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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Tooth Exfoliation

Primary tooth exfoliation is a part of the normal process of permanent tooth eruption.

  • Usually begins around age 6

Early Tooth Loss
Early may result from any of the following causes:

Exfoliation: Falling out of the teeth.
Tooth destruction from dental caries
Endocrine disorders, immune disorders, or other disorders

Delayed Exfoliation
Delayed tooth loss can be caused by a variety of disorders, including:
Endocrine disorders (eg, hypothyroidism,
Hypopituitarism: Deficient production of growth hormones by the pituitary gland.
Ectodermal dysplasias
Genetic disorders, such as Down syndrome, Apert syndrome, Achondroplasia, and Osteogenesis imperfecta
Vitamin D resistant rickets
Fast Facts
Tooth loss is also known as exfoliation.
Both early and delayed tooth loss should be evaluated to determine the underlying cause.
Caries, trauma, and a variety of medical disorders can result in early tooth loss.
Global delay in tooth loss most commonly results from an endocrine or genetic disorder.

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