Teething Tots

Print this page Bookmark and Share
Parents

Teething, the emergence of the first teeth through a baby's gums, can be a frustrating time for little ones and their parents. But knowing what to expect during teething and how to make the process a little less painful can help you manage.

The Teething Process

While teething can begin as early as 3 months, most likely you'll see the first tooth start pushing through your baby's gum line when your little one is between 4 and 7 months old.

The first teeth to appear usually are the two bottom front teeth, also known as the central incisors. They're usually followed 4 to 8 weeks later by the four front upper teeth (central and lateral incisors). About a month later, the lower lateral incisors (the two teeth flanking the bottom front teeth) will appear.

Next to break through are the first molars (the back teeth used for grinding food), then finally the eyeteeth (the pointy teeth in the upper jaw). Most kids have all 20 of their primary teeth by their third birthday. (If your child experiences significant delay, speak to your doctor.)

In some rare cases, kids are born with one or two teeth or have a tooth emerge within the first few weeks of life. Unless the teeth interfere with feeding or are loose enough to pose a choking risk, this is usually not a cause for concern.

As kids begin teething, they might drool more and want to chew on things. For some babies, teething is painless. Others may have brief periods of irritability, while some may seem cranky for weeks, with crying jags and disrupted sleeping and eating patterns. Teething can be uncomfortable, but if your baby seems very irritable, talk to your doctor.

Although tender and swollen gums could cause your baby's temperature to be a little higher than normal, teething doesn't usually cause high fever or diarrhea. If your baby does develop a fever during the teething phase, it's probably due to something else and you should contact your doctor.

Easing Teething

Here are some tips to keep in mind when your baby is teething:

  • Wipe your baby's face often with a cloth to remove the drool and prevent rashes from developing.
  • Give your baby something to chew on. Make sure it's big enough so that it can't be swallowed and that it can't break into small pieces. A wet washcloth placed in the freezer for 30 minutes makes a handy teething aid — just be sure to wash it after each use.

    Rubber teething rings are also good, but avoid ones with liquid inside because they may break or leak. If you use a teething ring, be sure to take it out of the freezer before it becomes rock hard — you don't want to bruise those already swollen gums!
  • Rub your baby's gums with a clean finger.
  • Never tie a teething ring around a baby's neck — it could get caught on something and strangle the baby.
  • If your baby seems irritable, ask your doctor if it is okay to give a dose of acetaminophen or ibuprofen (for babies older than 6 months) to ease discomfort. Never place an aspirin against the tooth, and don't rub alcohol on your baby's gums.

Baby Teeth Hygiene

The care and cleaning of your baby's teeth is important for long-term dental health. Even though the first set of teeth will fall out, tooth decay can hasten this process and leave gaps before the permanent teeth are ready to come in. The remaining primary teeth may then crowd together to attempt to fill in the gaps, which may cause the permanent teeth to come in crooked and out of place.

Daily dental care should begin even before your baby's first tooth emerges. Wipe your baby's gums daily with a clean, damp washcloth or gauze, or brush them gently with a soft, infant-sized toothbrush and water (no toothpaste!). As soon as the first tooth appears, brush it with water.

Toothpaste is OK to use once a child is old enough to spit it out — usually around age 3. Choose one with fluoride and use only a pea-sized amount or less in younger kids. Don't let your child swallow the toothpaste or eat it out of the tube because an overdose of fluoride can be harmful to kids.

By the time all your baby's teeth are in, try to brush them at least twice a day and especially after meals. It's also important to get kids used to flossing early on. A good time to start flossing is when two teeth start to touch. Talk to your dentist for advice on flossing those tiny teeth. You can also get toddlers interested in the routine by letting them watch and imitate you as you brush and floss.

Another important tip for preventing tooth decay: Don't let your baby fall asleep with a bottle. The milk or juice can pool in a baby's mouth and cause tooth decay and plaque.

The American Dental Association (ADA) recommends that kids see a dentist by age 1, when six to eight teeth are in place, to spot any potential problems and advise parents about preventive care.

Reviewed by: Steven Dowshen, MD
Date reviewed: November 2011



Related Resources

OrganizationAmerican Dental Association (ADA) The ADA provides information for dental patients and consumers.


Related Articles

Bruxism (Teeth Grinding or Clenching) Gnashing and grinding teeth, called bruxism, is common in kids, and often occurs during deep sleep or while under stress.
Fluoride and Water Keeping kids' teeth healthy requires more than just daily brushing. Learn about fluoride, a substance found naturally in water that plays an important role in healthy teeth.
How Do I Care for My Baby's Teeth? Find out what the experts have to say.
How Can I Make Teething Easier? Find out what the experts have to say.
Keeping Your Child's Teeth Healthy Here are the basics about how to care for your child's teeth - and when.




Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

© 1995-2014 The Nemours Foundation/KidsHealth. All rights reserved.



 

Upcoming Events

5k Run/Walk/Roll fundraiser for a universally accessible park

Car Seat Safety Check at Xenia Township Fire Station 51 on Brush Row Road

Car Seat Safety Check - no appointment necessary!

All parents, siblings and grandparents of students working with IEPs from preschool through high school are invited to hear the guest speaker from the Bureau for Children with Medical Handicaps.

View full event calendarView full event calendar

Health and Safety

Your child's health and safety is our top priority

Accreditations

The Children's Medical Center of Dayton Dayton Children's
The Right Care for the Right Reasons

One Children's Plaza - Dayton, Ohio - 45404-1815
937-641-3000
www.childrensdayton.org