Baby teeth are a big milestone in your child’s early years, but as quickly as they come in, they start to wiggle their way out. You might be wondering, when do baby teeth fall out? The answer is that every child is unique, but most begin losing their baby teeth around age 6. This process, called exfoliation, paves the way for their permanent teeth to come in. Knowing what to expect and how to handle it can make this transition smooth and even fun for your little one.

How Many Baby Teeth Will Your Child Lose?

By the time your child is around 3 years old, they’ll likely have all 20 primary teeth in place. Over the next several years, each of these baby teeth will fall out, making room for their adult teeth. Parents often ask, “Do molars come out?” Yes, baby molars will eventually fall out, but they’re among the last to go. While the timing varies, most baby teeth fall out by age 12 or 13.

The Order in Which Baby Teeth Fall Out

Just like their arrival, baby teeth follow a general order when they fall out:

• Front teeth first: The bottom central incisors typically come out first, followed by the top central incisors.

• Side teeth next: Lateral incisors, canines, and first molars loosen and fall out gradually.

• Molars last: Baby molars hold on the longest, ensuring kids can chew properly while their permanent teeth develop.

How To Handle a Loose or Wiggly Tooth

Finding a wiggly tooth is an exciting milestone, but it can also come with questions. If your child’s baby tooth is loose but still attached, encourage them to gently wiggle it with a clean finger or their tongue. Avoid pulling the tooth prematurely, as this could cause pain or bleeding. If the tooth is very loose and your child wants it out, use a tissue to grip it and give a gentle tug.

Tip: If you’re wondering if it is OK to pull a loose baby tooth, the answer is yes, as long as it’s ready. If it resists or causes pain, give it more time.

Does It Hurt When a Baby Tooth Falls Out?

Most kids experience little to no pain when a baby tooth falls out. However, some may feel minor discomfort, especially if the gum tissue is sensitive. To manage wiggly baby tooth pain:

• Apply a cold compress or ice pack for any swelling.

• Use over-the-counter pain relievers if needed (consult your pediatric dentist first).

• Encourage your child to rinse with warm salt water to soothe the gums.

Once the tooth is out, have your child gently rinse their mouth with water. If there’s slight bleeding, a piece of gauze can help stop it. And don’t forget to celebrate with a visit from the tooth fairy!

Out-of-the-Ordinary Tooth Situations: When It’s Time To See a Dentist

Sometimes, baby teeth don’t follow the usual path. Here are some situations where a visit to a pediatric dentist is a good idea:

• Double row of teeth: When the permanent tooth erupts before the baby tooth has fallen out, it can create a “shark tooth” appearance. A dentist can determine whether the baby tooth needs help coming out.

• Baby teeth coming out in pieces: Occasionally, a tooth might break apart instead of coming out cleanly. This can expose sensitive areas and increase the risk of infection.

• Delayed tooth loss: If a baby loose tooth lingers too long, it can block the permanent tooth’s path. This can lead to issues like impacted teeth or crowding.

• Crowding or early loss: If a baby tooth falls out too early, the surrounding teeth might shift, causing problems with alignment. A space maintainer may be recommended.

• Infection or abnormal eruption patterns: If you notice swelling, redness, or pain around a loose tooth, it’s time to see the dentist. Similarly, if permanent teeth are coming in at unusual angles, professional guidance can help prevent bite issues.

Navigating the milestones of baby teeth doesn’t have to be stressful. Knowing what to expect and when to seek help can keep your child’s smile on track. If you have questions about your child’s dental development, we’re here to help.

Download our complimentary eBook: “Get the Facts About Dental Care for Kids from Newtown Dentistry,” and start your child on their way to a healthy, happy smile!