When Do Babies Start Teething? A Comprehensive Guide for Parents
Teething is an exciting milestone in a baby’s development, but it can also be a challenging time for both babies and their caregivers. Knowing what to expect and how to soothe a teething baby can make the process smoother and more manageable. Here, we’ll explore when babies typically start teething, signs to look out for, ways to soothe teething discomfort, and answers to common questions.
1. Understanding the Teething Timeline
Most babies begin teething between 4 and 7 months of age, though some may start as early as 3 months or as late as their first birthday. Every baby is unique, and variations in the teething timeline are entirely normal. Here’s a general guide to when you can expect each set of teeth to appear:
- Lower Central Incisors (bottom front teeth): Usually the first teeth to come in, often appearing between 6 and 10 months.
- Upper Central Incisors (top front teeth): These typically follow the lower front teeth, emerging around 8 to 12 months.
- Lateral Incisors (next to the front teeth): Both the upper and lower lateral incisors usually come in between 9 and 16 months.
- First Molars (back teeth for chewing): These teeth generally appear between 13 and 19 months.
- Canines (pointed teeth next to the lateral incisors): The upper and lower canines come in around 16 to 23 months.
- Second Molars (back molars): These are usually the last teeth to erupt, appearing around 23 to 33 months.
By the time your child is around 3 years old, they should have a full set of 20 primary (baby) teeth.
2. Recognizing the Signs of Teething
Teething symptoms vary widely, with some babies experiencing few signs and others showing more pronounced discomfort. Here are some common signs to look out for:
- Increased Drooling: One of the first signs of teething is often an increase in drooling as saliva production ramps up. This may lead to a rash around the mouth or chin.
- Irritability and Fussiness: As teeth push through the gums, babies may feel discomfort or pain, leading to fussiness.
- Chewing and Biting: Babies often seek relief by biting or chewing on objects, toys, or even their own hands.
- Gum Swelling or Tenderness: You may notice that your baby’s gums look red, swollen, or feel sensitive to the touch.
- Changes in Eating or Sleeping Habits: Teething discomfort may disrupt regular feeding or sleeping patterns, causing them to eat or sleep less than usual.
Note: Fever, diarrhea, and rashes are sometimes thought to be teething symptoms, but they are not directly related to teething. If your baby shows these symptoms, contact your pediatrician, as they may indicate an unrelated illness.
3. How to Soothe Teething Discomfort
Teething can be uncomfortable, but there are several safe and effective ways to soothe your baby’s discomfort:
- Offer Teething Toys: Soft rubber or silicone teething toys can help relieve pressure on the gums. Ensure they are free from BPA and phthalates, and avoid freezing them, as this can be too harsh on sensitive gums.
- Use a Cold Washcloth: A clean, damp washcloth chilled in the refrigerator can provide soothing relief. Let your baby chew or suck on the washcloth to ease gum pain.
- Gum Massage: Gently rubbing your baby’s gums with a clean finger can help soothe the soreness.
- Try Over-the-Counter Pain Relief: If teething discomfort disrupts sleep or feeding, consult your pediatrician about using baby-safe pain relievers like acetaminophen or ibuprofen. Always follow dosing instructions and never use teething gels that contain benzocaine, as these can be unsafe for infants.
- Distract and Comfort: Holding, cuddling, and gently distracting your baby with playtime or calming activities can also help take their mind off the discomfort.
4. Teething Rings and Safety Tips
When choosing teething aids, prioritize safety. Avoid teething necklaces, bracelets, or anklets, as they pose choking or strangulation risks. Instead, use FDA-approved teething rings or toys specifically designed for babies.
Also, avoid using frozen items directly on the gums, as extremely cold objects may irritate or damage delicate gum tissue. Stick to chilled—not frozen—teethers, toys, or washcloths for safe relief.
5. Oral Care During Teething
Good oral care should start even before your baby’s first tooth appears. Here’s how to maintain good oral hygiene as they begin teething:
- Clean Gums: Use a soft, damp cloth to wipe your baby’s gums daily, removing any bacteria that could harm their oral health.
- Brush New Teeth: Once the first tooth appears, begin brushing with a baby toothbrush and a tiny smear of fluoride toothpaste (about the size of a grain of rice).
- Avoid Sugary Drinks: Limit sugary drinks and avoid letting your baby fall asleep with a bottle, as this can lead to cavities.
6. Teething and Fevers: Debunking Myths
There’s a common misconception that teething causes high fever and diarrhea. While slight increases in body temperature can occur, teething does not cause significant fever (over 100.4°F or 38°C) or illness. If your baby has a high fever, persistent diarrhea, or shows any unusual symptoms, contact your pediatrician, as these may be signs of an infection or other health issues.
7. Teething and Sleep Disruptions
Teething can disrupt a baby’s sleep, especially as new teeth begin to push through the gums at night when discomfort may feel more intense. Here’s how to handle teething-related sleep disturbances:
- Stick to a Consistent Routine: A regular bedtime routine can help your baby wind down and feel secure, even if they’re experiencing teething discomfort.
- Use Comforting Techniques: Gentle rocking, a favorite lullaby, or a comfort object (such as a soft blanket) can help soothe your baby to sleep.
- Provide Teething Relief Before Bedtime: Try offering a chilled teething toy or a warm bath before bed to help alleviate gum discomfort.
If your baby’s sleep remains disrupted despite these efforts, consult your pediatrician for further guidance on managing teething and sleep.
8. When to Consult a Dentist
The American Academy of Pediatric Dentistry recommends that children have their first dental visit by age 1 or within six months after their first tooth appears. Early dental checkups can help ensure that your baby’s teeth are developing correctly, establish good oral care habits, and allow the dentist to identify any potential issues.
9. Encouraging Long-Term Oral Health
Teething is the first step in your child’s journey toward lifelong oral health. By establishing a gentle oral care routine and creating positive experiences around dental hygiene, you can help set a foundation for good habits. As more teeth emerge, encourage brushing and limit sugary snacks to prevent early tooth decay.
Final Thoughts
Teething is a natural part of a baby’s development and often signals a time of rapid growth. While it can be a challenging phase, understanding what to expect and how to manage teething symptoms can make a big difference. Remember that every baby’s teething timeline and symptoms vary, so be patient and attentive to your child’s needs.
With the right soothing strategies and a focus on comfort, you can help your baby through this milestone and foster healthy oral habits from the very start. If you’re ever concerned about teething symptoms, unusual behaviors, or oral health, don’t hesitate to consult a pediatrician or pediatric dentist for advice.