Have you noticed that your child’s teeth are taking longer to come in compared to their peers? While some variation in teething is normal, significant delays can leave parents feeling concerned.
In this guide, we’ll cover everything parents need to know about delayed tooth eruption in children—what’s normal, when to see a dentist, possible causes, and available treatment options. Finding the right pediatric dentist can make a difference in identifying and treating potential concerns early. Dr. Fatemeh Mobaraki and her team at our pediatric dental clinic in Dubai are here to provide expert care for your child’s dental health.
Baby & Permanent Teeth Eruption Timeline: What’s Normal?
To understand delayed teething, it helps to know when baby and permanent teeth usually appear. Below is a general timeline:
| Tooth Type | Expected Age of Eruption |
|---|---|
| Lower Central Incisors | 6-10 months |
| Upper Central Incisors | 8-12 months |
| Lateral Incisors | 9-13 months |
| First Molars | 13-19 months |
| Canines | 16-22 months |
| Second Molars | 25-33 months |
For permanent teeth:
| Tooth Type | Expected Age of Eruption |
|---|---|
| Tooth Type | Expected Age of Eruption |
| First Molars | 6-7 years |
| Central Incisors | 6-8 years |
| Lateral Incisors | 7-9 years |
| Canines | 9-12 years |
| Second Molars | 10-12 years |
| Third Molars (Wisdom Teeth) | 17-25 years |
A slight delay of a few months is usually not a cause for concern, but longer delays may need evaluation by a pediatric dentist.
Read more: Discover the Types of Teeth and Their Superpowers!
What Causes Delayed Tooth Eruption in Children?
According to the American Academy of Pediatric Dentistry, factors like genetics, nutrition, and medical conditions can influence tooth eruption timing. Delayed teething is common in some children, but in certain cases, underlying health concerns may be a contributing factor.
1. Medical Causes
- Genetic Factors – If parents had late teething, their children might as well. A family history of delayed eruption is one of the most common non-concerning causes.
- Nutritional Deficiencies – A lack of essential nutrients like calcium, vitamin D, iron, and phosphorus can slow down tooth development. These minerals play a crucial role in forming strong teeth and bones.
- Hypothyroidism or Other Hormonal Issues – Conditions such as hypothyroidism and pituitary gland disorders can lead to delays in tooth eruption. These conditions may also cause slow overall growth in children.
- Premature Birth or Low Birth Weight – Babies born prematurely or with a low birth weight often experience developmental delays, including delayed teething. This is due to incomplete prenatal development, affecting tooth bud formation.
- Down Syndrome or Other Genetic Disorders – Children with certain genetic conditions, including Down syndrome, cleidocranial dysplasia, and ectodermal dysplasia, may have significantly delayed tooth eruption, abnormal tooth formation, or missing teeth altogether.
- Cleft Lip and Palate – Structural abnormalities can interfere with tooth eruption, causing delays or misalignment issues.
2. Non-Medical Causes
- Late Family History of Teething – Some children naturally take longer to develop teeth without any underlying medical issue.
- Lack of Gum Stimulation – Proper oral habits, including chewing solid foods and appropriate teething toys, help encourage tooth eruption. A lack of stimulation can slow this process.
- Oral Space Issues – When there isn’t enough room in the jaw for teeth to erupt properly, they may take longer to emerge. This could indicate the need for orthodontic evaluation in the future.
- Prolonged Use of Pacifiers or Thumb-Sucking – Extended use of pacifiers and thumb sucking beyond infancy can alter jaw development and contribute to delayed or improper tooth eruption.
- Excessively Thick Gum Tissue – Some children may have thicker-than-normal gum tissue, making it harder for teeth to break through.
When to Worry? (Checklist for Parents)
- No teeth at all by 12 months
- Delays of more than 6 months beyond the normal eruption range
- Noticeable swelling, pain, or discoloration in the gums
- Difficulty chewing or eating due to missing teeth
- Signs of other developmental delays alongside late teething
- No permanent teeth appearing by 7 years old
If your child has any of these warning signs, visiting a kids dentist in Dubai for a professional evaluation is recommended. Early assessment can help detect any underlying issues and ensure your child’s dental health remains on track.
