Complete Family Dentistry Blog - Waukesha , WI
Posts for tag: teething
The arrival of your child’s first set of teeth is a natural and expected process. But that doesn’t mean this period of development, commonly known as teething, is an easy time: your baby will endure a fair amount of discomfort, and you, perhaps, a bit of anxiety.
Knowing the facts about teething can help you reduce your child’s discomfort — as well as your own concern — to a minimum. Here are a few things you need to know.
Teething duration varies from child to child. Most children’s teeth begin to erupt (appear in the mouth) between six and nine months of age — however, some children may begin at three months and some as late as a year. The full eruption sequence is usually complete by age 3.
Symptoms and their intensity may also vary. As teeth gradually break through the gum line, your baby will exhibit some or all normal teething symptoms like gum swelling, drooling and chin rash (from increased saliva flow), biting or gnawing, ear rubbing, or irritability. You may also notice behavior changes like decreased appetite or disrupted sleep. These symptoms may be a minimal bother during some teething episodes, while at other times the pain and discomfort may seem intense. Symptoms tend to increase about four days before a tooth emerges through the gums and about three days afterward.
Diarrhea, rashes or fever aren’t normal. These symptoms indicate some other sickness or condition, which can easily be masked during a teething episode. If your child exhibits any of these symptoms you should call us for an exam to rule out a more serious issue.
Keep things cool to reduce discomfort. There are a few things you can do to reduce your child’s discomfort during a teething episode. Let your child chew on chilled (but not frozen) soft items like teething rings, wet washcloths or pacifiers to reduce swelling and pain. Gum massage with your clean finger may help counteract the pressure from the erupting tooth. And, if your doctor advises it, pain relievers in the proper dosage may also help alleviate discomfort. On the other hand, don’t use rubbing alcohol to soothe painful gums, or products with the numbing agent Benzocaine in children younger than two unless advised by a healthcare professional.
If you would like more information on dealing with teething issues, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teething Troubles.”
Even though they eventually fall out, primary (baby) teeth play several vital roles in your child's development. Among other things, they serve as important guides for the developing permanent teeth that will replace them. If any are lost prematurely, the remaining baby teeth start to shift, migrating forward, decreasing the space necessary for the permanent teeth to erupt into their proper positions. This could result in a need for future orthodontics that may have been unnecessary. So it's important to keep primary teeth healthy and in place until they are ready to come out naturally.
Signs & Symptoms of Teething
Primary (baby) teeth typically begin emerging between six and nine months, though as early as three or as late as 12 months can occur. Usually, but not necessarily, the two lower front teeth appear first. All 20 primary teeth are generally in by the age of three.
Some typical signs of teething include: irritability, gum swelling, gnawing, drooling (due to increased saliva production), chin (facial) rash (due to excessive drooling), disrupted sleeping patterns, ear rubbing, and decreased appetite. Symptoms generally start about four days before a tooth emerges, are most intense during the week when the tooth breaks through the gum, and subside about three days following the event.
You may notice small, bluish, translucent “eruption cysts” on your baby's gum where a tooth is breaking through; sometimes blood mixes with the fluid in a cyst, at which point it's called an eruption hematoma. Both generally disappear on their own when the tooth erupts and pops them.
Suggestions for Soothing
To help keep your teething baby as comfortable as possible, try the following:
- A chilled rubber teething ring, pacifier, or cold wet washcloth
- Gentle gum massage using a clean finger
- Cold foods like popsicles when your child is old enough (just be careful about feeding him or her too much sugar, which can cause decay even in newly emerging/emerged teeth)
- Over-the-counter pain medication such as ibuprofen or acetaminophen in the appropriate dosage
The onset of teething is the perfect time to begin focusing on your child's pediatric dental care. Even though baby teeth eventually fall out, the quality of their care will have a direct and long-lasting impact on the health of the permanent teeth that follow.
If you would like more information about baby teething, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teething Troubles.”