When do babies typically start teething. What are the common signs and symptoms of teething. How can parents soothe a teething baby. What is the usual order of tooth emergence. When should parents be concerned about delayed teething.

The Typical Timeline for Baby Teething

Teething is a significant milestone in a baby’s development, marking the emergence of their first teeth through the gums. While the exact timing can vary, most babies begin teething around 6 months of age. However, it’s important to note that the normal range for teething can be quite broad.

Here’s a general timeline of when babies typically start teething:

• 4-7 months: First tooth usually appears
• 6 months: Most common age for teething to begin
• 12 months: Several teeth may be visible
• 3 years: Full set of first teeth (20 in total) typically present

Is it possible for babies to start teething earlier or later? Absolutely. Some infants may show signs of teething as early as 2-3 months, while others might not get their first tooth until after their first birthday. Genetic factors often play a role in determining when a baby will start teething.

Recognizing the Signs and Symptoms of Teething

Teething can be an uncomfortable process for babies, and it’s helpful for parents to recognize the common signs and symptoms. While some babies may sail through teething with minimal discomfort, others may experience more noticeable symptoms.

Common teething symptoms include:

• Increased drooling
• Irritability and fussiness
• Swollen or tender gums
• Chewing on objects
• Slight increase in body temperature (below 100.4°F or 38°C)
• Changes in eating or sleeping patterns

How can parents differentiate between teething symptoms and signs of illness? It’s important to note that high fever, diarrhea, and vomiting are not typical teething symptoms. If your baby experiences these symptoms, it’s best to consult with a pediatrician.

Soothing Strategies for Teething Babies

As parents, it’s natural to want to alleviate your baby’s discomfort during the teething process. Fortunately, there are several effective methods to soothe a teething baby.

Here are some tried-and-true remedies:

1. Gently massage your baby’s gums with a clean finger
2. Offer a cold teething ring or chilled washcloth to chew on
3. Provide safe, age-appropriate teething toys
4. Use over-the-counter pain relievers as recommended by your pediatrician
5. Try chilled (not frozen) fruits in a mesh feeder for babies eating solids

Are there any teething remedies to avoid? It’s best to steer clear of teething necklaces or bracelets due to choking hazards, and avoid topical numbing gels containing benzocaine, which can be harmful to infants.

The Order of Tooth Emergence: What to Expect

While every baby is unique, there is a general pattern to how teeth typically emerge. Understanding this pattern can help parents anticipate what’s to come in their baby’s teething journey.

The usual order of tooth emergence is:

1. Bottom central incisors (lower front teeth)
2. Top central incisors (upper front teeth)
3. Top lateral incisors (on either side of upper front teeth)
4. Bottom lateral incisors (on either side of lower front teeth)
5. First molars
6. Canines
7. Second molars

Does this order always hold true for every baby? Not necessarily. Some babies may have teeth emerge in a slightly different order, which is usually not a cause for concern.

Teething and Breastfeeding: Navigating Changes

For breastfeeding mothers, the teething period can bring about some changes in their baby’s nursing behavior. Understanding these potential changes can help mothers navigate this phase more smoothly.

Common changes during teething for breastfed babies include:

• Altered latch or feeding positions
• Increased frequency of nursing for comfort
• Occasional biting or gnawing on the breast
• Temporary nursing strikes due to gum discomfort

How can breastfeeding mothers cope with these changes? Patience and flexibility are key. Experimenting with different nursing positions, offering a cool teething toy before feeding, and maintaining open communication with a lactation consultant can be helpful strategies.

When to Consult a Pediatrician About Teething

While teething is a normal part of development, there are instances when it’s advisable to seek professional medical advice. Being aware of these situations can help parents ensure their baby’s oral health is on track.

Consider consulting a pediatrician if:

• Your baby hasn’t cut any teeth by 18 months of age
• There’s a significant delay between the emergence of teeth
• Teething symptoms seem excessively severe or prolonged
• You notice any abnormalities in your baby’s gums or emerging teeth

What might cause a delay in teething? In rare cases, delayed teething could be linked to underlying health issues such as malnutrition, vitamin deficiencies, or thyroid problems. A pediatrician can help rule out these concerns and provide appropriate guidance.

