A Guide to Your Child’s Smile
Understanding dental milestones from the first baby tooth to a full set of permanent teeth is key to lifelong oral health.
The First Smile: Primary (Baby) Teeth
A child’s first set includes 20 teeth that are essential for chewing, speech, and guiding the permanent teeth into place. This interactive chart shows their names and when to expect them.
Click on a tooth!
Primary Teeth Development Timeline
This timeline visualizes the typical age ranges for the eruption and shedding of primary teeth, a process spanning from infancy to early adolescence.
Why Baby Teeth Are So Important
Chewing & Nutrition
Healthy teeth allow for proper chewing, supporting good nutrition and physical growth.
Speech Development
Teeth are crucial for forming sounds and developing clear speech patterns.
Space Maintenance
They hold space in the jaw, guiding permanent teeth to erupt in the correct position.
The Risk of Early Tooth Loss
Losing a baby tooth too early can cause adjacent teeth to drift, blocking the path for the permanent tooth and often leading to crowded, misaligned teeth that require orthodontic treatment later.
The Lifelong Set: Permanent Teeth
The full adult set contains 32 teeth, including premolars which are absent in the primary set. This process begins around age 6 and can continue into the early 20s.
Click on a tooth!
Permanent Teeth Eruption Timeline
From the “six-year molars” to the wisdom teeth, this chart shows the typical age range for the arrival of each permanent tooth.
A Tale of Two Teeth: Primary vs. Permanent
Anatomical Differences
Primary Tooth
Permanent Tooth
Enamel: Thinner on primary teeth.
Dentin: Thinner on primary teeth.
Pulp: Proportionally larger in primary teeth.
Clinical Implications
The thinner enamel and larger pulp of primary teeth mean that decay can progress to the nerve much faster. This makes prompt dental care for cavities in baby teeth extremely important.
Common Pediatric Dental Concerns
Prevalence of Tooth Decay
Dental caries (cavities) are one of the most common chronic diseases of childhood. Early prevention is key.
Gingivitis (Gum Disease)
Caused by plaque buildup. Look for swollen, red, or bleeding gums. Preventable with good brushing and flossing.
Malocclusion (Misaligned Teeth)
Can be genetic or caused by habits like thumb sucking. Early orthodontic evaluation can help.
Bruxism (Teeth Grinding)
Common in children, especially during sleep. Often outgrown, but can cause wear. Mention it to your dentist.

Dr. Mary G. Trice is a renowned pedodontist based in Queens, NY. With an unwavering dedication to children’s dental health. In addition to her clinical practice, Dr. Trice is the writer and manager behind the informative platform pediatricdentistinqueensny.com. Through this site, she offers valuable insights, tips, and resources for parents and guardians, aiming to bridge the gap between professional dental care and everyday oral hygiene practices at home.
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