December 26, 2024
Background:
The primary (baby) teeth tend to start erupting around 6-10 months of age and are usually done by 2.5 years of age. There is no need to worry if your child has not sprouted a tooth before 16 months of age. Girls tend to develop teeth earlier than boys.
What Does It Look Like:
The most common symptoms associated with teething are fussiness, chewing on objects or putting objects in mouth and increased drooling. It is also normal to see some gum redness, swelling or irritation. Your child may also have disrupted sleep and refuse solid foods while teething. There may be a mild increase in temperature but teething is not associated with a true fever (temperature over 100.4F). So, yes, it is a common misconception that a teething infant is febrile.
BONUS TIP: Because of the way the nerves on the face run, teething pain can feel like ear pain! As a result, some teething infants may tug at their ears leading parents to suspect an ear infection. If your child has recently had a cold and/or has a true fever (temperature over 100.4F), it is a good idea to have a medical provider check your child’s ears for an ear infection.
What To Do:
Supportive cares like the use of a cold (not frozen) teething toy, a cool wash cloth and/or oral medication like ibuprofen/acetaminophen* provide the best relief for teething discomfort. Avoid teething toys that may pose a strangulation or choking risk. You may also have your infant chew on your clean finger. The use of topical analgesics like Orajel (and other viscous lidocaine/benzocaine preparations) or teething tablets are not recommended because they have not been shown to be effective and can be harmful to the infant.
BONUS TIP: Do not forget to take care of yourself. A teething and fussy baby can take a toll on any parent. Hang in there!
*See "Fever" post for dosing chart.
When To Call Your Doctor:
Teething on its own does not need medical intervention but:
- If your child has a fever (temperature > 100.4F), odds are that there is more going on than just teething.
- If your child is excessively drooling and refusing fluids or unable to swallow any fluids.