Baby teeth: When do children start losing them?

A child's baby teeth, also called primary teeth, loosen and fall out to make room for lasting teeth at about age 6. But sometimes the process doesn't start for up to a year later. By age 13, most children have all their adult teeth.

Baby teeth diagram

Baby teeth typically fall out in the order they came in — the two bottom front teeth (lower central incisors) first, followed by the two top front teeth (upper central incisors), then the lateral incisors, first molars, canines and second molars.

The first baby teeth to fall out are most often the two bottom front teeth, called the lower central incisors. The two top front teeth, called the upper central incisors, fall out next. Then come the lateral incisors, first molars, canines and second molars.

Baby teeth most often stay in place until the permanent teeth push them out. But a child can lose a baby tooth early from tooth decay or an accident. If this happens, a permanent tooth might erupt early into the empty space. Or teeth next to the empty space can drift into the space and cause crowding.

When children lose baby teeth, it's a good time to talk about how to care for the mouth, called oral healthcare. For instance:

• Remind children to brush their teeth at least twice a day. Keep watch and offer help as needed.
• Help children floss their teeth daily.
• Teach children about healthy eating. Limit snacks and foods high in sugar or simple carbohydrates, such as crackers, to mealtimes.
• Give children drinks that are good for teeth, such as water or white milk.
• Schedule regular dental visits for children.

With proper care, you can help your child's permanent teeth last a lifetime.