When do babies start teething. What are the signs of teething in infants. How can parents soothe a teething baby. What remedies are effective for teething discomfort. Is it normal for a 1-month-old to show teething symptoms.

Understanding Baby Teething: Timing and First Signs

Baby teething is a significant milestone in an infant’s development. While it’s commonly associated with older babies, some parents wonder about the possibility of a 1-month-old teething. Let’s explore the typical timeline and early indicators of this process.

When Does Teething Usually Begin?

Most babies start teething between 4 to 7 months of age, with the first tooth usually appearing between 6 months and 1 year. However, it’s important to note that every child develops at their own pace. Some babies may show signs of teething as early as 3 months, while others might not get their first tooth until after their first birthday.

Can a 1-Month-Old Baby Be Teething?

While it’s extremely rare, it’s not impossible for a 1-month-old to show signs of teething. Some babies are even born with teeth, known as natal teeth. However, true teething at such a young age is uncommon. If you suspect your 1-month-old is teething, it’s best to consult with your pediatrician to rule out other potential causes for their symptoms.

Recognizing the Signs and Symptoms of Teething

Teething can be a challenging time for both babies and parents. Recognizing the signs can help you provide timely comfort and care. Here are some common symptoms to watch for:

• Increased drooling
• Swollen or tender gums
• Irritability or fussiness
• Chewing on objects
• Slight rise in body temperature (not exceeding 101°F)
• Changes in eating or sleeping patterns
• Rubbing cheeks or pulling ears

Distinguishing Teething from Illness

It’s crucial to differentiate between teething symptoms and signs of illness. Teething does not typically cause high fevers, diarrhea, or excessive vomiting. If your baby experiences these symptoms, especially if they’re under 3 months old, it’s important to consult your pediatrician promptly.

Effective Remedies to Soothe Teething Discomfort

While teething can be uncomfortable for babies, there are several safe and effective ways to alleviate their discomfort. Here are some tried-and-true remedies:

1. Gentle Gum Massage

Using a clean finger, gently massage your baby’s gums. The pressure can help alleviate pain and provide temporary relief. Always ensure your hands are thoroughly washed before attempting this method.

2. Cold Compress

A chilled washcloth can work wonders for teething babies. Wet a clean washcloth, wring out excess water, and place it in the refrigerator for a short time. The cool temperature can help numb the gums and reduce inflammation.

3. Teething Toys

Provide your baby with safe, BPA-free teething toys. These can be refrigerated (not frozen) for added relief. Avoid liquid-filled teethers as they may leak or break.

4. Cold Foods (for older babies)

If your baby has started solid foods, offer cold, soft foods like chilled applesauce or yogurt. For younger babies, try frozen breast milk or formula popsicles using BPA-free molds.

Safe Teething Practices: What to Avoid

While seeking relief for your teething baby, it’s equally important to be aware of potentially harmful practices. Here are some things to avoid:

• Teething gels or tablets containing benzocaine or lidocaine
• Amber teething necklaces or bracelets (choking hazard)
• Frozen teething rings (too hard for baby’s gums)
• Homeopathic teething tablets (not regulated by FDA)

Always consult with your pediatrician before using any over-the-counter teething remedies or pain relievers.

Dental Care for Teething Babies

As your baby’s first teeth emerge, it’s time to start thinking about dental care. Here are some tips to keep those tiny teeth healthy:

When to Start Brushing

Begin cleaning your baby’s gums even before the first tooth appears. Use a soft, damp cloth to wipe the gums after feedings. Once the first tooth emerges, start using a soft-bristled infant toothbrush with a tiny smear of fluoride toothpaste (about the size of a grain of rice).

First Dental Visit

The American Academy of Pediatric Dentistry recommends scheduling your baby’s first dental visit by their first birthday or within six months after the first tooth appears, whichever comes first.

Nutrition and Teething: Supporting Your Baby’s Health

Proper nutrition plays a crucial role in your baby’s overall health, including dental development. Here are some nutritional considerations during teething:

Calcium-Rich Foods

For babies who have started solid foods, incorporate calcium-rich options like yogurt, cheese, and leafy greens into their diet. These foods support strong tooth and bone development.

Avoiding Sugar

Limit sugary foods and drinks, including fruit juices. Sugar can contribute to tooth decay, even in baby teeth.

Hydration

Ensure your baby stays well-hydrated, especially if they’re drooling more due to teething. Breast milk or formula should remain the primary source of hydration for babies under 6 months.

Teething and Sleep: Helping Your Baby Rest

Teething can disrupt your baby’s sleep patterns, leading to restless nights for both baby and parents. Here are some strategies to help your teething baby sleep better:

Consistent Bedtime Routine

Maintain a consistent bedtime routine even during teething. This can help signal to your baby that it’s time to sleep, despite any discomfort they may be experiencing.

Extra Comfort Measures

Offer extra cuddles and comfort before bedtime. You might need to provide additional soothing during the night if your baby wakes up due to teething discomfort.

Cool Room Temperature

Keep the room temperature cool and comfortable. Overheating can exacerbate teething discomfort and make it harder for your baby to sleep.

Emotional Support: Caring for Yourself While Caring for a Teething Baby

Caring for a teething baby can be emotionally and physically draining for parents. It’s crucial to take care of yourself during this challenging period. Here are some self-care tips:

• Take breaks when possible, even if just for a few minutes
• Share nighttime duties with your partner if possible
• Connect with other parents for support and advice
• Don’t hesitate to ask for help from family or friends
• Practice stress-relief techniques like deep breathing or meditation

Remember, teething is a temporary phase. With patience, care, and the right strategies, you and your baby will get through it together.

When to Consult a Pediatrician About Teething

While teething is a normal part of development, there are times when you should seek professional medical advice. Here are some situations that warrant a call or visit to your pediatrician:

High Fever

If your baby develops a fever over 101°F (38.3°C), especially if they’re under 3 months old, contact your pediatrician immediately. High fevers are not typically associated with teething and may indicate an infection or other health issue.

Prolonged Symptoms

If teething symptoms persist for an extended period without any signs of tooth eruption, it’s worth discussing with your doctor to rule out other potential causes.

Severe Discomfort

If your baby seems to be in severe pain that isn’t alleviated by typical teething remedies, consult your pediatrician. They may recommend appropriate pain relief options or check for other underlying issues.

