Teething is an exciting milestone for parents and babies alike; however, it can also come with some discomfort for your little one. Understanding what to expect and how to manage it can make this phase easier for both of you. 

 

When Do Teeth Start to Come In? 

Most babies begin teething around six months old, though it’s normal for the first tooth to appear as early as four months or as late as twelve months. Typically, the lower central incisors (the two bottom front teeth) are the first to erupt, followed by the upper central incisors. By age three, most children have a full set of 20 primary teeth. 

 
Signs and Symptoms of Teething 

While every baby is different, common signs of teething include: 

  • Increased drooling 
  • Chewing on objects 
  • Mild gum swelling or tenderness 
  • Fussiness or irritability 
  • Slightly elevated temperature (not exceeding 100.4°F) 

 

Contrary to popular belief, teething itself does not cause high fevers, diarrhea, or severe symptoms. If your child experiences these, it’s important to consult your pediatrician to rule out other causes. 

 

Managing Teething Discomfort 

Parents can help ease their child’s teething discomfort with these simple strategies: 

  • Gum Massage: Gently rubbing your baby’s gums with a clean finger or washcloth can provide relief. 
  • Teething Toys: Chilled (not frozen) teething rings or clean, wet washcloths can soothe sore gums. 
  • Cool Foods: For babies already eating solids, chilled purees or yogurt can be comforting. 
  • Pain Relief: If your child seems particularly uncomfortable, an age-appropriate dose of acetaminophen or ibuprofen may help. Always consult your pediatrician before administering medication. 

 

What to Avoid 

Not all remedies are safe for teething relief. The American Academy of Pediatric Dentistry advises against: 

  • Teething Gels Containing Benzocaine: These products can pose rare, but serious health risks.  
  • Frozen Items: Extremely cold objects can harm your baby’s sensitive gums. 
  • Amber Teething Necklaces: These can be a choking and strangulation hazard and are not reliably proven to relieve discomfort. 

 

The Importance of Early Oral Care 

As soon as your child’s first tooth appears, it’s time to start oral hygiene. Use a soft-bristled toothbrush and a smear of fluoride toothpaste (about the size of a grain of rice) to clean their teeth. Schedule your baby’s first dental visit by their first birthday or when their first tooth erupts. Early dental visits help establish a dental home and ensure your child’s oral health is on the right track. 

 

When to Seek Professional Advice 

If your baby’s teething symptoms seem severe or if you’re unsure how to manage them, don’t hesitate to reach out to your pediatric dentist. They can offer guidance and ensure your baby’s oral development is progressing as it should. 

 

Sources: 

  1. American Academy of Pediatric Dentistry. Guideline on Management of the Developing Dentition and Occlusion in Pediatric Dentistry. 

  1. American Academy of Pediatrics. Teething Recommendations for Parents.