The arrival of a baby’s first molars marks a notable developmental milestone. These large, flat teeth emerge at the back of the mouth, playing a significant role in a child’s ability to chew and process solid foods. Their eruption can present a challenging period for both children and their caregivers due to associated discomfort.
Eruption Timeline and Symptoms
First primary molars begin to erupt when a child is between 13 and 19 months of age. This process can cause noticeable symptoms as they push through the gum tissue. Common signs include increased drooling, irritability, disrupted sleep, a strong desire to chew on objects, and swollen or tender gums in the molar area. A low-grade fever can sometimes accompany this phase. Molars often cause more discomfort than smaller front teeth due to their broader surface area.
Managing Teething Pain
When a child experiences discomfort from erupting molars, several safe and practical approaches can offer relief. Chilled, but not frozen, teething rings can provide a soothing sensation to swollen gums. Gently massaging the affected area with a clean finger can also help alleviate pressure and discomfort. Offering cool, soft foods such as yogurt or applesauce can be comforting, as these require less chewing effort.
Certain products should be avoided due to safety concerns. Topical numbing gels with benzocaine are not recommended for children under two, as they can cause methemoglobinemia, a condition that reduces oxygen in the blood. Homeopathic teething tablets and amber teething necklaces also pose safety risks, with necklaces carrying choking and strangulation hazards. For over-the-counter pain relievers like infant acetaminophen or ibuprofen, always consult a pediatrician for appropriate dosage.
Caring for First Molars
As soon as a first molar emerges, regular oral hygiene practices should begin. Parents should brush these new teeth twice daily using a small, soft-bristled toothbrush. For children under three, only a rice-grain-sized smear of fluoride toothpaste is needed. These primary molars serve as “space maintainers” for the permanent teeth that will replace them.
They help guide permanent teeth into correct positions, preventing misalignment or crowding. Maintaining a healthy diet, especially limiting sugary snacks and drinks, is also important to prevent early decay. A child’s first dental visit is recommended by their first birthday or within six months of their very first tooth’s eruption.