Teething Symptoms – Pediatric: Teething Signs, Symptoms, and Relief

What is Teething?

Teething refers to the process when an infant’s first teeth, known as primary or baby teeth, begin to emerge through the gums. This usually starts around six months of age, although the timeline can vary widely. Some infants may start teething as early as three months, while others may not see their first tooth until after their first birthday.

The complete set of 20 primary teeth typically emerges by the age of three years.

Common Signs and Symptoms of Teething

Teething symptoms can vary from one baby to another. However, common signs include:

1. Increased Drooling

Excessive drooling is one of the earliest signs of teething. It may lead to a rash or irritation around the mouth, chin, or neck due to constant moisture.

2. Gum Swelling and Tenderness

The gums may appear red, swollen, and tender where a tooth is about to emerge. Babies often experience discomfort during this phase.

3. Irritability and Fussiness

Teething can cause pain and discomfort, making babies irritable or fussy. They might cry more often and have difficulty settling down.

4. Chewing and Biting

Babies may gnaw on anything they can get their hands on, such as toys, fingers, or furniture. This behavior helps relieve gum pressure.

5. Changes in Eating or Sleeping Patterns

Infants may refuse food or have disrupted sleep patterns due to teething discomfort.

6. Mild Fever

A slight increase in body temperature may occur during teething, but high fevers should not be attributed to teething and warrant medical attention.

7. Ear Pulling and Cheek Rubbing

Babies may pull at their ears or rub their cheeks, as the pain from teething can radiate to these areas.

Teething Timeline

Below is a general timeline for the eruption of primary teeth:

1. Lower Central Incisors (6-10 months)
2. Upper Central Incisors (8-12 months)
3. Upper Lateral Incisors (9-13 months)
4. Lower Lateral Incisors (10-16 months)
5. First Molars (13-19 months)
6. Canines (16-23 months)
7. Second Molars (23-33 months)

Relief for Teething Pain

There are several ways to soothe a teething baby and provide comfort:

1. Teething Toys

Offer your baby a clean, chilled teething ring or a soft rubber toy to chew on. Ensure the toy is free of small parts that could pose a choking hazard.

2. Cold Compress

Apply a cold, wet washcloth to your baby’s gums. The cool sensation can help numb the area and reduce inflammation.

3. Massage the Gums

Gently rub your baby’s gums with a clean finger to provide temporary relief.

4. Over-the-Counter Remedies

If necessary, consult your pediatrician about using pain relievers like acetaminophen or ibuprofen. Avoid topical gels containing benzocaine for infants under two years old, as they can have harmful side effects.

5. Maintain Comfort

Offer extra cuddles and reassurance during this period. The additional affection can help soothe your baby’s discomfort.

When to Call a Pediatrician

While teething is a normal developmental process, certain symptoms may require medical attention. Contact your pediatrician if:

• Your baby has a high fever (over 100.4°F or 38°C).
• Symptoms persist or worsen beyond what’s typical for teething.
• There are signs of infection, such as pus or extreme redness around the gums.
• Your baby shows difficulty eating, drinking, or sleeping.

Caring for Baby Teeth

Proper dental care starts as soon as the first tooth appears. Use a soft, damp cloth or a baby toothbrush to clean the teeth. Introduce a tiny smear of fluoride toothpaste once your child is old enough to spit it out (around age two).

Conclusion

Teething is a natural part of growing up but can be an uncomfortable experience for babies and parents alike. By understanding the signs and symptoms and utilizing effective relief methods, you can help ease the process for your little one. If you have concerns or questions about your baby’s teething, don’t hesitate to reach out to your pediatrician for guidance.