young baby is chewing on a teething ring as her mother wonders what to do if my child is teething.

What To Do If My Child Is Teething: Tips for Parents from our Pediatric Team

Teething is a significant developmental milestone in a child’s life, but it can also be a challenging period for both babies and parents. As new teeth start to emerge through the gums, babies often experience discomfort, irritability, and a variety of other symptoms. Understanding the teething process and knowing how to ease your child’s discomfort can make this phase much smoother. This article will provide a detailed guide on what to expect during teething, how to help your child through it, and when to seek medical advice.

Table of Contents

Understanding the Teething Process

Teething is a crucial stage in a baby’s growth, marking the emergence of their first set of teeth. This process can be exciting and challenging for parents as they witness their child’s development while navigating the discomfort that teething often brings. It is essential to know what to expect during teething and how to support your baby through it. In this section, we will cover the typical teething timeline and provide insights into what parents can anticipate as their baby’s teeth start coming in.

Timeline of Teething

Teething typically begins around 4 to 7 months, although some babies may start earlier or later. The first teeth to appear are usually the lower central incisors, followed by the upper central incisors. When a child is about 3 years old, they should have 20 primary (baby) teeth.

A general timeline of teething is as follows:

  • 4-7 months: Lower central incisors
  • 8-12 months: Upper central incisors
  • 9-16 months: Upper and lower lateral incisors
  • 13-19 months: First molars
  • 16-23 months: Canines (cuspid teeth)
  • 23-33 months: Second molars

Every child is different, so variations in the timeline are normal. However, parents should monitor the process and consult a pediatric dentist if there are significant delays. You can also check out this dentists guide to baby teeth for more info.

Signs and Symptoms of Teething

young girl displays a classic symptom of teething as she examines a frozen teething toy

Recognizing the signs of teething is crucial for parents, as it helps them understand what their baby is going through and how best to provide relief. While teething can be uncomfortable, knowing the typical symptoms can reduce anxiety and enable timely interventions.

Let’s talk about some common symptoms associated with teething, helping parents differentiate between normal teething behaviour and signs that might require medical attention.

Common Symptoms

Teething can cause a range of symptoms. While not all babies experience the same symptoms, common ones include:

  • Increased drooling: Excessive saliva production is a hallmark of teething.
  • Chewing on objects: Babies may gnaw on anything they can get their hands on to relieve gum pressure.
  • Irritability: Discomfort can make babies more fussy or cranky than usual.
  • Swollen, tender gums: The area where a tooth is emerging may appear red or swollen.
  • Decreased appetite: Sore gums can make eating uncomfortable, reducing interest in food.
  • Disrupted sleep: Pain and discomfort can interfere with a baby’s sleep patterns. Many parents find that their children are ok during the day, even when teething, but struggle at night. When it’s time to sleep, the lack of outside stimuli makes the pain from teething overwhelming, and your child may need lots of comforting or a dose of children’s Tylenol to help them fall and stay asleep.
  • Ear pulling: Babies may tug at their ears because the pain from teething can radiate to the ear area.

How to Soothe a Teething Baby

little girl cries and holds her cheek because she's in pain from teething

Knowing how to soothe a teething baby is vital for parents to learn. It’s important to read up on some of the options or tools at your disposal but even more vital is that parents learn to understand what works for their child.

Provide Safe Chewing Options

Babies instinctively want to chew on objects to relieve teething pain. Providing safe items for chewing can help:

  • Teething rings: These are specially designed for babies to chew on. Some can be refrigerated for added cooling relief.
  • Cold washcloth: A clean, damp washcloth in the refrigerator can be soothing.
  • Chilled spoons: A cold spoon can gently rub the gums to alleviate discomfort.

Always ensure that any object given to the baby is safe, clean, and free from choking hazards.

Use Cold Therapy

Cold can numb the gums and reduce inflammation. Here are some ways to use cold therapy:

  • Cold food: If your baby has started eating solids, offering chilled foods like pureed fruits or yogurt can provide relief.
  • Breast milk popsicles: Freezing breast milk into popsicle moulds can serve as a nutritious and soothing treat. If your child is old enough to have things like fruit juice, there are many different popsicles you can choose from as well.

Be sure not to offer anything too hard or too cold, as it might cause more discomfort or harm.

Gently Massage the Gums

Massaging your baby’s gums with a clean finger can help reduce teething pain. Applying gentle pressure can provide immediate, albeit temporary, relief. Ensure that your hands are thoroughly washed before doing this.

Use Over-the-Counter Remedies

If your baby is in significant discomfort, over-the-counter remedies can help:

  • Teething gels: These can provide temporary relief by numbing the gums. Always consult your pediatrician before using any medication.
  • Pain relievers: Infant acetaminophen (Children’s Tylenol) or ibuprofen (Children’s Advil) can be used to manage pain and inflammation, but only under the guidance of a healthcare professional.

