The primary fangs are replaced with permanent ones. Problems with falling out

Almost every person has a childhood photo with a charming toothless smile in the family archive. An unforgettable shot takes you back to childhood, immersing you in pleasant memories of a carefree life. Losing teeth at a young age is taken for granted. In addition, in honor of such an event (the loss of a baby tooth!), grandparents told the child fascinating magical stories about each tooth that fell out.

Parents who are faced with tooth loss in their baby treat this process with some excitement, as they understand that the child has begun to grow up. This article will discuss in detail the pattern of loss of baby teeth in children.

Causes

How do baby teeth change in children? The pattern of loss (photo below) indicates that the natural process of renewal in childhood occurs constantly, starting from 6-7 years. The child does not experience any discomfort; however, some nuances may be observed:

• in sensitive children - pain;
• in rare cases, the occurrence of an inflammatory process.

The given diagram of the loss of baby teeth in children will help parents prepare for such an important process and avoid unforeseen situations.

Which teeth fall out first? Why don’t they immediately grow indigenous? Why do people need baby teeth? What role do they have on human development? Let's try to answer all these questions more specifically in order to fully understand this entire complex process. The “deciduous teeth loss” scheme can be used to help. In children aged 6-7 years, this process occurs very actively.

The main purpose of baby teeth is to preserve space for future molars during the formation of the child's jaw.

Functions of teeth

The baby is born without teeth; The first ones erupt around six months. During this period, caring mothers begin to introduce complementary foods, gradually transferring their child to solid food. The child’s oral cavity is still small, and the teeth appearing are also small. By the age of 5, there are significant gaps between them in the mouth. And by the age of 6-7 years, the replacement of milk teeth with molars and permanent teeth begins to occur. The pattern of loss of baby teeth in children is the same for everyone, but individual characteristics make their own adjustments.

Loss occurs due to the fact that the milk roots begin to dissolve and lose their strength, as a result of which the tooth falls out of the socket. Then another one, and until the oral cavity is completely filled with molars, with which the child will walk for the rest of his life.

Advice: During this period, it is very important to correctly follow the requirements for oral care.

Formation of teeth

The formation of future teeth occurs when the baby is in the womb: milk teeth - at about 7 weeks of pregnancy; the first permanent rudiments - at the 5th month. Calcium is necessary for the proper formation of future teeth, so the expectant mother must include additional vitamins in her diet.

Teething order

The order of teething in a baby:

• in the center on the lower jaw;
• in the center on the upper jaw;
• upper lateral incisors;
• lower lateral incisors;
• upper first molars;
• lower first molars;
• fangs (lower and upper);
• lower second molars;
• upper second molars.

The most active eruption of baby teeth is observed from 6 to 12 months from the moment the baby is born. By the age of three, a child should have 20 teeth, which are the main ones. Parents should not worry about the absence of premolars (“fourth” and “fifth” teeth); their appearance will occur at the age of 11-12 years.

Also, do not worry about the position of the teeth in the baby’s mouth. Each organism is individual, and everything that is laid down by nature will definitely appear on time.

If, nevertheless, a situation occurs that teeth have not appeared before the age of one year, urgently go to the pediatric dentist. Such a deviation from the norm must be examined by a medical specialist.

The order in which baby teeth fall out in children (the diagram is described below) is of great importance for the timely appearance of permanent teeth.

A little about baby teeth

Baby teeth are very sensitive, so you should take special care of them. If plaque or spots appear on the enamel, you should definitely contact your pediatric dentist. There is no need to be mistaken that baby teeth do not need to be treated, since they will fall out anyway, giving way to permanent teeth. The teeth that appear in their place will already grow damaged and infect the entire body with harmful bacteria. Decayed baby teeth can cause malocclusion.

Like molars, baby teeth have roots, only slightly different in structure: short, capable of thinning.

Teeth (molars and baby teeth) vary in size and color. Dairy - small, characterized by a white and blue tint; indigenous ones are often yellow in color, with thicker enamel.

The main function of milk teeth is that they indicate the place of germination of molars. It is worth paying attention to the following fact: if a tooth is removed prematurely, for various reasons, this may affect the condition of the molar, which may grow crooked or cut through the gum incorrectly.

So what is the order in which baby teeth fall out in children? More on this later.

Teeth changing mechanism

All parents know that children grow quickly. Only they were carried in a stroller, and now they are going to school. During this period of their life, the main change of teeth occurs. They cut through almost in the same sequence as the milk ones. Although there are children who are not included in the general list due to individual characteristics. Parents should not worry about this.

