Teething marks a significant developmental phase for infants. This natural process varies for each baby in timing and eruption patterns. Understanding general expectations and possible deviations helps parents navigate this period.
Common Teething Order
Typically, a baby’s first teeth appear around six months, though this can range from three to twelve months. The lower central incisors are most commonly the first to erupt. Following these, the upper central incisors generally emerge next.
After the central incisors, the lateral incisors usually follow, often with the upper ones appearing before the lower. This sequential pattern continues with the first molars, then the canines, and finally the second molars. Most children have all 20 primary teeth by two and a half to three years of age.
When Upper Teeth Erupt First
While lower central incisors typically emerge first, it is normal for upper teeth to erupt earlier. A baby might have an upper central or lateral incisor appear before any lower teeth. This variation is not a concern and indicates no underlying dental issues.
Genetic factors can influence eruption timing; atypical patterns can be inherited. The upper jaw often develops faster than the lower jaw in infancy, positioning upper teeth favorably for earlier eruption. Such deviations are part of healthy infant development.
Supporting Your Teething Baby
Teething can cause symptoms as teeth push through the gums. Increased drooling is common, sometimes leading to a mild rash around the mouth. Babies may exhibit irritability, have difficulty sleeping, and show a desire to chew on objects.
Offering safe chewing options, such as firm rubber teething rings or cold washcloths, can provide comfort by applying pressure to the gums. Gently massaging the gums with a clean finger can also alleviate discomfort. For persistent fussiness, a cool, damp cloth applied to the baby’s face may offer a soothing sensation.
When to Seek Professional Advice
While teething is a normal process, specific signs warrant consultation with a healthcare professional. If a baby develops a high fever (above 100.4°F or 38°C) or severe diarrhea, contact a pediatrician. These symptoms are not typical results of teething and may indicate another health issue.
Extreme fussiness that cannot be soothed, or no tooth eruption by 18 months, should prompt a visit to the doctor or a pediatric dentist. These professionals can assess the situation and provide appropriate guidance, ensuring the baby’s overall health and dental development are on track.