Parent guide
The Complete Teething Guide for Parents
Teething is one of those parenting milestones that sounds simple but feels anything but. Fussy nights, drooling, and the worry about whether everything is normal. Here is what you need to know about teething, straight from a pediatric dentist.
When does teething start?
Most babies get their first tooth between 4 and 7 months, usually a lower front tooth. By age 3, most children have all 20 baby teeth. But every child is different -- some are born with teeth, while others do not get their first tooth until after their first birthday. All of these variations are normal.
Common teething symptoms
Drooling, irritability, chewing on everything, swollen gums, and mild sleep disruption are all common. However, high fever, diarrhea, and rashes are NOT caused by teething. If your child has these symptoms, see your pediatrician -- something else may be going on.
Safe ways to relieve teething pain
A cold (not frozen) teething ring or washcloth gives most babies relief. Gently rubbing the gums with a clean finger can also help. For babies over 6 months, infant acetaminophen is safe when used as directed by your pediatrician. Avoid teething gels with benzocaine and homeopathic teething tablets, which have been linked to safety concerns.
Frequently Asked Questions
Is it normal for teething to cause fever?
Mild temperature elevation is possible, but a true fever above 100.4F is not caused by teething. See your pediatrician if your child has a high fever.
When should I start brushing my baby's teeth?
Start brushing as soon as the first tooth appears. Use a soft-bristled infant toothbrush with a rice-grain-sized smear of fluoride toothpaste.
Do teething necklaces work?
There is no scientific evidence that amber or silicone teething necklaces relieve pain, and they pose choking and strangulation risks. We do not recommend them.
Have more questions?
Dr. Sravanthi is happy to answer your questions about your child's dental health.
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