Delayed Teething

If your baby hasn’t shown any signs of teething by 12 months of age, it’s advisable to consult with your pediatrician or a pediatric dentist. While delayed teething isn’t necessarily a cause for concern, it’s best to rule out any potential developmental issues.

By staying informed about the teething process and being attentive to your baby’s needs, you can help make this developmental milestone a smoother experience for both you and your little one. Remember, every baby is unique, and what works for one may not work for another. Trust your instincts, be patient, and don’t hesitate to seek professional advice when needed.

8 Baby Teething Comfort Tips Every Parent Needs to Know

Your newborn baby is born with 20 teeth under the gum line. Before you know it, your happy baby starts to become fussy with a tendency to drool on a consistent basis. The first tooth usually appears between 6 months and 1 year of age.

When your infant starts teething, it can be a very challenging time. However, there are number of baby teething tips to help soothe your child!

Signs Your Baby is Teething

If your baby is around 6 months (timing does vary), you may start noticing these symptoms of teething:

• Sore or tender gums
• Drooling
• Irritability
• Low-grade fever around 99 F
• Chewing
• Diarrhea
• Drool rash around the mouth

Teething does not cause fevers and diarrhea. If your baby has a temperature above 100.4 F and has diarrhea, you should definitely speak to your doctor.

Typically, the first tooth to appear is one of the incisors on the bottom. It is a good idea to inspect your child’s gums for any bumps, a sign of newly surfacing teeth. Teething may be slower for some babies than others, so infants can have symptoms months before a tooth actually appears.

There are several ways to soothe gums. The most effective treatments include pressure, using cold items, and giving your baby something safe to chew. It’s really tough to see your baby start teething and experiencing constant pain, so try these methods to help ease the discomfort.

1. Massage the Gums

Applying pressure to your infant’s gums may help ease the pain. After thoroughly cleaning your hands, lay your baby on the bed and massage their gums gently with your finger.  This may actually help your baby relax and fall asleep. You can try rubbing the gums again if your baby awakes in the middle of the night.

2. Get a Cold Washcloth

It is a good idea to find a clean washcloth and soak it in water. You should wring out the water until it is damp. Then place the washcloth in the fridge or freezer to cool it down.

After it is nice and cool, fold the washcloth and give to your baby to chew.  You should never leave your baby unattended if they are chewing on something, even a washcloth, because this could be a choking hazard.

3. Refrigerate Pacifier or Teething Toy

If your baby uses a pacifier, you can also use it to soothe their gums by cooling it down. You should make sure the pacifier is clean and place it in the refrigerator. The coolness may help numb the gums and relieve some pain.

You can follow the same steps with teething toys.  You can place any solid teething toys in the fridge. It is a good idea to stay away from liquid or gel-filled toys, which could possibly leak.

4. Freeze Milk Popsicles

Some babies will not eat while they are teething. This is most likely because of the discomfort.  

If possible, you should find BPA-free popsicle forms and fill them with breastmilk or formula. These types of popsicles can become very messy when they melt, so be sure to place a bib on your baby. You might find it smart to have your infant eat these in the highchair.

5. Wipe Away Excess Drool

It is helpful to have your baby wear a bib while they teethe.  Babies have a tendency to drool and soak their clothing. 

You should make it a priority to wipe away drool from your baby’s face to help prevent further irritation. Ideally, your child’s face should stay dry to prevent a rash.

6. Chill Some Fruit

If you have introduced your baby to solid foods, you could try freezing some types of foods to help soothe irritated gums. Chilled mashed bananas are a great start!  You can try other fruits in a mesh feeder for your baby to suck on. The mesh feeder will help prevent choking. Some different types of fruit you could try include chilled apples, pears, or strawberries.   It is a good idea to monitor your baby at all times and make sure your infant is old enough to try these treats.

7. Extra Cuddling Time

Sometimes the best way to help a baby in discomfort is some extra cuddle time. Rocking your baby in a big chair or carrying your baby around the house (in a baby carrier) are great ideas. The extra cuddle time will help provide both of you with some needed rest.

If you breastfeed, don’t be afraid to give your baby additional nursing sessions for comfort.  It is important to provide your infant with a calm environment to help them relax and fall asleep.

8. Pain Medications

As a last resort, you can talk to your doctor about providing over-the-counter pain medication. These medicines help alleviate pain and allow the baby to go to sleep. Your pediatrician can advise you on the correct dosage and which type of pain relievers work best. 

It is a good idea to stay away from teething gels and tablets that contain lidocaine or benzocaine. They can be harmful and often numb a baby’s mouth, causing issues with swallowing. 

How Long Does Baby Teething Last?

There is no set timetable on how long your baby will go through teething.  This process could last months or be over in a couple of days.  Each infant handles the pain differently. The pain typically subsides once the tooth has emerged through the gums. There is usually a break between teeth, although the time frame can vary. 

Caring for Your Baby’s New Teeth

You should start caring for your baby’s tooth as soon as it appears through the gums. It is important to wipe off the tooth before bed. You can use a damp, clean washcloth or a soft-bristled baby toothbrush.

You should not use fluoride toothpaste until your child is at least 3 years old and can spit out the toothpaste.  However, you can use a small amount of training toothpaste to clean the new tooth.

Good hygiene starts early. Even though your baby will ultimately lose these teeth, you want the baby teeth and gums to remain healthy in preparation for the new adult teeth.

Schedule Regular Dental Checkups

Baby teething is no fun for the baby or the parent.  Now you have valuable suggestions on how to help your baby deal with the irritation. 

Once that first tooth appears, the American Dental Association recommends scheduling your child’s first dental visit. Regular dental visits set the foundation for your child to have healthy gums and teeth. Contact our office with any questions or to schedule your child’s first appointment today!

How to help your teething baby

You’re ready. Your baby is growing up. It’s time to help them get through this milestone. Keep the following tips in mind as you help your baby with their teething pain.

Apply pressure

Believe it or not, it feels good to your baby when there is pressure on their gums. You can do this in several ways.

• Wash your hands thoroughly and rub your baby’s gums. Doing this just before breastfeeding might even save you from getting bitten.
• Let them chew on a hard cracker or piece of celery. Just make sure you’re around when you let them have hard foods in case a small piece breaks off. You don’t want them to choke.
• Let them chew on a teething ring.

Cool things off

Just like an ice pack feels good when you sprain your ankle, cool temperatures can help relieve pressure and pain in your baby’s gums. 

