Dealing with your baby’s first teething experience can be quite challenging. Here are some helpful insights to guide you through this phase.

Time for the tooth

Most babies begin teething around 6 months old, although the timeline can vary. Typically, the first teeth to emerge are the bottom two middle teeth, followed by the top two. By the age of 3, children usually have a full set of teeth.

It’s important to start taking care of your baby’s teeth as soon as they start to come in. You can begin by gently cleaning their gums with a clean, damp cloth. Once the teeth start to come in, you can start using a small, soft toothbrush to clean them. It’s also important to schedule regular dental check-ups for your child to ensure that their teeth are healthy and developing properly.

Teething can be a challenging time for both babies and parents, but with proper care and attention, you can help make the process as smooth as possible for your little one.

Is it teething?

Teething patterns differ among babies. Some may exhibit clear signs of teething, while others may not show any overt symptoms. Look out for indicators like excessive drooling, heightened chewing activity, irritability, and swollen gums.

Teething remedies from around the world

Teething is a universal experience for babies, but different cultures have unique ways of addressing teething discomfort. Here are some remedies from around the world:

• Mexico: In Mexico, some parents use a small amount of agave nectar rubbed on the gums to soothe teething pain.
• India: In India, it is common to give babies a piece of liquorice root to chew on to alleviate teething discomfort.
• Japan: In Japan, babies are often given a traditional teething biscuit called “oshibori” to chew on to help with teething.
• Iran: In Iran, parents sometimes use a piece of cotton soaked in rose water to massage their baby’s gums during teething.

While these remedies may not be widely practiced in other parts of the world, it’s interesting to see the different approaches that parents take to help their babies through the teething process.

Nappy rash and teething

Teething in babies may lead to the development of nappy rash. Change their diapers frequently and consider using a barrier cream to alleviate discomfort.

Allow your baby some diaper-free time to help soothe any irritated skin.

It is important to keep the diaper area clean and dry to prevent nappy rash. Use mild baby wipes or plain water to clean the area during changes.

Avoid using any scented or alcohol-based products on your baby’s skin, as these can further irritate the rash.

If the nappy rash persists or worsens, consult your pediatrician for further advice and treatment options.

Teething and crying

If teething causes excessive crying in your baby, don’t hesitate to seek assistance from friends or family members to help alleviate stress.

Thumb-sucking and soothers

Children may resort to thumb-sucking as a self-soothing mechanism, typically starting around 18 months of age.

Breastfeeding

Continuing breastfeeding up to 12 months can contribute to a reduction in tooth decay. Consult healthcare professionals for guidance if you plan to breastfeed beyond 12 months. Additionally, breastfeeding has numerous benefits for both the mother and the baby, including providing essential nutrients and antibodies that can help boost the baby’s immune system. Breastfeeding also promotes bonding between mother and baby and may reduce the risk of certain diseases for both parties. It is important to seek support and guidance from healthcare professionals to ensure a successful breastfeeding journey.

When to start brushing your baby’s teeth

Initiate a daily routine of gently cleaning your baby’s gums with a soft cloth before their teeth begin to erupt. Introduce gentle toothbrushing around 6 months of age without using toothpaste.

Set a positive example by incorporating brushing as a regular part of your baby’s daily routine.

As your baby’s teeth start to come in, gradually introduce a small amount of fluoride toothpaste (about the size of a grain of rice) to the toothbrush. Make sure to use a soft-bristled toothbrush suitable for infants to avoid irritating their delicate gums.

Remember to brush your baby’s teeth twice a day, ideally after breakfast and before bedtime. Ensure that you are gentle and thorough in your brushing technique to effectively remove plaque and prevent tooth decay.

It’s also important to schedule regular dental check-ups for your baby to monitor their oral health and address any concerns early on. By starting good oral hygiene habits early, you can help set the foundation for a lifetime of healthy teeth and gums.

First dentist appointment

When your baby’s first teeth start to appear around 6 months old, schedule a dental visit. Dentists can offer valuable advice and tips on managing teething-related issues.

Babies with tongue tie

Babies with a tongue tie may encounter challenges with oral hygiene, potentially leading to tooth decay. Frenectomy may be recommended to release the tight frenulum.

When to get medical advice

Urgent advice: Contact your GP urgently if your baby:

• has a fever of over 38 degrees Celsius
• displays lethargy and drowsiness

If your baby experiences these symptoms, they are unlikely to be solely attributed to teething. Symptoms like dehydration, rash, or feeding difficulties may indicate other underlying concerns.

Seek guidance from a GP and consult healthcare providers for comprehensive advice on managing teething issues and oral care.

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Last reviewed: 4 February 2022
Next review: 4 February 2025

Funding received from the Government of Ireland’s Sláintecare Integration Fund 2019 under Grant Agreement Number 8.

When caring for a new baby, it’s important to establish a routine for feeding, sleeping, and diaper changing. Make sure to provide a safe and nurturing environment for your little one to thrive. Remember to always support your baby’s development through interactive play and communication.

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