Stapleton Pediatrics Blog

Teething 101

By Nicole Erwin, MD

Teething. Even the word is enough to cause trepidation in the most seasoned parent! Every baby experiences teething differently, and each baby can have a different teething experience with each of his/her teeth. My hope is that once you know more about the process of teething and how it might affect your child, you’ll be well-equipped to survive this sometimes daunting stage of childhood.
When and Where
The first teeth show up on average between six and eight months, but it’s not uncommon to see those little white bumps as early as three to four months and as late as 12 months.
The order for tooth arrival can vary in children. We typically see central incisors first, followed by lateral incisors, then molars and canines. Click here for eruption charts from the American Dental Association. 
Teething Symptoms
Common symptoms of teething include drooling, biting, being fussy/irritable, refusing solids, waking up more at night, and tugging at ears (the nerves that run by the teeth often refer pain to ears). These symptoms can last weeks to months prior to the offending tooth breaking through the gums. 
Other Symptoms Likely NOT Caused by Teething
Keep an eye out for these other symptoms; typically they are not a result of teething, so please contact us, as your child may need to be seen:  
- Fever of 101 or greater
- Significant diarrhea or vomiting
- Whole body rash (a rash caused by teething is usually just around the mouth and accompanied by drooling)
-  Refusing to eat or drink for more than 24-48 hours
Do's and Don’ts for treating teething symptoms:
Give your baby something to “chew” on: a teething ring, soft toy, pacifier, cold/wet or frozen     washcloth, and cold purees or frozen fruits in a mesh baggie; it’s also okay for them to “gum” on their hands.
Massage your baby’s gums
Tylenol or Motrin (if older than six months)
Avoid over the counter oral gels or tablets and Amber necklaces
There isn't any evidence that these products help, and more importantly, they pose a safety risk of choking.
When those teeth actually arrive, rejoice! And don't forget to start brushing with a soft brush, finger brush or even just a wet washcloth as soon as possible. Contact us with any questions or concerns, and remember, teething is just a phase, and you will survive it!
Sources and for more information:
Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Posted: 6/10/2015 7:06:00 AM by | with 0 comments
Filed under: newborn, teething

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