The emergence of a baby’s first teeth marks a significant milestone for parents, signaling the start of their child’s oral health journey. This period brings new responsibilities for maintaining proper oral hygiene. Understanding these changes and how to care for them can help ensure a healthy foundation for your child’s developing smile.
When to Expect First Teeth
Babies typically begin teething around six months of age, though this can vary widely, with some infants showing their first tooth as early as four months or as late as their first birthday. The lower central incisors are usually the first to appear, between four and seven months. Following these, the upper central incisors emerge around six to eight months.
The sequence of primary tooth eruption continues with the lateral incisors, followed by the first molars, then canines, and finally the second molars. Most children will have all 20 of their primary teeth by the age of three. Individual variations in timing are normal and not a cause for concern.
Caring for Emerging Teeth
Establishing a consistent oral hygiene routine from birth is beneficial, even before any teeth are visible. Parents can gently wipe their baby’s gums after each feeding using a soft, clean washcloth or gauze. This practice helps remove milk residue and bacterial buildup, preparing the mouth for the arrival of teeth.
Once the first tooth emerges, use a soft-bristled baby toothbrush. Apply a tiny smear of fluoride toothpaste, about the size of a grain of rice, to the brush. Gently brush each tooth in small, circular motions, cleaning all surfaces. Brushing should occur at least twice a day, ideally after the last meal or drink before bedtime and at another convenient time. This routine is important for preventing early childhood caries, which can occur as soon as teeth appear due to frequent exposure to sugary liquids like milk or juice. Avoiding prolonged exposure to sugary drinks, especially at bedtime, and encouraging water consumption can significantly reduce the risk of decay.
The First Dental Visit
Scheduling your baby’s first dental check-up helps ensure their long-term oral health. The American Academy of Pediatric Dentistry (AAPD) recommends this initial visit by age one or within six months of the first tooth erupting. This early appointment helps establish a “dental home” and allows for the implementation of preventive strategies.
During the visit, the pediatric dentist will examine the baby’s gums, teeth, and jaw development. They may also perform a gentle cleaning and apply a fluoride varnish to strengthen the enamel and protect against decay. Parents can expect to receive personalized guidance on proper oral hygiene techniques, dietary habits, and the potential effects of habits like pacifier use or thumb-sucking. Parents can also ask questions and address any concerns about their child’s oral health.
Common Concerns During Teething
Teething is a natural developmental stage that can cause discomfort for babies. Common signs include red and sore gums, increased drooling, and gnawing or chewing on objects. Some babies may also experience fussiness, irritability, a flushed cheek, or slight changes in sleep patterns. Symptoms like high fever or diarrhea are not caused by teething and warrant consultation with a pediatrician or dentist.
To help alleviate a baby’s discomfort, parents can offer remedies. Gently massaging the baby’s gums with a clean finger or a chilled, wet washcloth can provide relief. Solid teething rings, chilled in the refrigerator (not frozen), or a sippy cup with cool water can be soothing. For babies who have started solids, chilled fruits like bananas or berries can be offered safely. It is advisable to avoid teething gels containing benzocaine and homeopathic teething tablets due to potential safety risks.