Here are the approximate dates for the loss of baby teeth in children and their replacement with new, permanent ones:

• 6-7 years - renewal of the first lower and upper molars, as well as incisors in the center of the lower jaw;
• 7-8 years - eruption of the lower lateral and upper central incisors;
• 8-9 years replacement of upper lateral incisors;
• 9-10 years the appearance of the lower canines;
• 10-12 years eruption of the first and second upper and lower premolars;
• 11-12 years of age: growth of canines from above;
• 11-13 years old, the second molars are cut from below;
• 12-13 years - second molars from above;
• At the age of 18-25, the last stage occurs - “third molars” (popularly “wisdom teeth”) appear above and below. By the way, for many people they may be completely absent.

This is the order of the loss of baby teeth in children and the appearance of molars.

Some secrets

By changing teeth you can judge how the child is developing. When new teeth appear, there is no pain, since the place for them has already been prepared by milk teeth. Parents should not pull out a loose tooth from a child; over time, it will fall out on its own. But you should be careful if the tooth has not yet fallen out, but a new one is already growing. Contact a specialist immediately to remove the retained baby tooth.

Causes of delayed appearance of molars

Now it is clear how baby teeth fall out in children. The age when the first molars should appear is 6-7 years. But sometimes this period can be shifted due to the individual characteristics of the body, so doctors add another one or two years to the standards. There are also certain nuances when replacing teeth:

• gender of the baby - in girls the process of changing and appearing teeth is faster than in boys;
• the impact of infectious diseases suffered in childhood;
• nutritious diet;
• quality of liquid consumed;
• negative events during pregnancy;
• genotype;
• breastfeeding (also affects the quality of future teeth);
• climatic conditions;
• disruption of the endocrine system;
• chronic diseases.

The fallen milk tooth is a simple crown with pulp particles; there is no root. The shallow planting depth and low degree of strength contribute to the natural resorption of the baby tooth root over several years.

After a baby tooth falls out, try not to let your child eat for 3 hours. This measure prevents food particles from entering the vacated hole and preventing inflammation.

If your child experiences severe pain when teeth appear, consult a dentist immediately. You should not expose your baby to suffering, as toothache has a negative impact on the physical and mental state of the child. The doctor will prescribe an ointment that will help reduce gum pain.

Nutrition

During the period of teeth growth, the child’s diet must be completely changed. It is necessary to exclude a number of products that may have negative factors on the growth of new teeth:

• nothing salty;
• sour foods are prohibited;
• Spicy foods are also prohibited.

Explain to your child that you should not touch the formed hole with your tongue or hands. This can cause infection in the oral cavity. And this leads to negative consequences. If after prolapse the hole bleeds, then it is necessary to rinse the mouth. Soda solution, sage or chamomile decoction are considered wonderful folk remedies.

After a tooth falls out, your baby may develop a fever. If she slept on her own, then there is no need to panic. And if it persists for a long time or increases further, then call a doctor as soon as possible. Perhaps some kind of inflammatory process is occurring in the child’s body.

Conclusion

In this article, we consider the pattern of loss of baby teeth in children. It is important not only to control the specified timing, but also to carefully monitor the baby’s oral hygiene and have regular conversations with him about the need for daily brushing of his teeth in the morning and evening. Take the time to check how your baby brushes his teeth. Many children believe that the faster they clean, the better.

If the child is very young or just learning, then show him how to do this by personal example. Carry out hygiene procedures with your child every morning. Try not to break the routine, then your child will get into the habit of brushing their teeth regularly.

Even when the child’s teeth are fine, it is still necessary to visit the dentist. Go for a consultation every six months. In addition to examining the oral cavity, the doctor will provide competent advice.

And the permanent dentition is formed, playing an important role in the development of the child.

In order for this period to go smoothly and without complications, careful monitoring by the parents of the child’s condition and his compliance with hygiene standards is necessary.

The correct sequence of teething will affect the characteristics of the formation of the bite. Taking care of oral health is an important investment in a child’s future.

The child grows, and during the process of growing up he experiences the teething period twice. For the first time, around the age of four months to three years, a small child develops baby teeth, which are temporary.

The replacement of baby teeth with permanent ones begins at about six years of age, when the child’s first incisors begin to fall out, giving way to new, permanent ones.

The individual state of the body influences the age at which children’s baby teeth begin to change.

In order for the dentition to be formed correctly and teeth to erupt without problems, you need to achieve a combination of several factors:

• milk and permanent teeth must be correctly formed;
• The oral cavity and baby teeth need regular care, and if necessary, you should seek help from a dentist. This will affect the overall health of the oral cavity and help avoid negative effects on the formation of permanent dentition;
• Baby teeth should begin to fall out on time and not interfere with the eruption of new ones.

The rudiments of temporary teeth appear during the perinatal development of the child, which is why during pregnancy it is so important to eat foods rich in vitamins and minerals.

How strong the baby's teeth will be will be influenced by the mother's diet, genetics, and other factors - for example, complications accompanying pregnancy.