Caring for Your Baby’s First Teeth

As your baby’s teeth begin to emerge, it’s crucial to establish good oral hygiene habits early on. Proper care of baby teeth sets the foundation for a lifetime of healthy smiles.

Here are some tips for caring for your baby’s first teeth:

1. Start cleaning gums before teeth emerge using a soft, damp cloth
2. Use a small, soft-bristled toothbrush once teeth appear
3. Introduce a tiny amount of fluoride toothpaste (size of a grain of rice) around 6 months
4. Schedule the first dental visit by the first birthday or within 6 months of the first tooth emerging
5. Avoid putting your baby to bed with a bottle to prevent tooth decay

How often should you brush your baby’s teeth? Aim to brush your baby’s teeth twice a day, in the morning and before bed, to establish a routine and maintain good oral health.

Understanding Teething Myths and Facts

There are many myths surrounding teething that can confuse parents. It’s important to separate fact from fiction to ensure appropriate care for your teething baby.

Common teething myths debunked:

• Myth: Teething causes high fevers
• Fact: Teething may cause a slight temperature increase, but high fevers are not a typical symptom
• Myth: Teething always causes severe pain
• Fact: While some discomfort is common, not all babies experience significant pain during teething
• Myth: Diarrhea is a normal teething symptom
• Fact: Loose stools are not typically associated with teething and may indicate an unrelated issue

How can parents distinguish between teething discomfort and other health issues? Pay attention to the overall pattern of symptoms and their severity. When in doubt, consult with your pediatrician for proper diagnosis and guidance.

The Role of Nutrition in Teething and Dental Development

Proper nutrition plays a crucial role in supporting your baby’s dental health and overall development during the teething phase. Ensuring a balanced diet can help promote strong, healthy teeth and gums.

Key nutrients for dental health include:

• Calcium: Essential for building strong teeth and bones
• Vitamin D: Aids in calcium absorption and utilization
• Vitamin C: Supports gum health and collagen production
• Phosphorus: Works with calcium to build tooth enamel

How can parents ensure their baby gets these nutrients? Breastmilk or formula provides most necessary nutrients for infants. As solid foods are introduced, offer a variety of nutrient-rich foods like fruits, vegetables, whole grains, and dairy products (for babies over 12 months).

Teething and Sleep: Managing Nighttime Discomfort

Teething can sometimes disrupt a baby’s sleep patterns, leading to restless nights for both baby and parents. Understanding how to manage nighttime teething discomfort can help everyone get better rest.

Tips for managing nighttime teething:

1. Stick to a consistent bedtime routine to promote relaxation
2. Offer a teething toy or cool washcloth before bed
3. Use a gentle massage on the gums as part of the bedtime routine
4. Consider pain relief medication as recommended by your pediatrician
5. Ensure the sleeping environment is comfortable and conducive to rest

Is it normal for teething to cause sleep regression? While teething can temporarily disrupt sleep, persistent sleep issues should be discussed with your pediatrician to rule out other causes.

Preparing Siblings for a Teething Baby

If you have older children, involving them in the teething process can foster a sense of family unity and help them understand the changes happening with their younger sibling.

Ways to involve siblings in the teething process:

• Explain what teething is in age-appropriate terms
• Let them help choose teething toys or cool washcloths
• Encourage them to sing soothing songs or read stories to the baby
• Praise them for being patient and understanding during fussy periods

How can parents balance attention between a teething baby and older siblings? Make sure to set aside one-on-one time with each child and involve older siblings in age-appropriate care tasks to help them feel included.

Cultural Perspectives on Teething

Teething practices and beliefs can vary significantly across different cultures. Understanding these diverse perspectives can broaden our approach to teething and provide interesting insights into global childcare practices.

Examples of cultural teething practices:

• In some African cultures, certain herbs are used to soothe teething pain
• Some Asian cultures use jade or amber necklaces for teething relief (although these are not recommended due to safety concerns)
• In parts of Europe, teething is sometimes associated with developmental milestones beyond dental emergence

How can parents incorporate cultural practices safely? While it’s interesting to learn about diverse teething traditions, always prioritize safety and consult with your pediatrician before trying new remedies or practices.

