Teething is a natural developmental process where a baby’s first set of teeth, known as primary teeth, begin to push and erupt through the gums. This milestone typically starts around six months of age, though the timing varies significantly among infants. The arrival of new teeth often brings discomfort, leading parents to look for specific physical changes, such as facial redness. This article explores the connection between teething and flushed cheeks, detailing the causes and offering guidance on managing this phase.
The Direct Answer: Red Cheeks and Teething
Flushed or red cheeks are commonly observed during the teething process, though the cause is often an indirect consequence of the eruption. The primary reason for the redness is the excessive drooling that accompanies the movement of teeth beneath the gum line. This increased saliva production can saturate the skin around the mouth, chin, and cheeks, leading to a form of skin irritation called a drool rash.
The constant moisture from saliva, especially when combined with friction from wiping or rubbing, breaks down the skin’s protective barrier. This irritation results in the characteristic blotchy, reddish, and sometimes bumpy patches on the face. An alternative explanation suggests that the process of a tooth breaking through the gum causes localized inflammation and increased blood flow. This minor internal swelling can sometimes radiate outward, manifesting as a slight flush on the cheek corresponding to the side where the tooth is actively erupting.
Other Common Signs of Teething
Beyond facial flushing, parents often notice a cluster of behavioral and physical changes that signal a tooth is on its way. The most obvious sign is the significant increase in drooling, which begins when the salivary glands become more active. The gums themselves may also appear visibly red, swollen, or tender where the tooth is preparing to emerge.
Babies frequently exhibit a strong urge to chew or bite down on objects to counteract the uncomfortable pressure building in their jaw. This biting applies pressure to the gums, providing temporary relief from the dull ache. Such discomfort can also lead to general fussiness, increased irritability, and alterations to normal sleep patterns, as the pain often peaks at night.
Managing Teething Discomfort
Relieving the pressure and inflammation in the gums is the primary goal of managing teething discomfort. Offering chilled, solid objects for the baby to chew on can help numb the area and provide counter-pressure. Suitable items include refrigerated, solid rubber teething rings, or a clean, wet washcloth cooled in the refrigerator. Avoid freezing these items completely, as extreme cold can become too hard and potentially cause damage to the delicate gum tissue.
Parents can also try gently massaging the baby’s gums with a clean finger for short periods to provide localized relief. To address the facial redness caused by drool, consistently patting the excess saliva away with a soft cloth is helpful. Applying a thin layer of a gentle barrier cream, such as petroleum jelly, creates a protective shield on the skin to prevent constant moisture from causing further irritation.
If non-medical methods do not provide sufficient relief, an approved over-the-counter pain reliever may be used under the guidance of a healthcare provider. Acetaminophen or ibuprofen, formulated for infants, can help reduce pain and minor inflammation. Parents must consult with a pediatrician to confirm the correct dosage based on the baby’s age and weight before administering any medication.
When Symptoms Signal Something Else
While teething causes localized discomfort, it should not be the sole cause of severe systemic illness. A true fever, defined as a temperature of 100.4°F (38°C) or higher, is generally not caused by the eruption of teeth. Teething may cause a slight elevation in temperature, usually remaining below the fever threshold, due to minor inflammation in the gums.
A high fever, persistent diarrhea, vomiting, or refusal to eat or drink suggests an underlying illness unrelated to teething. If the baby exhibits any of these symptoms, or if inconsolable crying persists despite comfort measures, parents should contact a medical professional. Understanding this distinction ensures that a separate infection or condition is not mistakenly attributed to teething.