Tooth Fairy Pillow Pattern, Free PDF +Video
This free tooth fairy pillow pattern will show you exactly how to make a tooth fairy pillow step-by-step. This simple sewing project is quick, beginner-friendly, and creates a special keepsake for children losing their first teeth. A tooth fairy pillow makes the whole experience even more magical by giving your child a special place to keep their tooth overnight.


How to Sew a Tooth Fairy Pillow (Quick Guide)
A tooth fairy pillow is a small, tooth-shaped cushion with a pocket to hold a lost tooth and a surprise from the tooth fairy. Here are the basic sewing steps:
- Download and cut pattern pieces
- Hem the pocket edge
- Sew the pillow front and back
- Turn and stuff the pillow
- Close the opening and decorate the face
What is a Tooth Fairy Pillow?
When your child loses their first tooth, having a special cushion to tuck the tooth into before going to sleep adds to the dreamer’s expectations of a reward in the morning. What better way to celebrate the story of the tooth fairy, or tooth mouse than with a special little cushion shaped like a tooth.
The tooth fairy reminds us that dreams can come true! As I’m editing this article I’m reminded that it is such a short time that kids loose their teeth and it is so important to make it memorable and special. My daughter has been so proud of every tooth she has lost, especially those first ones. It is such an exciting time for them and the fact that the tooth fairy comes makes it more so.
How to Make a Tooth Fairy Pillow (Step-by-Step)
You can make this cute little cushion and have it ready to accept donations from the tooth fairy in return for the precious tooth or teeth. I always add a letter from the tooth fairy as well to make it even more special and personalized.

Supplies
Here is what you will need for the DIY tooth fairy pillow:
- FABRIC – A scrap of cotton fabric
- MARKERS – Fabric pens or fabric paint for the face. I used the Sharpie brand, which gave nice results. My tip is to just make sure your drawing is dry before you touch it. Or you can use embroidery floss to embroider the face.
- STUFFING – Stuffing (Polyester stuffing or small pieces of fabric or yarn cut small)
- SEWING BASICS – Needle, thread, scissors, chalk.

Tooth Fairy Pillow Pattern PDF
Click here to download the pattern template. It will open up in a new window. Make sure you measure the test square. You can make it smaller or larger by adjusting the size on your photocopier, or just freehand drawing following the basic shape.
Video Tutorial
Watch this short YouTube video showing you how to make the tooth fairy pillow. It really is very easy. Subscribe for more weekly sewing and craft videos.Press play below or see the written instructions in the next section.
Tooth Fairy Pillow Pattern Instructions
1. Cut the Body and Pocket
Trace the tooth fairy pillow template and cut 2 pieces for the main and 1 for the pocket piece of the teeth pillow.

2. Sew the Tooth Fairy Pocket
Hem the edge of the pocket by 1/4 inch (6mm) seam allowance on the wrong side. Put the pocket on top of the front main, both with the right side facing up.
Now you can do the face painting here, but I find it easier to get the position correct by painting at the end. I guess one advantage of painting now is that if you make a mistake, you can just cut a new piece without wasting too much time sewing. Make sure you allow for the pocket going over half the body.

3. Place the Back
Put the back on the front and pocket with right sides together. This means the pocket is sandwiched between the front and the back.
4. Sewing the Tooth Fairy Pillow
Stitch around the edge with a ¼ inch (6mm) seam, leaving a 1” (2.5cm) gap in one of the sides. Use a small stitch length of 2.0. If you don’t have a sewing machine, then you can use an embroidery backstitch. This is a strong hand stitch that is perfect for small sewing projects like this one.

5. Turn the Tooth Pillow
Clip all the curves and turn the pillow the right way out. Give it a good press. Pinking shears are great for clipping small items like this.
6. Stuff the Pillow
Stuff the tooth fairy pillow pattern through the gap in the side and use an invisible ladder stitch or slip stitch to close the gap.

7. Drawing the Tooth Pillow Face
Now it is time to draw or paint the face. I kept my face simple with closed eyes. You might be an expert in faces and have a bit more time. A personalized tooth fairy pillow can be made by learning how to embroider letters. Embroidery can also make nice faces. Use a backstitch or simple running stitch.

All finished and ready for the tooth fairy to put some coins in the pocket.

Tooth Fairy Pillow Pattern Free FAQs
When you are tucking your kid in for the night, put the pillow on the nightstand next to them, telling them the story of how the tooth fairy will come during the night to collect the tooth and leave a coin. After your child is asleep, you can take the tooth and replace it with a coin.
Traditionally the tooth fairy left a coin, but really, you are the parent, and you can leave as much as you like! I usually leave $2 per tooth since, in Australia, this is a gold coin.
There is no set age when the tooth fairy stops visiting. In my house, the tooth fairy stopped visiting shortly after my daughter realized that it was really me leaving the money and note.
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Tooth Fairy Pillow Pattern – In Conclusion
And so to sleep…. perchance to dream. This is a time to put out a little piece of magic with your tooth fairy cushion and enjoy the fantasy of the fairy with your child.
More Free Girls Patterns
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- Hair Bow Pattern
- Free Capelet Pattern
- Baby Skirt Pattern
- Bikini Bottom Pattern for Girls
- Pillowcase Dress Pattern

Tooth Fairy Pillow Pattern (Free)
Difficulty
Tools
- Sewing Basics Sewing thread, needle, scissors
- Polyester Stuffing
Materials
- Fabric
Instructions
- Cut 2 pieces for the main and 1 for the pocket of the tooth pillow. Hem the edge of the pocket by ¼ inch (6mm) on the wrong side. Put the pocket on top of the front main, both with the right side facing up.
- Put the back on the front and pocket with right sides together. This means the pocket is sandwiched between the front and the back. Stitch around the edge with a ¼ inch (6mm) seam, leaving a 1” (2.5cm) gap in one of the sides. Use a small stitch length of 2.0.
- Clip all the curves and turn the pillow the right way out. Give it a good press. Stuff the tooth fairy pillow pattern through the gap in the side and use an invisible ladder stitch to close the gap.
- Draw the face with fabric pens.
Author - Luisa Clare
Luisa Clare is the founder of Treasurie, a sewing and crochet education platform offering step-by-step tutorials and printable patterns. With over 15 years of experience in dressmaking, pattern design, crochet, and craft education, she specialises in teaching beginners through clear, easy-to-follow lessons. Her tutorials and patterns are used by home sewists and crocheters worldwide to build practical skills and confidence. Learn more about Luisa and Treasurie.








Thank you for this simple and cute pattern. My daughter loves her tooth fairy pillow and we’ve gotten the chance to use it twice already! She picked out her fabrics and drew the face on it herself <3
Hi Carole, thanks for spotting that so I could add it in. I have now added the test square.
” Make sure you measure the test square” which is located where?