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GMJ News > GMJ Briefs > The Third Tooth Myth: What Genetic Science Actually Tells Us

The Third Tooth Myth: What Genetic Science Actually Tells Us

GMJ
Last updated: 18/07/2026 19:52
By
Prof. Giorgi Pkhakadze
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1 Min Read
Dental anatomy diagram showing primary and permanent teeth development across the human lifespan
Humans naturally develop only two sets of teeth—primary and permanent—due to genetic programming. While supernumerary teeth occasionally occur, they represent rare anomalies, not evidence of latent third-set capacity. — Photo by Kamal Hoseinianzade on Unsplash (Unsplash License)
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1 min read|130 words

Despite persistent rumors and hopeful speculation, humans cannot grow a third set of adult teeth. Our genetic blueprint encodes only two dental generations: primary teeth in childhood and permanent teeth in adulthood. This two-set limitation reflects evolutionary constraints shaped over millions of years, unlike sharks and certain reptiles that continuously replace teeth throughout their lives.

While supernumerary teeth—extra teeth developing beyond the normal set—do occur in rare cases (1–4% of the population), these isolated anomalies represent developmental variations rather than evidence of hidden regenerative capacity. Modern dental science is advancing toward regenerative approaches that may one day enable tooth replacement, but clinically proven methods for producing functional replacement teeth at scale remain years away. Understanding these biological realities helps patients and practitioners focus on realistic treatment options available today.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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