Long-Term Dental Health: Beyond the Teething Phase

While the teething phase is a significant milestone, it’s just the beginning of your child’s dental journey. Establishing good oral health habits early on can set the stage for a lifetime of healthy smiles.

Tips for long-term dental health:

1. Continue regular dental check-ups as recommended by your dentist
2. Teach proper brushing and flossing techniques as your child grows
3. Limit sugary snacks and drinks to protect against tooth decay
4. Consider dental sealants when recommended by your dentist
5. Encourage wearing a mouthguard during sports activities

When should parents start teaching children to brush their own teeth? While supervision is needed until around age 7-8, you can start involving your child in the brushing process as early as 2-3 years old to foster independence and good habits.

Teething is a natural and important phase in your baby’s development. While it can sometimes be challenging for both babies and parents, understanding the process, recognizing the signs, and knowing how to provide comfort can make this period more manageable. Remember, every baby is unique, and their teething journey may not follow a precise timeline. By staying informed, patient, and attentive to your baby’s needs, you can navigate the teething phase with confidence and help your little one emerge with a healthy, happy smile.

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.

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.

terms, signs and ways to alleviate the condition

It would seem that only recently the period of colic in your baby’s tummy has passed. And here again he is capricious, crying and does not find a place for himself. The period has come when the child’s teeth are being cut. The appearance of the first incisors is accompanied by pain and a number of other unpleasant symptoms. How not to confuse it with other pathological processes? And how to alleviate the condition of the child? Young parents should learn more about the features of teething in babies.

When the first teeth appear

There is no unambiguous answer as to what time milk teeth begin to erupt. Each child’s body has its own characteristics, so the timing is individual. But there are generalized frameworks that can be guided by:

1. At 4-7 months, the lower incisors appear. But there are times when the first tooth erupts at 3 months. Again, everything is very individual.
2. At 7-9 months, two upper incisors appear.
3. At 9-11 months – two teeth grow on the sides of the central ones on the upper jaw.
4. At 11-13 months – two lower lateral ones.

In most cases, before the age of one, the child already has 8 front teeth. They erupt in pairs – one, and soon after it another. A one and a half year old baby usually already has first molars. They also appear in pairs on the lower and upper jaws. After them, fangs grow (the first, as a rule, from above). At 2 years old, the baby most often already has 16 teeth. At what age does the formation of a milk bite end? Normally, by the age of 2.5-3 years, the child already has a complete “set”, in which there are 20 teeth.

If your baby has a shift of 2 months (sometimes even 4 months) in one direction or another, it’s okay. This is not yet a departure from the norm. Which of the central teeth will appear first is not important. But if at first it was not the incisors that cut through, then this is already an anomaly, like their complete absence in a one-year-old baby. In these cases, you need to consult a doctor.

What factors affect the timing of the appearance of teeth

When which teeth are cut? Experts note that the beginning of the process of forming a milk bite is determined by various factors. The rudiments of the dentition are formed in the embryo as early as the 6-7th week of pregnancy. Their quality is determined by nutrition, lifestyle, and the presence of diseases in the mother. Long-term toxicosis, complications in bearing a child, premature birth (up to the 37th week), injuries when a baby is born can slow down the time. The time frame when teething begins also depends on such factors:

• heredity;
• types of nutrition – breastfeeding is more desirable than artificial, as it involves the active work of the facial muscles;
• nutritional quality – the more calcium the child’s body receives, the higher the likelihood that teeth will appear faster;
• climatic conditions – in children living in hot countries, the process starts faster;
• water quality;
• compliance with the rules of child care.

Affect the timing and various childhood diseases. So, with rickets, which is caused by a lack of vitamin D, the absorption of calcium is difficult. Deficiency of this element negatively affects the development of teeth. With metabolic disorders, endocrine, infectious diseases, problems in the functioning of the digestive tract, the appearance of teeth can also be belated. It happens that the child has no rudiments – complete or partial adentia. You can confirm or exclude fears with the help of x-rays.

