Should I Worry If My One-Year-Old Hasn't Started Teething? - Pediatrics

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Teething usually begins around one year of age?


Hello, Doctor: My younger sister is about to turn one year old on the 15th, but she hasn't shown any signs of teething yet.
I noticed a couple of small spots on her lower front teeth a while ago, which seemed like they were about to come in, but there are still no signs.
Should I take her to see a doctor? If so, should I take her to a general pediatrician, or should I take her to a dentist? Currently, her height and weight are around the 10th percentile.
She can't say "dad" yet, but she can say "mom," "aunt," and some nonsensical sounds.
She loves to babble and can talk to adults (in her own language).
She can clap her hands, shake her head, say goodbye, give kisses, and point at things.
Is this development considered normal? Thank you for your response, Doctor! Best wishes!

Xiao Yu Er, 20~29 year old female. Ask Date: 2009/11/10

Dr. He Shenglong reply Pediatrics


Hello: A one-year-old child has not yet developed teeth; I suggest you wait a little longer, as some children have a slower teething process.
If you wish to consult someone, it would be best to see a dentist, but currently, no special intervention is needed.
Your child is now able to stand and is likely starting to learn to walk, which indicates that gross motor skills are normal.
Based on your description, language skills, fine motor skills, and social behaviors also appear to be normal.
It seems you have been very attentive to your child's growth since birth, right? Thank you for your message!

Reply Date: 2009/11/10

More Info


When it comes to the concern of teething in infants, it's important to understand that there is a wide range of normal development. Typically, most babies begin to show signs of teething between 4 to 7 months of age, with the first teeth usually appearing around 6 months. However, some children may not start teething until they are closer to a year old, and this can still be within the realm of normal development.

In your case, since your daughter is approaching her first birthday and has not yet begun to show signs of teething, it is understandable to feel concerned. The presence of two small indentations in her gums could indicate that her teeth are preparing to erupt, but the timeline can vary significantly from child to child. Some children may have their first teeth come in later than others, and this is not necessarily a cause for alarm.

Developmentally, it sounds like your daughter is meeting many important milestones. The ability to babble, respond to social cues, and engage in simple interactions such as waving goodbye and pointing are all positive signs of her cognitive and social development. Her height and weight being in the 10th percentile is also something that can vary; as long as she is growing steadily and her pediatrician is not concerned about her growth trajectory, this is generally acceptable.

If you are still worried about her lack of teeth, it would be a good idea to consult with a pediatrician. They can assess her overall health and development and provide reassurance or further evaluation if necessary. In most cases, a regular pediatrician can address concerns about teething and general development. However, if there are specific concerns about her dental health or if the pediatrician feels it is warranted, they may refer you to a pediatric dentist.

In summary, while it is natural to worry about your child's development, it is also important to remember that there is a wide range of what is considered normal. If your daughter is otherwise healthy and meeting her developmental milestones, it is likely that her teeth will come in when she is ready. However, if you have persistent concerns, seeking advice from a healthcare professional is always a good step to ensure peace of mind.

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