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Facts you should know about teething

What is the order of tooth eruption?

When should you call the pediatrician about teething pain?

What medications are safe to use to treat teething pain?

How do you care for your babys new teeth?

When should my baby visit the dentist for the first time?

Medical Author:John Mersch, MD, FAAP

Medical Editor:William C. Shiel Jr., MD, FACP, FACR

Facts you should know about teething

What is the order of tooth eruption?

When should you call the pediatrician about teething pain?

What medications are safe to use to treat teething pain?

How do you care for your babys new teeth?

When should my baby visit the dentist for the first time?

When Do Babies Start Teething? Center

Patient Comments: Teething – Babys First Tooth

Facts you should know about teething

Teething can cause significant pain in babies.

Teethingis the process by which a babysteetherupt, or break through, the gums. Teething generally occurs between 6 to 24 months of age.

Symptoms of teething include irritability, tender and swollen gums, and the infant wanting to place objects or fingers into the mouth in an attempt to reduce discomfort.Fevercoughdiarrhea, andcoldsymptoms are not found when a child is teething.

Oralrelievers (acetaminophenTylenol] oribuprofen[ChildrensAdvilMotrin]) generally provide relief of symptoms.

Topical medications containing benzocaine may cause serious and potentially lethal side effects and should not be used to treat teething symptoms.

What Can I Do to Ease My Childs Teething Pain?

Massage your childs gums with a clean finger or the back of a small cold spoon.

Allow your child to bite down on a chilled (but never frozen) teething ring. A frozen teething ring can damage the gums.

Try an over-the-counter teething ointment to numb the gums. Ask your dentist or doctor for some product recommendations.

Allow your child to suck on a cold, wet cloth.

Teething is the process by which an infantsteetherupt, or break through, the gums. Teething is also referred to as cutting of the teeth. Teething is medically termed odontiasis.

The onset of teething symptoms typically precedes the eruption of a tooth by several days. While a babys first tooth can appear between 4 and 10 months of age, the first tooth usually erupts at approximately 6 months of age. Some dentists have noted a family pattern of early, average, or late teethers.

A relatively rare condition, natal teeth, describes the presence of a tooth on the day of birth. The incidence of such an event is one per 2,000-3,000 live births. Usually, this single and often somewhat malformed tooth is a unique event in an otherwise normal child. Rarely, the presence of a natal tooth is just one of several unusual physical findings which make up a syndrome. If the possibility of a syndrome exists, consultation with a pediatric dentist and/or geneticist can be helpful. The natal tooth is often loose and is commonly removed prior to thenewborns hospital discharge to eliminate the risk of aspiration into thelungs.

What are thesigns and symptomsof teething?

Teething is generally associated with gum and jaw discomfort as the infants tooth prepares to erupt through the gum surface. As the tooth moves beneath the surface of the gum tissue, the area may appear slightly red or swollen. Sometimes a fluid-filled area similar to a bloodblister may be seen over the erupting tooth. Some teeth may be more sensitive than others when they erupt. The larger molars may cause more discomfort due to their larger surface area that cant slice through the gum tissue as an erupting incisor is capable of doing. With the exception of the eruption of the third molars (wisdom teeth), eruption of permanent teeth rarely cause the discomfort associated with eruption of baby (primary or deciduous) teeth.

Teething may cause the following symptoms:

Restless or decreased sleeping due to gum discomfort

Refusal of food due to soreness of the gum region

Mildrasharound the mouth due to skin irritation secondary to excessive drooling

Rubbing the cheek or ear region as a consequence of referredpainduring the eruption of the molars

Importantly, teething isnotassociated with the following symptoms:

Few Kids Get Dental Fluoride Treatments

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Losing Wisdom Teeth Enhance Sense of Taste

Opioids After Dental Work May Be Dangerous

Monoclonal Antibody Treatment Shortages

Even though grandmothers may debate the findings, research has not shown a causal relationship between teething and development of a fever. Viral infections, which commonly occur independently simultaneous with dental eruptions, may product a fever. However, there is no teething virus.

The process of teething is not causally related tovomiting. As several pediatric dentists have noted, Teething does not cause fever, runny nose, cough, ordiarrhea. Teething causes teeth.

What is the order of tooth eruption?

