Concerns About Delayed Teething in a 9-Month-Old Baby - Pediatrics

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A 9-month-old baby has not yet developed any teeth?


Hello, doctor.

1.
My son is 9 months and 7 days old and has not yet developed any teeth, which makes me a bit worried.
Could this be due to insufficient calcium intake? He is 77 cm tall and weighs 10.7 kg.
Currently, he drinks Enfamil SA+ formula milk 4-5 times a day, with each feeding being around 120-170 ml.
His solid food includes rib and small fish porridge or noodles, once or twice a day, with each serving being half a bowl.
Additionally, he eats apple puree, peach puree, and drinks grape juice and orange juice.
Sometimes he has one to two teething biscuits.
2.
Is it okay for him to eat more fruit? Sometimes, he can eat half a large peach, half an apple, and then drink 120 ml of grape juice or orange juice (60 ml of juice mixed with 60 ml of water).
Is that too much? Thank you for your help in clarifying these concerns.

Kyna

kyna, 30~39 year old female. Ask Date: 2005/08/21

Dr. Zhang Yingwen reply Pediatrics


Hello: 1.
It is indeed somewhat slow for a nine-month-old not to have any teeth, but it is still reasonable to wait and observe the development of primary teeth, which typically begins around six weeks of gestation.
However, the first primary tooth usually erupts when the baby is between 6 to 8 months old.
If no teeth have erupted by the age of one, it is advisable to consult a pediatric dentist.
2.
His height and weight are between the 90th and 97th percentiles, indicating good growth.
According to the text, there is no concern about overeating; consuming more fruits is harmless.
However, it is encouraged to increase the intake of natural foods, such as homemade juice, which is lower in sugar and preservatives.

Reply Date: 2005/08/21

More Info


Concerns about delayed teething in infants can be quite common among parents, especially when they notice that their child has not yet developed any teeth by the age of nine months. It's understandable to worry about whether this delay might be linked to nutritional deficiencies, such as insufficient calcium intake. However, it’s important to recognize that teething patterns can vary significantly from one child to another.

Typically, most babies begin to cut their first teeth between six months and one year of age. Some infants may start teething as early as four months, while others may not see their first tooth until they are over a year old. This variability is normal and often does not indicate any underlying health issues. Genetics can play a significant role in determining when a child begins to teethe, so if there is a family history of late teething, this could be a contributing factor.

In terms of your son’s diet, it seems that he is receiving a balanced intake of nutrients. The formula milk you mentioned, "優生SA+配方奶," is designed to provide essential nutrients, including calcium, which is crucial for bone and dental health. The frequency and quantity of formula he consumes (4-5 times a day, 120-170 ml each time) appear to be appropriate for his age. Additionally, the introduction of solid foods, such as the rice porridge with small fish and the variety of fruits, is beneficial for his overall nutrition.

Regarding the fruit intake, it’s generally healthy for infants to consume fruits, as they provide essential vitamins and minerals. However, moderation is key. While fruits are nutritious, they also contain natural sugars, and excessive consumption can lead to digestive issues or an imbalance in their diet. For a nine-month-old, offering half a peach or half an apple daily, along with diluted fruit juices, is acceptable as long as it does not replace the more nutrient-dense foods like formula or solid meals. It’s also advisable to limit juice intake to about 4 ounces (120 ml) per day, as recommended by pediatric guidelines, to prevent excessive sugar consumption and to encourage the intake of whole fruits instead.

If you are concerned about your son’s teething or overall development, it would be beneficial to consult with a pediatrician. They can assess his growth, dietary habits, and developmental milestones to ensure everything is on track. Additionally, they can provide personalized advice and reassurance regarding teething and any other concerns you may have.

In summary, while it’s natural to worry about delayed teething, it’s essential to remember that each child develops at their own pace. Your son’s diet seems well-rounded, and as long as he is growing and developing normally, there is likely no cause for concern. Regular check-ups with your pediatrician will help monitor his progress and address any questions you may have.

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