• Use a chilled teething ring.
• Gently rub your baby’s gums with a clean, cool washcloth.
• Avoid ice and frozen teething rings. These can hurt your baby or cause choking.

Pain relievers

Although it shouldn’t always be the first resort, over-the-counter pain medications for your baby can do wonders in relieving teething pain. Follow the guidelines for an appropriate dosage of acetaminophen or ibuprofen.  

• Avoid teething medications or homeopathic teething tablets. Many of these remedies contain benzocaine or lidocaine, which can be extremely harmful for your child. 

Whether you child is 4 months old, or 24 months old, teething can be difficult to manage. Between sleepless nights, chewing, crying, and pain, many parents worry about how to help their child. Just remember, the pain of teething is temporary. For most kids, teething lasts for a few days up to a week before a tooth erupts from their gums. So not matter what you do, your child will be feeling better within a week or so. 

7 Signs Your Baby is Teething

Is your baby showing teething symptoms, or are they fussy for some other reason? If baby is exhibiting any of these seven signs, she is almost certainly teething.

Whether it’s brushing those teeth after they finally arrive or waiting for them to come in, baby teeth sure cause a lot of trouble! The process of getting these teeth can be effortless or excruciating depending on your baby. Even with minor cases, most babies show some teething symptoms.

When Do Babies Start Teething?

The tricky thing about teething is that symptoms can start 2 to 3 months before a tooth surfaces! This can be brutal for baby and family if there’s a lot of discomfort.

Teething Symptoms: How Do You Know If Your Baby is Teething?

Watch this video to find out.

The key is to look for these seven teething symptoms

1. Biting more than usual

This teething symptom will turn your baby into a vampire. Bite, bite, bite on anything from plastic spoons, to toys, to your breast. Griffin liked chewing on hard plastic things the best. , but there’s a plethora of teething toys on the market which may also help.

2. Excessive drool

When babies are still newborns, they’re still learning how to swallow their saliva—this causes excessive drooling. Fast forward to teething, and the drooling starts again (or never stops in some cases). When baby is teething, the body creates extra saliva to lubricate the tender and bulging gums.

3. Fussier than usual, especially at night

These teething symptoms make babies who once slept through the night start to wake up several times for comfort. In the quiet hours of night, a baby often feels the teething pain more because there are fewer distractions.

4. Disturbances in sleep patterns

Because of teething discomfort, babies will usually nap less and wake up earlier in the morning. Fun times for all involved with these teething symptoms!

5. Fever, rashes, cough, and diarrhea

Although some doctors disagree, many mamas detect a slight fever (under 100 degrees) in their babies when teeth are imminent. Additionally, the extra drool can cause facial rashes, chafing, and coughing, since it pools at the back of the throat. Some babies even develop diaper rash and diarrhea.

6. Decreased appetite

When babies are in pain, they generally don’t want to eat, especially since it triggers their sore spots. Keep trying to feed them as much as possible, despite the resistance. Call your doctor if baby’s caloric input decreases dramatically.

7. Pulling of ears and rubbing of chin and cheeks

Babies can be quite resourceful and administer self massage. By pulling and rubbing around their jaw, they create counter pressure that eases some of the pain and throbbing.

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Baby Teeth Chart: Which Baby Teeth Come In First?

If your little baby is acting different lately because of teething symptoms, take heart there’s good reason. Soon enough, her little pearly whites will surface. Here’s a quick look at which baby teeth come in first:

Baby Teeth Chart What Order Do They Come In chart by Mama Natural

For more on which baby teeth come in first, check out this whole post on the subject.

Baby Teething Pain Relief

While all of these baby teeth come in, we don’t have to be victims to teething symptoms. There are some great things we can do to comfort baby in the midst of the teething process:

1. Lower inflammation: Inflammation from teething stimulate nerves, causing pain.
2. Boost the immune system: There is some debate whether teething lowers the immune system, or whether the emergence of colds and fevers while teething is simply a coincidence. Either way, boosting baby’s immunity can’t hurt.
3. Apply cold and pressure: Cold helps numb the area, while pressure soothes inflamed gums.
4. Try teething toys: Safe and non-toxic objects that baby can chew apply counter pressure to aching gums.
5. try amber necklaces: Baltic amber necklaces release an oil that contains succinic acid, a natural anti-inflammatory. Of course, there are also silicone teething necklaces that baby can chew on.
6. Herbal remedies: To help ease teething pain, make an herbal tea, soak a washcloth, freeze it, then let baby chew on it.

Want to learn more? Check out my full post on effective teething remedies.

How About You?

What teething symptoms did your baby have?

Five Stages of Teething In Your Child and Helpful Hints

The stages of teething can be a difficult time for both parent and child but can be navigated successfully when one knows what to expect.

Five stages of teething

• Stage 1: (0-6 months) Babies are born with a full set of twenty teeth beneath the gums. These are often referred to as ‘milk teeth’ because during this time the baby is usually fed a diet consisting strictly of milk.

• Stage 2: (6 months) The first teeth to erupt are the upper and lower front teeth, the incisors. Though signs of discomfort may start earlier, the incisors erupt around the age of 6 months. Before the eruption, the bumpy edges of the teeth often may be felt beneath the gums, and the baby will usually begin chewing on hands, toys, or other items. It is good to provide proper chew devices to satisfy the need for pressure on the gums as it relieves pain and provides a distraction. During this stage of teething, there will also be a noticeable increase in drool. A small bib worn throughout the day can make it easy to keep baby’s chin dry and prevent a rash from developing. A bib will also help keep clothes dry and baby comfortable.

• Stage 3: (10-14 months) Here come the primary molars! These teeth are located in the upper and lower jaw, towards the back of the mouth. This stage is similar to stage two, but with an increase in drool, crankiness, and the urge to chew. Do not be surprised if your baby experiences some diarrhea, a slight fever and loses his appetite for a time. His schedule of sleeping may be off, and both baby and parents are likely to lose sleep at night. If pain seems to be severe and the baby seems highly uncomfortable, speak to your baby’s physician about recommended over-the-counter medicines or other remedies. Aspirin should never be given to a child under the age of 16 years old.

• Stage 4: (16-22 months) During this stage, your baby’s canine teeth (between incisors and molars on top and bottom) will erupt. Again, the object is to keep baby comfortable.

