TEETHING

What is teething?

Your baby is teething when his or her first set of milk teeth break through the gums.

When does teething typically start?

Teething usually begins around 6 months of age. The lower front teeth usually come in first. Upper front teeth usually come in 1 to 2 months after the lower front teeth. Parents start to worry if the first teeth are not seen around 6 to 8 months; but it is normal for teething to start at any time between 3 months and 12 months of age.

 

What are the symptoms?

Some babies are fussier than usual when they are teething. This may be because of soreness and swelling in the gums before a tooth comes through.

Teething symptoms may begin about 3 to 5 days before a tooth breaks the skin. But symptoms can be present off and on for 1 to 2 months. They disappear as soon as the tooth breaks the gums. Many babies don't seem to be affected by teething. The most common symptoms of teething include:

• Swelling, tenderness, or discomfort in the gums at the site of the erupting tooth.
• Increased saliva, which can cause drooling. Drooling may cause a rash on the chin, face, or chest.
• Biting on fingers or toys to try to relieve the gum discomfort.
• Refusing to eat and drink because of mouth soreness.
• Irritability and difficulty sleeping.

Mild symptoms that get better usually are nothing to worry about. Call your dentist if your baby's symptoms are severe or don't get better.

Diarrhea and fever during teething???

The common perception is that teething babies and children experience a slight rise in temperature and even diarrhea. However, teething process itself is not related to diarrhea. Because the babies keep on biting fingers or any objects that may be unhygienic, it is the gastrointestinal infection that actually leads to fever and loose motions. The child’s physician or pediatrician needs to be contacted for persistent complaints.

How can you help your baby be more comfortable while teething?

Give your baby cold teething rings to chew on to relieve teething discomfort

Here are some tips to help your baby feel better while teething:

Teething rings

• Use a clean finger (or cold teething ring) to gently rub your baby's gum for about 2 minutes at a time. Many babies find this soothing, although they may protest at first. 
• Provide safe objects for your baby to chew on, such as cold teething rings. 
• Do not use over-the-counter (medicines bought without doctor’s prescription) pain reliever either syrups or gels as they are not safe. Their excessive swallowing by the baby may cause overdose and toxicity. If you want to try these products, talk to your doctor about which types are safe and how often to use them. 

 

Eruption and shedding time table of milk teeth

The four front teeth—two upper and two lower—usually erupt first, beginning as early as six months after birth. Most children have a full set of 20 primary teeth by the time they are 3 years old. The child’s jaws continue to grow, making room for the permanent (adult) teeth that will begin to erupt at about age 6 years. Primary teeth begin to shed between ages 6 and 7 years. This process continues until about age 12 years.

 

“Gaps” between milk teeth is a normal feature and it allows accommodation of large size of permanent teeth that will erupt later.