When do babies typically begin teething. What are the common signs and symptoms of teething. How can parents soothe their teething baby’s discomfort. What is the typical teething timeline for infants.

The Teething Process: What Every Parent Should Know

Teething is a significant milestone in a baby’s development, marking the emergence of their first teeth through the gums. While this process is a natural part of growth, it can be accompanied by discomfort for both the baby and parents. Understanding the teething timeline and associated symptoms can help caregivers navigate this phase with greater ease and confidence.

What exactly is teething?

Teething refers to the process where a baby’s teeth begin to break through the gum line. This developmental stage typically starts around 6 months of age, although the timing can vary significantly among infants. Some babies may begin teething as early as 3 months, while others might not see their first tooth until after their first birthday.

Typical Teething Timeline: When to Expect Those Pearly Whites

While every baby is unique, there is a general pattern to teething that many infants follow:

• 4-7 months: First tooth typically appears
• 6 months: Average age for teething to begin
• 11 months: Approximately 4 teeth present
• 15 months: Around 8 teeth have emerged
• 19 months: Roughly 12 teeth in place
• 23 months: About 16 teeth have appeared
• 3 years: Full set of 20 primary teeth usually complete

It’s important to note that this timeline is merely a guideline. Some babies may teeth earlier or later, and this variation is generally not a cause for concern. Factors such as genetics, birth weight, and whether the baby was born prematurely can influence the teething timeline.

Can babies start teething at 2 months?

While uncommon, some babies can indeed show signs of teething as early as 2 or 3 months old. These early teethers are simply ahead of the curve in their dental development. However, it’s essential to remember that true teething symptoms at this age are rare, and other factors might be causing discomfort or behavioral changes in your infant.

Recognizing the Signs: Common Teething Symptoms

Teething can manifest differently for each baby. Some may breeze through the process with minimal discomfort, while others might experience more noticeable symptoms. Here are some common signs that your baby might be teething:

• Increased drooling
• Chewing on objects
• Irritability or crankiness
• Sore or tender gums
• Slight increase in body temperature (but not a true fever)
• Changes in eating or sleeping patterns
• Rubbing their face or pulling on their ears

Is a fever a sign of teething?

While teething may cause a slight increase in body temperature, a true fever (rectal temperature of 100.4°F or higher) is not typically associated with teething. If your baby has a fever, vomiting, or diarrhea, it’s best to consult with their pediatrician as these symptoms may indicate an illness unrelated to teething.

Teething and Breastfeeding: What to Expect

For breastfeeding mothers, teething can bring about some unique challenges. You might notice changes in your baby’s feeding behavior during this time:

• Different latch or sucking patterns
• Increased desire to nurse for comfort
• Occasional biting or gnawing on the breast
• Temporary refusal to feed due to gum discomfort

These changes are usually temporary and resolve as your baby adjusts to their emerging teeth. Patience and persistence are key during this transition period.

How can breastfeeding mothers cope with teething babies?

Breastfeeding mothers can try several strategies to comfort their teething babies:

1. Offer a cold teething ring or washcloth before nursing to soothe sore gums
2. Try different nursing positions that may be more comfortable for the baby
3. Express a little milk before feeding to encourage latching
4. Gently massage the baby’s gums with a clean finger before feeding

Soothing Strategies: Effective Teething Remedies

While teething can be uncomfortable for babies, there are several ways parents can help alleviate their little one’s discomfort:

• Gently massage the baby’s gums with a clean finger or damp washcloth
• Offer cold items to chew on, such as a refrigerated teething ring or a cold spoon
• Provide safe, textured teething toys for the baby to gnaw on
• Use a clean, damp washcloth to wipe away excess drool to prevent skin irritation
• For severe discomfort, consult with your pediatrician about using over-the-counter pain relievers suitable for infants

Are teething necklaces safe for babies?

While amber teething necklaces have gained popularity, the American Academy of Pediatrics advises against their use due to the risks of choking and strangulation. Instead, opt for safer alternatives like teething rings or toys specifically designed for this purpose.

Dental Care for Teething Babies: Starting Good Habits Early

As soon as your baby’s first tooth appears, it’s time to start thinking about dental care. Here are some tips to get you started:

• Begin brushing with a soft-bristled, infant-sized toothbrush and a tiny smear of fluoride toothpaste (about the size of a grain of rice)
• Gently clean the gums and emerging teeth twice daily
• Schedule your baby’s first dental visit by their first birthday or within six months of their first tooth appearing
• Avoid putting your baby to bed with a bottle to prevent tooth decay

When should babies start using fluoride toothpaste?

