Teething

Medically reviewed by Drugs.com. Last updated on Apr 2, 2024.

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AMBULATORY CARE:

Teething

is when new teeth begin to come through your child's gums. A child's first tooth usually appears between 4 and 8 months of age. Your child should have 20 primary (baby) teeth by the time he or she is 3 years old.

Common signs and symptoms:

The most common signs of teething are when your child sucks, chews, or bites his or her fingers, toys, or other objects. He or she may also have any of the following:

• Drooling or a face rash
• Sore, tender gums
• Irritable or fussy behavior
• Trouble sleeping
• A small red or white spot where the tooth is coming in

Contact your child's pediatrician if:

• Your child has a fever higher than 100.4°F (38°C).
• Your child has nausea or diarrhea, or he or she is vomiting.
• Your child continues to act fussy and irritable after his or her teeth have come in.
• Your child's gum is red, swollen, and draining pus where the tooth is coming in.
• You have questions or concerns about your child's condition or care.

Medicines:

• Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
• Do not give aspirin to children younger than 18 years. Your child could develop Reye syndrome if he or she has the flu or a fever and takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin or salicylates.
• Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell the provider if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Help your child feel better while he or she is teething:

• Let him or her chew. Give your child a cold (not frozen) teething ring or pacifier to chew on. Wet a clean cloth with cold water and offer it to your child to chew on. Do not leave your child alone while he or she chews on the washcloth.
• Rub his or her gums. Gently rub his or her gums with a clean finger, cool spoon, or wet gauze.
• Give him or her cold liquids or foods. Give your child cold (not frozen) juice to decrease pain. Cold fruit (such as a banana) or a cold vegetable (such as a peeled cucumber) are also good choices. Do not give your child hard foods, such as carrots, because he or she can choke.

What not to do:

• Do not dip a pacifier or teething ring in sugar or honey.
• Do not rub alcohol on your child's gums.
• Do not use fluid-filled teething rings. The fluid may leak out of the ring.
• Do not use teething gel unless directed by your child's healthcare provider.
• Do not use frozen foods, liquids, or teething devices.
• Do not tie a teething ring around your child's neck. The tie may strangle him or her.
• Do not put your child to bed with a bottle.

Care for your child's teeth as they come in:

• Schedule your child's first dental appointment. This should occur after your child's teeth begin to come in and before his or her first birthday.
• Clean your child's teeth using a child-sized, soft bristle toothbrush and water. Clean his or her teeth twice each day. Begin adding a small amount of fluoride toothpaste to the toothbrush when your child is 2 years old. Teach your child to brush correctly. Do not let your child chew on the toothbrush or eat the toothpaste.
• Do not let your child drink from a bottle while lying down or going to sleep. This can cause tooth decay and increase your child's risk of an ear infection.
• Do not let your child walk around with his or her bottle. This can cause a tooth injury if your child falls. Do not let him or her drink from the bottle or breast for longer than a regular mealtime. This can lead to tooth decay.
• Do not give your child fruit juice until he or she is 6 months or older. Children younger than 6 years should drink no more than ½ cup to ⅔ cup each day. Too much juice can cause diarrhea, upset stomach, and tooth decay. Give your child juice from a cup, not a bottle. Buy 100% fruit juice that is pasteurized.

Follow up with your child's doctor as directed:

Write down your questions so you remember to ask them during your child's visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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