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Tooth Fairy Pillow Pattern And Directions.

This tooth fairy pillow is easy to sew and makes a great gift for a child with a loose tooth. Our free pattern and instructions make it simple to craft a tooth-shaped cushion in a flash!

You can make this pillow in anticipation of that first missing tooth, but it’s so easy to sew that you could wait until the time comes. And although it has a few tight curves, it’s simple enough that kids can practice their sewing and make their own tooth fairy pillow.Are you making this for a gift? Add a book about the tooth fairy for added fun!

Tooth Fairy Pillow Materials


White or printed white on white fabric – two squares, each about 10 inches
Fabric for the pocket – about 3-1/2 x 5 inches
White thread
Embroidery floss
Optional: Lace or eyelet trim or piping


Sewing machine

Cut the Tooth Pillow Pieces


Place the tooth template on the white fabric with the straight edge on the fold. Pin and cut around the shape or trace and cut out the tooth. Repeat to cut the second tooth.

Cut the pocket by placing the pattern piece on a fold of fabric as directed on the pattern piece.

Make the Pocket

Using the cutting fold line, fold the pocket so that the right sides are together.

Optional: Add a small piece of eyelet or piping to the open edges of the pocket if you’d like.

Sew the edges using a 1/4″ seam allowance and leaving an opening in the bottom to turn the pocket right sides out.

Trim the seam allowances at the corners to eliminate bulk in the corners and allow the pocket to lay flat. Turn the pocket right side out. Push the seams to the edges.

Fold under the seam allowance where it was left open for turning the pillow right side out. Press, keeping the seams at the edges of the pocket.

Decorate the Pillow Front

If you’d like, embroider the face pattern at the top center of the tooth front. Mark the face lightly with a finely sharpened pencil. Use satin stitch for the eyes and back stitch for the mouth, working with 3 strands of embroidery floss.

Pin the pocket on the pillow front, keeping the folded edge of the pocket at the top.

Top stitch the pocket in place, stitching close to the edge on the seamed edges of the pocket and leaving the folded edge open.

Sew the Tooth Fairy Pillow

Place the right sides of the tooth pillow pieces together, matching the edges pin in place.

Optional: You can sew piping, eyelet trim, or lace along the seams if desired.

Sew the edges using a 1/4″ seam allowance, leaving about 2-1/2 inches on one side open.

Clip the seams at the curves so they will lay smoothly when turned.

Turn the tooth fairy pillow right side out and push the seams to the edges.

Fill and Stitch the Tooth Pillow

Stuff the pillow, pushing the stuffing into the tooth roots and the crown of the tooth first, then fill the entire pillow until it is the firmness that you desire.

For a smooth and even filling, add the stuffing in small pieces.

Slip stitch the opening shut when you are happy with how full and firm the tooth feels.

Finish the Tooth Fairy Pillow

To add an extra touch to the edge of the pillow, top stitch around the tooth shape by hand. Use running stitch and 3 strands of embroidery floss in a coordinating color.

Your new pillow is ready for a visit from the tooth fairy! There’s no need to hide a tooth under a regular pillow when you have this adorable cushion sitting near a bed.

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