At what age do children start losing their baby teeth?

A child’s baby teeth (primary teeth) typically begin to loosen and fall out to make room for permanent teeth at about age 6. However, sometimes this can be delayed by as much as a year.

The first baby teeth to fall out are typically the two bottom front teeth (lower central incisors) and the two top front teeth (upper central incisors), followed by the lateral incisors, first molars, canines and second molars.

Baby teeth usually stay in place until they are pushed out by permanent teeth. If a child loses a baby tooth early as a result of tooth decay or an accident, a permanent tooth might drift into the empty space. This can crowd permanent teeth and cause them to come in crooked.

It’s important to start practicing good oral hygiene as soon as your child’s first baby tooth erupts. As your child starts to lose his or her baby teeth, reinforce the importance of proper dental care. For example:

  • Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
  • Help your child clean between his or her teeth daily.
  • Eat a healthy diet and limit sugary food and beverages.
  • Schedule regular dental visits for your child.

Baby’s First Tooth: 7 Facts Parents Should Know

1.  Most babies will develop teeth between 6 and 12 months.

There is a wide range of variability of when a first tooth may appear—some babies may not have any teeth by their first birthday! Around 3 months of age, babies will begin exploring the world with their mouth and have increased saliva and start to put their hands in their mouth. Many parents question whether or not this means that their baby is teething, but a first tooth usually appears around 6 months old. Typically, the first teeth to come in are almost always the lower front teeth (the lower central incisors), and most children will usually have all of their baby teeth by age 3.

2.  Fluoride should be added to your child’s diet at 6 months of age.

Fluoride is a mineral that helps prevent tooth decay by hardening the enamel of teeth. The good news is that fluoride is often added to tap water. Give your baby a few ounces of water in a sippy or straw cup when you begin him or her on solid foods (about 6 months of age). Speak with your pediatrician to see if your tap water contains fluoride or whether your child needs fluoride supplements. Fluoride is not typically found in most bottled water. See FAQ: Fluoride and Children for more information.

3.  Massaging sore gums, offering something cold, or acetaminophen, on an occasional rough night, can help soothe your baby’s teething pain.

Usually teething doesn’t cause children too much discomfort, however, many parents can tell when their baby is teething. Babies may show signs of discomfort in the area where the tooth is coming in, the gums around the tooth may be swollen and tender, and the baby may drool a lot more than usual.

Parents can help ease teething pain by massaging their baby’s gums with clean fingers, offering solid, not liquid-filled, teething rings, or a clean frozen or wet washcloth. If you offer a teething biscuit, make sure to watch your baby while he or she is eating it. Chunks can break off easily and can lead to choking. Also, these biscuits are not very nutritious and most contain sugar and salt.

A baby’s body temperature may slightly rise when teething; however, according to a 2016 study in Pediatrics, a true fever (temperature over 100.4 degrees Fahrenheit or 38 degrees Celsius) is not associated with teething and is actually a sign of an illness or infection that may require treatment. If your baby is clearly uncomfortable, talk with your pediatrician about giving a weight-appropriate dose of acetaminophen (e.g., Tylenol) or if over 6 months, ibuprofen (e.g., Advil, Motrin). Make sure to ask your pediatrician for the right dose in milliliters (mL) based on your child’s age and weight.

4.  You should brush your child’s teeth twice a day with fluoride toothpaste.

Once your child has a tooth, you should be brushing them twice a day with a smear of fluoride toothpaste the size of a grain of rice, especially after the last drink or food of the day. Remember not to put your baby to bed with a bottle—it can lead to tooth decay.

Once your child turns 3, the American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD)recommend that a pea-sized amount of fluoride toothpaste be used when brushing. When your child is able, teach him or her to spit out the excess toothpaste. It is best if you put the toothpaste on the toothbrush until your child is about age 6. Parents should monitor and assist their child while brushing until he or she is around 7 or 8 years old. When your child can write his or her name well, he or she also has the ability to brush well.

5.  Make your first dental appointment when the first tooth appears.

Try to make your baby’s first dental appointment after the eruption of the first tooth and by his or her first birthday.

Both the AAP and the AAPD recommend that all children see a pediatric dentist and establish a “dental home” by age one. A pediatric dentist will make sure all teeth are developing normally and that there are no dental problems. He or she will also give you further advice on proper hygiene. If you don’t have a pediatric dentist in your community, find a general dentist who is comfortable seeing young children.

6.  Ask your pediatrician about your baby’s teeth and fluoride varnish.

During regular well-child visits, your pediatrician will check your baby’s teeth and gums to ensure they are healthy and talk to you about how to keep them that way.  The AAP and the United States Preventive Services Task Force also recommend that children receive fluoride varnish once they have teeth. If your child does not yet have a dentist, ask your pediatrician if he or she can apply fluoride varnish to your baby’s teeth. Once your child has a dentist, the varnish can be applied in the dental office. The earlier your child receives fluoride varnish the better to help prevent tooth decay.

We welcome you to Expert Dental Center in Doha to check your teeth periodically and provide full care for them.