The American Dental Association recommends using a tiny smear of fluoride toothpaste as soon as the first tooth appears. This early introduction to fluoride can help prevent cavities and strengthen developing teeth.

Unusual Teething Scenarios: When to Consult a Doctor

While most teething experiences fall within the realm of normal, there are some situations where medical advice might be necessary:

• No teeth by 18 months of age
• Significant delay in tooth eruption compared to siblings
• Teeth appearing in an unusual order
• Signs of tooth decay on newly emerged teeth
• Persistent high fever, diarrhea, or vomiting during teething

Can babies be born with teeth?

Yes, although rare, some babies are born with one or two teeth already visible. This condition, known as natal teeth, occurs in about 1 in 2,000 to 3,000 births. While usually not a cause for concern, these teeth should be evaluated by a pediatric dentist to ensure they’re properly attached and don’t pose a choking risk.

The Impact of Teething on Sleep Patterns

Teething can sometimes disrupt a baby’s sleep patterns, leading to more frequent night wakings or difficulty falling asleep. This can be challenging for both babies and parents. Here are some strategies to help manage sleep during teething:

• Maintain a consistent bedtime routine to provide comfort and predictability
• Offer extra comfort and soothing before bedtime
• Use white noise or gentle lullabies to create a calming sleep environment
• Consider adjusting nap schedules to accommodate changes in nighttime sleep patterns

How long does teething-related sleep disruption typically last?

While every baby is different, teething-related sleep disturbances usually last for a few days to a week around the time a new tooth is emerging. However, since teething is an ongoing process, these disruptions may occur periodically throughout the first few years of life.

Remember, this phase is temporary, and maintaining consistent sleep habits can help minimize long-term sleep issues.

Nutrition and Teething: Adapting to Your Baby’s Changing Needs

Teething can sometimes affect a baby’s eating habits. Some infants may eat less due to sore gums, while others might want to eat more frequently for comfort. Here are some tips to ensure your teething baby gets proper nutrition:

• Offer cool, soft foods like yogurt or pureed fruits if your baby has started solids
• Try different textures to see what your baby prefers during teething
• Ensure proper hydration, especially if your baby is drooling more than usual
• Be patient with changes in appetite and feeding patterns

Should you introduce new foods during teething?

While it’s generally fine to introduce new foods during teething, it’s best to wait until your baby is between teething episodes. This allows you to distinguish between teething discomfort and potential food allergies or intolerances.

Remember, every baby’s teething journey is unique. What works for one child may not work for another, so it’s important to be flexible and patient. By understanding the teething process and being prepared with various soothing strategies, you can help make this developmental milestone more comfortable for your little one.

When Do Babies Start Teething? Symptoms, Remedies, and More

Teething is when a baby’s teeth start to come through their gums. Most babies will start teething around the age of 6 months, but some may start sooner or later.

You love watching your baby hit those sweet milestones — the first smile, first giggle, and rolling over for the first time. But one that’s sometimes not so sweet (for you or for them) is teething.

Although this is a typical part of growing for babies, it is one of those milestones that can bring discomfort, tears (from you and baby), and even sleepless nights (yep, more of those!).

As for when your baby will actually start the process, it depends.

Catherine ConellyMOTHER OF ONE

The worst timing

My baby suddenly started fighting naps so hard and waking up crying in the wee hours of the morning. Of course, he’d had crying fits before, but never moments like this where he was basically inconsolable. He had always been a great sleeper, but of course, this kicked in when I was on vacation visiting my family in Florida. I didn’t see any gum swelling or other signs. I really didn’t think it was teeth. I figured it was just growing pains. But sure enough, two bottom teeth popped up about a week later.

Was this helpful?

A baby’s teeth can sometimes emerge with no pain or discomfort, so you might not realize they’re teething until you see the first sign of a tiny white tooth. For other babies, though, teething does cause discomfort.

Common symptoms of teething may include:

• drooling
• face rash from drooling
• chewing on different objects
• irritability and crankiness
• crying
• refusing to eat
• swollen, sore, or tender gums
• trouble sleeping
• flushed cheeks
• pulling on their ears
• slightly elevated temperature to around 99°F (37.2°C)

Note

On the other hand, a rectal temperature 100.4°F (38°C) or higher, vomiting, or diarrhea are not usually signs of teething. If your baby has these symptoms, contact their pediatrician.

Was this helpful?

