Embark on the thrilling adventure of your infant’s initial tooth development! Teething marks a significant milestone in your little one’s growth, yet it can also pose challenges and discomfort along the way.

This guide will lead you through the common indicators and manifestations of teething, assisting you in identifying when your baby is on the verge of teething. Moreover, we will delve into a range of remedies to alleviate teething pain and offer practical suggestions to ensure your baby remains content and cheerful during this transformative phase. Naturally, do consult your pediatrician for any queries or concerns.

When Do Babies Start Teething?

The question of when babies begin teething is often on the minds of new parents. While most infants typically sprout their first tooth between 4 and 7 months of age, the timeline varies for each child. Some may kickstart the teething process as early as 3 months, while others may not see their inaugural tooth until after their first birthday. By the age of 3, most toddlers boast a complete set of 20 primary teeth, also referred to as baby teeth.

Stages of Teething

Teething unfolds gradually through various stages. Below is an elaborate breakdown of the expected sequence in which baby teeth usually emerge:

Stage 1: (0-6 months)

At this stage, your baby’s teeth are formulating beneath the gums, though they are not yet visible.

Signs: Subtle to none, although some infants may exhibit early teething indications like heightened drooling and gnawing.

Stage 2: (6-8 months)

Teeth: Lower central incisors (the two front lower teeth)

Description: Typically, these are the initial teeth to break through. They may emerge singularly or in pairs.

Signs: Increased drooling, irritability, and a penchant for biting. Additionally, you may notice inflamed, reddish gums in the tooth eruption area.

Stage 3: (8-12 months)

Teeth: Upper central incisors (the two front upper teeth)

Description: These teeth generally succeed the lower central incisors. They may arrive individually or in pairs.

Signs: Resembling Stage 2 symptoms, but the discomfort might intensify as upper teeth are more sensitive. Your baby might seem agitated and have difficulty sleeping.

Stage 4: (9-16 months)

Teeth: Lower and upper lateral incisors (teeth adjacent to the central incisors)

Description: These teeth tend to emerge in pairs, one on each side of the central incisors.

Signs: Continued drooling and chewing, with heightened gum swelling and irritability. Some babies may exhibit a mild fever.

Stage 5: (12-18 months)

Teeth: First molars (the rear teeth)

Description: These larger teeth can induce notable discomfort due to their size and gum pressure.

Signs: Increased irritability, feeding difficulties, escalated drooling, and gum swelling.

Stage 6: (16-22 months)

Teeth: Canines (pointed teeth between incisors and molars)

Description: Typically the subsequent to appear, presenting individually or in pairs.

Signs: Lesser discomfort compared to molars, yet potential fussiness and gum inflammation.

Stage 7: (22-33 months)

Teeth: Second molars (posterior teeth emerging after first molars)

Description: The ultimate set of primary teeth to emerge, causing substantial discomfort due to their size and positioning.

Signs: Heightened irritability, disturbed sleep, escalated drooling, and gum swelling. Some babies might exhibit a slight fever.

Teething Symptoms

Usually, teething symptoms manifest approximately 3-5 days before a tooth surfaces and may persist for a few days post-eruption.

Occasionally, some babies may endure symptoms for an extended period, sometimes stretching to weeks. The complete teething process, spanning the first to last tooth eruption, can span up to three years. Throughout this period, you may observe cycles of enhanced discomfort and irritability, interspersed with calm intervals.

Irritability and restlessness:

In addition to fussiness, teething babies may also become irritable and restless. They may have difficulty settling down or seem easily agitated.

Sucking or biting on fingers:

Babies may try to alleviate teething pain by sucking on their fingers or hands. Some babies may even bite on their fingers to help relieve discomfort.

Changes in bowel movements:

Teething can sometimes lead to changes in bowel movements, such as loose stools or diarrhea. This is thought to be due to increased saliva production swallowing more air, leading to digestive issues.

Increased sensitivity:

Teething babies may be more sensitive to touch or temperature changes. They may pull away when you touch their face or become more fussy when the temperature changes.