• Stage 5: (25-33 months) Revenge of the molars! These are the largest teeth, and some children will find this to be the most painful time of teething. Parents may find that what once was soothing is no longer so. Keep trying different methods of comforting the toddler until something works. One healthy option would be to provide a hard vegetable for the toddler to chew on, like a whole, peeled carrot placed in the freezer for a time. Just be sure to watch baby closely at all times to avoid choking.

Safe Teething for Your Baby: Doctors say no to Orajel and Lidocaine

Alice Langford, Rebecca Gaines and Anna E. Mazzucco, PhD, National Center for Health Research

Teething is the appearance of an infant’s first set of teeth (or “baby teeth”).  This process can begin as early as three months of age, and may not be complete until the child is three years old.  Although some children may not be affected by teething, others may show signs of discomfort such as fussiness, trouble sleeping, loss of appetite, and excessive drooling.^[1]  For these reasons, the teething period can be challenging for children and their parents!

Teething can last for months and has the same symptoms as other infant challenges, making it tough to know for sure what is bothering the child.  The American Dental Association does not consider fever, diarrhea, or rashes to be signs of teething.^[1]  One simple way to identify teething is to gently feel your child’s gums for swollen areas or an emerging tooth.  If in doubt, and your child seems uncomfortable, you can always check with your pediatrician.

If your child is teething, it can be tough to sort through all the children’s products on the market.  Here are some tips on how to make teething as safe and comfortable as possible.

Just Say No to Orajel (Benzocaine) for Teething

Many parents reach for Orajel or Baby Orajel, which are teething gels that contain benzocaine and are designed to soothe sore gums.  Benzocaine products have been used for years, but in May 2018, the FDA declared that over-the-counter (OTC) benzocaine products are a serious risk to children and infants and said that these products should be taken off the market.^[2]  They warned parents that benzocaine should not be used on infants and young children to soothe teething pain. The FDA is taking action against the use of benzocaine products because they have the potential to cause a condition called methemoglobinemia.

Methemoglobinemia is a potentially deadly condition that causes blood to carry less oxygen.   Signs of methemoglobinemia may show either minutes or 1-2 hours after the use of lidocaine products.  Symptoms include:

• Pale, gray, or blue-colored skin, lips and nail beds
• Trouble breathing
• Tiredness
• Headache
• Lightheadedness
• Racing heartbeat

If any of these symptoms appear after the use of benzocaine products, seek immediate medical care.^[2]  Products that contain benzocaine include: Anbesol, Baby Orajel, Cepacol, Chloraseptic, Hurricaine, Orabase, Orajel and Topex.

Lidocaine and Other Medications for Relieving Teething Pain? Proceed with Caution.

Are there any other medications for teething?  Some parents have used topical lidocaine to numb their child’s gums.  However, in June 2014, the Food and Drug Administration (FDA) warned parents that lidocaine should not be used on infants and young children to soothe teething pain.^[3]

The FDA now requires a black box warning, which is the FDA’s most serious warning, for lidocaine solution.  Lidocaine is a common painkiller that the FDA has never approved to treat teething pain but that parents sometimes used.  The FDA now realizes that the risks of lidocaine are greater than its benefits for young children. The agency has received 22 reports of “serious adverse reactions,” including six deaths and 11 hospital admissions.^[4]

Why is lidocaine dangerous, and why did it take so many years to realize it?  The answer is simple: It is too easy for an adult or child taking care of an infant to give too much lidocaine, which can cause seizures, brain injury, or heart problems.

What about more traditional pain medication?   Most experts believe that teething should not require medication, but some doctors may advise using a very low dose of acetaminophen (Tylenot) or ibuprofen (Advil) to relieve teething discomfort.   Be sure to ask your child’s doctor before deciding to use any medication for teething.  And, be sure to measure any medications very carefully, and don’t use them often, because infants can be harmed even by “over the counter” medications.  Products containing aspirin should never be given to children unless instructed by your healthcare provider.^[5]

What Can I Do to Help with Teething?

Fortunately, there are safe, non-toxic ways to treat teething.  A simple do-it-yourself option is to wet one end of a washcloth or burp cloth and briefly freeze it before offering it to your baby to chew on.  Commercial cloth products using natural fabrics are also available, including organic cotton varieties.

If a baby has started eating solid foods, offering a chilled puree or yogurt (as appropriate) can offer relief.  For an added bonus, refrigerate the spoon first. If a child is old enough for a sippy cup, you can also serve them cool water to ease the pain.

The American Academy of Pediatrics (AAP) also suggests using clean fingers to gently massage gums, or using a chilled teething ring.^[6]  However, there are safety concerns about plastic teething rings. A 2015 study found endocrine-disrupting chemicals, which can affect the child’s hormones, in several types of plastic baby teethers.^[7]  For this reason, it makes sense to avoid using teethers.

The Bottom Line

Teething pain should not require medical treatment.  If your child is experiencing extreme pain or has a high fever, teething is probably not the cause and you should contact a medical professional.  Additionally, don’t assume that products sold in your local drug store or online are safe.

Simple teething pain relief methods such as massaging the gums or offering a chilled washcloth, food, or water are effective home remedies which don’t rely on teethers.  And a final thing to keep in mind: Teething children may also stick other objects in their mouths in an effort to soothe their gums themselves, so watch out for potential choking hazards!

All articles are reviewed and approved by Dr. Diana Zuckerman and other senior staff.  

References:

1. “Teething.” Mouth Healthy TM, American Dental Association, www.mouthhealthy.org/en/az-topics/t/teething.
2. Commissioner, Office of the. “Consumer Updates – Do Teething Babies Need Medicine on Their Gums? No.” U S Food and Drug Administration Home Page, Center for Biologics Evaluation and Research, 23 May 2018, www.fda.gov/ForConsumers/ConsumerUpdates/ucm385817.htm
3. U.S. Food and Drug Administration. (June 2014). FDA recommends not using lidocaine to treat teething pain and requires new Boxed Warning. Retrieved from http://www.fda.gov/Drugs/DrugSafety/ucm402240.htm
4. Gaffney, Alexander. (June 2014). FDA Recommends Against Use of Painkillers for Teething Pain. Regulatory Affairs Professional Society. Retrieved from http://www.raps.org/regulatory-focus/news/2014/06/19595/FDA-Warns-on-Painkillers-for-Teething-Pain/?utm_source=social&utm_medium=post&utm_campaign=RFnews
5. “Teething Pain.” HealthyChildren.org, 28 Nov. 2015, www.healthychildren.org/English/ages-stages/baby/teething-tooth-care/Pages/Teething-Pain.aspx.
6. Swanson, Wendy Sue. “How to Help Teething Symptoms without Medications.” HealthyChildren.org, American Association of Pediatrics, 21 Nov. 2015, www.healthychildren.org/English/ages-stages/baby/teething-tooth-care/Pages/How-to-Help-Teething-Symptoms-without-Medications.aspx.
7. Berger, E, et al. (May 2015) Effect-directed identification of endocrine disruptors in plastic baby teethers. J. Appl. Toxicol.

