Teething is a significant developmental stage for infants, often bringing questions and concerns for parents. Many wonder if their baby’s fussiness or increased drooling could be related to teeth beginning to emerge. This article aims to provide clarity on early teething and related infant behaviors.
Understanding Early Teething
While many babies typically begin teething between 4 and 7 months of age, some infants show signs as early as 3 months. Individual developmental timelines vary. Some infants may even be born with a tooth, or have one emerge within their first few weeks of life, while others might not get their first tooth until after their first birthday. The average age for a baby’s first tooth to appear is around 6 months, but this is a general guideline.
Common Signs of Teething
Parents might observe physical and behavioral changes when a baby is teething. Increased drooling is a common sign, often leading to a rash around the mouth, chin, and neck. Babies may become irritable or fussy, and chew on objects like fingers or toys. Their gums can appear red, swollen, or tender where a tooth is about to emerge.
Other indicators can include slight changes in sleep patterns or appetite. Some babies might pull at their ears or rub their cheeks, as the discomfort from their gums can sometimes extend to these areas. A mild temperature (below 100.4°F / 38°C) is sometimes associated with teething, though higher fevers are not. These symptoms usually begin a few days before a tooth emerges and can persist for a few days after it breaks through.
Distinguishing Teething from Other Infant Behaviors
Many infant behaviors can resemble teething, making it challenging to differentiate. Increased drooling, for example, is a normal developmental stage that begins around 2 to 4 months as salivary glands mature, regardless of tooth eruption. Babies naturally explore by putting their hands and other objects into their mouths, which can be mistaken for teething.
Fussiness and changes in sleep or feeding patterns can also stem from growth spurts, hunger, fatigue, or other infant discomforts. Teething can cause discomfort but does not typically lead to severe illness. While these behaviors might occur alongside teething, they are not always direct indicators of a tooth emerging.
Soothing Teething Discomfort
Several methods can help alleviate a baby’s teething discomfort. Gently massaging the baby’s gums with a clean finger can provide relief. Offering objects to chew on, such as firm rubber teething rings, chilled (but not frozen) washcloths, or cold spoons, can also be soothing. Freezing teething toys too hard can potentially harm a baby’s gums.
For babies old enough to eat solids, chilled pureed fruits or yogurt might offer comfort. Distraction through play and extra cuddles can help shift a baby’s focus from the discomfort. If discomfort persists, infant acetaminophen can be considered, but it is important to consult a pediatrician for appropriate dosage. Certain products like teething gels containing benzocaine, liquid-filled teething rings, or amber teething necklaces should be avoided due to safety concerns.
When to Seek Medical Advice
While teething can cause mild symptoms, it should not result in serious illness. Parents should contact a pediatrician if their baby develops a high fever (above 101°F / 38.3°C) or if a fever lasts longer than 24 hours. Teething does not cause diarrhea, vomiting, or widespread rashes; these symptoms warrant medical evaluation.
If a baby is inconsolably crying, refusing to feed persistently, or appears unusually sleepy or unwell, these could be signs of an underlying illness unrelated to teething. Consulting a healthcare provider ensures any other conditions are properly diagnosed and addressed.