Teething three months old
Teething Tots (for Parents) - Nemours KidsHealth
What Is Teething?
Teething is when teeth first come through a baby's gums. It can be a frustrating time for babies and their parents. Knowing what to expect during teething and how to make it a little less painful can help.
When Does Teething Start?
While teething can begin as early as 3 months, most likely you'll see the first tooth start pushing through your baby's gum line when your little one is between 4 and 7 months old.
The first teeth to appear usually are the two bottom front teeth, also known as the central incisors. They're usually followed 4 to 8 weeks later by the four front upper teeth (central and lateral incisors). About a month later, the lower lateral incisors (the two teeth flanking the bottom front teeth) will appear.
Next to break through are the first molars (the back teeth used for grinding food), then finally the eyeteeth (the pointy teeth in the upper jaw). Most kids have all 20 of their primary teeth by their third birthday. (If your child's teeth come in much slower than this, speak to your doctor.)
In some rare cases, kids are born with one or two teeth or have a tooth emerge within the first few weeks of life. Unless the teeth interfere with feeding or are loose enough to pose a choking risk, this is usually not a cause for concern.
What Are the Signs of Teething?
As kids begin teething, they might drool more and want to chew on things. For some babies, teething is painless. Others may have brief periods of irritability, while some may seem cranky for weeks, with crying spells and disrupted sleeping and eating patterns. Teething can be uncomfortable, but if your baby seems very fussy, talk to your doctor.
Although tender and swollen gums could cause your baby's temperature to be a little higher than normal, teething doesn't usually cause high fever or diarrhea. If your baby does develop a fever during the teething phase, something else is probably causing the fever and you should contact your doctor.
How Can I Make Teething Easier?
Here are some tips to keep in mind when your baby is teething:
- Gently wipe your baby's face often with a cloth to remove the drool and prevent rashes from developing.
- Rub your baby's gums with a clean finger.
- Give your baby something to chew on. Make sure it's big enough that it can't be swallowed or choked on and that it can't break into small pieces. A wet washcloth placed in the freezer for 30 minutes makes a handy teething aid. Be sure to take it out of the freezer before it becomes rock hard — you don't want to bruise those already swollen gums — and be sure to wash it after each use.
Rubber teething rings are also good, but avoid ones with liquid inside because they may break or leak. If you use a teething ring, chill it in the refrigerator, but NOT the freezer. Also, never boil to sterilize it — extreme changes in temperature could cause the plastic to get damaged and leak chemicals.
- Teething biscuits and frozen or cold food are only OK for kids who already eat solid foods. Don't use them if your child has not yet started solids. And make sure to watch your baby to make sure that no pieces break off or pose a choking hazard.
- If your baby seems irritable, ask your doctor if it is OK to give a dose of acetaminophen or ibuprofen (for babies older than 6 months) to ease discomfort.
- Never place an aspirin against the tooth, and don't rub alcohol on your baby's gums.
- Never tie a teething ring around a baby's neck or any other body part — it could get caught on something and strangle the baby.
- Don't use teething necklaces made of amber. These can lead to strangulation or choking if pieces break off.
- Don't use teething gels and tablets because they may not be safe for babies.
How Should I Care for My Baby's Teeth?
The care and cleaning of your baby's teeth is important for long-term dental health. Even though the first set of teeth will fall out, tooth decay makes them fall out more quickly, leaving gaps before the permanent teeth are ready to come in. The remaining primary teeth may then crowd together to attempt to fill in the gaps, which may cause the permanent teeth to come in crooked and out of place.
Daily dental care should begin even before your baby's first tooth comes in. Wipe your baby's gums daily with a clean, damp washcloth or gauze, or brush them gently with a soft, infant-sized toothbrush and water (no toothpaste!).
As soon as the first tooth appears, brush it with water and fluoridated toothpaste, using only a tiny amount.
It's OK to use a little more toothpaste once a child is old enough to spit it out — usually around age 3. Choose one with fluoride and use only a pea-sized amount or less in younger kids. Don't let your child swallow the toothpaste or eat it out of the tube because an overdose of fluoride can be harmful to kids.
By the time all your baby's teeth are in, try to brush them at least twice a day and especially after meals. It's also important to get kids used to flossing early on. A good time to start flossing is when two teeth start to touch. Talk to your dentist for advice on flossing those tiny teeth. You also can get toddlers interested in the routine by letting them watch and imitate you as you brush and floss.
Another important tip for preventing tooth decay: Don't let your baby fall asleep with a bottle. The milk or juice can pool in a baby's mouth and cause tooth decay and plaque.
The American Dental Association (ADA) recommends that kids see a dentist by age 1, or within 6 months after the first tooth appears, to spot any potential problems and advise parents about preventive care.
