Permanent Teeth
Permanent teeth (or adult teeth) came after the series of primary teeth and are normally intended to remain in the mouth for the whole lifetime. There are 32 adult teeth, including eight incisors, four canines, eight premolars and twelve molars (with four wisdom teeth). The premolars replace primary molars, while the adult molars appear in a posterior position in the dental arch, not replacing any primary teeth.

The substitution of teeth begins around the age of 6 and happens in a gradual manner. The child is then in a mixed dentition period which lasts several years. Around the age of 12, all adult teeth should have replaced primary teeth. The third molars, or wisdom teeth, complete their development at approximately 18 years, but they might never come out and stay impacted.
The eruption of a tooth can be thwarted by the lack of space, which creates dental crowding or malocclusion. This condition can be treated with orthodontics.
Sometimes there is agenesis of one or more permanent teeth, which means that the tooth never develops. This happens particularly with wisdom teeth, but also sometimes with incisors or premolars. In some agenesis situations, the corresponding primary tooth does not fall and remains present in the mouth.
Eruption Pattern of Permanent Teeth |
|
| Upper Teeth | Eruption Time |
| Central Incisor | 7 to 8 years old |
| Lateral Incisor | 8 to 9 years old |
| Cuspid (Canine) | 11 to 12 years old |
| First Bicuspid (Premolar) | 10 to 11 years old |
| Second Bicuspid (Premolar) | 10 to 12 years old |
| First Molar | 6 to 7 years old |
| Second Molar | 12 to 13 years old |
| Third Molar (Wisdom Tooth) | 17 to 21 years old |
| Lower Teeth | Eruption Time |
| Central Incisor | 6 to 7 years old |
| Lateral Incisor | 7 to 8 years old |
| Cuspid (Canine) | 9 to 10 years old |
| First Bicuspid (Premolar) | 10 to 12 years old |
| Second Bicuspid (Premolar) | 11 to 12 years old |
| First Molar | 17 to 21 years old |
| Second Molar | 11 to 13 years old |
| Third Molar (Wisdom Tooth) | 17 to 21 years old |
Dental Classification
Canine
Incisor
Molar
References
Naudin C., Grumbach N., Larousse Médical, 3ième édition, Paris, 2003.
Marcovitch H., Black's Medical Dictionary, 41st edition, London, 2005.
Leikin J. B., Lipsky M. S., Complete Medical Encyclopedia, First edition, New York, 2003.
Wikipedia, the free encyclopedia (www.wikipedia.org).
Last update: 9th of March 2008.