Symptoms of teething in breastfed babies

Teething symptoms can occur whether you breastfeed or bottle-feed your baby. But if you breastfeed or chestfeed, you might notice other changes, too. For example, gum pain or soreness might cause your baby to latch on differently.

Before a tooth emerges (and even afterward), you might feel your baby gnaw or bite down on your breasts. And since breastfeeding is soothing for babies, they might feed more often while teething.

Keep in mind that teething symptoms occur before a tooth breaks through the gum, so don’t be alarmed if you notice these changes in your baby but don’t see any sign of a tooth.

Most babies get their first tooth between 4 and 7 months old.

But there’s a wide range of when it’s considered “typical” to start teething. So don’t panic if your little one hasn’t cut a tooth by 7 or 9 months old. If you’re concerned, you can always speak with their pediatrician at their next checkup.

To get even more specific, most infants begin teething at around 6 months old. Your little one will likely have a full set of their first teeth by age 3, and all the joys of the teeth-brushing routine will have been long established.

But “typical” doesn’t mean “best” or “all.” Exactly when your baby will start teething may even be hereditary.

And though it may seem impossible, some babies are born with one or two teeth! This occurs in about 1 in 6,000 to 1 in 800 cases — so it’s uncommon. It makes for some incredibly adorable pictures, but let’s be honest — toothless grins are pretty darn cute, too.

Infants born with teeth should have them closely monitored since they can present a choking risk.

Some infants are early teethers — and it usually isn’t anything to worry about! If your little one starts showing signs of teething around 2 or 3 months old, they’re simply ahead of the curve in the teething department. And if your baby is a late teether, try not to worry about this either (easier said than done, we know).

Every baby is different, so don’t be concerned if all your child’s little friends have started to cut teeth already — yours will too, in their own time. In fact, if you’re going to compare at all, it’s better to consider when their siblings (if they have them) got their first tooth.

The bottom two teeth are usually the first to appear, followed by the four upper teeth. So keep an eye on that area and prepare for cuteness overload when they do.

Next, their teeth may come in two at a time, one on each side of the mouth. But this pattern can vary, and many factors can influence the timeline (like if your baby was born early or at a low birth weight, for example).

On average, babies have:

• 4 teeth by 11 months
• 8 teeth by 15 months
• 12 teeth by 19 months
• 16 teeth at 23 months

Those sometimes distressing (but always perfectly usual) teething symptoms may come and go during this time period. Or they may be more consistent as your little one cuts new teeth or starts to feel the first symptoms of a tooth emerging.

If your child doesn’t have any teeth by 18 months, see a pediatric dentist for evaluation. In rare cases, an underlying medical issue may cause a delay in teething. These may include:

• malnutrition
• vitamin deficiency
• underactive thyroid

If you’re concerned that it’s been a while since your child cut their last one or two teeth, speak with their pediatrician.

When your little one is teething, you may feel more inclined to reach for that bottle of wine or chocolate bar because it’s tough to see your baby in pain. (No? Just us?)

Well, baby needs some soothing, too.

Home remedies

These are some tried and true — and most importantly, safe — home remedies you can try:

• Gently massage your baby’s gums with a clean finger, knuckle, or moistened gauze pad.
• Hold a cold washcloth, spoon, or chilled teething ring on your baby’s gums.
• Use plastic or rubber toys that are chilled — never frozen solid (ouch!).
• Offer cold foods like a chilled little slice of cucumber if your baby is already eating solids — but always keep a watchful eye on them, because this could be a choking hazard.

Medical treatment

Currently, there aren’t any medical treatments to soothe teething pain in a baby. The good news, though, is that babies typically respond positively to home remedies.

If these remedies don’t relieve symptoms, feel free to ask your pediatrician about the occasional use of over-the-counter baby acetaminophen or ibuprofen.

Your pediatrician can advise whether this is an OK treatment and provide guidance on proper dosing.

And an important note: No matter how attractive the item or the claims of its manufacturers, avoid teething necklaces or bracelets — worn by adults or babies — made of amber, wood, or silicone. These can quickly turn into choking hazards, and it’s just not worth it.

Also on the no-go list: homeopathic teething tablets and medicated topical gels. The Food and Drug Administration (FDA) has issued warnings against using both of these products.

Medicated topical gels contain the ingredient benzocaine, which is an anesthetic. It’s found in products like Anbesol, Orajel, Baby Orajel, and Orabase.

Benzocaine is linked to a rare but serious condition called methemoglobinemia.

Keep in mind that good oral health isn’t important for only older children, teens, and adults. Your baby’s oral health matters too. So start brushing those pearly whites as soon as the first tooth grows in.

