When doing my initial exam on kids, especially those in the 9-12 year range, I often find that parents are surprised to hear that their children still have baby teeth left.
This is understandable since, at this age, most of the front permanent teeth have erupted and because the remaining baby teeth can look like permanent teeth.
With exception of the wisdom teeth, most people are born with all their teeth, baby and permanent.
By age 3 all the baby teeth have come in. At about 6 years of age the first permanent teeth start coming in – the 1st permanent molars in the back behind all the baby teeth and then the two bottom front teeth, pushing out the baby teeth above them.
Ages 6-9 is often that awkward stage when the front baby teeth are starting to fall out and the BIG permanent teeth are starting to replace them. It is a couple years of gummy smiles, gaps and “monster-looking” teeth.
Once kids get past this phase, however, with all the permanent front teeth in, they tend to go through what I like to call a little “holding pattern” where several years might pass by before any teeth get loose again.
Then, around ages 11-13 there is another big phase of baby teeth falling out and permanent ones coming in. A total of 12 baby teeth -3 teeth on each side, top and bottom between the front teeth and the 1st permanent molar – are involved in this process. So it often seems like a new tooth is coming out and another one coming in almost every month!
Most surprising to parents is that often it is the upper canine teeth that are some of the last permanent teeth to come in. This is helpful to know in understanding why these big teeth are often “blocked” out of the arch.
Check out the tooth eruption guide below and you’ll be a little more in the know!
















