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By the age of 27 months, 20 primary teeth should be present.

(Photo: eruption at 27 months)
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The first permanent teeth to emerge are the maxillary and mandibular first molars. These molars will erupt behind the most posterior primary teeth—the primary second molars. The permanent molars are referred to by their anticipated age of eruption. The first molars are called 6-year molars, and the second molars are referred to as 12-year molars.

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The eruption of the mandibular first molar is accompanied or occasionally preceded by the exfoliation of the mandibular and maxillary primary central and lateral incisors. Between the ages of 6 and 7, the mandibular permanent incisors erupt with the maxillary incisors following at ages 7 through 9.

Download the Smiles for Tomorrow Eruption Patterns PowerPoint Presentation.
(24 Slides)