noted earlier, young molars have weak enamel, so they are susceptible to carious lesions.

In most cases, the process of tooth loss is painless, as the root gradually dissolves, the tooth loses stability and falls out. Since the gums during this period are still loose, severe pain during teething is not observed. But in rare cases, a child may complain about it.

It is necessary to monitor the teething process and carry out antiseptic procedures. To numb the gums and normalize the microflora, the same gels are used as when teething, for example, Kamistad-gel or Kalgel.

Another important circumstance is monitoring the correct formation of teeth in a row. At the slightest sign of displacement of permanent teeth, you should contact an orthodontist. While teeth are growing, you can influence the beauty of your future smile from the outside.

Since the enamel of permanent teeth is not sufficiently mineralized at first, you can consult a dentist. He will carry out the appropriate procedures and strengthen the protective layer. In addition to this, when changing teeth, the child should eat properly, focusing on the following food groups:

  • calcium-rich dairy products;
  • fresh herbs, vegetables and fruits;
  • fish.

The replacement of baby teeth with permanent ones is not just a process expected by everyone, it is an important period in which the protective properties of the enamel are formed. How nutritious a child’s nutrition is and whether or not the oral hygiene is correct determines what the teeth will look like in the future and whether there will be a tendency to numerous dental problems.

FAQ

Parents often have controversial questions regarding the replacement of baby teeth. This is often caused by the presence of diseased teeth, which you want to quickly replace with strong, healthy ones. In this regard, it is possible to succinctly summarize the important information regarding primary and molar teeth.

Are all baby teeth replaced by permanent teeth?

Yes all. The process of changing teeth is quite long, but all milk teeth will be replaced by permanent ones. In addition, at least four more molars will be added to them. The entire process of tooth growth should be completed by the age of 12-14 years. The remaining four wisdom teeth may grow throughout your life or may not grow at all.

How many baby teeth do children lose?

Children lose 20 baby teeth: eight incisors, four canines and eight molars. They differ significantly from permanent ones, as they are less bumpy. In addition, baby teeth have wider roots, since they are a protective block for the developing permanent ones.

Which teeth fall out first?

The first to fall out are the central incisors, and they can fall out both above and below; more often, the lower ones begin to fall out. Then - lateral incisors, canines and molars. The latter after the change are called premolars. In general, the pattern of tooth loss and growth is approximately the same as during the eruption of milk teeth.

An orthodontist will talk about how children's teeth change in this video.

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The process of changing baby teeth in children is individual, but generally falls within the framework of 6 to 14 years. Although this process is natural, it requires supervision from parents and specialists. If suddenly a child develops problems with the appearance of molars, the easiest way to prevent their consequences is in the early stages. The stages of teething in children and the problems that parents may have to face will be discussed further.

What kind of baby teeth do children have?

Children's baby teeth appear between several months and three years. At the beginning of the third year of life, children should normally have 20 primary teeth, ten each on the upper and lower jaws.

Milk teeth are less tuberous than permanent teeth, their roots are much wider, since under them there are the rudiments of molars.

What teeth do children lose?

All baby teeth in children are replaced by molars. The process itself is most often painless. If the appearance of new teeth in a child is accompanied by pain, you can help him by purchasing a special paste, for example, Dentol, or by giving him an anesthetic. Before taking these medications, you should see a dentist so that he can check whether the teething process is accompanied by inflammation and recommend a drug that will best suit your child.

The loss of baby teeth in children begins when the blocked molars come closer and closer to the exit into the oral cavity. Baby teeth begin to become loose and usually fall out painlessly.

The order of teeth coming out in children

The loss of baby teeth and the emergence of molars usually occurs in the same order as in infants. First, the middle incisors fall out and erupt, followed by the lateral ones, then the canines, first and second molars, in place of which small and large molars appear. Usually, by the age of fourteen, the number of molars in children is 28. There may be 32, but most often the last four, the so-called wisdom teeth, grow at the age of 20. Some people do not develop wisdom teeth at all.