How to Help Your Child with Delayed Teething: Practical Steps
As a parent, it’s natural to feel concerned if your child’s teeth are not coming in as expected. However, there are several steps you can take to help encourage healthy tooth eruption and ensure your child receives the appropriate care.?
Home Care & Natural Remedies
- Gentle Gum Massage – Massaging the gums with a clean finger can stimulate eruption.
- Proper Nutrition – Ensure your child gets enough calcium, vitamin D, and iron.
- Chewing on Safe Teething Toys – Helps stimulate the gums and promote tooth eruption.
When to Visit a Pediatric Dentist
If you’re concerned about your child’s delayed teething, a visit to a pediatric dentist can provide clarity. Early detection of issues can prevent long-term complications.
How Dentists Diagnose the Problem
- X-rays – To check if teeth are developing under the gums.
- Blood Tests – To rule out nutritional or hormonal deficiencies.
- Growth Tracking – Monitoring tooth development over time.
Best Treatments for Delayed Tooth Eruption in Kids
- No Treatment Needed – If the delay is within a normal range and teeth appear to be developing under the gums, no intervention is required. Regular monitoring by a pediatric dentist is recommended to track progress.
- Nutritional Supplements – If the delay is linked to deficiencies in essential vitamins and minerals such as calcium, vitamin D, or iron, a balanced diet or supplements may be recommended.
- Orthodontic Monitoring – Delayed eruption can sometimes lead to alignment issues in the future. An orthodontic evaluation can determine whether space management is necessary for proper tooth eruption.
- Hormonal or Medical Treatment – If an underlying condition such as hypothyroidism or growth hormone deficiencies is identified, medical intervention may be necessary to address the root cause and support normal tooth development.
- Surgical Exposure of Teeth – In rare cases where a tooth remains impacted under the gum, a minor surgical procedure may be required to assist in its eruption.
- Interceptive Dental Treatment – In cases of crowding or jaw development concerns, interceptive orthodontics or early intervention techniques may help guide teeth into proper positioning and prevent long-term issues.
What if My Child’s Teeth Never Erupt?
In rare cases, some children may have missing permanent teeth (congenitally missing teeth). If this occurs, dental treatments like dental crowns for children, space maintainers, or orthodontic solutions can help restore functionality and aesthetics. A pediatric dentist can provide a customized treatment plan to ensure your child’s oral health remains optimal.
How Much Does a Pediatric Dental Checkup Cost in Dubai?
A pediatric dental visit for delayed teething in Dubai typically costs:
- Consultation: AED 250 – 500
- X-rays: AED 300 – 600
- Comprehensive Treatment: Varies depending on diagnosis
Some clinics offer payment plans and insurance coverage options, so be sure to check with your provider.
How Our Pediatric Dental Clinic in Dubai Can Help
At our pediatric dental clinic in Dubai, we specialize in comprehensive dental care for children, including dental check-ups, tooth extractions, and treatment for delayed teething. Dr. Fatemeh Mobaraki and her experienced team provide a gentle, child-friendly environment to ensure every child receives the best possible care. Whether your child needs a routine check-up or specialized treatment, we are here to help parents navigate their child’s oral health journey with confidence.
Final Thoughts: When to See a Kids Dentist in Dubai
While delayed tooth eruption in kids is often normal, prolonged delays may require evaluation. Early detection and professional care can help address any underlying issues before they become serious.
Common Questions About Delayed Tooth Eruption in Kids
1. Is it bad if my baby’s teeth come in late?
Not necessarily, but it’s good to consult a dentist if the delay is significant.
2. Can teething delay affect speech development?
Yes, in some cases, delayed teeth can impact pronunciation and speech clarity.
3. Will my child need braces if their teeth come in late?
Not always, but it depends on alignment and spacing issues.
4. Do late teeth mean weaker enamel?
No, but proper oral care is essential to maintain healthy enamel.
5. Does Dubai’s climate affect teething?
There is no direct scientific link, but hydration and nutrition play roles in teething.