How do you keep their tiny, delicate teeth healthy? There really isn’t much to do at this age, but the first step is to buy an infant toothbrush that is soft and gentle. You’ll brush their teeth twice a day, once in the morning and once at night.

And yes, it’s OK to use a fluoride toothpaste, but not too much. You only need a small grain-size amount until they’re 3 years old; then, increase to a pea-sized amount.

Brushing helps prevent tooth decay, which can occur when sugar from milk, juice, or formula remains on their teeth and damages the enamel.

Have questions about teething? Here are answers to a few frequently asked questions.

What are the first signs of teething?

The teething experience can differ for each individual baby, but some of the first signs include:

• drooling
• gnawing
• trouble sleeping
• irritability or crying
• a mild increase in body temperature

Some babies also develop flushness around their cheeks or a rash. And if you breastfeed or chestfeed, teething might change the way your baby latches, or they might feed more often to soothe themselves.

How early do babies show signs of teething?

Teething typically occurs around 6 months of age. However, some babies start teething as early as 2 or 3 months. Then again, some babies teeth later and don’t cut their first tooth until 8 or 9 months (or later).

How long does teething last for babies?

The teething timeframe differs for each baby. But regardless of whether a baby starts teething at 6 months or 9 months, they typically stop teething before age 3. Some babies stop teething around 24 months, while others don’t stop until 36 months.

Do babies get sick when teething?

Even though your baby may have physical discomfort, teething doesn’t make them sick. So if your baby has a runny nose, productive cough, diarrhea, vomiting, or a high fever, these symptoms aren’t associated with teething. This could be a sign of an infection, so speak with their pediatrician.

When your baby cuts their first tooth usually says nothing about their development — as with most things baby, there’s such a wide range of totally OK. Most infants end up with a full set of baby teeth by the time they’re 3 years old, regardless of when they cut that first tooth.

But if your baby hasn’t cut a tooth by the time they’re 18 months old, talk with your dentist. Ideally, you’ve already brought your baby to a pediatric dentist by age 1, as recommended by the American Academy of Pediatric Dentistry (and the American Dental Association and American Academy of Pediatrics, too).

So if you haven’t seen a dentist yet, this would be a good time to have your sweet babe’s mouth and gums checked out.

While visiting the dentist for the first time may sound scary, remember these two things: Your baby hasn’t yet had a negative dental experience to create dread, and pediatric dentists are great at making the visit comfortable — it can even be even fun.

Once your little one does cut a tooth or two, be sure to take good care to clean around the area each day with a damp, cool washcloth or soft-bristle baby toothbrush. Before you know it, they’ll (hopefully!) be brushing their teeth on their own.

When Do Babies Start Teething? Symptoms, Remedies, and More

Teething is when a baby’s teeth start to come through their gums. Most babies will start teething around the age of 6 months, but some may start sooner or later.

You love watching your baby hit those sweet milestones — the first smile, first giggle, and rolling over for the first time. But one that’s sometimes not so sweet (for you or for them) is teething.

Although this is a typical part of growing for babies, it is one of those milestones that can bring discomfort, tears (from you and baby), and even sleepless nights (yep, more of those!).

As for when your baby will actually start the process, it depends.

A baby’s teeth can sometimes emerge with no pain or discomfort, so you might not realize they’re teething until you see the first sign of a tiny white tooth. For other babies, though, teething does cause discomfort.

Common symptoms of teething may include:

• drooling
• face rash from drooling
• chewing on different objects
• irritability and crankiness
• crying
• refusing to eat
• swollen, sore, or tender gums
• trouble sleeping
• flushed cheeks
• pulling on their ears
• slightly elevated temperature to around 99°F (37.2°C)

Note

On the other hand, a rectal temperature 100. 4°F (38°C) or higher, vomiting, or diarrhea are not usually signs of teething. If your baby has these symptoms, contact their pediatrician.

Was this helpful?

Symptoms of teething in breastfed babies

Teething symptoms can occur whether you breastfeed or bottle-feed your baby. But if you breastfeed or chestfeed, you might notice other changes, too. For example, gum pain or soreness might cause your baby to latch on differently.

Before a tooth emerges (and even afterward), you might feel your baby gnaw or bite down on your breasts. And since breastfeeding is soothing for babies, they might feed more often while teething.

Keep in mind that teething symptoms occur before a tooth breaks through the gum, so don’t be alarmed if you notice these changes in your baby but don’t see any sign of a tooth.

Most babies get their first tooth between 4 and 7 months old.