Late Teething in Babies: Reasons and Complications

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Last Updated on December 15, 2020

A baby’s first tooth usually appears when he is around six months old. But every baby is different, so some may begin teething quite late. However, if your child has reached fifteen months of age and shows no signs of teething, then it can be a cause for concern.

Video: Late Teething in Babies- Know the Causes and Complications

Also Read: 9 Signs & Symptoms of Teething in Babies

What Is Delayed Teething?

When the first few teeth, also known as baby teeth, milk teeth, or deciduous teeth, appear, your baby is said to be teething. This usually starts to take place when your baby is around six months old. It is not uncommon for a baby’s first tooth to appear only after his first birthday. But some children are late bloomers; such kids may have their first tooth erupt only after 15 months of age, which is known as delayed teething.

Teething Chart

Also Read: Natural & Safe Teething Remedies for Baby that Work

Reasons for Late Teething in Babies

Some children are just late bloomers which is why teething can be delayed in their cases. Apart from that, here are a few other reasons for late teething in babies:

1. Hereditary Factors

If delayed teething runs in the family, then it should come as no surprise that your child follows suit as well. Both your side of the family as well as your spouse’s can be responsible for a delay in the appearance of your child’s first tooth. Ask your parents or relatives if you or they faced the same issue, and if yes, then this could be one of the reasons why your child hasn’t begun to teethe yet.

Also Read: 7 Useful Tips on How to Get A Teething Baby to Sleep

2. Poor Nutrition

If your baby is not getting enough breast milk, or if the formula he consumes is not nutritious enough to meet all his needs, then it will lead to delayed teething. Breast milk contains calcium, and your baby needs this for the growth and development of his teeth and bones. Baby formula usually contains nutrients like calcium, phosphorus, and Vitamins A, C, and D, that help with the growth and repair of bones and tissues, immunity, and overall development of your child. Calcium is especially important for strong and healthy teeth. But if the baby formula you use does not have all of these nutrients or if your baby is not consuming enough of it, then it could lead to delayed teeth eruption.

Also Read: Baby Teething Fever – Causes, Symptoms & Treatment

3. Hypothyroidism and Hypopituitarism

Hypothyroidism is a condition wherein the thyroid glands don’t produce adequate amounts of thyroid hormones for the body to function normally. Hypothyroidism usually affects heart rate, metabolism, and body temperature. If your baby has an underactive thyroid, then it is most likely that he will face a delay in hitting several milestones like walking, teething, and even talking.

Hypopituitarism refers to the decreased secretion of one or more of the eight hormones which are produced by the pituitary gland. It can also lead to several diseases and conditions associated with hormone deficiencies, such as obesity, high cholesterol and so on.

Also Read: 10 Baby Teething Myths & Facts Parents Should Know

4. Other Reasons

Delayed teething can also be a part of certain medical conditions or disorders, such as Down’s Syndrome. It can also be due to a physical obstruction in the gums or the jaw bone, which doesn’t allow the tooth to erupt.

Complications of Delayed Teething

• A major complication of delayed teething is that the child’s permanent teeth might develop in a crooked way if his teeth develop late as a baby.
• Baby teeth are also required for your baby to be able to chew his food properly. The inability to chew solid foods is another complication of delayed teething.
• Sometimes, the permanent set of teeth appears along with the delayed baby teeth, leading to the baby having two rows of teeth.

Also Read: Is Vomiting Normal While Teething in Babies?

When to Consult a Doctor

Firstly, check with your parents and relatives to make sure that delayed teething does not run in the family. If it doesn’t, and if your baby is more than 15 months old, then you should consult a doctor. Check for other signs like weight gain (when your baby isn’t eating), delayed overall development, abnormal metabolism, and lethargy. A lot of people consider late teething a sign of intelligence, but this doesn’t necessarily have to be the case. Sometimes, children with a high IQ are early bloomers, while at other times, they’re late bloomers.

Your baby’s teeth coming in late can cause you to worry. Observe your child, and look out for any abnormal signs like hoarse crying, constipation, or an abnormal heart rate. Go through your family history and keep a note of relatives who started teething late. If your response to all of this is in the affirmative, then your child is probably showing signs of delayed teething. Consult your doctor if this is the case.

Also Read: Baby Teething Remedies

Infant and Children’s Oral Health

Birth to 6 months of age:

It is important to care for your child’s teeth and dental (oral) health from birth.

Practicing healthy habits can prevent or reduce tooth decay (cavities) in infants and children.

• Always clean your infant’s gums after feeding:
  • Cradle your baby with one arm
  • Wrap a moistened washcloth around the index finger of your free hand
  • Gently massage the gum tissues

• Do not put your baby to bed with a bottle, prop it in their mouth or allow your baby to feed “at will”.
• Infants normally begin teething between four and six months of age. His/her gums may be red and swollen and saliva flow may increase. To ease these symptoms, give your infant a clean teething ring or cold wet washcloth. Cold temperatures are soothing, so you may want to chill the teething ring.
• Remember, dental decay is an infectious transmissible disease. Avoid testing the temperature of the bottle with your mouth, sharing utensils (e.g. spoons), or cleaning a pacifier or a bottle nipple by putting it in your mouth. These practices can help stop the transmission of bacteria that cause tooth decay (cavities).

6-12 months of age:

Between the ages of six to eight months, your baby will get his/her first tooth. It is important to care for his/her teeth right from the start. Practicing healthy habits can prevent or reduce tooth decay (cavities) in infants and children.