According to long-term observations, it was noted that boys teeth erupt faster than girls.

What symptoms accompany the process of teething

How can you tell if a child is teething? Most often, this process is difficult to miss, because only in rare cases does it not cause pain and other unpleasant sensations.

General signs

The baby may become restless, capricious. Of course, these signs can be associated not only with the appearance of teeth. For this reason, you should also pay attention to the presence of the following symptoms:

1. Gingival swelling visible to the naked eye. The tissues become bright red. Gingival swelling can also be determined by palpation. Sometimes a hematoma or abscess forms on it.
2. Increased salivation. Such a symptom may be present in a child up to a year. Due to heavy salivation, the skin is irritated, so a rash may appear around the mouth.
3. Loss of appetite. Explained by uncomfortable sensations in the mouth. Also during this period, the baby’s taste sensations may change, so if he refuses food that he used to like, do not be surprised.
4. A child’s desire to put everything in his mouth. The fact is that the baby is tormented by severe itching and he is trying to somehow alleviate his condition.
5. Acid breath.

The level of pain in each case is different. Against the background of all these symptoms, the child’s sleep is disturbed.

Health disorders

Comparatively harmless symptoms are listed above. But there are times when during this period the child’s health deteriorates, as immunity weakens. This manifests itself in the form of such signs:0003

1. An increase in body temperature is the body’s reaction to tissue damage, infection and, as a result, inflammation. It is important to monitor the cleanliness of the hands and objects that the baby gnaws. Normally, the indicators are not higher than 38 ˚С and disappear in a day. If it increases and lasts more than 3 days, you need to see a doctor.
2. Runny nose. Saliva, which is abundant during this period, can enter the nasopharynx or even the middle ear. So there is a runny nose.
3. Cough. It also occurs due to excessive salivation. A large amount of mucus accumulates in the throat. The baby cannot swallow it reflexively. The throat is cleared by coughing.
4. Diarrhea. It is necessary to pay attention to the duration of the disorder. Normally, it should pass in a period of up to 3 days. There should be no blood, black or green blotches in the stool. Diarrhea occurs when mucus enters the stomach with food. Less often, constipation may occur for the same reason.

Most of these signs are similar to viral diseases. If you ignore the symptoms, you can get complications. Therefore, it is important to carefully monitor the combination of signs, the condition of the child, take into account how many days the malaise lasts. If the baby is too lethargic, diarrhea has become more frequent, vomiting has appeared, you should consult a doctor.

How to ease teething

As already mentioned, in most cases, the process of teething is accompanied by pain and itching. At this time, the baby needs special care – play with him, talk, ensure thorough hygiene. It is also important to remain calm. Remember that babies feel the emotional mood of their parents. To understand how to help the child at this time, you need to read the recommendations of specialists. There are different ways to do this.

Medicines

Depending on the symptoms, the following pharmacy products are used:

1. Ointments and gels. Only a specialist can suggest how to anesthetize teething. Often, babies are prescribed “Kamistad Baby”, “Baby Doctor”, “Kalgel”, “Dentinoks”, etc. These drugs have an antiseptic and cooling effect.
2. Syrups and suppositories. If the temperature rises to 38.5 ° C, antipyretics are needed. In this case, Nurofen, Panadol will help. It is important to carefully observe the indicated dosages and frequency of administration.
3. Nasal drops. With a runny nose, 1-2 drops of Aquamaris or saline should be instilled into each nostril. Doing this will help flush out mucus from your nasal passages and make it easier for your baby to breathe.

Remember that self-medication is dangerous for your baby. Therefore, coordinate all your actions with the pediatrician. If other unwanted symptoms are noticed, such as redness of the throat, take the child to the doctor.