But there’s a wide range of when it’s considered “typical” to start teething. So don’t panic if your little one hasn’t cut a tooth by 7 or 9 months old. If you’re concerned, you can always speak with their pediatrician at their next checkup.

To get even more specific, most infants begin teething at around 6 months old. Your little one will likely have a full set of their first teeth by age 3, and all the joys of the teeth-brushing routine will have been long established.

But “typical” doesn’t mean “best” or “all.” Exactly when your baby will start teething may even be hereditary.

And though it may seem impossible, some babies are born with one or two teeth! This occurs in about 1 in 6,000 to 1 in 800 cases — so it’s uncommon. It makes for some incredibly adorable pictures, but let’s be honest — toothless grins are pretty darn cute, too.

Infants born with teeth should have them closely monitored since they can present a choking risk.

Some infants are early teethers — and it usually isn’t anything to worry about! If your little one starts showing signs of teething around 2 or 3 months old, they’re simply ahead of the curve in the teething department. And if your baby is a late teether, try not to worry about this either (easier said than done, we know).

Every baby is different, so don’t be concerned if all your child’s little friends have started to cut teeth already — yours will too, in their own time. In fact, if you’re going to compare at all, it’s better to consider when their siblings (if they have them) got their first tooth.

The bottom two teeth are usually the first to appear, followed by the four upper teeth. So keep an eye on that area and prepare for cuteness overload when they do.

Next, their teeth may come in two at a time, one on each side of the mouth. But this pattern can vary, and many factors can influence the timeline (like if your baby was born early or at a low birth weight, for example).

On average, babies have:

• 4 teeth by 11 months
• 8 teeth by 15 months
• 12 teeth by 19 months
• 16 teeth at 23 months

Those sometimes distressing (but always perfectly usual) teething symptoms may come and go during this time period. Or they may be more consistent as your little one cuts new teeth or starts to feel the first symptoms of a tooth emerging.

If your child doesn’t have any teeth by 18 months, see a pediatric dentist for evaluation. In rare cases, an underlying medical issue may cause a delay in teething. These may include:

• malnutrition
• vitamin deficiency
• underactive thyroid

If you’re concerned that it’s been a while since your child cut their last one or two teeth, speak with their pediatrician.

When your little one is teething, you may feel more inclined to reach for that bottle of wine or chocolate bar because it’s tough to see your baby in pain. (No? Just us?)

Well, baby needs some soothing, too.

Home remedies

These are some tried and true — and most importantly, safe — home remedies you can try:

• Gently massage your baby’s gums with a clean finger, knuckle, or moistened gauze pad.
• Hold a cold washcloth, spoon, or chilled teething ring on your baby’s gums.
• Use plastic or rubber toys that are chilled — never frozen solid (ouch!).
• Offer cold foods like a chilled little slice of cucumber if your baby is already eating solids — but always keep a watchful eye on them, because this could be a choking hazard.

Medical treatment

Currently, there aren’t any medical treatments to soothe teething pain in a baby. The good news, though, is that babies typically respond positively to home remedies.

If these remedies don’t relieve symptoms, feel free to ask your pediatrician about the occasional use of over-the-counter baby acetaminophen or ibuprofen.

Your pediatrician can advise whether this is an OK treatment and provide guidance on proper dosing.

And an important note: No matter how attractive the item or the claims of its manufacturers, avoid teething necklaces or bracelets — worn by adults or babies — made of amber, wood, or silicone. These can quickly turn into choking hazards, and it’s just not worth it.

Also on the no-go list: homeopathic teething tablets and medicated topical gels. The Food and Drug Administration (FDA) has issued warnings against using both of these products.

Medicated topical gels contain the ingredient benzocaine, which is an anesthetic. It’s found in products like Anbesol, Orajel, Baby Orajel, and Orabase.

Benzocaine is linked to a rare but serious condition called methemoglobinemia.

Keep in mind that good oral health isn’t important for only older children, teens, and adults. Your baby’s oral health matters too. So start brushing those pearly whites as soon as the first tooth grows in.

How do you keep their tiny, delicate teeth healthy? There really isn’t much to do at this age, but the first step is to buy an infant toothbrush that is soft and gentle. You’ll brush their teeth twice a day, once in the morning and once at night.

And yes, it’s OK to use a fluoride toothpaste, but not too much. You only need a small grain-size amount until they’re 3 years old; then, increase to a pea-sized amount.

Brushing helps prevent tooth decay, which can occur when sugar from milk, juice, or formula remains on their teeth and damages the enamel.