• Continue to clean your infant’s gums after feeding. Once a tooth comes in, start to use a child’s soft bristled toothbrush, with no toothpaste, in addition to massaging the gum tissues.
• To relieve the symptoms of teething, give your infant a clean teething ring or cold wet washcloth. Cold temperatures are soothing, so you may want to chill the teething ring.
• Begin to wean your baby from the bottle as your infant begins to eat more solid foods and drinks from a cup. Gradually, begin to offer a cup for water or juice. By age 12 to 14 months, most children can drink from a cup. Promote healthy habits now by limiting the frequency and amount of sweetened beverages and foods you give your child. Do not allow your baby to walk around with his/her bottle.
• Be familiar with the normal appearance of your child’s gums and teeth. Regularly, lift your child’s lips to check for suspicious small white or brown spots on his/her teeth. If you see these white or brown spots, which may indicate dental decay (cavities), schedule an appointment with your dentist right away.
• Schedule your child’s first dental appointment. Your child should have an exam by a dentist before his/her first birthday or within 6 months after the first tooth comes in.
• If your drinking water is not fluoridated, talk to your pediatrician about infant fluoride supplements.
• Remember, dental decay is an infectious transmissible disease. Avoid testing the temperature of the bottle with your mouth, sharing utensils (e.g. spoons), or cleaning a pacifier or a bottle nipple by putting it in your mouth. These practices can help stop the transmission of bacteria that cause tooth decay (cavities).

12 to 18 months of age:

By the age of one, your child should have an oral examination by a dentist.

• Continue to brush your child’s teeth twice a day with plain water
• Regularly, lift your child’s lips to check for suspicious small white or brown spots on his/her teeth. If you see these white or brown spots, which may indicate dental decay (cavities), schedule an appointment with your dentist right away.
• If your child has not seen a dentist for their first dental exam, schedule an appointment.
• Continue to take steps to avoid passing decay causing germs to your child.

18 months to age 5:

By 30 months of age, all of the primary (first) teeth should have come into the mouth. By age 3, most toddlers should have stopped using the pacifier and/or sucking his/her thumb.

• At age 2, begin brushing with a pea-sized amount (small smear) of fluoridated toothpaste. Teach your child to spit out the toothpaste. Observe to insure that your child does not swallow the toothpaste.
• Begin to teach your child how to brush his/her teeth. Generally, children will need help with brushing until they have the hand coordination to clean their own teeth effectively. Children should be able to brush unsupervised by the age of six or seven.
• Continue to regularly lift your child’s lip to check for suspicious small white or brown spots on his/her teeth. If you see these white or brown spots, which may indicate dental decay (cavities), schedule an appointment with your dentist right away.
• Bring your child to his/her dentist for a regular checkup.
• Talk with your dentist if your child is over age 3 and regularly sucks a pacifier or fingers or a thumb.

Further Information for Infant Oral Health

90,000 Teething chart in children, signs of teething in infants

With the birth of their first child, there is much unknown for young parents, so much new things await them ahead. Of course, parents are worried about the baby growing and developing correctly. Gradually, the baby goes through important stages: he begins to smile, roll over from back to side, sleep without waking up all night. Another significant event that parents are looking forward to is the appearance of the first tooth.Parents are worried about the question: “When do children start teething?”

Signs of appearance teeth

You will notice this from the behavior and condition of the child. When the teeth are being cut, the child pulls everything into his mouth to scratch his gums. His salivation increases, his appetite worsens, and his gums swell. The kid is naughty and sleeps restlessly.

If your child has a high fever and / or diarrhea, you should make an appointment with your pediatrician.These symptoms cannot be attributed to mild teething malaise. Remember that the child’s immunity is just beginning to develop at this age. Babies put all toys and objects, clean or dirty, into their mouths, so they are at risk of contracting bacteria and viruses.

How to Help Child Relieve Pain

Pediatric dentists have developed a number of tips and tricks to help relieve pain and discomfort in infants.Modern medicine does not recommend applying topical anesthetic gels and fluids to the gums due to the risk of toxicity for children 2 years of age and younger. Another obsolete remedy recognized as harmful to the teeth is to dip the teat in sugar or honey.

Don’t worry, there are many simple and harmless ways to make your child’s life easier. Try giving him a clean teether ring made of sturdy material or a chilled teat. Store spare teethers in the freezer for easy access.Cold foods help to fight unpleasant symptoms if the child can already eat them, for example, ice cream and frozen fruits. Gently massaging your gums will help relieve pain. For severe pain, see your pediatrician for advice on over-the-counter medication for babies. Be attentive and notice which method works best for the child.

Teething schedule teeth

Noticing increased salivation, parents immediately begin to look out for the first tooth in the child’s mouth.The bottom two central incisors appear first when the baby is about 6 months old. However, no two children are alike; the first tooth can appear at 5 months or 12 months. So, the correct answer to the question “when children start teething” is: “any time they want.”

After the first teeth appear, on schedule or off schedule, you wonder when to expect the next. The two upper central teeth erupt between about 9 and 13 months of age. Between 13 and 16 months of age, many babies have four front teeth on the bottom and four on the top.The remaining deciduous teeth, lateral incisors and molars should erupt by the age of 2 to 3 years. It’s a long process, but when it’s over, the baby will have 20 milk teeth!

Important Role Dairy Teeth Teeth

Some parents think that baby teeth are not very important because they will eventually be replaced by permanent teeth. However, this is precisely why it is necessary to take care of baby teeth! They not only make the baby’s smile beautiful, but also help him learn to speak and chew food.These 20 teeth form the necessary space for the development, growth and correct position of the permanent teeth.

The importance of proper care of a child’s teeth and gums from the very beginning of teething cannot be overemphasized. The specialists of the Russian Medical Server consider oral hygiene and regular visits to the dentist to be the best methods of preventing dental diseases. The last baby tooth will fall out in a child in early adolescence, about 12 years old.Have patience and surround your child with care so that this difficult period passes safely.

90,000 Teething in children after one year

When teething in children

When children are teething. In most babies, the first teeth erupt from 5-7 months. Although three months and 9-10 months are considered the norm. There is nothing wrong, even if a child has several teeth at birth (“Teething of the first teeth – signs and delusions”).It also happens very late teething – about a year, and even later. Especially common in premature babies. If you are worried about this situation – sign up for a consultation with our specialists – he will study everything and dispel your fears or prescribe treatment, if necessary.

How to see if a child’s teeth are teething. Very simple. Ideally, from the first days of the baby’s life, the mother should regularly cleanse and massage the gums using a special nozzle or just a moistened gauze swab on her finger.In this case, the mother will immediately pay attention to the changes in the gums – they swell, turn slightly red. Although often from the moment of swelling to the birth of a long-awaited tooth, even one and a half to two months pass! Immediately before the appearance of a tooth, a so-called “eruption cyst” may appear (not necessarily!) – such a tubercle over a growing tooth, with a transparent liquid, of a bluish color.

