When do babies start teething. What are the first signs of teething in infants. How to soothe a teething baby. Is fever a symptom of teething. Can teething cause diarrhea in babies. What remedies help with teething pain. How long does teething last in infants.

Understanding the Teething Process in Infants

Teething is a natural developmental milestone that every infant experiences. It typically begins around 4 to 8 months of age, but some babies may start teething as early as 2 months. The process continues until approximately 30-36 months when the last set of molars appear. During this time, parents often observe various signs and symptoms that indicate their baby is teething.

According to research published in the British Dental Journal, 70-80% of parents reported observing teething symptoms in their infants. However, it’s important to note that not all babies experience the same symptoms or intensity of discomfort during teething.

When Does Teething Usually Begin?

While the average age for teething to start is between 4 and 8 months, some infants may begin showing signs as early as 2 months. The lower front teeth (central incisors) are typically the first to emerge, followed by the upper front teeth. The teething process generally follows this pattern:

• Lower central incisors: 6-10 months
• Upper central incisors: 8-12 months
• Upper lateral incisors: 9-13 months
• Lower lateral incisors: 10-16 months
• First molars: 13-19 months
• Canine teeth: 16-22 months
• Second molars: 25-33 months

Common Signs and Symptoms of Teething in Infants

Recognizing the signs of teething can help parents provide appropriate care and comfort to their babies. Here are some of the most common symptoms associated with teething:

Irritability and Fussiness

Is your baby more irritable than usual? Teething can cause discomfort as teeth erupt through the gums, leading to increased fussiness and irritability. This symptom is often more pronounced with the emergence of the first teeth and molars.

Excessive Drooling

Have you noticed an increase in your baby’s drooling? Teething stimulates saliva production, resulting in excessive drooling. This can sometimes lead to skin rashes around the mouth, cheeks, chin, and neck due to the constant moisture and bacteria from saliva.

Swollen or Tender Gums

Are your baby’s gums looking swollen or red? As teeth push through the gums, the surrounding area may become swollen, tender, and even slightly red. Gently rubbing your clean finger along your baby’s gums might help you feel the emerging teeth.

Chewing and Biting Behavior

Is your baby constantly putting things in their mouth? Teething babies often have an increased urge to chew and bite on objects. This behavior helps alleviate the pressure and discomfort in their gums.

Sleep Disturbances

Has your baby’s sleep pattern changed recently? Teething discomfort can disrupt your baby’s sleep, causing them to wake up more frequently during the night or have difficulty falling asleep.

Decreased Appetite

Is your baby refusing to eat as much as usual? Some babies may experience a temporary loss of appetite during teething, especially if they’re experiencing pain or discomfort while eating.

Low-Grade Fever

Does your baby have a slightly elevated temperature? A low-grade fever (between 98-100째F or 36.6-37.8째C) can sometimes accompany teething. However, it’s important to note that high fevers are not typically associated with teething and may indicate other health issues.

Distinguishing Teething Symptoms from Illness

One challenge parents often face is differentiating between teething symptoms and signs of illness. This confusion arises because teething typically begins around the same time that an infant’s immune system is undergoing significant changes.

Around 6 months of age, the immunity babies received from their mothers via the placenta begins to diminish. Simultaneously, the infant’s own immune system is becoming established, making them more susceptible to minor infections. This overlap in timing can make it difficult to determine whether symptoms are due to teething or a mild illness.

When to Consult a Pediatrician

While many teething symptoms can be managed at home, there are instances when it’s important to consult a pediatrician:

• Fever above 101째F (38.3째C)
• Diarrhea lasting more than 24 hours
• Persistent coughing or cold-like symptoms
• Prolonged irritability or unusual fussiness
• Signs of dehydration
• Refusal to eat or drink for an extended period

Soothing Techniques for Teething Babies

Parents can employ various methods to help alleviate their baby’s teething discomfort. Here are some effective soothing techniques:

Cold Therapy

How can cold items help with teething pain? Cold temperatures can numb the gums and provide relief. Try offering your baby:

• Chilled teething rings or toys
• Frozen washcloths (slightly thawed)
• Cold spoons (not frozen)
• Chilled fruits in a mesh feeder (for babies already eating solids)

Gum Massage

Can massaging your baby’s gums provide relief? Gently rubbing your baby’s gums with a clean finger or soft, damp cloth can help alleviate discomfort. The pressure from the massage can counteract the pressure of the emerging teeth.

Teething Toys

What types of teething toys are safe and effective? Look for teething toys made of safe, non-toxic materials. Some popular options include:

• Silicone teething rings
• Wooden teething toys
• Soft rubber teethers
• Teething necklaces (worn by parents, not babies)

Pain Relief Medications

When should you consider pain relief medications for teething? If other soothing methods aren’t providing enough relief, you may want to consider over-the-counter pain medications. Always consult with your pediatrician before administering any medication to your baby.

Teething and Oral Care: Establishing Good Habits Early

Teething presents an excellent opportunity to start establishing good oral hygiene habits for your baby. Here are some tips for maintaining your baby’s oral health during teething:

Cleaning Gums and First Teeth

How should you clean your baby’s gums and first teeth? Use a soft, damp cloth or infant toothbrush to gently clean your baby’s gums and emerging teeth. This helps remove bacteria and gets your baby accustomed to oral care routines.

Introducing Toothpaste

When should you start using toothpaste for your baby? Once your baby’s first tooth appears, you can begin using a tiny smear of fluoride toothpaste (about the size of a grain of rice) on a soft-bristled toothbrush.

First Dental Visit

When should you schedule your baby’s first dental visit? The American Academy of Pediatric Dentistry recommends scheduling your baby’s first dental visit by their first birthday or within six months after their first tooth emerges.

Nutritional Considerations During Teething

Teething can sometimes affect a baby’s eating habits. Here are some nutritional considerations to keep in mind:

Maintaining Proper Nutrition

How can you ensure your teething baby gets proper nutrition? If your baby is experiencing discomfort while eating, try offering softer foods or purees. For breastfed babies, continue nursing as usual, as the sucking motion can help soothe sore gums.

Avoiding Certain Foods

Are there foods you should avoid during teething? Avoid giving your baby hard foods that could pose a choking hazard. Also, limit sugary foods and drinks, as they can contribute to tooth decay.

Hydration

Why is hydration important during teething? Increased drooling can lead to fluid loss, so ensure your baby stays well-hydrated. Offer water (for babies over 6 months) or breast milk/formula more frequently.

Long-Term Dental Health and Teething

While teething is a temporary phase, it plays a crucial role in your child’s long-term dental health. Here are some considerations:

Tooth Alignment

Does teething affect future tooth alignment? The order and timing of tooth eruption can influence future tooth alignment. However, genetics and oral habits (like thumb-sucking) play a more significant role in determining dental alignment.

Preventing Early Childhood Caries

How can you prevent tooth decay in teething babies? Avoid putting your baby to bed with a bottle of milk or juice, as this can lead to early childhood caries. Clean your baby’s gums and teeth regularly, and limit exposure to sugary foods and drinks.

Monitoring Tooth Development

Why is it important to monitor your baby’s tooth development? Regular monitoring helps identify any potential issues early on. Keep track of when teeth emerge and report any concerns to your pediatrician or dentist.

Understanding the teething process and recognizing its signs and symptoms can help parents navigate this developmental milestone with confidence. By employing appropriate soothing techniques, maintaining good oral hygiene, and seeking professional advice when needed, parents can ensure their baby’s teething experience is as comfortable as possible while laying the foundation for long-term dental health.