Teething marks a common developmental stage for infants, signifying the emergence of their first teeth. Understanding the indicators associated with teething can help caregivers recognize and manage this temporary phase.
Visual Cues on Gums
The appearance of a baby’s gums undergoes distinct changes as teeth prepare to erupt. Gums may become noticeably swollen, red, and tender in the areas where a tooth is about to break through. Parents might also observe small, white bumps or ridges along the gum line, which indicate the tip of a tooth nearing the surface.
Occasionally, a dark, bruise-like area known as a “teething hematoma” can form on the gums. While this can appear concerning, it is harmless and resolves on its own without treatment.
Other Physical Indicators
Beyond changes in the gums, several other physical signs commonly accompany teething. Infants often experience increased drooling, which can lead to a rash around the mouth, chin, or neck due to constant moisture irritating the skin. Wiping away excess saliva gently can help prevent or alleviate this “drool rash.” Babies may also exhibit flushed cheeks or ears, sometimes feeling warm to the touch, as a result of the irritation caused by the emerging tooth.
A frequent behavior observed during teething is increased chewing or gnawing on hands, toys, or other objects, which helps relieve pressure and discomfort. Some babies might experience changes in stool consistency or a mild diaper rash, indirectly linked to increased swallowing of saliva.
General Teething Timeline and Tooth Eruption Order
Teething typically begins around 6 months, though there can be significant individual variation, with some infants starting as early as 3 months or as late as 12 months. The first teeth to appear are usually the two lower central incisors, followed by the two upper central incisors. Subsequently, the lateral incisors, first molars, canines, and finally the second molars emerge. Most children will have a complete set of 20 primary teeth by the age of 2.5 to 3 years.
When to Consult a Pediatrician
While teething can cause discomfort, certain symptoms are not associated with it and warrant medical attention. A high fever (100.4°F or 38°C or higher) is not caused by teething alone and may indicate an underlying illness. Severe diarrhea, vomiting, or significant lethargy are also not typical teething symptoms.
If a baby exhibits these signs, or if symptoms are persistent and cause considerable distress, consult a pediatrician. Teething is a normal process and should not lead to serious illness. Parents should seek professional medical advice if they have any concerns about their baby’s health.