Teething, the process of teeth emerging through the gums, marks a significant phase in a child’s early development. Understanding the timeline and types of teeth helps caregivers navigate these dental milestones.
Molars in Young Children
Four-year-olds already have their primary, or baby, molars. The first primary molars emerge between 13 and 19 months of age, while the second primary molars appear between 25 and 33 months. By the age of three years, most children have a full set of 20 primary teeth, including these molars. These primary molars are smaller and whiter than the permanent teeth that will eventually replace them.
Signs of Molar Development
The eruption of primary molars has common symptoms. Children may exhibit increased irritability and fussiness as the teeth press against the gum tissue. Swollen, red, and tender gums are also common where the molars are preparing to break through. Other signs can include increased drooling, a tendency to chew on objects, and sometimes a mild rise in temperature. These are normal signs of emerging teeth.
Caring for Emerging Molars
Several approaches can alleviate discomfort from emerging primary molars. Offering chilled teething rings or a cool, wet washcloth for the child to chew on can help soothe sore gums. Gentle gum massage with a clean finger can also provide relief. For pain management, age-appropriate over-the-counter pain relievers like acetaminophen or ibuprofen can be given, following dosage instructions carefully and consulting a healthcare provider if needed. Maintaining good oral hygiene is also important; gently brushing emerging teeth twice daily with a soft-bristled brush and fluoride toothpaste is recommended.
Understanding Permanent Molars
Permanent molars emerge later than the primary molars. The first permanent molars, called “six-year molars,” erupt between 6 and 7 years of age, coming in behind the existing primary teeth. These do not replace any baby teeth. The second permanent molars appear between 11 and 13 years of age. Between 17 and 21 years, the third molars, commonly known as wisdom teeth, may emerge, though some individuals may not develop them at all. By the early teenage years, most children have 28 permanent teeth, with wisdom teeth potentially adding up to 32 later on.