Tooth Letter F: Upper Left Baby Central Incisor

Tooth letter F is the upper left baby central incisor. In FDI notation it is 61, and in Palmer notation it is └A (ULA).

UPPERLOWERPATIENT'S RIGHTLEFTABCDEFGHIJTSRQPONMLK
Tooth F is highlighted. Charts show the patient's right side on the left.
Universal (US)F
FDI / ISO61
Palmer└A ULA
Name
Maxillary left primary central incisor
Type
Incisor (baby tooth)
Comes in
8–12 months (ADA)
Falls out
6–7 years (ADA)
Roots
1
Replaced by
Adult tooth 9

Open the interactive tooth chart · Eruption chart

When does tooth F come in and fall out?

The upper baby central incisors usually come in at 8–12 months and fall out at 6–7 years (ADA). The AAPD chart gives 6–10 months to come in and 7–8 years to fall out.

In the ADA chart, they usually come in after the lower baby central incisors (6–10 months) and before the upper baby lateral incisors (9–13 months), and they are among the first to fall out, along with the lower baby central incisors.

Tooth F is replaced by tooth 9, the upper left central incisor, which usually comes in at 7–8 years (ADA). Under the gum, tooth F starts to harden in the 4th month of pregnancy and is fully formed by about 18–24 months (AAPD).

Falls and injuries to tooth F

In one children's hospital study, children under 5 made up 56% of dental injury visits, falls were the most common cause, and 7 in 10 injured teeth were upper central incisors.

Injuries. Worldwide, about 1 in 5 children (22.7%) injure at least one baby tooth. In baby teeth the most common injury is a tooth pushed out of position (a luxation) rather than a broken tooth.

The adult tooth underneath. An injury to a baby front tooth, or a baby incisor whose nerve has died, can change the way the adult incisor comes in. Dentists watch for this after a baby front tooth is hurt.

The same tooth on the right side, tooth E, has its own section on bottle decay on the upper front teeth.

Where is tooth F?

Tooth F is one of the two top front teeth right in the middle of your child's mouth: the one on their left side.

"Left" and "right" always mean the child's own sides, so when you face your child, tooth F is on your right.

Right next to it, across the middle, is tooth E, the other upper baby central incisor. Behind it is tooth G, the upper left baby lateral incisor.

Its mirror twin on the right side is tooth E. The tooth in the same spot in the lower jaw is tooth O, the lower left baby central incisor.

Dental charts show the patient's right side on the left, so tooth F sits just right of the center line of the top row. The letters continue across the top: upper left teeth run from F (the front tooth) to J (the back molar).

What does the upper baby central incisor do?

Baby incisors are the front teeth young children use to bite and cut soft food. Baby teeth matter even though they fall out: children need them to chew, speak and smile, and they help the adult teeth come in correctly.

How many roots does tooth F have?

One root, which dissolves as the adult tooth grows underneath.

When to call a dentist about tooth F

If a baby tooth is knocked loose or out in a fall, or your child has swelling, fever or pain, call your dentist. Never put a knocked-out baby tooth back in (Knocked-Out Tooth Rescue explains why). Swelling that makes it hard to breathe or swallow is an emergency: call 911.

Tooth F in FDI and Palmer notation

SystemTooth F is writtenWhat it means
Universal (ADA, used in the US)FBaby teeth are lettered A–T around the mouth, starting at the upper right back molar.
FDI / ISO 3950 (international)61First digit 6 = upper left quarter (baby teeth use 5–8); second digit 1 = first baby tooth from the middle. Said "six-one".
Palmer└A (often typed ULA)The └ bracket marks the upper left quarter; A = first baby tooth from the middle.

Palmer stops at E. Palmer letters only run from A to E in each quarter, so an "F" can only be a Universal letter.

FDI baby teeth start with 5 to 8. The first digit 6 marks the upper left baby quarter, so FDI 61 can't be mixed up with an adult tooth.

Letters and numbers don't line up. F is letter 6 of the alphabet, but baby tooth F is replaced by adult tooth 9, not tooth 6.

All baby teeth in the upper left quarter

From the front of the mouth to the back:

UniversalFDIPalmerTooth
F61└A (ULA)Baby central incisor (this tooth)
G62└B (ULB)Baby lateral incisor
H63└C (ULC)Baby canine
I64└D (ULD)Baby first molar
J65└E (ULE)Baby second molar

The Tooth Number Chart & Converter converts any tooth between the three systems.

Tools for tooth F

Frequently asked questions

What tooth is letter F?
Tooth F is the upper left baby central incisor in the Universal system used in the US. It is 61 in FDI notation and └A (ULA) in Palmer notation.
When does tooth F come in?
Usually at 8–12 months (ADA) or 6–10 months (AAPD). The AAPD notes that many healthy babies don't follow the schedule exactly.
When does tooth F fall out?
Usually at 6–7 years (ADA) or 7–8 years (AAPD). Adult tooth 9, the upper left central incisor, takes its place.
How common are injuries to tooth F?
Common. Worldwide, about 1 in 5 children (22.7%) injure at least one baby tooth, and in one hospital study 7 in 10 injured teeth were upper central incisors.

Sources

  1. American Dental Association (MouthHealthy). Permanent Tooth Development (eruption chart). 2012. Accessed October 26, 2026.
  2. American Dental Association (MouthHealthy). Primary Tooth Development (eruption chart). 2012. Accessed October 26, 2026.
  3. American Academy of Pediatric Dentistry. Dental Growth and Development (chronology after Logan & Kronfeld 1933, adapted 2003). Accessed October 26, 2026.
  4. American Academy of Pediatric Dentistry. Management of the Developing Dentition and Occlusion in Pediatric Dentistry (Reference Manual of Pediatric Dentistry). latest revision 2024. Accessed October 26, 2026.
  5. World Health Organization. Oral health surveys: basic methods, 5th edition (tooth notation after ISO 3950). 2013. Accessed October 26, 2026.
  6. Nelson SJ. Elsevier. Wheeler's Dental Anatomy, Physiology and Occlusion, 11th edition. 2019.
  7. American Dental Association. ADA Dental Claim Form (tooth designation systems). Accessed October 26, 2026.
  8. Dentalcare.com (continuing education course CE500). An Overview of Dental Anatomy: Types of Teeth and their Functions. Accessed October 26, 2026.
  9. American Dental Association (MouthHealthy). Tooth Decay with Baby Bottles. Accessed October 26, 2026.
  10. Levin L et al. (International Association of Dental Traumatology). Dental Traumatology 36(4):309–313. IADT guidelines for the management of traumatic dental injuries: General introduction. 2020. Accessed October 26, 2026.
  11. Ng L, Malandris M, Cheung W, Rossi-Fedele G. Dental Traumatology 36(4):360–370. Traumatic dental injuries presenting to a paediatric emergency department in a tertiary children's hospital, Adelaide, Australia. 2020. Accessed October 26, 2026.
  12. Petti S, Glendor U, Andersson L. Dental Traumatology 34(2):71–86. World traumatic dental injury prevalence and incidence, a meta-analysis. 2018. Accessed October 26, 2026.

Last reviewed by the Dental Health Time editorial team, against the sources above. How we review.