This is quite normal, the cyst resolves on its own after the eruption of the gums and does not require any treatment.Directly during the period of teething, the baby’s gums itch, saliva is strongly secreted. There may be an increase in temperature and other body reactions, which we described in detail in special articles. You should be careful and differentiate the swelling of the gums with the growth of teeth and the manifestation of stomatitis (“Stomatitis in infants – types, causes, symptoms”). To make sure that the clove has already been born, it is enough to lightly tap the gum with a coffee spoon – you will hear a characteristic knock.

To what age do children have teeth. Milk teeth in the amount of 20 pieces, as a rule, by the age of 3, everything is in stock. The norm is +/- 4 months. For more details read “Baby teeth in children – photo”.

Temperature during the eruption of molars in children – happens much more often than during the eruption of the first teeth up to a year. In general, the eruption of molar teeth is longer, painful and unpleasant for the baby due to the large area of ​​the tooth.About what complications and reactions may be during this period, and how to alleviate it for the baby – in the article “How to help a child when teeth are being cut.”

How to help if your baby is teething?

26 April 2019

When a baby is teething, parents should be prepared for changes in their behavior.

During this difficult period, it is difficult not to try to help the child.There are several ways to relieve pain and speed up your first teeth.

Teething symptoms:

• Inflammation and swelling of the gums
• Profuse salivation
• Decreased appetite
• Restless sleep
• Whims and tearfulness

How to help your baby during this period:

1. A gentle massage of the gums will help the child.

It relieves itching, distracts the baby from pain and promotes the fastest teething. To make a massage, wash your hands thoroughly and treat with an antiseptic, then massage the gums in a circular motion. This massage can be repeated throughout the day. Also for massage, you can use special attachments for fingers, teether toys and even silicone mittens for the baby’s handle.

2. Cold will help relieve pain.

For example, you can chill a banana and give it to the child after placing it in the nibbler.You can also use a cold spoon to sweep your baby’s gums or chill a teether toy. One of the folk remedies is a chilled cloth napkin soaked in chamomile decoction. It can be given to a child to chew. But don’t leave your toddler unattended with a napkin.

3. The third method is medication.

There are many pain relievers available for children to help speed up the appearance of the first teeth. They are available in different forms: gel, powder, drops, etc. Before use, it is imperative to consult a specialist.

And, of course, the loving hugs of the mother will help the baby. You can distract your child from the unpleasant process with soothing music and affection.

All necessary goods and medicines for children can be purchased at competitive prices in Stolichki Pharmacies.

5 basic questions about the first teething

At what age should teeth grow?
The normal age is 6-10 months. Don’t worry if your teeth start to grow earlier or later.If the child is under the supervision of a pediatrician and does not have developmental delays, do not worry.

Is there a clear order in which teeth should erupt?
There are teething norms. First, teeth grow in pairs. According to them, the first two lower incisors are usually cut through, then the upper 2, then the lateral incisors on the upper jaw and the lateral incisors on the lower jaw. It is believed that by the age of three, a child should have 20 teeth. But these norms are for reference purposes only. Do not worry if your child’s teeth are not cut according to the table.But if they are not cut in pairs, it is worth contacting the dentist with this question

If the teeth erupted late or grow in the wrong order, does this mean that the child will subsequently have problems with the bite?
No, there is no direct link here. The development of malocclusion is influenced by many factors, but we can talk about occlusion only closer to 6-7 years.

Is teething always painful and accompanied by fever?
Indeed, against the background of teething, there is often a rise in temperature, moodiness and even diarrhea.But do not attribute any symptoms to teeth alone. Be sure to consult a specialist. Sometimes, against the background of teething, the child carries a viral infection, which the parents simply do not notice.

Why go to the pediatric dentist with a child who has no teeth? Such rules are dictated to us by a new procedure for preventive examinations. Now you need to visit the dentist for the first time in 1 month. The dentist assesses not only the condition of the teeth, but also congenital anomalies in the structure of the oral cavity, which can prevent the child from eating, and subsequently affect the development of speech and bite.In addition, you will be able to ask all your questions to the specialist personally, develop the right habit and watch out for possible oral health problems.

90,000 The appearance of the first milk teeth in children: recommendations

05.11.2012 17:25

• Pediatric dentist consultation – 500 rub
• Treatment of caries in milk teeth (depending on the degree of the disease) – 2100-3500 rub
• Treatment of pulpitis of a milk tooth – 4651-4854 rub
• Milk tooth extraction – 1488-1718 rub
• Plastic surgery of the upper / lower lip frenum (scalpel) – 3000 rub
• Plastic surgery of the upper / lower lip frenum (laser) – 4000 rub
• Plastic surgery of the frenum of the tongue (scalpel) – 2800 rub
• Plastic surgery of the frenum of the tongue (laser) – 3500 rub

The first teeth in children are a whole event for parents.But at the same time it is also a test. Baby teeth are sometimes very painful to cut in babies. How to help the baby during this difficult period of growing up and when to start using toothpaste?

The first one is the most difficult!

The eruption of milk teeth is characterized by the following four patterns:

• Dates
• Order
• Parity
• Sequence

The order and timing of the eruption of milk teeth:

Sometimes the timing of the appearance of teeth can be shifted by several months, but you should not worry about this.There is no need to worry if the order of teething changes – this may be an individual feature of the organism.

6 – 8 months – central incisors (first – lower, then – upper),
8 – 12 months – lateral incisors,
12 – 16 months – first molars (so called chewing teeth),
16 – 20 months – canines,
20 – 30 months – second molars.

The pairing of eruption is expressed in the fact that the teeth of the same name in each half of the jaw erupt simultaneously.Violation of the pairing of eruption of teeth of the same name on different sides of the jaws is a sign of lagging growth of this side and can, under certain conditions, be the cause of anomalous development of the jaws and dentition.

As for the sequence of teething, the lower teeth erupt first, and then the upper teeth of the same name, with the exception of the lateral incisors, of which the upper ones are more often erupted before the lower ones.

The first teeth usually appear at the age of 6-8 months.The process of the appearance of milk teeth in children stretches for 2–2.5 years in a child. By this age, the baby already has 20 teeth.