Reviewed by: Larissa Hirsch, MD
Date reviewed: January 2018
When Do Babies Start Teething? Symptoms, Remedies, and More
Teething is when a baby’s teeth start to come through their gums. Most babies will start teething around the age of 6 months, but some may start sooner or later.
You love watching your baby hit those sweet milestones — the first smile, first giggle, and rolling over for the first time. But one that’s sometimes not so sweet (for you or for them) is teething.
Although this is a typical part of growing for babies, it is one of those milestones that can bring discomfort, tears (from you and baby), and even sleepless nights (yep, more of those!).
As for when your baby will actually start the process, it depends.
A baby’s teeth can sometimes emerge with no pain or discomfort, so you might not realize they’re teething until you see the first sign of a tiny white tooth. For other babies, though, teething does cause discomfort.
Common symptoms of teething may include:
- drooling
- face rash from drooling
- chewing on different objects
- irritability and crankiness
- crying
- refusing to eat
- swollen, sore, or tender gums
- trouble sleeping
- flushed cheeks
- pulling on their ears
- slightly elevated temperature to around 99°F (37.2°C)
Note
On the other hand, a rectal temperature 100. 4°F (38°C) or higher, vomiting, or diarrhea are not usually signs of teething. If your baby has these symptoms, contact their pediatrician.
Symptoms of teething in breastfed babies
Teething symptoms can occur whether you breastfeed or bottle-feed your baby. But if you breastfeed or chestfeed, you might notice other changes, too. For example, gum pain or soreness might cause your baby to latch on differently.
Before a tooth emerges (and even afterward), you might feel your baby gnaw or bite down on your breasts. And since breastfeeding is soothing for babies, they might feed more often while teething.
Keep in mind that teething symptoms occur before a tooth breaks through the gum, so don’t be alarmed if you notice these changes in your baby but don’t see any sign of a tooth.
Most babies get their first tooth between 4 and 7 months old.
But there’s a wide range of when it’s considered “typical” to start teething. So don’t panic if your little one hasn’t cut a tooth by 7 or 9 months old. If you’re concerned, you can always speak with their pediatrician at their next checkup.
To get even more specific, most infants begin teething at around 6 months old. Your little one will likely have a full set of their first teeth by age 3, and all the joys of the teeth-brushing routine will have been long established.
But “typical” doesn’t mean “best” or “all.” Exactly when your baby will start teething may even be hereditary.
And though it may seem impossible, some babies are born with one or two teeth! This occurs in about 1 in 6,000 to 1 in 800 cases — so it’s uncommon. It makes for some incredibly adorable pictures, but let’s be honest — toothless grins are pretty darn cute, too.
Infants born with teeth should have them closely monitored since they can present a choking risk.
Some infants are early teethers — and it usually isn’t anything to worry about! If your little one starts showing signs of teething around 2 or 3 months old, they’re simply ahead of the curve in the teething department. And if your baby is a late teether, try not to worry about this either (easier said than done, we know).
Every baby is different, so don’t be concerned if all your child’s little friends have started to cut teeth already — yours will too, in their own time. In fact, if you’re going to compare at all, it’s better to consider when their siblings (if they have them) got their first tooth.
The bottom two teeth are usually the first to appear, followed by the four upper teeth. So keep an eye on that area and prepare for cuteness overload when they do.
Next, their teeth may come in two at a time, one on each side of the mouth. But this pattern can vary, and many factors can influence the timeline (like if your baby was born early or at a low birth weight, for example).
On average, babies have:
- 4 teeth by 11 months
- 8 teeth by 15 months
- 12 teeth by 19 months
- 16 teeth at 23 months
Those sometimes distressing (but always perfectly usual) teething symptoms may come and go during this time period. Or they may be more consistent as your little one cuts new teeth or starts to feel the first symptoms of a tooth emerging.
If your child doesn’t have any teeth by 18 months, see a pediatric dentist for evaluation. In rare cases, an underlying medical issue may cause a delay in teething. These may include:
- malnutrition
- vitamin deficiency
- underactive thyroid
If you’re concerned that it’s been a while since your child cut their last one or two teeth, speak with their pediatrician.
When your little one is teething, you may feel more inclined to reach for that bottle of wine or chocolate bar because it’s tough to see your baby in pain. (No? Just us?)
Well, baby needs some soothing, too.
Home remedies
These are some tried and true — and most importantly, safe — home remedies you can try:
- Gently massage your baby’s gums with a clean finger, knuckle, or moistened gauze pad.
- Hold a cold washcloth, spoon, or chilled teething ring on your baby’s gums.