Have questions about teething? Here are answers to a few frequently asked questions.

What are the first signs of teething?

The teething experience can differ for each individual baby, but some of the first signs include:

• drooling
• gnawing
• trouble sleeping
• irritability or crying
• a mild increase in body temperature

Some babies also develop flushness around their cheeks or a rash. And if you breastfeed or chestfeed, teething might change the way your baby latches, or they might feed more often to soothe themselves.

How early do babies show signs of teething?

Teething typically occurs around 6 months of age. However, some babies start teething as early as 2 or 3 months. Then again, some babies teeth later and don’t cut their first tooth until 8 or 9 months (or later).

How long does teething last for babies?

The teething timeframe differs for each baby. But regardless of whether a baby starts teething at 6 months or 9 months, they typically stop teething before age 3. Some babies stop teething around 24 months, while others don’t stop until 36 months.

Do babies get sick when teething?

Even though your baby may have physical discomfort, teething doesn’t make them sick. So if your baby has a runny nose, productive cough, diarrhea, vomiting, or a high fever, these symptoms aren’t associated with teething. This could be a sign of an infection, so speak with their pediatrician.

When your baby cuts their first tooth usually says nothing about their development — as with most things baby, there’s such a wide range of totally OK. Most infants end up with a full set of baby teeth by the time they’re 3 years old, regardless of when they cut that first tooth.

But if your baby hasn’t cut a tooth by the time they’re 18 months old, talk with your dentist. Ideally, you’ve already brought your baby to a pediatric dentist by age 1, as recommended by the American Academy of Pediatric Dentistry (and the American Dental Association and American Academy of Pediatrics, too).

So if you haven’t seen a dentist yet, this would be a good time to have your sweet babe’s mouth and gums checked out.

While visiting the dentist for the first time may sound scary, remember these two things: Your baby hasn’t yet had a negative dental experience to create dread, and pediatric dentists are great at making the visit comfortable — it can even be even fun.

Once your little one does cut a tooth or two, be sure to take good care to clean around the area each day with a damp, cool washcloth or soft-bristle baby toothbrush. Before you know it, they’ll (hopefully!) be brushing their teeth on their own.

Mom asks: “Can a 2-month-old baby cut teeth?”

Health

Photo

supersizer / E+ / Getty Images

. In recent days, I notice that she seems to be cutting her teeth. The child began to cry more, began to gnaw on his fist, even if he had eaten quite recently. Drooling constantly. Can teeth be cut so early? Whether is it a pathology? And how to relieve the child’s pain?

Pediatric dentist at PerfectSmile Aesthetic Dentistry and Bone Regeneration Center

— Teething at 2 months is possible. It is not considered a pathology. Cases have been recorded when babies were born already with teeth. Mostly they need to be removed because they interfere with breastfeeding and make it difficult to take formula from a bottle. But there are times when they are left behind. Everything is individual.

At 2 months, eruption is considered early. This is due to genetics. The mother’s past illnesses, the intake or lack of intake of any vitamins by the mother does not affect the timing of teething. But it can affect the quality of the teeth.

The timing of eruption may be affected by vitamin and microelement deficiencies in the child himself, but in this case, on the contrary, we assume a later eruption.

Teething – how to relieve pain

Gels with lidocaine, benzocaine and other local anesthetics should not be used under the age of 4 years! Homeopathic preparations containing belladonna are also prohibited. Preparations in which choline salicylate is present are questionable. The risks and side effects outweigh the potential benefits.

What to do:

1. Massage your baby’s gums with your finger or silicone brush.

2. Use a cold teether. Just freeze in the refrigerator, not the freezer.

3. Give the nibbler a chilled product that is familiar to the baby.

4. Give me a pacifier. Personally, I am against the nipple, it is better to once again give the baby a breast. But for formula-fed babies, this may be the way out.

5. If all else fails, as a last resort, use pain relievers approved for children.

Whether to brush a baby’s teeth

We start brushing teeth with toothpaste and a brush (not a fingertip and not a silicone brush) as soon as the first tooth erupted. It is very important!

There is a myth that the earlier milk teeth erupt, the more they are subject to caries. This is wrong. It’s just that most pediatricians still advise starting brushing your teeth with toothpaste not earlier than a year, or even a year and a half.

If you start brushing and flossing your baby’s teeth right away, and use xylitol wipes to brush your teeth after nightly feedings, you can avoid cavities.

