Tooth Number Chart

Baby Tooth B: Upper Right First Molar (FDI 54)

Baby tooth B is the upper right first molar in the baby (primary) teeth. In the FDI (ISO 3950) system it is 54, and in Palmer notation it is D┘. It usually comes in at 13-19 mos and falls out at 9-11 yrs.

Patient’s rightUpperPatient’s left
Patient’s rightLowerPatient’s left

Tooth B at a glance

Universal (US)B
FDI / ISO 395054
PalmerD┘
NameUpper right first molar
TypeFirst molar (baby tooth)
JawUpper (maxilla)
SidePatient’s right
Comes in13-19 mos
Falls out9-11 yrs
Roots3, widely spread
Root canals (usual)3
Chewing surface3 or 4 cusps

Where it is and what it does

It sits in the upper jaw on the patient’s right side, fourth from the midline, just behind the canine. Baby molars do most of a young child’s chewing. They also hold the space for the adult premolars that will grow in underneath them, so losing one early can let neighbouring teeth drift.

Neighbouring and related teeth

  • In front of it (toward the midline): Baby tooth C, the upper right canine
  • Behind it: Baby tooth A, the upper right second molar
  • Same tooth on the other side: Baby tooth I
  • The matching tooth in the lower jaw: Baby tooth S
  • Replaced by: Tooth number 5, the upper right first premolar (adult premolars replace baby molars)

Common dental work on this tooth

Baby molars can get cavities between them and in the grooves on top, so dentists often check them closely. Treatments include fillings, sealants and small crowns. If a baby molar is lost early, a space maintainer may be used to keep room for the adult tooth.

Questions

What tooth is letter B?

Baby tooth B is the upper right first molar (a baby tooth). Letters A to T are used for baby teeth in the Universal system used in the United States.

What is baby tooth B in the FDI and Palmer systems?

In FDI it is 54, said digit by digit (“five-four”). The first digit is the quadrant and the second is the position from the midline. In Palmer notation it is D┘.

When does baby tooth B fall out?

Usually at about 9-11 yrs, when the adult upper right first premolar pushes it out from underneath. It first comes in at about 13-19 mos.

For education only. This is not dental advice; your dentist can tell you what is right for your own teeth.