Avoid teething medications that contain benzocaine or lidocaine, as they are not safe for infants and can lead to serious health issues.

Maintaining Oral Hygiene During Teething

young girl is being shown how to brush her teeth properly by her mom

Good oral hygiene during teething ensures healthy tooth development and prevents early dental problems. As your baby’s teeth emerge, it’s important to establish a routine that keeps their mouth clean and comfortable. Let’s discuss the steps parents can take to maintain their baby’s oral health, including proper cleaning techniques and tips for preventing cavities.

Cleaning Baby Teeth

Once your baby’s teeth begin to emerge, keeping them clean is essential to prevent cavities. Here’s how to maintain oral hygiene:

  • Use a soft, damp cloth: Before the teeth erupt, wipe your baby’s gums with a clean, damp cloth after feeding.
  • Introduce a toothbrush: Once teeth appear, use a small, soft-bristled toothbrush with a tiny smear of fluoride toothpaste.
  • Brush twice daily: Make brushing a part of your baby’s morning and nighttime routine.

Avoid giving your baby sugary drinks or letting them fall asleep with a bottle, as this can increase the risk of tooth decay.

Emotional Support for Your Teething Baby

Offer Comfort and Cuddles Teething can be distressing for babies, so offering plenty of comfort and cuddles is crucial. Holding and soothing your baby can help them feel secure and loved during this challenging time.

Distraction Techniques Sometimes, a simple distraction can take a baby’s mind off the discomfort. Engaging in playtime, singing songs, or walking can provide a welcome diversion.

When to Seek Medical Advice

Signs of Teething Complications While teething is generally a normal process, there are times when medical advice is necessary. Contact your pediatrician if:

  • High fever: A mild rise in temperature is common, but a high fever (above 38.3°C or 101°F) may indicate an infection.
  • Severe diarrhea: Some babies may experience loose stools, but persistent or severe diarrhea is not typical.
  • Persistent pain: Consult a healthcare professional if your baby’s discomfort doesn’t improve with standard remedies.
  • Rash: Excessive drooling can cause a rash around the mouth. If the rash becomes severe, seek advice on appropriate treatments.

Long-Term Dental Care

young boy is smiling as he leans back in the dentist chair

Maintaining healthy teeth and gums is an ongoing process that starts with early dental care during teething and continues throughout childhood. Establishing good dental habits early helps prevent cavities and sets the stage for lifelong oral health. Want to learn more about the importance of early dental visits and tips on fostering healthy dental routines as your child grows? Keep reading!

First Dental Visit

The American Academy of Pediatric Dentistry recommends that children visit the dentist by their first birthday or within six months of the first tooth erupting. Early dental visits help:

  • Monitor dental development: Ensure that teeth are coming in correctly.
  • Prevent dental issues: Identify potential problems early.
  • Educate parents: Guide proper oral care and nutrition.

Establishing Healthy Dental Habits

As your child grows, it’s important to instill good dental habits:

  • Brush and floss regularly: Teach your child to brush their teeth twice daily and floss once daily as more teeth come in. IT can be challenging at first, but it’s actually a super fun part of your daily routines. (Get ready for some baby laughs!)
  • Encourage healthy eating: A balanced diet of snacks and drinks that are low in sugar helps maintain dental health.
  • Regular dental checkups: Schedule routine dental visits every six months.

Conclusion

Teething is a natural part of a child’s development, but it can be difficult for both babies and parents. Understanding the teething process, recognizing the symptoms, and knowing how to soothe your child’s discomfort can make this phase more manageable. Always maintain good oral hygiene, offer plenty of comfort, and don’t hesitate to seek medical advice if needed. With patience and care, you’ll help your child navigate this milestone smoothly, setting the foundation for a healthy smile in the coming years.

Most babies start teething between 4 to 7 months, but it can vary widely.

Teething typically continues until a child has a full set of 20 primary teeth, usually by age 3.

A slight rise in temperature is common, but a high fever may indicate an infection and should be evaluated by a doctor.

Mild changes in bowel movements may occur, but severe diarrhea is not typical and should be addressed by a healthcare provider.

Delayed teething is usually not a cause for concern, but if there are no teeth by 18 months, consult a pediatric dentist for evaluation.

Some babies may start teething later. If there are no signs by 12 months, consult a pediatric dentist.

Yes, sore gums can make eating uncomfortable. Offer soft, cool foods to encourage eating.

Occasionally, teething can lead to bad breath due to bacteria buildup, especially if oral hygiene isn’t maintained.

Yes, baby teeth can come in crooked, but they often straighten out over time as the mouth grows.

Swollen gums may look red and puffy, and you may notice a small white spot where the tooth is about to emerge.

Check us out on Facebook and Twitter for daily information about Oral Health from Martindale Dental, or visit our offices in Hamilton and St. Catharines.

Have more questions?

Please contact us for all inquiries or to book an appointment with one of our convenient clinic locations.  We look forward to hearing from you.