Ksenia Voronezhtseva, Expert

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pediatrician of the 1st category

Teeth break through – it even sounds painful. Indeed, when a baby starts teething, it often turns out to be painful. Many children do not sleep well, often cry, some even have a fever. But there are other symptoms that indicate that your baby is going through the period of the appearance of milk teeth.

— Ekaterina Borisovna, please tell us when babies usually start teething?

– Teething times are quite variable. On average, the first teeth come out at 5-7 months, but the process can begin earlier (both at two and at four months) or take up to a year. Some babies are born with teeth already. Everything is very individual and depends on many factors, such as heredity, sufficient intake of calcium in the body, the sex of the child, the climate in the place of residence.

– How fast will teeth cut after the first one appears?

— In both boys and girls, the process of complete eruption of the milk bite usually drags on for 2.5-3 years. The upper incisors appear 2–3 months after the appearance of the lower ones, then at the age of 9–13 months, the upper and lower lateral incisors erupt. From a year to a year and a half, the upper and lower first molars alternately appear, then, by 20 months, the upper and lower canines, by 2-2.5 years, the second molars. However, the sequence and timing of when babies begin to cut their teeth are very arbitrary.

Table and diagram by month: what time do children start teething

— How to understand that a child is teething?

— The appearance of teeth, although physiological, is a real test for a child and his mom and dad. Only recently they experienced colic, a feeding and sleeping regime was established, when suddenly the baby again becomes restless, naughty, refuses to eat, or, conversely, often and greedily grabs a breast or a bottle, sleeps poorly and pulls everything into his mouth. These are sure signs of the beginning of teething.

Some lucky people endure the whole process completely painlessly, and only an occasional tapping of the gum with a spoon reveals the first tooth that has already erupted. But sometimes the moment of teething is so difficult for the baby that it is easy to confuse it with the onset of the disease.

Only a doctor can determine the real cause of the child’s anxiety, and you should definitely contact him if the temperature rises to febrile numbers, severe lethargy, weakness, or, conversely, the baby’s strong excitability, as well as when signs of infection are attached, such as a runny nose, cough, disorders digestion, vomiting, loose stools.

— Ekaterina Borisovna, parents are waiting for the appearance of the first incisors with caution. What symptoms characterize the process in addition to pain discomfort?

– When teeth are being cut, the symptoms are very varied, and everyone is individual. In this case, the symptoms, depending on the location of the cutting teeth, may differ. Usually the most unpleasant sensations accompany the appearance of only the first teeth. All subsequent ones erupt more calmly, and the child practically ceases to pay attention to this process. With the appearance of chewing teeth, pain may resume, but they are not as intense as at the very beginning of eruption. The appearance of the upper teeth is often accompanied by a runny nose: this is due to the proximity of the location and a single network of blood supply to the upper jaw and nasal cavity.

— When is it better to bring down the temperature during teething?

– Antipyretic therapy is usually prescribed when the temperature rises above 38.5 degrees. Subfebrile temperature, up to 38 degrees, should always be brought down in children with organic damage to the central nervous system, with the threat of convulsions, as well as with pronounced changes in the general condition of the child.

— Why should a child’s health be closely monitored during teething? Does teething affect the immune system?

— Teething is a rather complex process involving all systems of a child’s body. The immune system is no exception. At the moment of tooth movement, a traumatic lesion of the gums occurs and, as a result, inflammation occurs in the tissues. Immune cells rush to the inflammatory focus, trying to eliminate it, which somewhat weakens the local protective reaction. In addition, the content of the enzyme lysozyme is reduced in abundant saliva, and it loses its protective properties. In addition, during this period, the child pulls everything into his mouth, trying to scratch itchy gums, which increases the risk of infection and injury to the mucous membrane.

— How can parents tell teething from other problems like a cold?

— Distinguishing a viral infection from teething syndrome is sometimes difficult even for a specialist: very often two conditions occur simultaneously. With eruption syndrome, the temperature rarely exceeds 38-38.5 degrees, the discharge from the nose is abundant, mucous in nature, often transparent. Cough superficial, occurs more often in a horizontal position. All symptoms are accompanied by profuse salivation. The general condition of the child rarely worsens, the child is capricious, whiny, but not lethargic or apathetic.

Teething may also be accompanied by symptoms of dyspepsia such as regurgitation and sometimes even vomiting, loose stools. Unlike an intestinal infection, regurgitation and vomiting are episodic and occur when saliva is abundant.

Fluid stools may be associated with increased motility due to fever – ingestion of large amounts of saliva and intense chewing movements. Stool 1-2 times a day, normal color and smell, without pathological impurities, but softer consistency.

