U.S. doctors online nowAsk doctors free
A member asked:

Is it normal for bottom teeth to come in before top teeth?

11 doctor answers22 doctors weighed in
Dr. Scott Katz
Pediatrics 26 years experience
Yes: The bottom middle incisors are almost always the first teeth and usually come in around 7 months old. However it is not a concern if the top teeth come in first. If your child has no teeth at 15 months old, your pediatrician will likely recommend a dental visit.
Dr. Ron E. Bell
Dr. Ron E. Bell commented
Cosmetic Dentistry 45 years experience
You could be proactive and see a dentist before the pediatrician recommends
Oct 31, 2015
Dr. Robert Kwok
Pediatrics 33 years experience
Yes: The first teeth to appear are usually the lower central incisors (middle front teeth).
Dr. Kevin Windisch
Pediatrics 25 years experience
Yes: There is no correct order for teeth to come in.
Dr. Ron E. Bell
Dr. Ron E. Bell commented
Cosmetic Dentistry 45 years experience
There's a usual and customary and genetically engineered
Oct 31, 2015
Dr. Arnold Malerman
Orthodontics 53 years experience
Normal for lower to erupt before upper, and there is a very specific order of eruption that is accurate for most children. See a Pediatric Dentist no later than 1st b'day. See an Orthodontist no later than 7th b'day.
Oct 3, 2018
Dr. Stefania Lima
Pediatrics 9 years experience
Yes: For most babies, the bottom ones are the first to erupt, followed by the upper central incisors or the canines.
Dr. Paul Trani
Specializes in Pediatrics
Yes: The first teeth are generally one of the four incisors, either upper or lower.
Dr. Jeffrey Min
Specializes in Pediatrics
Yes: Yes, most of the time, one of the two bottom central incisors come in first. This is not a rule, however, and teeth sometimes have a mind of their own, and I have seen the top incisors or a lateral incisor come in first.
Dr. Julia Sundel
Pediatrics 18 years experience
Yes: This is completely normal. Usually, the bottom 2 middle teeth come in followed by the top 2 middle ones. The side and back teeth then erupt.
Dr. Victoria Acharya
Specializes in Pediatrics
Yes: Most babies start with the bottom teeth, although an occasional baby doesn't read the textbook and starts with the top. You may see drooling or slight fussiness, but as a physiologic process, most babies tolerate it well. Avoid teething gels, which can cause methemoglobinemia. Teething does not cause diarrhea or fever (>101), so if you see these, your child should seek medical evaluation.
Dr. Bert Mandelbaum
Pediatrics 24 years experience
Yes: There is no set pattern for infant teeth eruption and no set time frame. Most infants start to have their first tooth erupt between 6-9 months, though some infants do not have a first tooth until 15 months. The first teeth to erupt are usually the lower central incisors, followed by the upper ones, though, not all infants have to follow that pattern. Enjoy this age and take a lot of pictures!
Dr. Mark Diamond
Pediatrics 46 years experience
Yes: I have, in my career, seen almost every pattern imaginable, so yes it is normal for some bottom teeth to come in before the top. It is also normal for some top teeth to come in before the bottom.
Dr. Ron E. Bell
Cosmetic Dentistry 45 years experience
Normally bottom firs: Lower incisors normal first

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

Similar questions

Mozambique
A 48-year-old male asked:

My babys top teeth are coming in before the bottom teeth is that health and normal ?

2 doctor answers3 doctors weighed in
Dr. Gary Sandler
Dentistry 54 years experience
Common: Although there are many charts and diagrams showing time tables for erupting primary (baby) and permanent teeth, the teeth themselves cannot read and follow their own pattern of eruption. It varies quite a bit and almost always works out without any problems over time. Enjoy your family and your baby and let nature take its course.
A 31-year-old member asked:

My gums are able to come away from my teeth on the bottom. Is this normal? What should I do?

3 doctor answers4 doctors weighed in
Dr. Theodore Davantzis
Dentistry 40 years experience
Not normal: Healthy gingival tissue is bound tightly to the teeth and bone. Gingival tissue that is pulling away from your teeth is indicative of periodontal disease. You should make an appointment and see your dentist or periodontist at once.
A 33-year-old member asked:

All of my teeth hurts top and bottom?

2 doctor answers2 doctors weighed in
Dr. Daniel Sampson
Oral and Maxillofacial Surgery 26 years experience
Need more info: I would need more information to help you out with this. This could be due to multiple problems, such as dental decay, periodontal disease or grinding of the teeth. My best recommendation is to make an appointment with a local dentist for a full evaluation.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Apr 12, 2020

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.