#asktheexpert my baby is 21 months old but still all the teeth have not ruptured … is this normal ?

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Accepted Answer

It's not uncommon for some children to have variations in their teething timelines. Generally, by 21 months, most children have several teeth, but the exact timing can vary. Here’s what to consider:

### **Typical Teething Timeline**

- **First Teeth**: Usually, the first teeth (lower central incisors) appear around 6-10 months.
- **Full Set of Teeth**: By 18-24 months, most children have about 12-16 teeth, including the upper and lower central incisors, lateral incisors, and first molars.

### **Factors Affecting Teething**

1. **Genetics**: The timing of teething can be influenced by genetics. If you or your partner teethed later, your child might follow a similar pattern.
2. **Developmental Variation**: Every child develops at their own pace. Some children may get their teeth earlier or later than average.
3. **Health Conditions**: Rarely, delays in teething can be associated with certain health conditions, but this is usually less common.

### **When to Seek Advice**

- **Check for Signs**: If your child shows other developmental concerns, has trouble eating or speaking, or if the delay is accompanied by other symptoms, consult your pediatrician.
- **Dental Checkup**: If you're worried about the timing or the pattern of tooth eruption, a pediatric dentist can provide an evaluation and ensure there are no underlying issues.

### **Managing Teething Discomfort**

- **Comfort Measures**: Use teething toys or cold, damp cloths to soothe sore gums. Gentle gum massage can also help.
- **Over-the-Counter Remedies**: If necessary, consult your pediatrician before using any over-the-counter teething gels or medications.

In most cases, variations in teething schedules are normal and resolve over time. However, keeping track of your child's overall development and seeking professional advice if you have concerns can provide reassurance and ensure their health and well-being.