Deciduous Teeth

Deciduous teeth are baby teeth. We're born with two full sets of teeth and this first set is also called primary, milk or lacteal dentition. These teeth begin to erupt anytime after 6 months of age, which is commonly referred to as "teething." Teeth normally erupt in pairs and the first that normally come in are the lower central incisors. By the time your child is 2, he or she should have a full set of deciduous teeth.

Why Two Sets?

As an infant, our mouths are too small for a full set of permanent teeth, so we require deciduous teeth until our jaw is able to sustain the permanent set. Baby teeth are essential in the alignment, spacing and occlusion of primary teeth. They prepare the adult jaw for their permanent fellows.

As the adult teeth (seccedaneous teeth) form, special cells called odontoclasts absorb the roots of the baby teeth, so that when your adult teeth start to emerge from your gums the deciduous teeth have no roots, making them loose and able to easily fall out.

Caring for Deciduous Teeth

A gross misconception about baby teeth is that since they will eventually be replaced by primary teeth, there's no reason to take care of them. But cavities are a very real cause for concern -- even for deciduous teeth. Children who suffer from dental cavities in their baby teeth are more prone to cavities in their permanent teeth. And every dentist will agree that oral hygiene habits begin in childhood. So it is essential that you take excellent dental care of your little ones' baby teeth, as they won't be able to do so themselves for the first handful of years.

Good oral hygiene begins at teething. Simply rubbing your infant's gums with a wet washcloth will begin to develop habits that he or she will require for life. Once the first teeth erupt, begin brushing them twice a day. Once more teeth fill in, you can begin flossing, too. And be sure to set up your child's first dental visit when the first tooth appears or by age 1.

Deciduous Tooth Dental Cavities

Sometimes your toddler will get a dental cavity in one of the baby teeth. In that case, your regular pediatric dentist will take X-rays and fill any dental cavity so that tooth decay does not go unchecked and the primary tooth can emerge in the best condition possible.

Like all teeth, deciduous teeth must be cared for properly so that you have a healthy mouth and healthy body. It's up to parents to ensure that their child develops healthy deciduous teeth and good oral hygiene. If you need help maintaining your child's oral health, give us a call; we're glad to help.

FAQS

Q1: When Are Baby Teeth Typically Replaced BY Permanent Teeth?

A: By the time your child reaches about 12 years old, all of their deciduous teeth are usually replaced by their permanent set. Most children will lose their last baby tooth—often a cuspid or second molar—somewhere around this age, signaling a full transition to adult teeth. This process can vary slightly from child to child, but age 12 tends to be the milestone for waving goodbye to the last of the baby teeth.

Q2: What is the order in which deciduous teeth are typically lost?

The timeline for losing baby teeth mirrors the order in which they first arrived. Typically, children begin to shed their deciduous teeth around age 6, starting with the lower central incisors—the pioneers of teething. This natural process progresses gradually:

  • Central incisors (front and center) are usually the first to make their exit.
  • Lateral incisors tend to follow soon after.
  • First molars and canines (cuspids) take their turn through the elementary school years.
  • Second molars are generally the last to depart, often not making their grand exit until around age 12.

By adolescence, those original 20 baby teeth will have marched off, making room for a full set of 32 permanent teeth. This staggered schedule is a testament to nature’s careful planning, ensuring developing jaws accommodate each newcomer in due time.

Q3: When Do Children Start Losing Their Primary Teeth?

Children typically start to lose their primary teeth—those trusty baby teeth that helped them through the first bites of apple and carrot—around age 6. Most often, the teeth that paved the way, the lower central incisors, are also the first to make their exit. This process happens gradually, usually following the same order the teeth arrived, and continues into the early teen years. By about age 12, the last baby teeth (often the cuspids or second molars) will have bowed out, making room for the full set of 32 adult teeth to come in.

Q4: How Do Baby Teeth and Permanent Teeth Differ in Size and Shape?

One of the most noticeable differences between baby teeth and permanent teeth is their size. Deciduous teeth are generally smaller and more delicate, perfectly suited to the limited space of a young child’s jaw. This petite design allows them to fit comfortably and functionally until the mouth grows large enough for their sturdier replacements.

When it comes to shape, there are a couple of quirks worth noting. Permanent front teeth, for instance, often make their grand entrance sporting little ridges along the edges—these bumpy edges are called mamelons. Over time, everyday use tends to wear them smooth. In contrast, baby teeth have smoother, more rounded edges right from the start, adding to their distinctive, cherubic appearance.

Q5: How Does Enamel Differ in Baby Teeth Versus Adult Teeth?

The enamel—that hard, shiny armor protecting our pearly whites—differs between baby teeth and adult teeth in a way that matters more than most people realize. On baby teeth, enamel is noticeably thinner and softer compared to the durable layer found on adult teeth. This thinner enamel means baby teeth are more vulnerable to the relentless attack of sugars and acids, making them more susceptible to cavities and decay.

So while those tiny teeth may not be around forever, their protective coating isn’t as tough as the adult version—another good reason to keep a close eye on those early brushing routines.