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Childhood fantasy figure who replaces a lost primary tooth with a gift during sleep

The Tooth Fairy is a fantasy figure of early childhood in Western and Western influenced cultures. The folklore states that when children lose one of their baby teeth, they should place it underneath their pillow or on their bedside table; the Tooth Fairy will visit while they sleep, replacing the lost tooth with a small payment.

Unlike Father Christmas and, to a lesser extent, the Easter Bunny, there are few details of the Tooth Fairy's appearance that are consistent in various versions of the myth. A 1984 study conducted by Rosemary Wells revealed that most, 74 percent of those surveyed, believed the Tooth Fairy to be female, while 12 percent believed the Tooth Fairy to be neither male nor female, and 8 percent believed the Tooth Fairy could be either male or female. When asked about her findings regarding the Tooth Fairy's appearance, Wells explained: "You've got your basic Tinkerbell type Tooth Fairy with the wings, wand, a little older and whatnot. Then you have some people who think of the tooth fairy as a man, a bunny rabbit, or a mouse." One review of published children's books and popular artwork found the Tooth Fairy also to be depicted as a child with wings, a pixie, a dragon, a blue mother figure, a flying ballerina, two little older men, a dental hygienist, a potbellied flying man smoking a cigar, a bat, a bear, and others. Unlike the well established imagining of Santa Claus, differences in renderings of the Tooth Fairy are not as upsetting to children. In 2020, the Royal Australian Mint began issuing "Tooth Fairy kits" that included commemorative $2 coins.

The reward left varies by country, the family's economic status, amounts the child's peers report receiving, and other factors. A 2013 survey by Visa Inc. found that American children receive $3.70 per tooth on average. According to the same survey, only 3% of children find a dollar or less and 8% find a five dollar bill or more under their pillow. The reward is affected by inflation. Delta Dental found that the first tooth lost gets a higher reward than other teeth on average in the United States. Parents tend to view the myth as providing comfort for children in losing a tooth. Mothers especially seem to value a child's belief as a sign that their "baby" is still a child and is not "growing up too soon". Author Vicki Lansky advises parents to tell their children early that the tooth fairy pays much more for a perfect tooth than a decayed one. According to Lansky, some families leave a note with the payment, praising the child for good dental habits. Research findings suggest a possible relationship between a child's continued belief in the Tooth Fairy (and other fictional characters) and false memory syndrome.

In Spain and Hispanic America, El Ratoncito Pérez or Ratón Pérez ( Perez the Little Mouse or Perez Mouse) is equivalent to the Tooth Fairy. He first appeared in an 1894 tale written by Luis Coloma for King Alfonso XIII, who had just lost a milk tooth at the age of eight. As is traditional in other cultures, when a child loses a tooth it is customary for the child to place it under the pillow so that El Ratoncito Pérez will exchange it for a small payment or gift. The tradition is almost universal in Spanish cultures, with some slight differences. He is generally known as "El Ratoncito Pérez", except for some regions of Mexico, Peru, and Chile, where he is called "El Ratón de los Dientes" ( The Tooth Mouse), and in Argentina, Venezuela, Uruguay, and Colombia, where he is known simply as "El Ratón Pérez". He was used by Colgate marketing in Venezuela and Spain.

In Italy, the Tooth Fairy (Fatina dei denti) is also often replaced by a tiny mouse named Topolino. In some areas the same role is held by Saint Apollonia, known as Santa Polonia in Veneto. (Saint Apollonia's legendary martyrdom involved having her teeth broken; she is frequently depicted artistically holding a tooth and is considered the patron saint of dentistry and those with toothache and dental problems.) In France and French speaking Belgium, this character is called La Petite Souris (The Little Mouse). From parts of Lowland Scotland comes a tradition similar to the fairy mouse: a white fairy rat who purchases children's teeth with coins. In Catalonia, the most popular would be Els Angelets (little angels) and also "Les animetes" (little souls) and as in the other countries, the tooth is placed under the pillow in exchange of a coin or a little token. In the Basque Country, and especially in Biscay, there is Mari Teilatukoa ("Mary from the roof"), who lives in the roof of the baserri and catches the teeth thrown by the children. In Cantabria, he is known as L’Esquilu de los dientis ("the tooth squirrel).

