Key Points

  • Teething typically begins around 5-7 months but can occur earlier or later.
  • The first teeth are usually the bottom front teeth, followed by the top front teeth.
  • Teething can cause discomfort, irritability, and changes in eating and sleeping patterns.
  • Maintaining good oral hygiene during teething is essential, even before teeth emerge.
  • Teething does not cause fever, diarrhea, or other more severe symptoms. If your child experiences these symptoms, it is important to consult a healthcare provider.

Teething is an exciting developmental milestone for babies but can also be challenging for parents. As a caregiver, it’s important to know what to expect during the teething process, including the milestones and developmental changes that come with it.

A baby’s teeth will grow and break through the gums during teething. This can cause discomfort and irritability for the baby, leading to fussiness, crying, and difficulty sleeping. However, these symptoms are normal and can be managed with the right care and attention.

As a caregiver, it’s important to be aware of the signs of teething, such as drooling, gnawing, and wanting to chew on hard objects. By understanding what to expect during the teething process, you can help your baby through this exciting and challenging time with patience and care.

What is Teething?

Teething is a natural process that occurs when a baby’s teeth begin to emerge from the gums. As a baby’s teeth grow and break through the gums, they can experience discomfort and pain, leading to irritability, disturbed sleep, and excessive drooling.

When Does Teething Begin?

Teething typically begins between the ages of 5 and 7 months, although it can start as early as 3 months or as late as 12 months. The timing of teething can vary from baby to baby, and there is no set schedule for when teeth will emerge.

Primary Teeth Eruption Sequence

The primary teeth eruption sequence is where a baby’s teeth typically emerge. The sequence can vary, but the general order is:

Tooth Eruption SequenceAge Range for Tooth Eruption
Bottom front teeth (central incisors)5-7 months
Top front teeth (central incisors)6-8 months
Bottom lateral incisors (the teeth next to the central incisors)8-12 months
Top lateral incisors (the teeth next to the central incisors)9-13 months
First molars13-19 months
Canines (the pointed teeth next to the lateral incisors)16-23 months
Second molars23-33 months
Table 1 Summarizes the order of tooth eruption, and age ranges for teething milestones.
Note: The age ranges listed are approximate and may vary from child to child.

Symptoms of Teething

The symptoms of teething can vary from baby to baby, but common symptoms include:

  • Irritability and fussiness
  • Disturbed sleep
  • Excessive drooling
  • Gum swelling and sensitivity
  • Biting and chewing on objects
  • Ear pulling and rubbing

It’s important to note that not all babies experience these symptoms, and some babies may experience teething without any noticeable symptoms. Talk to your pediatrician or dentist for guidance if you’re concerned about your baby’s teething process.

Milestones in the Teething Process

Age Ranges for Tooth Eruption

the first tooth usually erupts between the ages of 5 to 7 months, although some babies may begin teething earlier or later. My daughter’s tooth came at the 7-8 month mark. If your child’s teeth come in much earlier (2 months or three months old) or later, say after one year, do not despair each child’s teething process will be different. By the time a child is three years old, they should have a full set of 20 primary teeth.

Order of Tooth Eruption

During the teething process, teeth usually erupt in a specific order. The bottom front teeth (central incisors) usually come first, followed by the top front teeth (central incisors). The lateral incisors (the teeth next to the central incisors) usually come in, followed by the first molars and the canines (the pointy teeth next to the lateral incisors). The second molars usually come in last. It is important to note that not all babies follow this order exactly. Some babies may get their teeth differently, and some may come in earlier or later than expected.

Teething in Infants with Special Needs

I have read that infants with special needs may experience delays in tooth eruption or may have teeth that erupt in a different order than usual. For example, babies with Down syndrome may experience delays in tooth eruption and may have fewer teeth than usual. It is important for parents of infants with special needs to consult with their child’s healthcare provider to monitor their child’s dental development and ensure proper dental care.

In summary, the teething process is a normal developmental stage for infants, with the first tooth usually erupting between the ages of 5 to 7 months. Teeth usually erupt in a specific order, but not all babies follow this order exactly. Infants with special needs may experience delays or differences in tooth eruption, and parents need to consult with their child’s healthcare provider/physician/pedestrian for proper care and guidance.