The following is the general order of eruption of primary teeth:

Between 6 to 12 years of age, the roots of these 20 baby teeth degenerate, allowing their replacement with 32 permanent adult teeth. The third molars (wisdom teeth) have no preceding baby version and generally erupt in mid to late adolescence. Because of their tendency to promote crowding and crooked orientation, they are often removed.

Children will commonly have variable discomfort during the few days before tooth eruption through the gum line. Somebabiesare bothered more than others during the migration through the tissues deep to the gum line. Because of their shape, molars are more likely to be associated with teething discomfort.

When should you call the pediatrician about teething pain?

Because teething is so common and other symptoms such as fever, fussiness, and diarrhea are also common, both conditions may often occur at the same time. Other illnesses or disorders (such as viral infections) are much more likely to be causing fever, fussiness, and/ornasal congestionwith cough and diarrhea. It is important to contact a doctor if these or other symptoms seem concerning. Do not assume that they are just from teething.

What medications are safe to use to treat teething pain?

Some controversy surrounds the use of pain medicines.

While some parents endorse topical medicines, studies havent consistently shown their benefit. The FDA issued a warning in May 2011 urging avoidance of oral medications containing the topical anesthetic benzocaine (such as Orajel). Benzocaine is the main ingredient of many over-the-counter teething sprays, lozenges, and gels. The FDA warning points out an association withmethemoglobinemia, a rare but extremely serious complication. This side effect substantially limits the ability ofred blood cellsto transport oxygen throughout the body. This development may produce serious to lethal consequences. Individuals who developmethemoglobinemiawill become pale, lightheaded, confused, and short of breath. A rapidheartrate is also common. Such an adverse reaction may develop upon first exposure or after several exposures to benzocaine. Any individual who has such symptoms after exposure to benzocaine should seek immediate medical attention at the closest emergency room. A medication can be used to reverse these side effects.

Alcoholshouldneverbe used to numb the gums.

Ibuprofen (Advil or Motrin) or acetaminophen (Tylenol) can help with pain. Ibuprofen shouldnt be given to infants younger than 6 months of age. Medications should be used only for the few times when other home-care methods do not help. Caution should be taken not to overmedicate for teething. The medicine may mask significant symptoms that could be important to know about. Do not give a child products containingaspirin. No prescriptiondrugsare routinely given for teething.

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What homeremediesprovide relief for teething pain?

Teething infants often feel better when gentle pressure is placed on their gums. For this reason, many doctors recommend gently rubbing the gums with a clean finger or having the child bite down on a clean washcloth. If the pain seems to be causing feeding problems, sometimes a different shapednippleor use of a cup may reduce discomfort and improve feeding. Cold objects many help reduce inflammation as well. Veteran parents have discovered the usefulness of frozen washcloths and ice cubes for this purpose. Be careful to avoid having prolonged contact of very cold objects on the gums. Never put anything in a childs mouth (including teething biscuits) that might make the child choke. Homeopathic preparations for teething should be viewed with caution since the purity and concentration of ingredients are not guaranteed. Such products are not subject to FDA (Food and Drug Administration) review.

How do you care for your babys new teeth?

Oral hygiene may be started even before eruption of the first tooth. Twice-a-day cleaning of the gums using the washrag used for cleaning the face and hands after eating is effective and simple. Fluoride has been shown to be extremely effective in reducing the development and severity ofcavities. Since fluoride amounts vary by water source, check with the childs pediatrician or dentist regarding any supplementation that may be necessary. Fluoride recommendations will be based upon fluoride concentration in water consumed and the age of the child. An excess of fluoride may causefluorosis — permanentstaining of the teeth. Childrens teeth seem most vulnerable during the first three years of life. For this reason, fluoridatedtoothpasteis rarely necessary for children less than 3 years of age. Maternal fluoride supplementation duringpregnancyhas not been shown to benefit fetal dental integrity or protect the childs baby or permanent teeth fromcavityformation.

Infants and children should never take a bottle to their crib or bed. Formula,breast milk, cows milk,soymilk, and juice all can be associated withcavityformation. Ingestion of sticky fruit (such as raisins) or other foods heavily laden withsugar(such as candy) is also associated with an increase in cavity formation.

When should my baby visit the dentist for the first time?

