#AskTheExpert my baby is 20 month's old still he has got no teeth what should I do ? is it normal?

A. It's understandable to be concerned if your 20-month-old baby has not yet developed any teeth. While most babies begin teething between 4 and 12 months, some do experience delays. ### Possible Reasons for Delayed Teething: 1. **Genetics**: Family history can play a significant role. If late teething runs in the family, it may be normal for your child too. 2. **Nutritional Factors**: Deficiencies in certain nutrients, such as calcium or vitamin D, could potentially affect tooth development, although this is less common. 3. **Health Conditions**: Rarely, conditions such as hypothyroidism or other developmental issues can delay the eruption of teeth. ### When to Seek Medical Advice: - Since your baby is 20 months old and has not yet developed any teeth, it is advisable to consult with a pediatrician or a pediatric dentist. They may conduct a physical examination and possibly recommend X-rays to ensure the teeth are developing properly below the gums. - If your child is experiencing other developmental delays, this is also something that should be discussed with a healthcare professional. ### What Can Be Done: 1. **Dental Check-Up**: Schedule a visit with a pediatric dentist. They can assess whether the teeth are present under the gums and if there's any reason for the delay. 2. **Nutritional Support**: Ensure your child is getting adequate nutrition, particularly calcium and vitamin D, which are important for tooth development. If you're concerned about your child's diet, a pediatrician can offer guidance or suggest supplements if necessary. 3. **Monitor Oral Health**: Even without teeth, maintaining good oral hygiene is important. Clean your baby’s gums daily with a soft cloth or baby toothbrush. ### Is It Normal? - While it's not typical for teeth to take this long to emerge, it’s also not unheard of. Some children simply develop at a different pace. The key is to ensure that your child is otherwise healthy and developing normally. A consultation with a healthcare professional will provide reassurance and help determine if any further action is needed.