Is it that time again when you have to remember your tooth eruption dates for your dental exams? Or are you a curious parent wondering whether your child’s tooth is delayed?
Fear not as there will be information for both of you. Eruption dates for teeth can make your head spin if you do not have a proper system to remember them. Fortunately, there is an easy way for both deciduous teeth (Baby teeth) and permanent teeth (Adult teeth). For deciduous teeth, the system is called the “4 plus rule” and the “lower before upper rule”. But before we get into that a disclaimer:
Teeth eruption dates do vary from child to child so give each of these dates a leeway of 6 months before raising the alarm with your dentist. This first half of the guide has been written to simplify remembering tooth eruption dates, the numbers given here are averages. If you want detailed tooth eruption dates that are difficult to remember, click here to jump to the second half of the guide. Always seek a clinician’s advice if you are worried.
The “4 plus rule” for Primary Dentition Eruption Dates
Upper Deciduous Teeth Eruption Dates | |
---|---|
First Incisor (a) | 8 months |
Second Incisor (b) | 12 months |
First Molar (d) | 16 months |
Canine (c) | 20 months |
Second Molar (e) | 24 months |
As you can see it is pretty simple. The primary upper tooth eruption dates start at 8 months for the first upper deciduous central incisor (a) and add 4 months to get the next eruption date and you just keep adding 4. There is a slight twist when the first deciduous molar (d) comes before the deciduous canine (c) but no biggie.
The “lower before upper rule” for Primary teeth Eruption Dates
Lower Deciduous Teeth Eruption Dates | |
---|---|
Lower First Incisor (a) | 6 months |
Lower Second Incisor (b) | 10 months |
Lower first molar (d) | 14 months |
Lower canine (c) | 18 months |
Lower second molar (e) | 22 months |
As you can see from the table above, the “lower before upper rule” is exactly that. The lower teeth erupt 2 months before the upper teeth. This means the lower baby central incisor erupts at around 6 months compared to the upper deciduous central incisor which erupts at 8 months. Then just keep adding 4 months. As with the upper deciduous teeth the first molar (d) erupts before the deciduous canine (c)
The “3 plus rule” for Permanent Teeth Eruption Dates
For permanent teeth, it is slightly more complex. This time it is the “3 plus rule” and again the “lower before upper rule”. The 3 plus rule is shown below:
Permanent Teeth Eruption Dates | |
---|---|
First Molar (6), First Incisor (1) and Second Incisor (2) | 6-9 Years old |
Canine (3), First Premolar (4), Second Premolar (5) | 9-12 Years old |
Second Molar (7) | 12 Years old |
Wisdom Tooth (8) | 18 Years old |
So the order of eruption goes – First Molar (6), Central Incisor (1), Lateral Incisor (2) between 6-9 years old erupting in that order. Now here is the complex bit, the upper teeth do a different order to the lower teeth. The upper teeth go: First Premolar (4), Second Premolar (5), Canine (3) and the lower teeth go: Canine (3), First Premolar (4) and Second Premolar (5) from the ages between 9-12 years old. Then the really simple second molar at 12 years old, a gap at 15 years old and the wisdom tooth at 18 years old. Then done! Phew!
The Mnemonic for permanent teeth eruption
If the 3 plus rule for permanent teeth eruption dates does not stick in your mind, why don’t you try this mnemonic? The Mnemonic is Mother Is In Bed, Baby Comes Monday Morning.
