Your baby is teething when his or her first set of teeth, called primary teeth, break through the gums.
Teething usually begins around 6 months of age. But it is normal for teething to start at any time between 3 months and 12 months of age. By the time your child is about 3 years old, he or she will have all 20 primary teeth.
The lower front teeth usually come in first. Upper front teeth usually come in 1 to 2 months after the lower front teeth. See a picture that shows when the primary teeth come in.
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. These symptoms usually begin about 3 to 5 days before the tooth shows, and they disappear as soon as the tooth breaks the skin. Many babies don't seem to be affected by teething.
Babies may bite on their fingers or toys to help relieve the pressure in their gums. They may also refuse to eat and drink because their mouths hurt.
Many babies drool during teething, which can cause a rash on the chin, face, or chest.
Mild symptoms that get better usually are nothing to worry about. Call your doctor if your baby's symptoms are severe or don't get better.
Here are some tips to help your baby feel better while teething:
The Canadian Dental Association (CDA) does not recommend using other teething remedies, such as gels you put on a baby's gums.footnote 2 Gels can make a baby's throat numb. This may cause trouble swallowing. Some teething gels contain the medicine benzocaine, which can harm your child.
Learning about teething:
Knowing what to expect:
are usually known as "baby teeth." Usually, the first primary tooth comes in (erupts) at about 6 months of age, although it can be as early as 3 months or as late as 1 year of age. In rare cases, a baby gets a first tooth after his or her first birthday. By age 3, most children have all 20 of their primary teeth.
Primary teeth usually erupt in a certain order:
Secondary, or permanent, teeth usually begin replacing primary teeth around 6 years of age. Permanent teeth erupt in roughly the same sequence as primary teeth. Usually, a permanent tooth pushes the primary tooth out as it erupts.
Many times you might not know that your baby has a new tooth coming in until you see it or hear it click against an object, such as a spoon. Some babies may show signs of discomfort from sore and sensitive gums, be cranky, drool, and have other mild symptoms. These symptoms usually begin about 3 to 5 days before a tooth erupts and go away as soon as the tooth breaks through the gum.
Teething may cause a mild increase in your child's temperature. But if the temperature is higher than 38°C (100.4°F), look for symptoms that may be related to an infection or illness. Severe or ongoing symptoms should be closely watched and discussed with your doctor.
Do not hesitate to call your doctor any time you have concerns about your child's teething. It is also a good idea to talk to your doctor if your child has unusual tooth development, such as late eruption of the first tooth. Tooth development issues usually resolve on their own or are easily treated.
If your baby has discomfort while teething, you can:
You can give your child the best chance for healthy teeth and gums.
For more information on caring for your child's teeth, see the topic Basic Dental Care or Tooth Decay.
Home treatment usually helps relieve minor teething symptoms such as discomfort, drooling, and irritability. But talk to your doctor if your child has other symptoms that become severe or last longer than a couple of days.
Also, talk to your doctor about any other teething concerns, such as if your child:
Your doctor may refer your child to a dentist who specializes in children's teething problems, if this seems to be needed.
All children need early and regular dental care. During routine checkups the doctor will check your child's dental health. A visit to a dentist is recommended within 6 months of when your child's first tooth comes in but no later than your child's first birthday.footnote 3, footnote 4
Some parents dread their child's first visit to the dentist's office. You can make a trip to the dentist more positive for your child if you choose his or her dentist carefully. Talk to your child about what to expect. And if you want, use books that are meant to help a young child prepare for the first dental examination. If you have concerns about how your child will behave, talk to your dentist before scheduling the visit. Your dentist may allow your child to come in once or twice before being examined. These types of visits help prepare your child and often make him or her more comfortable with the dentist, other staff, and the office environment.
Regular dental visits are important to teach your child good dental care and to help prevent cavities and other problems. The examination also helps to identify and treat problems early and prevent them from becoming more serious. For more information on routine checkups and tooth care, see the topics Basic Dental Care and Tooth Decay.
Canadian Dental Association (2003, revised 2012). CDA position on use of fluorides in caries prevention. Available online: http://www.cda-adc.ca/_files/position_statements/fluoride.pdf.
Canadian Dental Association (2013). Dental care for children: Dental development. Canadian Dental Association. http://www.cda-adc.ca/en/oral_health/cfyt/dental_care_children/development.asp. Accessed January 24, 2013.
Canadian Dental Association (2005, reaffirmed 2012). CDA position on first visit to the dentist. Canadian Diabetes Association. Available online: http://www.cda-adc.ca/_files/position_statements/firstVisit.pdf. Accessed November 11, 2014.
American Academy of Pediatrics (2008). Preventive oral health intervention for pediatricians. Pediatrics, 122(6): 1387-1394. Available online: http://www.pediatrics.org/cgi/content/full/122/6/1387.
Other Works Consulted
Fenick AM, Nelson LP (2011). Oral health supervision. In CD Rudolph et al., eds., Rudolph's Pediatrics, 22nd ed., pp. 47–52. New York: McGraw-Hill.
Karp JM (2011). Delayed tooth emergence. Pediatrics in Review, 37(1): e4–e17.
Klein U (2014). Oral medicine and dentistry. In WW Hay Jr et al., eds., Current Diagnosis and Treatment: Pediatrics, 21st ed., pp. 490–501. New York: McGraw-Hill.
ByHealthwise StaffPrimary Medical ReviewerJohn Pope, MD - PediatricsAnne C. Poinier, MD - Internal MedicineAdam Husney, MD - Family MedicineKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerThomas M. Bailey, MD - Family Medicine
Current as ofFebruary 22, 2018
Current as of: February 22, 2018
John Pope, MD - Pediatrics
& Anne C. Poinier, MD - Internal Medicine & Adam Husney, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Thomas M. Bailey, MD - Family Medicine
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