Can teething cause ear infections in babies? Understanding the distinct processes of teething and ear infections, along with their sometimes overlapping symptoms, is important for parents. This article clarifies the relationship between these two common childhood experiences.
What is Teething?
Teething is the developmental process where a baby’s first teeth emerge through the gums. This milestone typically occurs between 6 and 12 months, though the timing can vary significantly for each child. As teeth push through the gum tissue, babies may experience localized discomfort and irritation. Common signs include increased drooling, chewing on objects, swollen or tender gums, and general fussiness. Some babies might also have a slight temperature elevation, usually below 101°F (38.3°C).
Understanding Ear Infections
An ear infection, otitis media, is an inflammation of the middle ear, the air-filled space behind the eardrum. These infections are commonly caused by bacteria or viruses. They frequently develop after a cold or other upper respiratory infection, as germs can travel to the middle ear through the Eustachian tubes, which connect the middle ear to the back of the throat. Symptoms often include pulling or tugging at the ear, a higher fever, difficulty sleeping, unusual fussiness or irritability, and sometimes fluid draining from the ear. Other indicators can be decreased appetite or difficulty hearing.
Debunking the Teething-Ear Infection Link
Teething itself does not directly cause ear infections. This common misconception arises because both can present with similar general symptoms, leading parents to associate them. For instance, both conditions might cause increased fussiness, irritability, and a mild fever.
Anatomical proximity of the jaw and ear also contributes to this confusion. The pain from erupting teeth, especially molars, can radiate along the jawline and be felt in the ear area. This referred pain can lead babies to rub or pull their ears during teething, which is also a sign of an ear infection. However, ear pulling in this context is typically a response to discomfort in the mouth, not an indication of an ear infection.
While teething does not directly cause ear infections, general inflammation and increased saliva production during teething might make a baby more susceptible to common childhood illnesses, such as colds or viruses. These infections, not teething itself, can then lead to fluid buildup and middle ear infection. Therefore, if an ear infection occurs during teething, it is likely a secondary issue caused by an underlying cold or virus, not a direct result of teeth emerging.
When to Seek Medical Advice
Seek medical attention if baby’s symptoms are severe, persistent, or include clear signs of infection. A high fever (above 101°F/38.3°C), severe ear pain, or fluid discharge from the ear are strong indicators for medical consultation. Inconsolable crying, lethargy, or no symptom improvement after a few days also warrant a visit. While teething is a normal developmental stage managed with comfort measures, ear infections require proper diagnosis and specific treatment.