What should I expect when my baby starts teething?

The eruption of your baby’s first tooth is an major milestone. From the early appearance of the first tiny tooth to caring for the new set, learn what to expect from your baby’s new arrivals so you can prepare yourself. Learn how to deal with your teething baby’s discomfort.

The Facts

1. Most infants have their first tooth erupt between 6 and 8 months of age.
2. Teeth usually come up in pairs.
3. Bottom front teeth (central incisors) typically emerge first, followed by the top ones. Then the molars and the canine teeth (the pointy ones) appear. Last come the back molars.
4. Although teething usually come with a few days of discomfort and swelling before and after a tooth erupts, tooth development actually begins in the womb. Primary or “baby” teeth begin to form under the gums during the fifth month of pregnancy and slowly emerge as your baby grows. But it’s not until the teeth start breaking through the gums that things get uncomfortable for baby.
5. Baby should have her full set of 20 primary teeth by age 3. Her permanent teeth won’t begin to replace them until she’s 4 to 6 years old.

Dealing With Discomfort

The worst part of teething is seeing a child in pain. Not to mention dealing with all the fussiness. Techniques for teething discomfort include:

• A teething ring: Soft plastic or liquid-filled rings are the best kinds; some can be frozen for extra numbing comfort. But avoid the type with baubles floating inside, since a determined infant might be able to gnaw through it and swallow the little objects.
• A safe, firm, nontoxic object: Even something as simple as a wet washcloth that your baby can chew on will provide relief.
• Teething gel: In some cases, your child may need an over-the-counter infant teething gel, which will temporarily numb her gums.
• Acetaminophen or ibuprofen: An age-appropriate dose of an infants’ liquid pain reducer can provide temporary relief. Ask your pediatrician for guidelines for teething use.

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