Tooth loss is a common theme for nightmares and horror movies, but it’s actually a normal part of human development that can sometimes be vital for our oral health. We’ve asked two dental surgeons which teeth fall out, in what order, and why you might lose your adult teeth.

In some cases, tooth loss can even be a good thing, when helping to alleviate overcrowding or pain, or to allow for orthodontic treatment to take place. Unfortunately, some tooth loss in adulthood can happen due to mouth trauma, but dental surgeons are excellent at fixing a smile in these instances.

If you’re hoping to get a brighter smile, the best electric toothbrushes are a great place to start for a superior oral care routine. While they may not prevent tooth loss, they can help keep your teeth clean and your mouth healthy.

Which teeth fall out first?

According to Dr. Wendy AuClair Clark, DDS, most tooth development begins at the front of the mouth, with eruptions and losses starting with the incisors.

“Children typically lose their lower front teeth first [incisors], followed by their upper front teeth,” she says. “This order can vary slightly from person to person. For baby teeth, the lower incisors erupt first, then the upper incisors, then the canines, then the molars. Around two years old, children usually have their full complement of primary teeth. The first permanent molar erupts just behind the baby teeth around the age of six.”

Dr. Richard Marques, BDS

Marques graduated with distinction from Guy’s, Kings and St Thomas Institute of Dentistry in the United Kingdom. He has special interests in complex restorative, aesthetic and implant dentistry. He also treats gum problems and periodontal disease.

Do adults lose teeth?

Tooth loss in adulthood is something most of us avoid thinking about, but it often happens due to underlying health problems. AuClair Clark explains that the main cases of adult tooth loss can vary. “Adults can lose teeth from dental caries [decay] or periodontal [gum] disease,” she says. “These can be caused or exacerbated by any number of factors, including oral hygiene, systemic conditions or genetics.”

Dr, Marquez also says the top four reasons he sees adult tooth loss in patients are:

Wisdom teeth that need to be removed Premolars removed for braces Decayed teeth that need removing Gum (periodontal) problems that can cause teeth to get wobbly and either fall out or need to be removed.

Data analysed by the Australian Dental Journal indicates that tooth loss is trending down each decade, with the average number of teeth lost for any reason slightly reduced from data collected in 2004-06 to 2017-18. The findings indicate that instances of tooth loss increase with age, and were higher in groups who were socio-economically disadvantaged.

Underlying cognitive conditions can also impact tooth loss, particularly with diseases like dementia, which impact memory. An article in the Journal of Dental Research indicates that there may be a causal relationship between tooth loss and dementia, with inflammation in the mouth impacting the central nervous system. A review in Gerodontology indicates similar findings over 756 articles, although evidence of this link remains inconclusive.

What are the signs of teething in children?

AuClair Clark outlines signs you should look out for if an infant may be teething. “Signs of teething include excess drooling, putting their hands and other toys and things in their mouth to chew, and being a little fussier than usual,” she explains. “The gums may be slightly red in the area of tooth eruption.”

The FDA also advice on teething, including ways to make your child more comfortable.