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Baby Teething

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Baby Teething


Teething is the process by which a baby's teeth erupt, or break through, the gums. Teething generally occurs between 6 to 24 months of age. Symptoms of teething include irritability, tender and swollen gums, and the infant wanting to place objects or fingers into the mouth in an attempt to reduce discomfort. Fever, cough, diarrhea, and cold symptoms are not found when a child is teething.

What is teething?

Teething is the process by which an infant's teeth erupt, or break through, the gums. Teething is also referred to as "cutting" of the teeth. Teething is medically termed odontiasis.

When do babies start teething?

The onset of teething symptoms typically precedes the eruption of a tooth by several days. While a baby's first tooth can appear between 4 and 10 months of age, the first tooth usually erupts at approximately 6 months of age. Some dentists have noted a family pattern of "early," "average," or "late" teethers.

A relatively rare condition, "natal" teeth, describes the presence of a tooth on the day of birth. The incidence of such an event is one per 2,000-3,000 live births. Usually, this single and often somewhat malformed tooth is a unique event in an otherwise normal child. Rarely, the presence of a natal tooth is just one of several unusual physical findings which make up a syndrome. If the possibility of a syndrome exists, consultation with a pediatric dentist and/or geneticist can be helpful. The natal tooth is often loose and is commonly removed prior to the newborn's hospital discharge to eliminate the risk of aspiration into the lungs.

What are the signs and symptoms of teething?

Teething may cause the following symptoms:

  • Increased drooling
  • Restless or decreased sleeping due to gum discomfort
  • Refusal of food due to soreness of the gum region
  • Fussiness that comes and goes
  • Bringing hands to the mouth
  • Mild rash around the mouth due to skin irritation secondary to excessive drooling
  • Rubbing the cheek or ear region as a consequence of referred pain during the eruption of the molars
  • What is the order of tooth eruption in infants?

    Eruption of primary teeth:

  • Central incisors: 6-12 months of age
  • Lateral incisors: 9-16 months of age
  • Canine teeth: 16-23 months of age
  • First molars: 13-19 months of age
  • Second molars: 22-24 months of age
  • Between 6 to 12 years of age, the roots of these 20 "baby" teeth degenerate, allowing their replacement with 32 permanent "adult" teeth. The third molars ("wisdom teeth") have no preceding "baby" version and generally erupt in mid to late adolescence. Because of their tendency to promote crowding and crooked orientation, they are often removed.

    How long does teething last?

    Children will commonly have variable discomfort during the few days before tooth eruption through the gum line. Some babies are bothered more than others during the migration through the tissues deep to the gum line. Because of their shape, molars are more likely to be associated with teething discomfort.

    What medications are used to treat teething pain?

    Medicines that are taken by mouth to help reduce the pain : Ibuprofen (Advil or Motrin) or acetaminophen (Tylenol) can help with pain. Ibuprofen shouldn't be given to infants younger than 6 months of age. Medications should be used only for the few times when other home-care methods do not help. Caution should be taken not to overmedicate for teething. The medicine may mask significant symptoms that could be important to know about. Do not give a child products containing aspirin. No prescription drugs are routinely given for teething.

    What home remedies provide relief for teething pain?

    Teething infants often feel better when gentle pressure is placed on their gums. For this reason, many doctors recommend gently rubbing the gums with a clean finger or having the child bite down on a clean washcloth. If the pain seems to be causing feeding problems, sometimes a different shaped nipple or use of a cup may reduce discomfort and improve feeding. Cold objects many help reduce inflammation as well. Veteran parents have discovered the usefulness of frozen washcloths and ice cubes for this purpose. Be careful to avoid having prolonged contact of very cold objects on the gums. Never put anything in a child's mouth (including teething biscuits) that might make the child choke. Homeopathic preparations for teething should be viewed with caution since the purity and concentration of ingredients are not guaranteed. Such products are not subject to FDA (Food and Drug Administration) review.Children will commonly have variable discomfort during the few days before tooth eruption through the gum line. Some babies are bothered more than others during the migration through the tissues deep to the gum line. Because of their shape, molars are more likely to be associated with teething discomfort.

    How do I care for my baby's new teeth?

    Oral hygiene may be started even before eruption of the first tooth. Twice-a-day cleaning of the gums using the washrag used for cleaning the face and hands after eating is effective and simple. Fluoride has been shown to be extremely effective in reducing the development and severity of cavities. Since fluoride amounts vary by water source, check with the child's pediatrician or dentist regarding any supplementation that may be necessary. Fluoride recommendations will be based upon fluoride concentration in water consumed and the age of the child. An excess of fluoride may cause fluorosis -- permanent staining of the teeth. Children's teeth seem most vulnerable during the first three years of life. For this reason, fluoridated toothpaste is rarely necessary for children less than 3 years of age. Maternal fluoride supplementation during pregnancy has not been shown to benefit fetal dental integrity or protect the child's baby or permanent teeth from cavity formation.

    Infants and children should never take a bottle to their crib or bed. Formula, breast milk, cow's milk, soy milk, and juice all can be associated with cavity formation. Ingestion of sticky fruit (such as raisins) or other foods heavily laden with sugar (such as candy) is also associated with an increase in cavity formation.

    Baby Teeth Video