Parents often guess that the child’s teeth will soon come out from his behavior: the baby starts to pull toys into his mouth, he is drooling, he becomes more restless, excitable. Sometimes the baby’s temperature even rises (up to 40 °), the stool is disturbed, in some babies, teething proceeds almost imperceptibly, and what a surprise a mother can be when she discovers a tiny snow-white tooth in the baby’s mouth.If your baby suffers a lot from pain, you can relieve his condition with a special teething gel (just read the instructions for this medicine carefully and follow it exactly!). If the baby has a high fever, after consulting a pediatrician, the child should be given an antipyretic agent. You can help your child relieve mild itching in the gums by offering him a teether toy. Just do not forget to wash the toy from time to time with warm water and soap, so that the baby does not bring an infection into his mouth.

Start cleaning

As soon as the baby’s first teeth appear, they need to be looked after. Brushing your teeth should be done with a latex brush that fits on your mom’s finger, or a regular children’s toothbrush. The opinions of doctors about whether to immediately start brushing teeth with toothpaste are different: some experts believe that it is necessary to use the toothpaste starting from the time the teeth appear, others believe that using the toothpaste it is better to wait up to two years.

Until the age of six, a child’s teeth can only be brushed with children’s toothpaste. Do not be afraid that the baby accidentally swallows some of the substance: baby paste is semi-edible – it will not cause harm.

When baby teeth erupt in children and at how many months

How many months do milk teeth usually erupt

First teeth emerge at 6-7 months

The first baby teeth appear in a baby at 6-7 months – these are 2 lower front incisors.Usually, one tooth is cut first (earlier by 1-2 days), and then the second one climbs, in general, we can say that they grow at the same time. During teething, the child’s salivation increases and he constantly needs to gnaw something, as the gums constantly itch.

8-9 months

The next in line are the upper anterior incisors – they erupt in a couple of months, that is, at 8-9 months. They also appear in pairs at once. The gums can begin to swell much earlier than you see the cherished teeth – in a month, or even earlier – the upper teeth climb for a long time.Now the child can already try to chew food with his teeth, and not press with his gums, as before. And of course, he will have a new interest – to bite everything that is possible (and what is not, too).

10-13 month

After a couple of months (10-11 months of age), the upper lateral incisors appear, and after another 2 months (12-13 months), the lower lateral incisors (all the teeth in pairs). Thus, by the year the baby erupts 8 teeth – 4 front ones from above and from below.

After a year, the remaining milk teeth gradually appear.By the age of 2, all the baby’s milk teeth have erupted – there are 20 of them. The number of milk teeth up to 2 years old by months can be calculated using the formula N-4, where N is how many months to the child. For example, in a year and a half, that is, 18 months, there should be 14 teeth: 18-4 = 14. After the appearance of all milk teeth, you need to teach the child to brush the teeth with a child’s soft toothbrush moistened with boiled water. It is not recommended to use toothpaste earlier than 5 years old. …

Symptoms of teething in children

Not infrequently, teething becomes a test for both the child and the parents, as it is accompanied by such phenomena as nausea and vomiting in the child, diarrhea, fever, runny nose and headache.Parents may regard such symptoms as poisoning or a cold. In any case, if the baby has a hard time tolerating this period, it is better to call a pediatrician. He will tell you if it’s teeth or the child is really sick, and will tell you how you can help him. Now there are a lot of means to alleviate the condition of the child during the period of the first teeth – the high temperature can be brought down with antipyretic drugs for children (if t is higher than 38), there are special anesthetic ointments for the gums, teether toys and much more. After a year, the remaining milk teeth gradually appear.By the age of 2, all the baby’s milk teeth have erupted – there are 20 of them. The number of milk teeth under 2 years of age by months can be calculated using the formula N-4, where N is how many months to the child. For example, in a year and a half, that is, 18 months, there should be 14 teeth: 18-4 = 14. After the appearance of all milk teeth, you need to teach the child to brush the teeth with a child’s soft toothbrush moistened with boiled water. It is not recommended to use toothpaste earlier than 5 years old. …

90,000 The process of eruption of the first teeth in newborns.

The birth of a child is filled with a lot of joyful moments. Babies develop very quickly. At the same time, the first serious health issues that arise in babies. This, of course, is the fear and horror of all parents of teething teeth in a newborn.

The appearance of the first teeth in a newborn.

The very first question that worries parents “when to expect the appearance of the first teeth”? During the period of 7-8 weeks of intrauterine development, the first teeth are laid in babies.At the 4th month of pregnancy, the baby has permanent teeth. If we talk about milk teeth, the baby has 20, 32 teeth are permanent. Many parents claim that the health of the baby’s teeth depends on the mother’s diet. Another myth, calcium for pregnant women, is also worth equating. There is no drug that can absorb calcium 100%.

The period of teething begins 3-8 months, this difficult period ends up to 3 years. But since every child is different, a baby may appear with 1-2 teeth.There is also a situation when teeth erupt in the first weeks of life. What affects the health of the teeth of newborns?

• Rickets
• ORVI
• Dispersion

It is after the diseases mentioned above that the baby’s teeth erupt later. It also affects, but to a lesser extent genetics. They say that the health of a baby can be judged by the timing and order of teething.

Excessive salivation may indicate that the eruption process has begun.But not all parents notice this moment. But the newly-made parents start to panic when he starts to pull everything into his mouth. By doing this, he tries to relieve the itching and discomfort caused by teething. In fact, the kid does everything right. Indeed, massage movements on the gums will help improve microcirculation, it will help the teeth to erupt faster and easier.

The best solution in this difficult period is to buy a teether for newborns. Pay attention to these options: hypoallergenic and silicone.This is how it should be safe for the baby. There are many myths about how to survive the teething period. One of the most popular is teether cooling in the freezer. The problem is that a child can injure delicate gums on a hard ice surface. The solution will be to cool the product in the refrigerator.

Did you notice that the baby is crying a lot? Check the condition of the baby’s gums, if they are swollen, use dental gel. It has analgesic properties.

But don’t worry.Very often, the process of teething in a baby is calm. There are times when this period is accompanied by:

• Diarrhea
• Runny nose
• Cough
• Temperature rise.

This is due to the fact that these days the baby’s immunity level decreases. More details about at what moments the baby’s teeth appear and fall out can be seen in the table.

At this moment it is very important to support your baby and not leave him alone with a problem.