11 month teething
Baby teething symptoms - NHS
When it comes to teething, all babies are different. But your baby will probably get their first tooth some time during their first year.
Find out how to spot when your baby is teething and what order your baby's teeth are likely to appear in.
When do babies start teething?Some babies are born with their first teeth. Others start teething before they are 4 months old, and some after 12 months. But most babies start teething at around 6 months.
Teething symptomsBaby teeth sometimes emerge with no pain or discomfort at all.
At other times, you may notice:
- their gum is sore and red where the tooth is coming through
- they have a mild temperature of less than 38C
- they have 1 flushed cheek
- they have a rash on their face
- they're rubbing their ear
- they're dribbling more than usual
- they're gnawing and chewing on things a lot
- they're more fretful than usual
- they're not sleeping very well
Read tips on how to help your teething baby.
Some people think that teething causes other symptoms, such as diarrhoea, but there's no evidence to support this.
You know your baby best. Get medical advice if they have any symptoms that are causing you concern. You can call NHS 111 or contact a GP.
Read more about spotting the signs of serious illness in babies and toddlers.
What order do baby teeth appear in?Here's a rough guide to how babies' teeth usually emerge:
- bottom incisors (bottom front teeth) – these are usually the first to come through, usually at around 5 to 7 months
- top incisors (top front teeth) – these tend to come through at about 6 to 8 months
- top lateral incisors (either side of the top front teeth) – these come through at around 9 to 11 months
- bottom lateral incisors (either side of the bottom front teeth) – these come through at around 10 to 12 months
- first molars (back teeth) – these come through at around 12 to 16 months
- canines (between the lateral incisors and the first molars) – these come through at around 16 to 20 months
- second molars – these come through at around 20 to 30 months
Most children will have all of their milk teeth by the time they are between 2 and 3 years old.
Community content from HealthUnlocked Page last reviewed: 9 August 2022
Next review due: 9 August 2025
Teething in Babies: Symptoms and Remedies
Written by WebMD Editorial Contributors
In this Article
- What Is Teething?
- When Do Babies Start Teething?
- Signs and Symptoms of Teething
- Order of Tooth Eruption
- Soothe a Teething Baby
- Treatments to Avoid
- Teething Necklaces
- Teething Medicine
- How to Care for Baby’s New Teeth
What Is Teething?
Teething is when your baby’s teeth start to come through their gum line. Another word for it is odontiasis.
When Do Babies Start Teething?
Most babies begin to teethe between 4 and 7 months old, but some start much later. There’s no need to worry if your baby’s teeth come in on another timetable -- it can be different for every baby.
Signs and Symptoms of Teething
The symptoms aren’t the same for every baby, but they may include:
- Swollen, tender gums
- Fussiness and crying
- A slightly raised temperature (less than 101 F)
- Gnawing or wanting to chew on hard things
- Lots of drool, which can cause a rash on their face
- Coughing
- Rubbing their cheek or pulling their ear
- Bringing their hands to their mouth
- Changes in eating or sleeping patterns
Teething can be painful, but it doesn’t usually make babies sick. Call your doctor if your baby has diarrhea, vomiting, rashes on the body, a higher fever, or cough and congestion. These aren’t normal signs of teething.
You also should call the pediatrician if your baby’s gums are bleeding or you see any pus or swelling of their face.
Order of Tooth Eruption
When and how teeth come in can be different for every baby and may be based on family history. But most of the time, the lower front two teeth come in first, followed by the opposite top two teeth and the two on either side of those. Next come the two on either side of the bottom front teeth, then the first molars appear. The teeth in front of the first molars are next, and the back molars are the last ones to come in.
In all, 20 “baby teeth” will eventually be in place, usually by age 3.