In Japan, a different variation calls for lost upper teeth to be thrown straight down to the ground and lower teeth straight up into the air; the idea is that incoming teeth will grow in straight. In Korea, throwing both upper and lower teeth on the roof was common. The practice is rooted around the Korean national bird, the magpie. It is said that if the magpie finds a tooth on the roof, it will bring good luck. Some scholars think the myth derived from the word 까치(Ka chi) which was a middle Korean word for magpies that sounds similar to "new teeth", or because of the significance of magpies in Korean mythology as a messenger between gods and humans. In Middle Eastern countries (including Iraq, Jordan, Egypt, and Sudan), there is a tradition of throwing a baby tooth up into the sky to the sun or to Allah. This tradition may originate in a pre Islamic offering dating back to the 13th century. It was also mentioned by Izz bin Hibat Allah Al Hadid in the 13th century. In Mali, children throw baby teeth into the chicken coop to receive a chicken the following day. In Afrikaans speaking families in South Africa, children leave their teeth in a shoe so that the Tandemuis (Tooth Mouse) can replace the teeth with money.

Tales of the Tooth Fairies is a British children's television programme first aired in 1993. In the 2010 film Tooth Fairy, Dwayne Johnson plays as the titular character. The 2012 sequel stars Larry the Cable Guy. The 2003 horror film, Darkness Falls, features a vengeful spirit known as the "Tooth Fairy". A 2006 horror film, The Tooth Fairy, also features an evil Tooth Fairy. A killer nicknamed "The Tooth Fairy" (because of his habit of leaving bite marks on his victims) is featured in "Red Dragon", part of the Hannibal Lecter franchise by Thomas Harris. He appears in the 1981 novel and the 1986 and 2002 film adaptations. William Joyce's book series The Guardians of Childhood features Toothiana, a half human tooth fairy resembling a Kinnari operating out of South Asia. She and a vast legion of mini fairies (depicted in the books as being an ability to split herself into smaller copies, while the film has them as separate entities) collect children's teeth to safeguard the childhood memories held within, with the film also including a brief appearance by the Tooth Mouse. In its 2012 film adaptation Rise of the Guardians, she is voiced by Isla Fisher. In episode 2 of The Irregulars, a 2021 series on Netflix, the tooth fairy myth is an integral part of the plot. In The Legend of Toof, by P. S. Featherston, a story originally told in 2006 and published in 2021 by TF Press, we learn of the dangerous adventures of a small woodland sprite named Toof. Toof is the original tooth fairy born with the ability to know when a child has lost a tooth and how to find them. The story identifies why fairies need a child's tooth, how it keeps them safe from gremlins, and why children need to help them in this endeavor. In The Legend of Toof we meet all of the original Tooth Fairies, two human children that help him defeat the hidden world's most despicable villains: Colsore, Deekay, and Plaak, their army of Drolls, and the original Tooth Mouse of Spain, Ratoncito Pérez and learn his story. Because of Toof, we discover how fairies can fly at the speed of light, the importance of their friendship with children, where they get the unique coins they leave as gifts, and much more as it relates to Tooth Fairy lore. Way back in 1927, a children’s playwright, Esther Watkins Arnold, brought to life an extraordinary, elf like creature, in an 8 page playlet. She playfully christened it as the “Tooth fairy”, and this mythical creature had the power to fly around visiting young children, to collect their fallen (milk) teeth. In the video game Reverse: 1999, a playable character named Tooth Fairy serves as a dentist and medical doctor at the St. Pavlov Foundation. In addition to her medical knowledge and hobby of collecting various teeth, she carries literal glowing tooth fairies in a jar, and can heal other arcanists by feeding parts or all of a tooth fairy to them.