- Use plastic or rubber toys that are chilled — never frozen solid (ouch!).
- Offer cold foods like a chilled little slice of cucumber if your baby is already eating solids — but always keep a watchful eye on them, because this could be a choking hazard.
Medical treatment
Currently, there aren’t any medical treatments to soothe teething pain in a baby. The good news, though, is that babies typically respond positively to home remedies.
If these remedies don’t relieve symptoms, feel free to ask your pediatrician about the occasional use of over-the-counter baby acetaminophen or ibuprofen.
Your pediatrician can advise whether this is an OK treatment and provide guidance on proper dosing.
And an important note: No matter how attractive the item or the claims of its manufacturers, avoid teething necklaces or bracelets — worn by adults or babies — made of amber, wood, or silicone. These can quickly turn into choking hazards, and it’s just not worth it.
Also on the no-go list: homeopathic teething tablets and medicated topical gels. The Food and Drug Administration (FDA) has issued warnings against using both of these products.
Medicated topical gels contain the ingredient benzocaine, which is an anesthetic. It’s found in products like Anbesol, Orajel, Baby Orajel, and Orabase.
Benzocaine is linked to a rare but serious condition called methemoglobinemia.
Keep in mind that good oral health isn’t important for only older children, teens, and adults. Your baby’s oral health matters too. So start brushing those pearly whites as soon as the first tooth grows in.
How do you keep their tiny, delicate teeth healthy? There really isn’t much to do at this age, but the first step is to buy an infant toothbrush that is soft and gentle. You’ll brush their teeth twice a day, once in the morning and once at night.
And yes, it’s OK to use a fluoride toothpaste, but not too much. You only need a small grain-size amount until they’re 3 years old; then, increase to a pea-sized amount.
Brushing helps prevent tooth decay, which can occur when sugar from milk, juice, or formula remains on their teeth and damages the enamel.
Have questions about teething? Here are answers to a few frequently asked questions.
What are the first signs of teething?
The teething experience can differ for each individual baby, but some of the first signs include:
- drooling
- gnawing
- trouble sleeping
- irritability or crying
- a mild increase in body temperature
Some babies also develop flushness around their cheeks or a rash. And if you breastfeed or chestfeed, teething might change the way your baby latches, or they might feed more often to soothe themselves.
How early do babies show signs of teething?
Teething typically occurs around 6 months of age. However, some babies start teething as early as 2 or 3 months. Then again, some babies teeth later and don’t cut their first tooth until 8 or 9 months (or later).
How long does teething last for babies?
The teething timeframe differs for each baby. But regardless of whether a baby starts teething at 6 months or 9 months, they typically stop teething before age 3. Some babies stop teething around 24 months, while others don’t stop until 36 months.
Do babies get sick when teething?
Even though your baby may have physical discomfort, teething doesn’t make them sick. So if your baby has a runny nose, productive cough, diarrhea, vomiting, or a high fever, these symptoms aren’t associated with teething. This could be a sign of an infection, so speak with their pediatrician.
When your baby cuts their first tooth usually says nothing about their development — as with most things baby, there’s such a wide range of totally OK. Most infants end up with a full set of baby teeth by the time they’re 3 years old, regardless of when they cut that first tooth.
But if your baby hasn’t cut a tooth by the time they’re 18 months old, talk with your dentist. Ideally, you’ve already brought your baby to a pediatric dentist by age 1, as recommended by the American Academy of Pediatric Dentistry (and the American Dental Association and American Academy of Pediatrics, too).
So if you haven’t seen a dentist yet, this would be a good time to have your sweet babe’s mouth and gums checked out.
While visiting the dentist for the first time may sound scary, remember these two things: Your baby hasn’t yet had a negative dental experience to create dread, and pediatric dentists are great at making the visit comfortable — it can even be even fun.
Once your little one does cut a tooth or two, be sure to take good care to clean around the area each day with a damp, cool washcloth or soft-bristle baby toothbrush. Before you know it, they’ll (hopefully!) be brushing their teeth on their own.
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TEAL ELSECTION in three months: Norm or pathology
when the baby is completely small, his anxiety, fever and the appearance of other undesirable symptoms are more often associated by parents with the disease, but not with the appearance of the first teeth. After all, the average eruption time is within 6-8 months. But pediatric dentistry knows many cases where the process begins earlier than these time frames. Therefore, parents need to prepare to help the child at any time. nine0004
Teething at 3 months: what parents need to know
Noticing changes in the behavior and deterioration of the baby's well-being, parents wonder if teeth can erupt at 3 months. Although such timing is not typical, it is worth knowing that the appearance of incisors at this age is possible. By the way, there are rare cases when a child is already born with erupted teeth.