Increased clinginess:

Teething babies may seek more comfort and reassurance from their caregivers. They may want to be held more often or have trouble being away from their parents or primary caregivers.

Development of new teeth:

Eventually, you will start to see the emergence of new teeth in your baby’s mouth. This is a clear sign that the teething process is progressing, and your baby will soon experience relief from the discomfort.

Remember: Every baby is different, so not all symptoms may be present in every teething baby. If you have concerns about your baby’s teething process or if the symptoms seem severe, always consult with your pediatrician for guidance and advice.

Providing Comfort During Teething

Gum Massage

Gently massage your baby’s gums with a clean finger or offer a teething ring or pacifier made of firm rubber to alleviate discomfort.

Chill Relief

Chill a teething ring, pacifier, or wet washcloth in the fridge (avoid freezing) to numb gums and alleviate pain.

Cold Foods

For babies consuming solids, consider offering chilled pureed fruits or vegetables, or supervised chilled vegetables like cucumber or carrot for gum relief.

Cool Spoon

A cold spoon can also bring relief by gently pressing against the gums. Ensure the spoon is clean and cool to provide a soothing sensation.

Pain Relief

If necessary, consider using infant acetaminophen-based pain relief under pediatrician guidance to ease discomfort during teething.

Preventing Rash

To prevent facial rashes from increased drooling, maintain cleanliness by patting dry and applying pediatrician-recommended moisturizer.

Avoid: Refrain from using rub-on teething gels or liquids for infants under 2 years old, as they can be hazardous. Do not give liquid-filled teething rings to avoid choking risks. Never put a teething ring around your baby’s neck. Avoid offering hard objects to chew on or pacifiers with liquid inserts. Stay away from products not specifically designed for teething.

Additional tips for soothing a teething infant

Teething toys: Invest in safe teething toys that are specifically made for teething relief. Providing gentle baths can also help soothe your baby. In addition, offering comfort, cuddles, proper hydration, and gentle brushing can alleviate teething discomfort.

If you have any questions, talk to your pediatrician

If your baby’s teething symptoms are severe, seek advice from your pediatrician. It’s important to get personalized recommendations for your baby’s health and well-being.

Babies typically begin teething around 6 months of age and usually have a total of 20 baby teeth by the time they reach 2.5 years old.

Additional signs that your baby is teething:

• Difficulty sleeping
• Irritability or fussiness
• Ear pulling or cheek rubbing
• Loss of appetite
• Increased sucking or biting

Some ways to help alleviate your baby’s teething discomfort include giving them a chilled teething ring or washcloth to chew on, gently massaging their gums with a clean finger, or offering them cold foods like yogurt or applesauce. Over-the-counter teething gels or pain relievers can also be used, but be sure to consult with your pediatrician first.

Remember, every baby is different and may experience teething differently. Trust your instincts as a parent and seek guidance from healthcare professionals if you have any concerns about your baby’s teething symptoms.

How to help your teething baby

To help alleviate your teething baby’s discomfort, offer comfort and playtime. Consider providing something safe to chew on, massaging their gums, using pain relief as needed, or giving them cold water to drink.

Tips for helping a teething baby

Chewing on teething rings can be beneficial for soothing gums. Ensure that the rings are large enough to prevent choking hazards. Follow the recommended hygiene and cooling instructions. Avoid freezing the rings, and use clean facecloths for chewing instead.

Teething gels and pain relief

Consider using sugar-free teething gels or mild pain relief to address any discomfort. Consult your GP for guidance on their proper use. Avoid using adult products on infants.

Amber teething jewellery

Avoid the use of amber teething jewelry due to potential choking risks. Never place jewelry around your baby’s neck.

Homeopathic teething products

Avoid purchasing unlicensed homeopathic teething products online. Seek medical advice to ensure safety for your baby. Products like Nelson’s homeopathic teething remedies are considered safe.

Nappy rash and teething

During the teething phase, keep an eye out for nappy rash. Use barrier cream and allow some nappy-free time to help soothe the skin.

