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Teething

Definition:  Teething is the normal process of emergence of new primary teeth through the gums of the mouth.  Although newborns usually have no visible teeth, most have at least a partially developed set of primary teeth.  Teething usually begins between the 6th and 8th month of life, but can begin as early as 4 months and as late as 1 year of age. Further tooth eruption occurs periodically until all 20 teeth of childhood are in place. All the baby teeth are normally in place by the 30th month of life.  The 2 lower central incisors (front bottom) usually come through first.

Symptoms:  The signs of teething are:
  • Drooling
  • Irritability
  • Gum swelling and sensitivity
  • Biting on hard objects
The discomfort that results from teething is due to the pressure exerted on the tissue in the mouth, called the periodontal membrane, as the teeth erupt.

Home Care:
  1. Gum Massage:  Gently rubbing the irritated or swollen gums with a cool, wet washcloth may provide comfort.  Do this as frequently as needed.  You can also use a piece of ice wrapped in a washcloth.
  2. Teething Rings:  A teething ring, pacifier, or wet washcloth that has been chilled (but not frozen) in the refrigerator may offer your child soothing something to chew on.
  3. Do not give your child ice or popsicles.  They can cause frostbite of the gums.
  4. Don’t give hard foods that could cause your child to choke (raw carrots, etc).
  5. Try using a cup for feedings temporarily if your child refuses to take a bottle or nurse.
  6. You may try acetaminophen (Tylenol) for one day (only) for increased pain.
  7. We do not recommend teething gels.

When teething isn’t the problem:  Teething has NOT been shown to cause a high-grade fever. If your child develops an elevated greater than 100 degrees, look for other signs of illness.  Diarrhea, rashes and a fever are not normal for a teething baby. If your infant has a fever or diarrhea while teething or continues to be cranky and uncomfortable, call our office.

For more information about teething, check out the American Dental Association website.

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