Deviations in both directions from the average time frames are considered normal. Each child's body is individual. In addition, the timing of eruption is influenced by various factors:
- the course of pregnancy - milk bite is laid in the womb at 7–8 weeks;
- mother's diet - contribute to the rapid eruption of the use of pregnant dairy products in large quantities;
- additional intake of mineral complexes - in particular vitamin D and C;
- genetic predisposition to early eruption;
- climatic conditions - the process of teething begins earlier among the inhabitants of the south.
In some cases, early tooth growth may indicate pathology, in particular endocrine disorders. But it is believed that it is not the timing that speaks about the healthy development of the baby. What matters is what teeth climb. It is important that the order in which they appear is observed. The central teeth grow first from below, followed by their antagonists from above. Then the lateral incisors appear, after them the fangs (first the upper ones, then the lower ones). The molars on the lower and upper jaws are cut last. nine0004
Symptoms of teething
How not to confuse the process of the appearance of the first teeth with a certain disease? The following symptoms may indicate teething:
- Swelling of the gums, friability, redness. Sometimes the tooth is visible through the tissues. In some cases, hematomas form.
- Irritability. The baby may be disturbed by pain, itching, so he becomes restless, tearful. The child's sleep is disturbed due to discomfort.
- Active sucking. When the baby actively sucks on the breast or nipple, in this way he tries to relieve the discomfort from the pressure of the tooth on the gum from the inside. In some cases, the baby, on the contrary, loses its appetite. nine0029
- Increased body temperature (often up to 37.5°). In most cases, this is a short-term symptom. A higher temperature indicates the addition of a bacterial infection.
- Increased salivation. Such a symptom can not only indicate teething. At 3 months, this is a physiological process. Therefore, it is worth taking into account other signs. When the first teeth appear, salivation may cause a rash around the mouth. Since at the age of three months the baby is often in a supine position, saliva flows down the walls of the throat. It enters the nasal passages, which provokes rhinitis. When mucus gets into the throat, a cough also occurs, which often manifests itself in a dream. nine0029
These symptoms do not occur all at once, but they still cause concern for parents. They worry about whether teeth can be cut at such an early age, and here they still have to deal with the deterioration of the baby's well-being.
Since many of the symptoms are associated with infectious diseases, it is best to take the child to the doctor. You should not hesitate to visit a specialist if the baby is lethargic, has a high temperature that does not fall, rashes appear on the oral mucosa, and vomiting occurs. The last symptom does not always indicate a complication. It can also occur due to mucus getting into the stomach. nine0004
When an infection is added, the child develops diarrhea. This condition requires careful monitoring, since frequent and loose stools can provoke dehydration.
How to alleviate the child's condition during teething
We have already dealt with the question of whether teeth can erupt at the age of three months. But when this process begins, parents face another dilemma - what to do to alleviate the child's condition. In such a stressful situation, he needs bodily and psycho-emotional contact - carry the baby in your arms, rock him, gently talk to him. This will help relieve nervousness. To eliminate other unwanted symptoms, the following methods are used:
- Gum massage. Do it with your fingertip, after washing your hands. In order not to injure the child, you must also cut your nails. There are also silicone fingertips with bristles or pimples on sale. To determine the intensity of massaging movements, you need to monitor the reaction of the baby.
- Refrig. Since ordinary teethers are not suitable for a 3-month-old baby, other alternative methods are used - they cool the nipple or apply a gauze napkin soaked in cold boiled water. nine0029
- Pharmaceutical products. If you notice that the baby's incisors are starting to climb, you should consult with the pediatrician which gel or ointment to choose. Not all drugs are suitable for the smallest, but there is still a choice. For example, "Kamistad" or "Kalgel" are safe for three-month-old children.
- Antipyretics. Help drugs based on paracetamol and ibuprofen. In addition to normalizing body temperature, they relieve pain. Babies are often given candles, for example, Efferalgan.
Care must be taken to notice which way is best for the baby. During the period when teeth erupt, he also needs careful care. In order not to infect the gums, you need to keep his nipple clean, monitor breast hygiene. Saliva should be wiped with clean napkins, without making an effort so as not to irritate delicate skin. After that, with light massaging movements, you can apply baby cream. It will be useful for the baby to walk in the fresh air in places where there are no large crowds of people. nine0004
Date: September 23, 2021
When does a 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, the teeth preparing for eruption begin to declare themselves quite actively: the baby becomes capricious, cries, tries to bite everything that gets into his hands. nine0004
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. nine0004
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. nine0004
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; nine0029
- 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. nine0004
The network of Healthy Smile dental clinics employs experienced pediatric dentists, to whom you can book your baby for a free consultation.