Your Child's Teething Timeline and Nutritional Needs - Pediatrics

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Regarding the timing of tooth development?


Hello Dr.
Wang: I would like to inquire about the timing of tooth eruption in children.
My child is currently 1 year and 3 months old and started teething at around 9 months.
However, so far, he has only developed 4 upper teeth and 2 lower teeth, and there has been no further eruption for about 3 months.
Is this situation considered normal? How can I provide the necessary nutrition for my child? Is there a need for further examination?

Kunhuo de mama, 20~29 year old female. Ask Date: 2007/08/27

Dr. Wang Jiayi reply Pediatrics


Dear Confused Mom: Please take your child to a medical center to see a pediatric dentist for treatment.
The Pediatrics Department of Hualien Hospital cares about you.

Reply Date: 2007/08/27

More Info


Teething is a significant milestone in a child's development, and it can vary widely from one child to another. Typically, infants begin to develop their first teeth around six months of age, but some may start earlier or later. By the age of one, most children have at least a few teeth, and by three years old, they usually have a complete set of 20 primary teeth. In your case, your child began teething at nine months and currently has four upper teeth and two lower teeth, with no new teeth emerging for the past three months. While this may seem concerning, it is essential to understand that teething timelines can vary significantly among children.

In general, a pause in teething is not uncommon, and many children experience periods where no new teeth come in for several months. However, if your child is showing signs of discomfort, such as excessive drooling, irritability, or difficulty eating, it may be worth consulting a pediatric dentist or your child's healthcare provider. They can assess your child's dental development and rule out any underlying issues.

Regarding nutritional needs during this teething phase, it is crucial to ensure that your child receives a balanced diet to support their overall growth and development. At 15 months, children should be consuming a variety of foods, including fruits, vegetables, grains, proteins, and dairy (if tolerated). Here are some tips for providing adequate nutrition during this time:
1. Soft Foods: Since teething can make it uncomfortable for children to chew, focus on soft foods that are easy to eat. Mashed fruits (like bananas or avocados), cooked vegetables, yogurt, and soft-cooked grains (like oatmeal) are excellent options.

2. Iron-Rich Foods: As your child is teething, it is essential to include iron-rich foods in their diet. Good sources include pureed meats, beans, lentils, and fortified cereals. Iron is crucial for growth and development, especially during this rapid growth phase.

3. Calcium and Vitamin D: These nutrients are vital for healthy teeth and bones. If your child is consuming dairy products, ensure they are getting enough calcium. If dairy is not an option, consider fortified plant-based milk alternatives or other calcium-rich foods like leafy greens and tofu.

4. Hydration: Ensure your child stays hydrated, especially if they are experiencing discomfort while teething. Offer water or diluted fruit juices as appropriate.

5. Variety: Encourage a variety of foods to ensure your child receives a broad spectrum of nutrients. This can help prevent picky eating habits and ensure they are getting the vitamins and minerals necessary for their development.

6. Monitor Growth: Keep an eye on your child's growth patterns. Regular check-ups with your pediatrician can help monitor their growth and nutritional status. If there are concerns about their weight or height, your healthcare provider may recommend further evaluation or dietary adjustments.

In conclusion, while your child's teething timeline may be slightly delayed, it is not necessarily a cause for concern. However, if you have any doubts or if your child is experiencing significant discomfort, consulting with a pediatric dentist or healthcare provider is advisable. Ensuring a balanced and nutritious diet will support your child's overall health and development during this phase.

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