21 doctors weighed in:
Is it normal for bottom teeth to come in before top teeth?
21 doctors weighed in

Dr. Jeffrey Min
Pediatrics
6 doctors agree
In brief: 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.

In brief: 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. Jeffrey Min
Dr. Jeffrey Min
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3 doctors agree
In brief: 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.

In brief: 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. Victoria Acharya
Dr. Victoria Acharya
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Dr. Julia Sundel
Pediatrics
2 doctors agree
In brief: 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.

In brief: 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. Julia Sundel
Dr. Julia Sundel
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Dr. Scott Katz
Pediatrics
2 doctors agree
In brief: 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.

In brief: 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. Scott Katz
Dr. Scott Katz
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1 comment
Dr. Ron E. Bell
You could be proactive and see a dentist before the pediatrician recommends
Dr. Ron E. Bell
Dentistry - Cosmetic
1 doctor agrees
In brief: Normally bottom firs
Lower incisors normal first

In brief: Normally bottom firs
Lower incisors normal first
Dr. Ron E. Bell
Dr. Ron E. Bell
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Dr. Kevin Windisch
Pediatrics
1 doctor agrees
In brief: Yes
There is no correct order for teeth to come in.

In brief: Yes
There is no correct order for teeth to come in.
Dr. Kevin Windisch
Dr. Kevin Windisch
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1 comment
Dr. Ron E. Bell
There's a usual and customary and genetically engineered
Dr. Mark Diamond
Pediatrics
In brief: 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.

In brief: 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. Mark Diamond
Dr. Mark Diamond
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Dr. Bert Mandelbaum
Pediatrics
In brief: 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!

In brief: 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. Bert Mandelbaum
Dr. Bert Mandelbaum
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Dr. Paul Trani
Pediatrics
In brief: Yes
The first teeth are generally one of the four incisors, either upper or lower.

In brief: Yes
The first teeth are generally one of the four incisors, either upper or lower.
Dr. Paul Trani
Dr. Paul Trani
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Dr. Stefania Lima
Pediatrics
In brief: Yes
For most babies, the bottom ones are the first to erupt, followed by the upper central incisors or the canines.

In brief: Yes
For most babies, the bottom ones are the first to erupt, followed by the upper central incisors or the canines.
Dr. Stefania Lima
Dr. Stefania Lima
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Dr. Robert Kwok
Pediatrics
In brief: Yes
The first teeth to appear are usually the lower central incisors (middle front teeth).

In brief: Yes
The first teeth to appear are usually the lower central incisors (middle front teeth).
Dr. Robert Kwok
Dr. Robert Kwok
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