The American Dental Association and the American Academy ofPediatricsrecommend the first dental visit be at 1 year of age. If a delayed schedule is chosen, the latest time for a first dental visit is 3 years of age.Trauma, oral malformations, staining of the teeth, dental pain, and unusual changes of the teeth or gums would warrant a dental visit when first noted by the parent.

Lewis, Charlotte W. Fluoride and Dental Caries Prevention in Children.Pediatrics in Review35.1 Jan. 2014: 3-15.

Markman, Lisa. Teething: Facts and Fiction.Pediatrics in Review30 Aug. 2009: e59-e64.

United States. U.S. Food and Drug Administration. FDA Drug Safety Communication: Reports of a Rare, but Serious and Potentially Fatal Adverse Effect With the Use of Over-the-Counter (OTC) Benzocaine Gels and Liquids Applied to the Gums or Mouth. Apr. 7, 2011.

Although a fever technically is any body temperature above the normal of 98.6 F (37 C), in practice, a person is usually not considered to have a significant fever until the temperature is above 100.4 F (38 C). Fever is part of the bodys own disease-fighting arsenal; rising body temperatures apparently are capable of killing off many disease-producing organisms.

Learn more about cavities including symptoms, treatment, and prevention. See how tooth decay, plaque, and bacteria contribute to the creation of cavities and how regular brushing and flossing can help prevent dental caries.

Watch this slideshow to see common symptoms and home treatment for infant and childhood illnesses including fever, nausea, constipation and more.

Childrens health is focused on the well-being of children from conception through adolescence. There are many aspects of childrens health, including growth and development, illnesses, injuries, behavior, mental illness, family health, and community health.

Chronic cough is a cough that does not go away and is generally a symptom of another disorder such as asthma, allergic rhinitis, sinus infection, cigarette smoking, GERD, postnasal drip, bronchitis, pneumonia, medications, and less frequently tumors or other lung disease.

Chronic cough treatment is based on the cause, but may be soothed natural and home remedies.

The common cold (viral upper respiratory tract infection) is a contagious illness that may be caused by various viruses. Symptoms include a stuffy nose, headache, cough, sore throat, and maybe a fever. Antibiotics have no effect upon the common cold, and there is no evidence that zinc and vitamin C are effective treatments.

Take the Dental Health Quiz to test your IQ of oral hygiene, cavities, and common tongue and gum diseases. This quiz covers healthy mouths and teeth from brushing to flossing and everything in between check-ups!

Diarrhea is a change is the frequency and looseness of bowel movements. Symptoms associated with diarrhea are cramping, abdominal pain, and the sensation of rectal urgency. Causes of diarrhea include viral, bacterial, or parasite infection, gastroenteritis, food poisoning, and drugs. Absorbents and anti-motility medications are used to treat diarrhea.

Is chewing ice bad for your teeth? How do you avoid rotten teeth? Learn how chewing ice, eating snacks, teeth grinding and other habits can prevent you from attaining perfect teeth.

Methemoglobinemia (Beta-Globin Type)

Methemoglobinemia (beta-globin type) is an inherited genetic disorder characterized by an atypical form of hemoglobin that is unable to deliver oxygen efficiently. The main symptom of methemoglobinemia is a bluish appearance of the skin. Mutations in the HBB gene cause the disorder

Oral health problems in children include thumb sucking, tongue thrusting, lip sucking, tooth decay, and early tooth loss. Get tips on how to prevent these problems in your child.

Learn top parenting tricks for calming crying, colicky, and fussy newborns and babies.

The word rash means an outbreak of red bumps on the body. The way people use this term, a rash can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.

Sleep Disorders (How to Get a Good Nights Sleep)

A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. The National Institutes of Health recommend about 7-9 hours of sleep each night for older, school-aged children, teens, and most average adults; 10-12 for preschool-aged children; and 16-18 hours for newborns. There are two stages of sleep; 1) REM sleep (rapid-eye movement), and 2) NREM sleep (non-rapid-eye movement). The side effects of lack of sleep or insomnia include:

Lack of sleep and insomnia can be caused by medical conditions or diseases, medications, stress, or pain. The treatment for lack of sleep and insomnia depends upon the cause.

The teeth are the hardest substances in the human body. See a picture of the Teeth and learn more about the health topic.

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MedicineNet does not provide medical advice, diagnosis or treatment.See additional information.

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