Soothe a Teething Baby
What works to soothe a friend’s baby might not work for yours. You may need to try different things to help your little one feel better:
- Something cold in your baby’s mouth, like a cold pacifier, spoon, clean wet washcloth, or a solid (not liquid) refrigerated teething toy or ring. Some experts say frozen teething toys are too cold and may hurt your baby’s mouth. Make sure to clean teething toys, washcloths, and other items after the baby uses them.
- Try offering a hard, unsweetened teething cracker.
- If your baby is older than 6-9 months, you can offer cool water from a sippy cup, too.
- Massage the gums by gently rubbing them with your clean finger. If the teeth haven’t come in yet, you can let your baby gnaw on your finger. If you’re nursing your baby, try dipping your fingers in cool water and massaging their gums before each feeding. That may keep them from biting your nipple while nursing.
Treatments to Avoid
Never put anything in your baby’s mouth that isn’t specifically approved to help soothe teething. Even some products described as teethers or teething aids aren’t safe choices, including ones:
- Filled with liquid that can tear and spill
- Made of breakable material, like plastic, that can possibly lead to choking
- That are frozen solid -- these can be too hard on a baby’s mouth
Another reason to be aware of the material used to make the teethers: Some can be made from harmful substances, like lead. Look for ones made of rubber.
Teething Necklaces
Child health experts don’t recommend teething necklaces. They’re dangerous: They can strangle the baby. They also can choke if the necklace breaks and they swallow the beads.
If you do choose to use one, make sure to:
- Put it on a wrist or ankle, not around the baby’s neck.
- Always watch your baby when they wear it.
- Take it away when you aren’t watching your baby, even for a very short time.
You may have heard that amber teething necklaces release a pain reliever when heated. That’s not proven, and doctors say using one is not a good idea.
Teething Medicine
Medicine that you rub on your baby’s gums to stop the pain of teething may not help. It quickly washes away in the mouth and may numb the back of their throat and make it hard for them to swallow.
Stay away from over-the-counter teething gels and liquids that have the ingredient benzocaine. The FDA says this ingredient shouldn’t be given to children under 2. It can cause rare but serious side effects.
A small dose of a children’s pain reliever, such as acetaminophen, may help your baby. Don’t use ibuprofen for an infant under 6 months old, and ask your doctor before giving your baby any medication. Use it exactly as the doctor says.
Teething can be rough for you and your baby at first. But it’ll get easier as you both learn how to soothe each new tooth that pops out.
How to Care for Baby’s New Teeth
Good oral hygiene is important, even before your baby has teeth:
- Until teeth start to come in, clean your baby’s gums with a wet washcloth or piece of gauze at least once a day.
- Once they have teeth, clean your baby’s mouth the same way at least twice a day. After feedings is a good time for this.
- After their first birthday, you can start to use a soft-bristled baby toothbrush with water and a small amount of toothpaste that doesn’t have fluoride in it. You can also start flossing between their teeth.
The pediatrician will monitor your baby's teeth for decay and will decide if a referral to a dentist is needed prior to age 1. For most kids, the pediatrician can continue to screen teeth until age 3.
When do baby's first teeth erupt?
All babies teething according to their own individual program: for some, this process begins earlier, for others later. As practice shows, the first tooth in most children appears at the age of 6 to 8.5 months, and by the year every healthy child has at least one milk tooth in his mouth.
At the age of three or four months, teeth preparing for eruption begin to actively declare themselves: the baby becomes capricious, cries, tries to bite everything that gets into his hands. nine0003
The first to appear are usually the two lower, centrally located teeth (lower central incisors or "ones"). Then - the central upper incisors, after which, by about ten months, the upper "twos", or lateral upper incisors, erupt. By eleven to twelve months, the lateral incisors can also be seen on the lower jaw. Thus, ideally, a one-year-old child is the proud owner of eight milk teeth.
By about sixteen months, many babies already have first molars on the bottom and top. Fangs ("threes") appear at the top and bottom later, in the eighteenth - twenty-second month of a child's life. The second upper and lower molars erupt at the age of 24-33 months. But again, it should be remembered that this process is individual and the order of teething may also be different. nine0003
Teeth often grow in pairs: two, and sometimes four at the same time. In girls, for the most part, teeth erupt earlier than in boys. By the age of 2.5-3 years, a complete set of twenty fully erupted teeth can be found in a baby.
