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Teething

Author -  <a href='https://www.medindia.net/medical-review-team/dr-pavithra.asp' target='_blank'>Dr. Pavithra, BDS</a>, <a href='https://www.medindia.net/content-team/dr-monesh-shanmugam.asp' target='_blank'>Dr. Monesh Shanmugam</a>
Medically Reviewed by <a href='https://www.medindia.net/medical-review-team/dr-krishanga-srivastava.asp' target='_blank'>Dr. Krishanga, BDS</a>, <a href='https://www.medindia.net/content-team/dr-jayashree-g.asp' target='_blank'>Dr. Jayashree Gopinath</a> on Nov 14, 2023
Medically Reviewed by Dr. Krishanga, BDS, Dr. Jayashree Gopinath on Nov 14, 2023


What is Teething?

Teething is a natural process during which a tooth pushes through the gum and appears in the mouth. Babies are born with all 20 primary teeth below their gum line, and they typically begin to emerge between 6 and 12 months of age.

It's rare, but did you know that about 1 in every 2,000 to 3,000 babies flashes a grin with one or more teeth at birth? These early unexpected arrivals, called 'natal teeth,' might wiggle a bit and are often removed to keep nursing and breastfeeding comfortable and safe. Removal is important to prevent the danger of getting aspirated into the lungs and endangering their life..


Understanding the Timeline of Baby Teething: When to Expect That First Tooth

This is one of the most common questions new parents ask the doctors. While the process of teething typically starts around 6 to 8 months of age, it's not unusual for some tiny tots to show their first tooth as early as 3 months or as late as 14 months. The timing of teething can vary widely among toddlers, and in most cases, a later start is no cause for alarm.

Symptoms and Signs of Teething in Babies

Teething symptoms typically manifest before the teeth break through the gums. These symptoms can vary from one baby to another and often include:

It's important to note that teething can be painful, but it does not make babies sick. Symptoms such as diarrhea, vomiting, body rashes, high fever, or congestion are NOT typical signs of teething. If you notice bleeding gums or any signs of infection, it's advisable to consult a pediatrician.

Teething Pattern

The order in which teeth appear can vary among babies, often influenced by family history. However, the typical teething pattern involves:


Usually, all 20 primary teeth are in place by around 3 years of age.

Tips to Ease Teething Discomfort

To alleviate teething discomfort, consider the following tips:

What Factors Can Influence the Start of Teething in an Infant?

Several factors can influence when your baby's first tooth makes its appearance:

Genetics:

If you or your partner were early or late teethers, there's a chance your baby will follow suit.

Nutrition:

Adequate nutrition is vital for all aspects of your baby's development, including teething.

Health:

Overall health can impact teething timing, with some health conditions possibly delaying tooth eruption (6).

When to Consult a Pediatric Dentist

If your baby hasn't developed any teeth by the age of 18 months, you should consider consulting a pediatric dentist or Pedodontist. They can assess your baby look for an underlying cause for the delayed teething and provide the necessary guidance or intervention.

Remember, each child is unique and so is their development. Teething is a milestone that may come sooner for some and a bit later for others, and that's perfectly normal. Keep an eye out for signs of teething, such as gum swelling, drooling, gum rubbing, and general discomfort, so you'll be ready to help soothe your baby when the time comes (4).

Treatment with Medicines

Consult a pediatrician or even better a pediatric dentist if available for guidance on administering pain relievers like acetaminophen (Tylenol) or ibuprofen if your baby is clearly in pain. Be cautious with teething gels, as those containing choline salicylate and benzocaine can be harmful to infants. General oral pain management gels should not be used on young children.


Common Mistakes to Avoid During Teething

Avoid giving your baby anything to eat or drink that is not recommended as a teething aid by the manufacturer. Stay away from the following items, even if they are marketed as teethers or teething aids:

What to Do with a Baby's New Teeth

To care for your baby's teeth, follow these steps:

Scheduling your child's first dental appointment around their first birthday is recommended by both the American Dental Association and the American Academy of Pediatric Dentistry. Regular dental care during childhood is crucial for ensuring a lifetime of healthy teeth and gums.

References:

  1. Teeth development in children - (https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/teeth-development-in-children)
  2. Teething: Tips for soothing sore gums - (https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/teething/art-20046378)
  3. Teething tips: five things to try - (https://www.nct.org.uk/baby-toddler/teething/teething-tips-five-things-try)

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