Is your little one still all gums while other babies are flashing toothy grins? If your baby seems a bit behind on teething, you’re not alone—and there’s usually no need to panic. Every child develops at their own pace, and teething is no different.
Still, as a parent, it’s natural to wonder: When is late teething normal, and when should I be concerned? Let’s break it down in simple terms so you can feel confident and informed.
Late teething usually just means a delay in tooth eruption, which can vary widely from child to child.
When Do Babies Normally Start Teething?
Most babies get their first tooth between 4 and 7 months. The two bottom front teeth (central incisors) are usually the first to appear, followed by the top front teeth.
By age 3, most kids have a full set of 20 baby teeth. But keep in mind, these timelines are averages. Some children start teething earlier, and some much later.
What Is Considered “Late” Teething?
If your baby hasn’t gotten any teeth by 12 to 15 months, that’s typically when dentists consider it “delayed teething.”
But that doesn’t automatically mean something’s wrong. Some babies are just slow starters. What matters more is why the teeth are late.
Common Reasons for Delayed Teething
Late teething can happen for a variety of harmless reasons.
1. Family History
If one or both parents were late teethers, there’s a good chance your child might be too. Genetics plays a big role in when baby teeth come in.
2. Premature Birth or Low Birth Weight
Babies born prematurely or with a low birth weight may hit some developmental milestones later, including teething.
3. Nutritional Deficiencies
Lack of certain nutrients, especially vitamin D and calcium, can slow down tooth development. A balanced diet helps support healthy growth, including teeth.
4. Hypothyroidism
This is a rare condition where the thyroid gland doesn't produce enough hormones, which can slow growth and development, including teeth.
Should I Be Worried?
In most cases, no late teething is something to lose sleep over. But there are times when it’s worth getting a professional opinion.Talk to a pediatric dentist if:
- No teeth have appeared by 18 months
- Teeth come in out of order or look discoloured
- Your child shows other developmental delays
- There are signs of swelling or pain with no teeth emerging
What Can a Kids' Dental Specialist Do?
A pediatric specialist dentist is trained to spot early signs of dental issues in infants and young children. They may take a quick X-ray to check if teeth are developing beneath the gums or recommend further evaluation if needed. Most of the time, you’ll walk out of the office with peace of mind and a plan.
What to Expect Once Teeth Do Start Coming In
Baby teeth, also known as primary teeth, begin to emerge in a typical order as your little one grows. The central incisors are usually the first to appear, typically between 6 and 12 months of age. Following them are the lateral incisors, which make their debut around 9 to 16 months. Shortly after, the first molars tend to come in between 13 and 19 months, providing support for chewing. Then, the canines, or cuspids, often start to emerge between 16 and 23 months. Finally, the second molars usually complete the set around 23 to 33 months. These milestones can vary slightly for each child, but this general timeline can help you track your baby's dental development.
How to Care for Baby Teeth Once They ArriveWhen teeth finally arrive, it’s time to start building good habits. Here’s how to keep those pearly whites healthy:
Wipe Gums Early
Even before teeth come in, gently clean your baby’s gums with a soft, damp cloth.
Use the Right Toothbrush
Once teeth appear, use a small, soft-bristled toothbrush. For kids under 3, use a tiny smear of fluoride toothpaste.
Schedule That First Visit
The Canadian Academy of Pediatric Dentistry recommends that kids see a pediatric dentist by their first birthday, even if only one tooth is in.
What If My Child Never Gets Baby Teeth?
It’s extremely rare, but some children are born with a condition called anodontia, where teeth don’t develop at all. Another condition, hypodontia, means only a few teeth are missing.These cases are usually linked to genetics and will be diagnosed by a pediatric dental specialist or pediatrician.
Tips for Soothing Teething Babies (When It Finally Starts!)
Whether your baby starts teething at 6 months or 16 months, the process can be uncomfortable. Here are some tried-and-true ways to soothe sore gums:
- Offer a clean, chilled teething ring
- Massage gums gently with your finger
- Use a cool washcloth to chew on
- Avoid teething gels with benzocaine (not safe for young children)
Final Thoughts: Don’t Stress Over the Clock
It’s totally normal to compare your baby to others, but try not to let late teething stress you out. Every child follows their own timeline. Most kids with delayed teething catch up with no issues at all.
Still, if you’re unsure, checking in with a kids' dental specialist can ease your worries and keep your child’s oral health on track.
Book Your Child’s First Visit Today!
At Pediatric Dental Specialists, our warm, friendly team is here to help every child smile with confidence, whether teeth show up early, late, or right on time. Our pediatric specialist dentists are experts in making dental care fun, gentle, and stress-free. Schedule your visit today and let us guide your child’s smile, every step of the way!