Developmental Changes During Teething

Changes in Eating Habits

During the teething process, babies may experience changes in their eating habits. Some babies may refuse to eat or drink, while others may want to eat more frequently. This is because the pressure from the teeth pushing through the gums can cause discomfort or pain, making it difficult for babies to eat or drink. To help alleviate this discomfort, parents can offer cold or frozen foods, such as pureed fruits or vegetables or a chilled teething ring.

Changes in Sleep Patterns

Teething can also affect a baby’s sleep patterns. Some babies may have trouble falling or staying asleep due to the discomfort or pain caused by teething. This can lead to increased fussiness or irritability during the day. To help soothe a teething baby and promote better sleep, parents can try using a cool, damp washcloth or a teething toy to massage the gums before bedtime. A comforting bedtime routine, such as reading a book or singing a lullaby, can help relax the baby and promote better sleep.

Changes in Behavior

Teething can also cause changes in a baby’s behavior. Some babies may become more clingy or irritable, while others may become more active or restless. When my daughter’s “S” teeth came in, there were some very difficult days and nights. This is because the discomfort or pain caused by teething can be distracting and uncomfortable for the baby.

To help soothe a teething baby and promote a sense of security, parents can offer extra cuddles and attention and engage in calming activities, such as playing soft music or, if the weather allows, taking the baby outside in a stroller.

Overall, parents need to be patient and understanding during the teething process. While it can be challenging for both the baby and the parents, it is a normal part of a baby’s development and will eventually pass.

By offering comfort and support, parents can help their baby navigate the changes and discomforts of teething, leading to a happier, healthier baby.

Caring for Your Teething Baby

Teething is a challenging time for both you and your baby. As a parent, it’s important to help your baby through this process by providing appropriate care and support. Here are some tips on how to care for your teething baby:

Pain Relief Options

Teething can be painful for your baby, and they may experience various symptoms, including irritability, drooling, and sore gums. To help relieve their discomfort, you can try the following pain relief options:

Pain Relief OptionsHow to Use
Chilled teething ringsPlace in the refrigerator or freezer and give to your baby to chew on when they are experiencing discomfort
Chilled washclothWet a clean washcloth, wring it out, and put it in the refrigerator or freezer. Then, give it to your baby to chew on when they are experiencing discomfort
Teething gels or creamsApply a small amount of the gel or cream to your baby’s gums to numb the area
Infant paracetamol or ibuprofenGive your baby infant paracetamol or ibuprofen only if recommended by your doctor. Follow the dosage instructions carefully.
Table 2 summarizes some pain relief options for teething babies.
Note: Always consult with your healthcare provider before giving any medication to your baby. Dosage instructions may vary based on the baby’s age and weight.

Oral Care

During the teething process, it’s important to maintain good oral hygiene to prevent infection and tooth decay. Here are some tips on how to care for your baby’s teeth and gums:

  • Wipe your baby’s gums with a clean, damp cloth after feeding
  • Use a soft-bristled toothbrush and a small amount of fluoride toothpaste to clean your baby’s teeth once they start to appear
  • Avoid giving your baby sugary or acidic foods and drinks, which can damage their teeth

Safety Tips

Teething can also increase your baby’s chewing and mouthing behavior, putting them at risk of choking or ingesting harmful objects. To keep your baby safe, you can try the following safety tips:

  • Keep small objects out of reach and supervise your baby during playtime
  • Avoid giving your baby hard foods or toys that could break into small pieces
  • Make sure any teething products you use are BPA-free and meet safety standards

By following these care tips, you can help your baby through the teething process and ensure that they maintain good oral health. Always Remember t consult your healthcare provider if you have concerns about your baby’s teething symptoms.

Conclusion

Teething is a natural and important developmental process for babies that usually starts around 5 to 7 months of age. Babies may experience various symptoms, including drooling, fussiness, and gum swelling. As parents, it is important to be aware of these changes and provide comfort and support to your baby.

While teething can be challenging, it is important to remember that it is a temporary phase that will pass. By providing your baby with safe teething toys, gentle massages, and plenty of love and attention, you can help make the process as comfortable as possible.

It is also important to remember that every baby may experience teething differently. Some babies may have no symptoms, while others may have more severe symptoms. Consulting with your pediatrician is always a good idea if you have any concerns about your baby’s teething process or development.

Teething is a normal and necessary part of your baby’s growth and development. By staying informed and providing your baby with the care and support they need, you can help ensure they have a healthy and happy start in life.