In the event of any symptoms that do not fit into the picture of teething, you should definitely consult a doctor.

– Does teething pain occur in all children?

— Each child has his own pain threshold. The intensity of inflammatory reactions is also different for everyone, so each baby experiences teething in its own way. If one will continuously cry all night, then the other may behave in a completely normal way. It depends on both genetics and the temperament of the baby.

— When teeth are being cut, how can you help a baby? What drugs are allowed to be given to relieve pain?

— Pain relief gels are widely used. However, you should remember the rules for their use. They have a short effect, about 20-30 minutes, but it is not recommended to use them more than five times a day. The gel is applied in a thin layer to avoid an overdose of the drug. And, as in the case of any medicine, do not forget about the possible allergic reaction in the baby.

Only anti-inflammatory drugs can relieve pain quickly and permanently. And there is a lot of BUT here. Any drug is not safe, especially if it is given for the first time. Only a doctor can assess the child’s condition and prescribe anti-inflammatory therapy if necessary, taking into account the risk-benefit ratio.

Non-steroidal anti-inflammatory drugs may be given by mouth. The dosage is calculated by the doctor depending on the weight of the child. On the mucosa, gels with local anesthetic and antiseptic effects are used.

— Can folk remedies relieve pain and other symptoms?

— Treatment with folk remedies in our country is very popular, although the world scientific community questions its effectiveness. Only the effect of cold has proven effectiveness, therefore it is recommended to give the child chilled pacifiers and teethers to gnaw. Cold causes vasospasm, reduces swelling and inflammation in the gums, and, as a result, pain temporarily subsides. The effect is short-lived, but still there. It is also useful to massage the gums with a fingertip or a soft brush.

— Ekaterina Borisovna, tell us more about how nipples or chewable toys help with toothache, and how to choose a pacifier and a special teether for a child.

— Gum massage helps baby cope with discomfort. During the massage, itching decreases, the gum tissue softens, and it is easier for the tooth to make its way. But constantly massaging a child’s gums is a very tedious task. He may well engage in self-massage, especially since during this period he himself with pleasure pulls everything into his mouth.

Special pacifiers or teethers will be excellent massage assistants. They differ from ordinary nipples in greater rigidity and a relief surface; they are made of latex or silicone. Many models of teethers are supplemented with a cooling function – inside contains a liquid that can be cooled. Teethers are also made of plastic, wood or even textiles. But, in my opinion, they do not meet safety standards. It is worth choosing brands that have long been widely represented on the children’s goods market.

— What techniques can be used to distract a child from a toothache?

– In this case, there is only one method – to surround the baby with care and attention as much as possible, to take him in your arms more often, to put him on the breast if the child asks. Next to the parents, the baby feels safe, calms down. Children are very sensitive to the behavior and emotions of adults, so it is important for parents to be calm and friendly, to distract the kids with toys, songs, affectionate words. Older children can play finger games. Relaxing massages and long walks are helpful.

Unfortunately, absolutely effective methods do not exist. Parents can only help the baby cope with the problem. But there are a few tips that will help you get through this difficult period.

– Please share them with our readers.

– The rudiments of teeth are laid long before birth. Therefore, a mother during pregnancy should carefully monitor her diet. Sufficient intake of calcium is especially important for the formation of healthy teeth in the baby. But even after birth, calcium should not be forgotten. When breastfeeding, the mother’s diet should contain dairy products or calcium supplements in case of intolerance to cow’s milk proteins by the baby.

Hardening from birth is a guarantee of good immunity. No need to wrap the child in a hundred clothes and be afraid to air the rooms. Walk in any weather and long enough, use a light contrast shower. And then no cold is terrible for the baby.

Also avoid public places, especially during teething. The baby is very vulnerable at this moment. Postpone family visits, shopping, and indoor playgrounds for a while to reduce your child’s risk of infection.

It is also especially important during this period to maintain the optimum temperature in the room. Heat and dry air will only increase discomfort.

Teething is a difficult stage in a child’s life. If the process causes severe discomfort, is accompanied by the appearance of alarming symptoms, high temperature, then you should contact a specialist for help as soon as possible. For the rest, surround the baby with care and attention, pick up nipples, teethers, toys that relieve itching, use medications with the permission of the doctor. The main thing during this period is to be there and help the baby in every possible way to cope with the pain.

* Breast milk is the best food for babies. WHO recommends exclusive breastfeeding for the first 6 months of a child’s life and continued breastfeeding after complementary foods are introduced until the age of 2 years.