Alertness must be shown if a child who is almost a year old does not have a single tooth. In principle, some children may have a congenital feature in the form of late teething, but you should not draw any conclusions on your own, you should definitely consult with a qualified specialist who, if necessary, will prescribe additional examinations. nine0003
Causes of late teething in children:
- hereditary predisposition, which is a variant of the norm and can be traced in other blood relatives;
- decreased thyroid function;
- rickets;
- diseases of the digestive system;
- violations of enzymatic (fermentation) metabolism;
- pituitary insufficiency;
- lack of calcium in the child's body; nine0018
- genetically determined diseases.
For the baby himself, the process of teething can proceed in different ways. Some children practically do not experience discomfort, others suffer from pain, their sleep is disturbed, their appetite worsens, their temperature rises (up to 38-39 ° C), salivation increases, nasal congestion, wet cough (due to profuse salivation), constipation or, conversely, , increased stool.
Experts recommend starting caring for the child's oral cavity even before the first teeth erupt: in the morning and evening, before going to bed, the child's gums should be gently wiped with a swab previously moistened with warm water. After the first teeth appear, you need to clean them with a special fingertip brush, which can also be used to massage the gum tissue. The front teeth should be cleaned with vertical movements, the side teeth with circular movements. nine0003
The network of Healthy Smile dental clinics employs experienced pediatric dentists, to whom you can book your baby for a free consultation.
Healthy Smile clinics provide discounts for regular customers, family discounts, various payment methods are possible, and the list of promotional offers to reduce the cost of certain types of services, including for children, is regularly updated.
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Teething in children: symptoms and complications
Teething in children very often raises a lot of questions from parents. As a rule, during teething, babies experience discomfort, which significantly affects the nervous system of the child and makes parents pretty worried. In our article, we will look at the order, symptoms and complications of teething. nine0003
Teething in children
In what order do teeth erupt in children? As a rule, this is the following order of growth of milk teeth:
- First two lower central incisors - 6-8 months
- First two upper central incisors - approx. 8 months
- First two upper lateral incisors - 8-12 months
- First two lower lateral incisors - 10-12 months
- First four posterior teeth - 14-20 months
- First four canines - 18-24 months
- Second four posterior teeth - 2-3 years
Symptoms of teething
What are the symptoms of teething in a one year old baby? What are the symptoms of teething in children? Typically, symptoms of teething in children under one year of age include:
- Excessive salivation. It can cause coughing and hoarseness, as well as a rash around the mouth and chin
- Swelling, redness and soreness of the gums
- Itchy gums. Toddlers often try to relieve it by chewing on just about anything they can get their hands on
- Decreased appetite or its complete absence, as well as refusal to eat
- Temperature increase
- Sleep disorder
- Hyperexcitability
- Change chair
- Runny nose
It is important to understand that when teething in children, the symptoms can be different and it is not at all necessary that the child has everything from the list. Symptoms of teething in children after one year are very often similar to those present before the year. Even with the eruption of molars in children, the symptoms may be similar, but, of course, everything is purely individual. nine0003
Complications of teething
Symptoms of first teething in a child are important to monitor in order to predict complications. Complications may include:
- Early teething. The norm is 6 months, but it may be that the child's teeth begin to erupt even at 2 months
- Too late teething. It is possible that even at 8 months the child has not yet erupted teeth. The consequence of this situation may be adentia - this is the complete or partial absence of teeth in the oral cavity
- Wrong teething sequence
- Abnormal tooth formation or dental anomalies
- Anomalies of tooth growth
- Enamel hypoplasia. Represents a lesion of tooth enamel that occurs in children under 10 months of age
- Aphthous ulcers or aphthous stomatitis.