Why hasn't my child's tooth come in yet at ten months old?

Jan 24, 2025 Source: Cainiu Health
Dr. Liu Chao
Introduction
In general, if a child has not developed teeth by ten months of age, it may be related to individual differences, insufficient nutrient intake, vitamin D deficiency rickets, congenital hypothyroidism, phenylketonuria, or other causes. It is recommended to seek medical attention promptly and follow the doctor's guidance for general treatment, medication, or other appropriate treatments. A balanced diet is also recommended to help promote dental development.

Generally, if a child has not developed teeth by ten months old, it may be related to individual differences, insufficient nutrient intake, vitamin D deficiency rickets, congenital hypothyroidism, phenylketonuria, and other factors. It is recommended to seek timely medical advice and undergo general treatment or medication under a doctor's guidance. A detailed analysis is as follows:

1. Individual Differences

Some children may experience delayed eruption of primary teeth due to genetic factors or physical differences from the average. Parents should monitor their child's overall growth and development, and undergo regular physical examinations to keep track of developmental progress.

2. Insufficient Nutrient Intake

Inadequate nutrient intake may affect the speed of primary teeth eruption. A balanced diet rich in calcium, phosphorus, and other essential nutrients should be ensured in daily meals.

3. Vitamin D Deficiency Rickets

Vitamin D deficiency rickets might be caused by insufficient vitamin D intake or inadequate sunlight exposure. This condition leads to abnormal calcium and phosphorus metabolism, affecting normal bone and tooth development. It is usually accompanied by symptoms such as excessive sweating and枕秃 (loss of hair at the back of the head). Treatment may include vitamin D drops, calcium carbonate granules, calcium gluconate oral solution, and other medications as directed by a physician.

4. Congenital Hypothyroidism

Congenital hypothyroidism results from先天缺陷 (congenital defects) that lead to insufficient thyroid hormone production in infants, causing developmental delays including delayed eruption of primary teeth. It is typically accompanied by symptoms such as delayed growth and development, intellectual disability, and reduced physiological functions. Treatment may involve medications such as levothyroxine sodium tablets, thyroid extract tablets, and propranolol hydrochloride tablets, as recommended by a doctor.

5. Phenylketonuria

Phenylketonuria is a metabolic disorder caused by genetic changes, which affects normal bone and tooth development, resulting in delayed primary tooth growth. Symptoms may also include eczema, pigment loss, and a musty odor. Treatment may involve medications such as vitamin B6 tablets, folic acid tablets, and levodopa tablets, as directed by a physician.

It is recommended to maintain a balanced diet and appropriately include foods rich in calcium, phosphorus, and vitamin D, such as milk, eggs, and fish, to support dental development.