Baby’s first tooth is a milestone every parent eagerly awaits. However, the teething process can be as uncertain as it is exciting. Each baby is unique, and teething symptoms, as well as the timing of the first tooth, can vary widely. This comprehensive guide will help you understand everything you need to know about your baby’s teething journey, including symptoms, pain relief options, and proper dental care.
When Does Teething Begin?
Teething typically starts around the age of seven months, with your baby’s first tooth making its appearance. Between the ages of seven to 24 months, your baby will develop 19 additional teeth.
It’s not uncommon for babies to be born with a natal tooth, a condition where a baby is born with one or more visible teeth. According to Cape Town-based dentist Dr. Jolandie Engelbrecht, while all 20 primary teeth are almost fully formed at birth, they remain hidden within the jawbone. Natal teeth generally have underdeveloped roots, making them loose and easy to remove if they cause issues with breastfeeding or create ulcers on the baby’s tongue. However, most of the time, they are left alone to fall out naturally.
What if My Baby is a Late Teether?
Some babies might not get their first tooth until after their first birthday, which can be worrisome for parents. However, there’s usually no need for concern.
Pediatrician Dr. Geetesh Vala reassures that a small percentage of babies may only begin teething after 12 months. If your child is otherwise healthy and developing normally, it’s generally safe to wait a bit longer. However, if no teeth have emerged by 16 months, it’s advisable to consult a dentist.
Understanding Teething Pain: Does Every Baby Feel It?
Teething pain is a common concern for parents, but it doesn’t affect every baby equally. Johannesburg-based pediatrician Dr. Deon Smith notes that only 10-15% of children experience significant discomfort during teething. Despite the common fears associated with teething, many babies go through the process with minimal fuss.
What Are Normal Teething Symptoms?
Teething can be a confusing time, as the symptoms can easily be mistaken for other issues. Dr. Smith explains that while teething can cause discomfort, some symptoms might indicate other health problems.
Common teething symptoms include:
- Excessive drooling (from around seven months)
- Increased biting or chewing behavior
- Slight fever (37 to 37.4°C)
- Mild rash around the mouth
- Nappy rash
- Sleep disturbances
- Decreased appetite
- Red, swollen gums before a tooth emerges
However, certain symptoms, such as a fever above 38°C, vomiting, watery stools, or wheezing, should not be dismissed as mere teething signs and warrant medical attention. A complete refusal to eat, known as a “hunger strike,” is also a cause for concern.
How to Care for Your Baby’s Teeth
Proper dental care should begin even before the first tooth appears. Cape Town dentist Dr. Marie-Louise Weber suggests gently cleaning your baby’s gums using a clean, damp facecloth or cotton gauze. This practice helps maintain oral hygiene and prepares your baby for brushing.
Once the first tooth erupts, brushing becomes essential. Although toothpaste isn’t necessary at this stage, if you choose to use it, pediatricians assure that the fluoride content in children’s toothpaste is low, making it safe for your baby to swallow small amounts.
Experts recommend scheduling your baby’s first dental visit by the age of two. Early visits help monitor your child’s dental development and instill good oral hygiene habits.
Dealing with Excessive Drooling
Excessive drooling is a common teething symptom and can lead to rashes on your baby’s neck and chin. To manage this, it’s important to keep the area dry. Dr. Smith suggests using a barrier cream and changing your baby’s bib frequently to minimize skin irritation.
Easing Teething Discomfort: What Works?
Teething can be uncomfortable, but there are several methods to help soothe your baby:
- Teething Rings: Allow teething rings to thaw after removing them from the freezer to prevent gum trauma.
- Teething Gel: While teething gels can provide relief, it’s crucial to check the ingredients, as some may contain local anesthetics.
- Gum Massage: Gently rub your baby’s gums with a clean cloth or your finger for about two minutes if the tooth hasn’t yet erupted.
- Cold Compresses: A wet cloth cooled in the fridge can be excellent for chewing and soothing sore gums.
- Healthy Chewable Foods: Apples, carrots, and other raw vegetables are great options for older babies to chew on. Ice lollies, cold pureed foods, and even biltong can also provide relief.
- Medication: For severe pain, paracetamol or ibuprofen, given in the correct dosages, can be effective.
Conclusion
Teething is a significant milestone in your baby’s development, filled with both excitement and challenges. By understanding the teething process, recognizing symptoms, and knowing how to provide relief, you can help make this stage as comfortable as possible for your little one. Remember, each baby is unique, and their teething experience will be too. With the right care and attention, you can navigate this milestone with confidence.