Oral care during molar eruption

Since tissue ruptures occur periodically during the loss and eruption of new teeth, children need to carefully monitor their oral cavity.

Be sure to brush your teeth twice a day. After each meal, the child should rinse his mouth. Special rinses can be purchased, or you can constantly prepare herbal decoctions. Such measures will help reduce the risk of infections in the resulting wounds and reduce pain, if any.

If a child’s baby teeth are affected by caries, it is imperative to treat them, since the same disease will affect the emerging molars.

Currently, a procedure for covering only erupted molars with a special paste is available for children. This paste protects the still thin enamel from caries. The procedure is called fissure sealing and if the child does not yet clean the oral cavity well enough from food debris, it can be an excellent prevention of this disease. In addition to oral care, parents also need to monitor how their children’s permanent teeth erupt. It happens that they do not have enough space and they begin to grow crookedly, or, on the contrary, the child’s baby tooth has fallen out, but the molar does not grow for a long time. Both cases require intervention from an orthodontist.

If your teeth are growing crooked, there is no point in delaying a visit to the doctor, waiting for everything to appear. Very often it is easier to correct misaligned teeth right away.

In the case when a molar tooth does not appear within 3–4 months after the loss of a primary tooth, it is necessary to find out the reason. This could be a disease, such as rickets. In rare cases, it happens that there is no permanent tooth germ. If the x-ray confirms this, then the child will have to undergo prosthetics.

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  1. The beginning of the shift is noted in most children at 5-6 years of age, when a child cuts his first molars. Because of their location in the dentition, they are called the “sixth tooth.” At the same time, from the age of 5, resorption of the roots of the primary incisors begins, a little later - the roots of the lateral incisors, and at 6-7 years - the roots of the first molars. This is a long process, taking on average 2 years.
  2. At 6-8 years old, children change their central incisors. First, a pair located on the lower jaw falls out, after which, on average, at 6-7 years of age, permanent incisors appear in their place, which are distinguished by their large size and the presence of a wavy edge. A little later, the central incisors located on the upper jaw fall out. The average time for permanent teeth to erupt in their place is 7-8 years.
  3. Next comes the period of changing the lateral incisors. On average, they fall out at 7-8 years of age - first on the upper jaw, and then on the lower jaw. Next, the lower pair of permanent lateral incisors begins to erupt, and at the age of 8-9 years, similar teeth appear on the upper jaw. Also, at the age of 7-8 years, the process of resorption of the roots of second molars and canines begins, which lasts on average 3 years.
  4. The next to change are the “fours”. They are called the first molars, but after they fall out, which occurs on average at 9-11 years of age, teeth “peck” in their place, which are called permanent first premolars. The first molars fall out first on the upper jaw, and then the turn of the lower teeth comes. However, permanent teeth are in no hurry to erupt in their place, giving way to fangs.
  5. At the age of 9-12 years, children lose their primary canines– first the upper ones, popularly called “eye teeth”, and then the lower ones. Permanent fangs begin to cut at the age of 9. Such teeth appear first on the lower jaw at the age of 9-10 years, and at the age of 10-11 years the upper permanent canines also erupt.

By the age of 3, the child’s growth process ends, and parents breathe a sigh of relief, however, they should not relax too much, since there is another stage of life ahead that they need to go through together. Around the age of 5, baby teeth begin to be replaced by molars. What teeth change in children, the order of change, when the first baby tooth should fall out, we will talk about all this in detail in our article, we will provide a photo diagram of tooth loss.

What teeth do children change and in what order?

  1. First, the first 2 incisors grow from below, then the same incisors appear from above.
  2. After this, the second incisors, premolars and one of the molars gradually grow. In total, 2 molars grow on each side, the rest appear only after 4 years and are not deciduous.
  3. Consequently, over time, all teeth except the outer molars fall out and are replaced with molars. If baby teeth appear out of order, this is not a problem or a disorder.