Alternative methods

Medicines should only be used as a last resort. First you need to try to help the child, using safer methods. Among them:

1. Gingival cooling. If the question is how to alleviate the condition of the baby and relieve pain, the cold will be your best assistant. Pharmacies sell special teethers filled with water. They are cooled in the refrigerator and offered to the baby. The child massages the gums with a teether. So the inflammation is removed, the outflow of blood from the painful place is ensured.
2. Gum massage. Make it with clean fingers without intense pressure. It is important to make sure that there are no long nails, otherwise you can damage the fabric for the baby. You can wrap a sterile bandage on your fingers soaked in chamomile infusion or boiled water. Often the child is offered pieces of fruit or vegetables. They are wrapped in gauze and made sure that the baby does not choke.

Teeth don’t cut in one day, so please be patient. How to understand that they have already begun to appear? On the surface of the gums you will see the long-awaited tubercles. This will be the “crown” of all your patience.

Correction of the child’s lifestyle during teething

Parents often have a lot of questions regarding their child’s habitual lifestyle.

Is it possible to walk

For newborns, fresh air is one of the main conditions for harmonious development and growth. Staying within four walls when a baby is teething is definitely impossible. If the child is not lethargic, he does not have a temperature above 38 ˚С, then a walk is an obligatory “ritual”. An exception may be bad weather – severe frost or heat, rain, gusty wind.

Is it possible to vaccinate

The expected date of vaccination may coincide with the appearance of teeth. The process is not a contraindication to immunization. But if the child does not feel well, he has a fever, then it is better to postpone the vaccination until the baby’s condition is normal.

Is it possible to introduce complementary foods

It is recommended to introduce complementary foods at about 5 months or half a year. Deadlines may vary slightly. The appearance of the first tooth is evidence of the readiness of a small organism for “adult” food. If the teething process causes severe discomfort in the baby, stool disorders, fever and other unpleasant symptoms, it is better to wait a little with new dishes. And the baby himself is unlikely to be interested in unfamiliar food.

Which teeth erupt first – Dr. Lapchenko Dental Clinic

A baby has appeared in the house. The first fears and worries passed, the pediatrician came for an examination and informed the young parents that the child was completely healthy. They even coped with the first difficulties: with colic, they “saved” my mother’s warmth and good old dill water. Sleepless nights are over and it’s time to relax and enjoy watching your baby grow? Alas, a new test awaits parents ahead: the child’s teeth begin to cut.

How to “survive” this difficult period, what you should remember and how you can help your child, we will tell in this article.

When teething starts

Your child’s future teeth are formed during the prenatal period, during the second month of pregnancy. When should you expect the first tooth? As a rule, the first milk teeth appear in children at the age of 4-7 months. We say “usually” because teething is an exclusively individual process and it is not worth worrying about the fact that teeth do not appear “on schedule”. There are cases when a child is already born with the first teeth, and sometimes the teeth can wait until the first Birthday of your crumbs.

What determines the timing of teething

Teething a little earlier or later than the average set period of 6 months is not a cause for concern. The timing of the “exit” of the tooth from the gums can depend on factors such as the mother’s diet during pregnancy, the individual characteristics of the child, and even heredity. Check with your next of kin: perhaps the first milk teeth appeared quite late for you or your parents, and the baby simply “observes family traditions”.

Graph of the appearance of teeth in babies

And yet, while waiting for the first tooth, I want to focus on some dates. As we said above, it is worth preparing for 4-7 months.

Which teeth come in first

• teeth usually start to erupt from the lower central incisors, they erupt in pairs. Then the upper central incisors erupt. By 8 months, 4 incisors usually appear – two in each jaw;
• lateral incisors erupt on both jaws by 12 months;
• after the incisors, the first large molars, or molars, appear. They should be expected by the age of 12-16 months;
• behind them – fangs, at 16-20 months;
• and the last, by the age of two, the second molars are born.

Remember that your baby may have a different “formula” for teething. Violation of the timing and order of the appearance of teeth is not a sign of some kind of pathology.

There are 20 milk teeth in total, and by the age of three, most children can already boast of a complete set.

Teething symptoms

The timing has been determined. How to understand that baby is teething? Forerunners of this are characteristic symptoms:

• tearfulness and restlessness;
• sleep disturbance;
• profuse salivation;
• rashes and irritations of the skin around the mouth;
• temperature increase;
• inflammation of the gums;
• coryza;
• cough;
• diarrhea.