The first milk teeth in children begin to erupt, as a rule, from four months of a child’s life to one year.

In parallel with this process and even earlier, almost from the birth of the baby, the rudiments of permanent teeth are already beginning to form under the roots of the milk teeth.

Some parents believe that the condition of baby teeth will not in any way affect the health of the dentition that replaces them, and they neglect the baby’s oral hygiene, and sometimes are negligent in caring for baby teeth.

But in fact, everything in the body is interconnected, and often diseases of the temporary dentition then affect the permanent ones, because due to the close proximity of the temporary and future permanent dentition to each other, the condition of the milk teeth can greatly affect the health of the new teeth that are just forming.

For example, if an infection enters the oral cavity, microbes through the gums and root canals can reach the rudiments of the future dentition and damage them.

In some cases, this even leads to adentia, as a result of which the health and integrity of the dentition is impaired already at the stage of formation. Caring for your child's teeth should begin as early as possible.

How does the dentition change?

Renewal of the dentition, as mentioned earlier, begins at approximately the age of 6 years. During this period, the roots of baby teeth dissolve, and the teeth hold less firmly in the jaw, become loose and gradually fall out naturally.

The new cutting tooth, as if following a beaten path, passes through the canal where the baby tooth grew, pushes it out and takes up the vacant space.

The period of changing baby teeth to permanent ones is much less painful for the child than teething in infants.

At the site of the fallen baby tooth, a small wound first appears - a bleeding hole, which usually heals quickly (literally within five to ten minutes) and does not cause discomfort to the child.

Sometimes children may not even notice a lost tooth. During this period, the oral cavity requires special care so that bacteria do not enter the existing wound. It is better that by this time the child does not have plaque, stones or caries in the oral cavity.

When teeth erupt, children often change in the same order in which the milk teeth appeared before. Almost the same principles apply here.

New teeth appear in pairs, just like milk teeth did at one time - that is, paired teeth of the same name usually erupt approximately simultaneously.

For example, the lower front incisors or upper canines will grow at the same time. The lower pairs usually appear first (premolars are an exception).

During the change of dentition, milk teeth coexist with permanent ones, so the health of milk teeth greatly affects the new, just forming dentition.

At first, the enamel of young permanent teeth will be soft and especially vulnerable to bacteria and any traumatic influences. The final maturation of the enamel may take from one and a half to two years.

The replacement of baby teeth in children follows a certain schedule. But it is worth considering that all calculations show only average values.

Since all children are individual, there may normally be some deviations from the schedule. Both the timing, at what age teeth change, and the order of replacement may change. Only significant differences can indicate pathological processes.

We should not forget about the influence of genetics - if the parents had teething peculiarities, then there is a high probability that the child will also have them.

During the period before the renewal of the dentition, you may notice that the baby’s distance between the teeth increases. This is due to the fact that a child’s jaw cannot accommodate a full row of teeth.

With age, the jaw enlarges, and additional space appears on it, which is necessary for the formation of a complete set of teeth.

When noticeable gaps appear, this indicates that the baby’s jaw is growing and is ready for change.

By this sign, you can assess that the teething period will begin soon, and prepare for it in advance.

The central and lateral incisors, primary canines, first pair of molars and premolars must be replaced.

Dental change schedule

The formed permanent dentition differs in structure from the temporary one. In the dentition of adults, there are normally from 28 to 32 teeth, while the primary dentition has only 20.

Another common misconception is that the first permanent teeth appear after the first pair of milk teeth fall out.

But in fact, the very first permanent teeth are the molars, which grow behind the second primary molars.

They usually begin to erupt in the fifth year of life, or (on average) at about six to seven years, and cannot be replaced.

These molars do not replace milk teeth, but immediately grow as permanent ones. That is, the “adult” dentition begins to form long before the first temporary teeth begin to fall out.

As mentioned earlier, there is a rough timetable for the appearance of permanent teeth. The formation of the bite largely depends on the sequence in which they erupt, so the order of their appearance plays an important role.

After the appearance of the first molars, the central incisors appear to replace the fallen milk teeth at the age of six to seven years - first the lower ones, and then the upper ones.

After the central ones, the lateral incisors usually erupt, and then the primary premolars are replaced by permanent molars.

The first to change are the premolars, which can also be called “fourth teeth.” After them (or parallel to them) fangs erupt.

Then the “fifth teeth” begin to grow - the second premolars, replacing the second primary molars. Finally, at about 11 years of age, the child's second molars appear.

The jaw is fully formed when the third molars emerge; they are also called “wisdom teeth.” The timing of their appearance is purely individual.

In some cases, they may never even erupt or appear completely. Typically, third molars grow in adults over the age of 20. But sometimes they make themselves felt at the age of 16, but not earlier.