Teething and crying

Don’t hesitate to ask for assistance when caring for a teething baby to help manage stress levels.

Thumb-sucking and soothers

It’s common for babies to suck their thumbs for comfort after teething.

Thumb-sucking is a natural reflex for babies and can help them feel secure and relaxed. However, prolonged thumb-sucking can lead to dental problems, such as misalignment of the teeth or palate. It’s important for parents to gently discourage thumb-sucking habit in their children as they grow older.

Soothers, also known as pacifiers, can be a substitute for thumb-sucking. They can provide the same comfort and soothing effects for babies without the potential dental issues. It’s important to choose soothers that are the appropriate size for your baby’s age and to regularly clean and replace them to prevent any health issues.

Breastfeeding

Extended breastfeeding up to 12 months can help reduce the risk of tooth decay. Seek advice on continued breastfeeding from healthcare professionals.

When to start brushing your baby’s teeth

Start cleaning your baby’s gums and emerging teeth early on. Gently brush with water and a soft brush only. Setting a good example of dental care is important.

As your baby’s teeth start to come in, usually around 6 months of age, you can begin using a small amount of fluoride toothpaste on a soft-bristled brush. Make sure to use just a smear of toothpaste until your child is able to spit it out, around age 3. Supervise brushing to ensure that your child is getting all areas of their mouth clean.

First dentist appointment

Schedule a visit to the dentist as soon as your baby’s teeth appear. Learn how to take care of your baby’s teeth and manage teething effectively.

It is important to start good oral hygiene habits early on to prevent tooth decay and other dental issues. Be sure to brush your baby’s teeth twice a day with a soft-bristled toothbrush and a smear of fluoride toothpaste. Avoid putting your baby to bed with a bottle, as this can lead to tooth decay. Encourage healthy eating habits and limit sugary snacks and drinks.

If your baby is experiencing teething discomfort, you can offer a clean, cold washcloth or a teething toy to help soothe their gums. You can also talk to your dentist about safe pain relief options.

Your baby’s first dental appointment is an important milestone in their oral health care. The dentist will check for any issues and provide guidance on how to care for your baby’s teeth as they continue to grow. Starting dental visits early can help your child feel comfortable at the dentist and establish good oral health habits for life.

Babies with tongue tie

Some babies may require a frenectomy due to tongue tie issues. Limited tongue movement can lead to dental problems like tooth decay.

Urgent advice: Contact your GP urgently if your baby:

• Remember that high fever or lethargy are not indicators of teething. If your baby is not drinking enough or doesn’t have wet nappies, dehydration could be a concern.

If you’re worried about your baby’s symptoms, seek advice from your GP or healthcare provider.

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Last reviewed on: 4 February 2022. Next review scheduled for: 4 February 2025.

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Teething can pose challenges for parents. Seek support and relief for both your baby and yourself during this phase.

Signs of Teething Phase:

• Lots of drooling: Teething infants tend to drool more than usual.
• Chewing on everything: Babies often chew on various objects during teething.
• More fussiness: Teething may make babies crankier than usual.
• Ear pulling: Babies might tug at their ears due to teething discomfort.

Teething experiences differ among babies. If concerned, consult a pediatrician for guidance.

Methods for Relief:

Using a mesh teether with frozen fruit puree can help alleviate sore gums during teething.

Frozen breastmilk or formula popsicles offer cooling relief for teething discomfort.

Simple and effective options include a solid rubber teething toy or a frozen washcloth pacifier.

Consider natural teething gels with safe ingredients for added relief.

As a last resort, consult with a healthcare provider before using Infant Tylenol or Ibuprofen.

Caution with Natural Remedies:

While celery and green onions can help with teething discomfort, they may present choking hazards and skin irritations.

Remember:

Teething is a temporary phase in your baby’s growth. Ensure proper hydration and seek medical advice if necessary.

For additional guidance on teething, contact our Lafayette pediatric dental office for support and recommendations.