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It's probably normal – when a baby sprouts a first tooth varies quite a bit. In rare cases, a baby is born with a first tooth. At the other end of the spectrum, a baby might not get one until she's at least a year old.
If your baby falls anywhere in that range, she's perfectly normal, says David Geller, a pediatrician in Bedford, Massachusetts.
The average age for a baby to get her first tooth is 6 months, says Geller. He considers 4 months early and has seen a child who got her first tooth at 17 months. If your baby is on the late side in getting teeth, it's no indication that there are any problems with her overall development, says Geller.
Parents often mistake a baby's drooling and chewing on a fist as a sign of teething, especially around 3 months of age. These are typical activities among babies this age, but they're not necessarily signs that a tooth is coming in.
If your baby's first tooth hasn't come in by 18 months, let your child's doctor know. She may order a blood test to rule out certain medical problems, and your baby will probably be referred to a pediatric dentist. She made also need X-rays to make sure there are teeth in place underneath her gums. Regardless of when your baby's teeth start to come in, her first dental checkup should happen by her first birthday. Read more about caring for your baby's gums and teeth.