Teething Milestones: What to Expect and When to Call the Doctor

Teething is an exciting yet sometimes challenging phase for both babies and parents. As your little one’s first tiny teeth begin to emerge, it’s important to know what to expect and how to manage the discomfort they might experience. From drooling and fussiness to sleepless nights, teething comes with its own set of milestones. While most symptoms are normal, there are times when seeking a doctor’s advice is necessary.

Read on as we explore the key stages of teething and help you recognize when it’s time to call the doctor.

Teething Timeline

Understanding the teething timeline can help parents anticipate when each stage of tooth development will occur and how to manage the symptoms. Babies experience these milestones at different times, but there are general age ranges for when each set of teeth is likely to appear. From early signs like drooling to the final molars breaking through, here’s a breakdown of the typical teething process from birth to 3 years old.

• 0-6 Months: Early signs (drooling, gum rubbing) and when the first teeth typically appear.
• 6-12 Months: First teeth (lower and upper incisors) breaking through.
• 12-18 Months: Molars and canines making their appearance.
• 18-24 Months: Full set of primary teeth forming.
• 24-36 Months: Final set of molars (second molars) completing the teething process.

Common Teething Signs and Symptoms

Teething can bring a variety of symptoms, though not all babies will experience the same ones. Some of the most common signs to watch for include:

• Excessive drooling: Increased saliva production is a typical early sign of teething.
• Chewing on objects: Babies often gnaw on toys or their fingers to soothe the pressure in their gums.
• Mild gum pain or swelling: You might notice slight puffiness or sensitivity around the gums as the teeth push through.
• Fussiness or irritability: Teething discomfort can make babies cranky or more difficult to console.
• Changes in eating or sleeping patterns: Discomfort may cause disruptions in their normal routine, leading to fussier feedings or restless nights.
• Slight rise in temperature (not a fever): A small increase in body temperature is common, but teething does not typically cause a high fever.

Normal vs. Concerning Teething Issues

While most symptoms are mild and manageable, it’s important to recognize what’s normal and when to be concerned.

• What to Expect: It’s normal for babies to experience mild discomfort, such as swollen gums and irritability. Slight disruptions to their usual sleep or eating patterns may also occur, along with an increased tendency to chew on objects to relieve gum pressure. These symptoms generally subside once the tooth breaks through.

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• Symptoms Requiring Closer Attention: While many symptoms are common, some might indicate other issues. Watch for persistent high fevers, excessive crying, or unusual behavioral changes. Additionally, if your baby develops a rash that doesn’t go away or becomes unusually, it’s worth consulting a pediatrician. These could be signs of something more serious.

• Teething Myths: A common misconception is that teething causes high fevers, diarrhea, or severe illness. In reality, it may cause a slight rise in temperature but should not result in a high fever. If your baby experiences significant symptoms like diarrhea or vomiting, it’s likely due to another illness, and medical advice should be sought.

When to Call the Doctor

Here are signs to watch out for that may indicate something more serious than teething discomfort:

• High Fever (Over 100.4°F / 38°C): A slight increase in body temperature is normal during teething, but a high fever could signal an infection or illness unrelated to teething. If your baby’s fever reaches or exceeds 100.4°F (38°C), it’s best to consult your doctor.
• Severe Irritability or Inconsolable Crying: Some fussiness is expected during teething, but if your baby is extremely irritable or cannot be comforted, it may point to a more serious issue, such as an ear infection or other underlying health problem.
• Diarrhea or Vomiting: Teething does not usually cause diarrhea or vomiting. If your baby experiences these symptoms, it could be due to an illness or food sensitivity, and a doctor’s visit is recommended to rule out other causes.
• Prolonged Lack of Teeth by Age 18 Months: While timelines vary, most babies begin cutting teeth by their first birthday. If your child still hasn’t developed any teeth by 18 months, it could indicate a developmental concern.
• Severe Gum Swelling or Bleeding: Mild gum swelling is normal during teething, but if you notice excessive swelling, bleeding, or visible sores, it may be a sign of infection or injury, and immediate medical attention is necessary.

Teething Remedies and Soothing Techniques

Helping your baby through the discomfort of teething can make the process easier for both of you. Here are some safe and effective ways to soothe teething pain:

• Safe Soothing Options: Give your baby some teething toys, such as silicone or rubber teethers, to chew on. A cold washcloth or chilled teething ring can also help numb sore gums. Gently massaging your baby’s gums with a clean finger can offer relief as well.

• Over-the-Counter Remedies: Try baby-safe, pediatrician-approved options like teething tablets, gels or creams that do not contain harmful ingredients. On the other hand, always consult your doctor before using any medications or treatments.

• Importance of Early Oral Hygiene: As your baby’s teeth start to come in, it’s crucial to begin practicing good oral hygiene. Clean their gums with a soft, damp cloth after feeding, and once teeth emerge, switch to a soft baby toothbrush with water or a tiny amount of fluoride-free toothpaste. Starting early helps develop healthy dental habits that can last a lifetime.

How to Care for New Teeth

Caring for your baby’s new teeth is essential for their long-term oral health. Once the first tooth appears, it’s important to establish a routine to keep both their teeth and gums clean. Here are some care tips that you can follow:

• Use gentle cleaning techniques, such as soft brushes, water, and fluoride-free toothpaste, to care for baby teeth.
• Establish good oral hygiene habits.
• Schedule your baby’s first dental visit.

Understanding the key milestones, from the first tiny teeth emerging to the complete set of primary teeth, can help you anticipate what’s normal and when to seek additional support. With the right knowledge and a proactive approach, you can ease this process for both you and your baby.

Remember, if you have any concerns about your baby’s teething journey, don’t hesitate to consult your pediatrician. Your child’s health and comfort are always worth the effort.