M – Molar – 6-7 years old
I – Incisor Central – 6- 8 years old
I – Incisor Lateral – 7-9 years old
B – Bicuspid 1 (First premolar) – 10-12 years old
B – Bicuspid 2 (Second premolar – 10-12 years old
C – Canines – 9 – 12 years old
M – Molar 2 (second molar) – 11-13 years old
M – Molar 3 (Wisdom tooth) – 17 – 21 years old
The Detailed Guide
So you would like to know the accurate ranges for tooth eruption dates. We will start with the eruption dates of deciduous teeth:
Accurate deciduous teeth eruption dates | Upper | Lower |
---|---|---|
Central incisor (a) | 8 to 12 months | 6 to 10 months |
Lateral incisor (b) | 9 to 13 months | 10 to 16 months |
Canine (c) | 16 to 22 months | 17 to 23 months |
First molar (d) | 13 to 19 months | 14 to 18 months |
Second molar (e) | 25 to 33 months | 23 to 31 months |
As you can see this is a lot more tricky to remember. I will now move onto the adult teeth:
Accurate permanent teeth eruption dates | Upper | Lower |
---|---|---|
Central incisor | 7 to 8 years | 6 to 7 years |
Lateral incisor | 8 to 9 years | 7 to 8 years |
Canine | 11 to 12 years | 9 to 10 years |
First premolar | 10 to 11 years | 10 to 12 years |
Second premolar | 10 to 12 years | 11 to 12 years |
First Molar | 6 to 7 years | 6 to 7 years |
Second Molar | 12 to 13 years | 11 to 13 years |
Third Molar | 17 to 21 years | 17 to 21 years |
If you would like your FREE PDF printable copy of these accurate tooth eruption dates, fill in your email address below and a link will appear.
Some fun facts about teeth eruption
- Girls teeth usually erupt faster than boys
- Generally, teeth usually erupt in pairs so when the left-hand tooth erupts expect the right hand one to follow shortly afterwards
- Humans only have two sets of teeth however rat’s teeth and shark’s teeth continually grow throughout their lives. Sharks on average replace a tooth a week!
- Deciduous teeth do more than just allow kids to chew, they actually guide the permanent teeth into place.
If you found this guide useful please let me know in the comments section below, I love reading through them. Thank you for your support!
P.s. If you would like to find out which electric toothbrushes I recommend for children’s teeth click here.
Thanks, i have really appreciated, but they are given in ranges but here some ranges are neglected doesn’t it affect the erruption dates
Hi there Makumbi. Yes this is a simplified method of the ranges of eruption dates for remembrance purposes. I have now updated the guide to include the detailed dates. Hope this helps
really good one
Thank you 🙂
hello doctor alexander. is it normal that 8 temporary can erupt at the same time?. my son’s temporary canine erupt at age 13 months. when the canine tip came out of the gums, his first temporary molars also erupted.so right now, 8 teeth are erupting at the same time
Hi Alicia. The eruption dates in this guide are rough dates and can vary dependant on the development of the child. Some children develop quicker than others. It is possible for 8 teeth to erupt at the same time. If you are concerned I would recommend a trip to the local dentist to get personalised advice.
by the age of 1st year normal cgildren must have 8 teeth by the age of one and a half year 16 teeth and by the age of two and a half year child must have 20 teeth
Nice! Thx
Your welcome 🙂
Oh my Alex! Thanks for this! You’re amazing!!!!!
Your welcome Celine :)!
I like the valuabloe infro you provide in your articles.
I will bookmark your blog and check again here frequently.
I’m quite certain I’ll learn many neww stuff right here!
Bestt of luck for the next!
You are most welcome :)!
thanks doctor .. this makes the whole stuff much more easier to keep in mind
I am so glad if you need any further help let me know.
Who given eruption sequence and when
The eruption sequence were taken from lecture notes from my dental university. As eruption dates come in ranges, I averaged the range to come up with a single figure as it is easier to memorize. I also cross checked the numbers produced with dental text books and other online material to make sure that the numbers were accurate. I used this method to help me pass my dental exams.
Thank you !
You are most welcome Jay 🙂
This is awesome thank you! Any hot tips on remembering calcification beginning and completion?
Hi Collette,
Thank you for the comment. Calcification dates are really random and difficult to come up with a pattern. Good question though!
Many thanks for the info we were trying to find this while we were checking the internet and also your website showed up– Many thanks
Glad to be of help!
Very helpfull information thanks a lot
You are most welcome :)!
I have a tooth morphology exam this week and your blog has been a huge help. Thanks for taking the time to put it out into the world.
Hi David! Wish you the best of luck in your tooth morphology exam. If you would like any other articles writing please let me know. More than happy to help.