In total, a baby grows 20 primary dentins.

Scheme-photo of the sequence of loss of baby teeth


The order of tooth loss in children


Replacement with indigenous ones occurs in a child starting from 5.5-6 years old and lasts until 13-14. The indigenous ones grow up in almost the same order as the temporary ones fall out, although the order may be different. At about 5.5 years old, the baby loses his incisors.

Around the age of 8, the canines fall out, and by the age of 11, the premolars fall out. At the age of 12-13 years, the first molars become loose, the second ones remain, as they have grown as molars. Molars grow in the same order.

The entire replacement process can take up to 14 years. By this age, the child will have grown 28 new molars, not 32 like an adult, since wisdom teeth begin to grow at 21-22 years old.

Rarely, the appearance of molar dentin causes pain and discomfort. If such symptoms appear, parents should definitely consult a dentist for advice. It must be remembered that during the replacement, you definitely need to show up, since at this stage it is important that the child’s jaw develops correctly, without malocclusion.

An important factor is the correct positioning of the dentition. If pathologies are detected in children at an early stage, they can be corrected immediately without resorting to long-term wearing of orthodontic appliances. Often, such pathologies can cause diction disorders.

Rules of care during the period of hair loss

It is important to follow hygiene rules at all times, not only when replacing teeth. Although at this time it is necessary to pay more attention to oral hygiene issues.


At the time of temporary loss and new growth, the skin of the gums is damaged and becomes susceptible to various external influences.

In order for the replacement to go smoothly without complications, you need to remember the following:

  1. It is necessary to teach your child to clean his mouth from the age of 2-3 years. The first few times you can do without toothpaste, then buy a baby product without fluoride. The next stage begins at 4 years old, then the baby needs to buy toothpaste with a low fluoride content. From the age of 6, a child must brush his teeth with a toothpaste with normal or high fluoride content.
  2. At the time of growth of molars, it is necessary to add more foods rich in calcium to the children's diet and limit the consumption of sweets.
  3. Vitamins can be an additional source of calcium and various minerals. It is necessary to consult with a dentist or orthodontist which vitamin complexes can be used.
  4. From an early age, children need to be prepared for the fact that their teeth will soon fall out and others will appear in their place. It is necessary to explain that it is impossible to loosen baby teeth and touch growing ones.

Each child's body is very individual. It is impossible to make any predictions regarding the growth of molar dentin. All this occurs at different times for each child. If the appearance process does not occur within the specified time frame, then there is no need to panic. They will grow up in any case, but the quality of them, of course, depends on the parents and the children’s awareness.

Causes of growth disorders


There are several reasons why molar dentins may grow incorrectly:

  1. A common cause of abnormal growth is congenital jaw pathology. Sometimes, to correct such defects, it is necessary to contact an oral and maxillofacial surgeon.
  2. Another reason is a violation of the dentition, of a traumatic nature. A child can knock out the milk and damage the growing one due to a strong blow.
  3. Sometimes the normal position of the molars is interfered with by the milk teeth that have not yet fallen out. In such cases, dentists recommend th and make room for new growth.
  4. If the child does not have the correct bite, the upper jaw overlaps the lower jaw, then in places of strong pressure, uneven teeth may appear.
  5. Often, the cause of growth disturbance can be “licking”. This is a process when a child, while cutting through, constantly touches the tooth with his tongue or hands, trying to wobble it. The natural process is disrupted and the correct direction of growth is changed.
  6. Weak enamel on dentin is susceptible to damage by other dental diseases. Sometimes this process becomes chronic and molars that have not yet appeared are susceptible to the same diseases.

Children constantly need to be prepared for such changes. You need to talk to the baby and explain that he needs to be patient and wait until all his teeth become strong and beautiful.

For a dedicated child, the replacement process is not a shock, but an entirely expected change. It is important to remember that a child who visits the dental office for a preventive examination from childhood grows into an adult who will also be attentive to the oral cavity.

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