In this case, different groups of teeth will erupt at different speeds. The second premolars grow the fastest - in six months they can grow by eight millimeters. The central incisor and canine teeth can erupt almost as quickly.

Based on the described schedule, an approximate diagram of the change of baby teeth in a child can be drawn up.

The presented table clearly demonstrates how arbitrary all the timing of the formation of the dentition and the sequence in which baby teeth are replaced by permanent ones are, so it is impossible to accurately indicate the timing of when the dentition will form.

The replacement period for primary teeth (not including third molars) is usually seven to nine years. It is impossible to say for sure which baby teeth will appear first.

In caring for the health of their baby, parents should carefully monitor the process of updating the dentition, notice possible difficulties and help ensure that the replacement of baby teeth is successful and the young teeth are healthy and strong.

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 a completely 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.

The replacement of milk teeth with permanent ones can occur at various periods of time, but generally it occurs in the period from 6 to 13-14 years.

Although baby teeth fall out on their own, parents need to carefully monitor this process, no matter how old they are. If there has been caries on the baby teeth, problems may arise with the growth of the molars. To do this, parents need to accurately understand which teeth change in children and when this happens.

Baby teeth

Starting at 4 months, children begin to develop baby teeth. They continue to grow until the child reaches 3 years of age. They are characterized by less tuberosity than permanent ones. At the same time, their roots are wider, since under them there are the rudiments of permanent teeth.

How many baby teeth do babies have? — A total of 20 baby teeth grow, 10 on top and 10 on the bottom.

The time when baby teeth change in children is largely individual. If a child has enough calcium or phosphorus salts and other microelements in his body, molars may appear early. The early change of baby teeth to permanent ones or, conversely, their delay, also depends on hereditary characteristics.

Good nutrition contributes to good dental growth. The best thing for a baby is breastfeeding, while the mother must receive all the necessary substances to pass them on to the baby with milk.

When the baby begins to feed on his own, dairy products must be present in his diet. Then the change of teeth will not take long.

Which teeth change and when?

The teeth that appeared first begin to fall out first. The order of appearance and loss of baby teeth will look like this:

• 6-7 years: upper and lower central incisors;
• 7-8 years: upper and lower lateral incisors;
• 9-11 years: upper and lower first molars;
• 10-12 years: upper and lower canines and second molars.

When a baby tooth is replaced with a permanent one, the child may feel a worsening of the condition. The temperature may rise, gums may ache, and diarrhea may begin.

To reduce the manifestation of these unpleasant symptoms, there are special gels and preparations for gums. They are prescribed by the dentist individually.

Scheme of the order of teeth changing

Scheme of changing baby teeth to permanent ones.

How to care for your oral cavity during your shift?

Since the time when baby teeth are being replaced can be an alarming time for your baby, it is recommended that you be careful about your oral hygiene.

By this period, the child should be taught to brush his teeth twice a day - in the morning and in the evening.

To prevent gum inflammation, suggest that your child rinse his mouth with a special children's mouthwash, which is available at any pharmacy.

You can make your own herbal decoction for rinsing: chamomile, calendula, St. John's wort, sage flowers.

If baby teeth are damaged by caries, it must be cured. Otherwise, permanent teeth may not grow.

If parents notice slow growth of molars or missing teeth, they should immediately consult a pediatric dentist.

Sometimes teeth begin to fall out ahead of schedule. If this process does not bother the baby and is painless, then there is no need to worry. However, sometimes early tooth loss can be a consequence of hormonal imbalances in the body or serious illnesses.

Careful oral care should be carried out not only during the loss of milk teeth, but also during the growth of permanent teeth. To prevent the development of caries, dentists suggest doing “fissure sealing”.

Depending on the situation, which teeth change in children, tooth movement may occur. It happens that a baby tooth falls out, and then the ones adjacent to it move to take up the vacant space. In this case, the molar will have no room to grow. Such a child should be immediately shown to an orthodontist, who will provide appropriate treatment.

Nutrition during teething

No matter how long the change of teeth continues, during this period it is important to organize proper nutrition for the child.

• The baby should receive plenty of calcium-rich foods. You can take a course of vitamin D, especially in winter.
• Minimize your consumption of sweets. Although it can be difficult for parents to refuse their children, they need to be able to show willpower in time.
• In order not to injure the gums, you need to limit solid foods in your baby’s diet.
• Increase your consumption of greens and fruits, which contain essential vitamins. Cheeses will be very useful.

No matter what age a child’s teeth begin to change, this process should always be under the control of the parents. When the time comes, the baby needs to be taught to properly care for his molars, because they are given to a person for life.

Video on the topic

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 incisors	from 5th year (within 2 years)	6–7 years
Upper central incisors
Lower lateral incisors	from 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 canines	from 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)