The combination of several or even all of these symptoms is characteristic of teething. As you can see, the manifestations are not at all specific, and can accompany many other diseases. That is why it is important to see a doctor if the child’s condition does not improve within three days, or if the temperature rises above 38.5-39°C. Attributing childhood ailments to the teeth, it is very easy to “miss” an infectious or viral disease – be careful.

Let’s take a closer look at some of the most frightening symptoms that accompany teething and the causes that cause them.

Inflammation of the gums

The gums become “loose” and change color. Bumps, bruises and light streaks are sure signs that your child will soon delight you with a new tooth.

Fever

The temperature usually rises slightly – up to 37.5 °C. If the numbers on the thermometer reached the level of 38.5-39 ° C, most likely an infection has joined. In this case, it is necessary to give the baby an antipyretic and consult a doctor as soon as possible.

Runny nose

Profuse salivation is not the only manifestation of teething. Just as the mucous membrane of the mouth reacts, so does the nose. Hence the runny nose. If a three-month-old baby has small amounts of transparent snot, the reason is most likely in the teeth. Do not try different medicines. It is enough just to regularly clean the clogged nose. There can be two reasons to see a doctor with a runny nose:

• runny nose continues and does not decrease within three days;
• nasal discharge has ceased to be transparent, and has become greenish – this may indicate that a bacterial infection has appeared against the background of a weakened immune system.

Cough

Cough caused by saliva that collects in the throat. The fact is that in children the swallowing reflex is not developed enough and with a large amount of liquid, children begin to cough it up. With cutting teeth, the cough is wet, rare and does not last more than 3-4 days. A dry, irritating mucous membrane and a prolonged cough is a definite reason to make an appointment with your pediatrician.

Diarrhea

Oddly enough, but violations of the excretory function are also caused by strong salivation. Constantly swallowing, the child thereby stimulates the peristalsis of his intestines, which causes a loosening of the stool. Diarrhea with cutting teeth is not very liquid, without blood threads and does not last more than two days. If something has alerted you – do not hesitate to contact the doctor.

Which teeth come out first, how to help your child

When teeth come out , your baby changes dramatically. Irritability, frequent crying, sleep disturbance and loss of appetite – teething is a difficult time for both the baby and the parents. How to help the child and how to speed up the appearance of teeth? Unfortunately, there is no way to speed up the process, but you can alleviate the condition of the baby. It is recommended to gently massage the gums with your fingertip, and a cool teether will relieve pain. A little secret: children are easily distracted. Show the baby something interesting – and he will calm down, forgetting about the discomfort in his mouth. Do not forget about the power of maternal warmth. Hold the child close to you, shake it: it is easier for a baby to survive any sorrows next to his mother.

Remedies for symptoms: how to relieve pain

The process of teething does not take one day, but can stretch for weeks. That is why it is so important to replenish your first-aid kit in advance with products that will help your child to endure unpleasant sensations more easily, and you to remain calm.

1. Is the appearance of new teeth accompanied by high fever? It is worth stocking up on special dental gels (Kamistad-gel), which have a cooling and local anesthetic effect. You can use the gels from the age of four months, and, depending on the composition, apply up to 5-6 times a day.
2. Has the temperature risen? Children’s antipyretics based on ibuprofen (Nurofen) or paracetamol (Panadol) will not only lower the temperature, but also reduce the severity of the inflammatory process. Please note: teeth rarely give a very high temperature. If you see numbers above 39 ° C on your baby’s thermometer, call your doctor immediately.
3. If for some reason a child cannot take medicines, homeopathy comes to the rescue. Good results in teething are also given by homeopathic suppositories (Viburkol) and sucking tablets (Dormikind).
4. Do not forget about the “grandmother’s” methods. Cool items (from special teethers to a regular spoon) can significantly alleviate the child’s condition. Do not take away from the crumbs the items that he “pulls into his mouth”. A child can chew on everything – just make sure that there are no sharp corners on the thing that can injure the mucous membrane of the mouth, or small parts that the baby can accidentally inhale.