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Stages of Teething Gums: What Parents Need to Know

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Understanding the stages of teething gums is key to navigating this developmental milestone with confidence and providing your baby with the comfort they need.

At Encore Dental Studio in Winston-Salem, we believe in equipping parents with comprehensive knowledge, and this article is designed to be your go-to guide, offering insights, tips, and professional advice from our pediatric dentist to help you and your baby through every step of this exciting journey.

Understanding Teething

Teething is a significant milestone in your baby's development, marking the emergence of their first set of teeth. This process can be both exciting and challenging for parents and infants alike.

What Is Teething?

Teething refers to the period when an infant's primary teeth begin to break through the gums. This natural process typically starts around six months of age but can vary for each child.

When Does Teething Begin?

While the average onset is around six months, some babies may start teething as early as three months or as late as twelve months. It's essential to remember that each child develops at their own pace.

Why Teething Happens in Stages

Teething occurs in stages to allow the baby's mouth to adjust gradually to the new teeth. This phased approach helps minimize discomfort and supports proper oral development.

Stage 1: Pre-Teething Phase (0–3 Months)

Early Gum Sensitivity

During this initial phase, babies may exhibit increased gum sensitivity, leading to fussiness and a desire to chew on objects.

Increased Saliva and Hand Chewing

You might notice your baby drooling more than usual and frequently putting their hands in their mouth. These behaviors are early indicators of the teething process beginning.

Stage 2: Early Teething (3–6 Months)

Swollen Gums and Irritability

As teeth start to push through the gums, swelling and tenderness can cause irritability in your baby.

Drooling and Ear Pulling

Excessive drooling continues, and some babies may pull at their ears, a sign of discomfort from the gums.

First Teeth Breaking Through

Typically, the lower central incisors are the first to emerge, marking a significant milestone in your baby's development.

Stage 3: Primary Teeth Eruption (6–12 Months)

Lower Central Incisors

These are usually the first visible teeth, appearing around six to ten months of age.

Upper Central and Lateral Incisors

Following the lower incisors, the upper central and lateral incisors emerge, completing the front row of teeth.

Sleep Disruptions and Feeding Changes

Teething discomfort can lead to changes in sleep patterns and feeding behaviors, such as increased night waking and reluctance to eat.

Stage 4: Multiple Teeth Erupting (12–18 Months)

Molars and Increased Gum Pressure

The first molars begin to emerge, causing increased pressure and discomfort in the gums.

Fussiness and Mild Fever

Your baby may become more fussy and exhibit a slight increase in temperature during this stage.

Stage 5: Canine Teeth Eruption (16–20 Months)

Tender Cheeks and Swollen Gums

The eruption of canine teeth can cause tenderness in the cheeks and noticeable gum swelling.

More Intense Teething Pain

This stage often brings heightened discomfort, making it crucial to provide soothing remedies for your baby.

Stage 6: Second Molars (20–30 Months)

Final Eruption Phase

The second molars are the last to emerge, completing your baby's primary set of teeth.

Behavioral Changes and Discomfort

Expect possible behavioral changes, such as increased clinginess or irritability, as your baby copes with the final teething phase.

Identifying Healthy vs. Infected Teething Gums

Normal Symptoms vs. Red Flags

Typical teething symptoms include drooling, gum swelling, and mild irritability. However, signs like high fever, diarrhea, or excessive crying may indicate an underlying issue requiring medical attention.

When to Contact a Pediatric Dentist

If your baby exhibits unusual symptoms or if teeth haven't emerged by the expected age, consult a pediatric dentist for guidance.

Natural Gum Relief Techniques

Teething Toys and Cold Washcloths

Providing your baby with safe teething toys or a chilled washcloth can offer significant relief from gum discomfort.

Gum Massage Tips for Parents

Gently massaging your baby's gums with a clean finger can alleviate pain and soothe irritation.

Over-the-Counter Remedies and Safety

Teething Gels: Are They Safe?

Some teething gels contain ingredients that may not be safe for infants. Always consult your pediatrician before using any over-the-counter remedies.

Pain Relievers and Age Guidelines

Medications like acetaminophen or ibuprofen can be used to manage teething pain but should only be administered under the guidance of a healthcare professional.

Teething and Baby’s Nutrition

Breastfeeding and Bottle Challenges

Teething discomfort may cause your baby to refuse breastfeeding or bottle-feeding. Offering a chilled teething ring before feeding can help ease the pain.

Solid Food Introduction Considerations

Introducing soft, cool foods can be beneficial during teething. Avoid hard or crunchy foods that may exacerbate gum pain.

Tips for Teething at Night

Creating a Soothing Sleep Environment

Establish a calming bedtime routine to help your baby relax and sleep better during teething periods.

Managing Nighttime Irritability

Offering comfort through gentle rocking or a soothing lullaby can help alleviate nighttime discomfort associated with teething.

Dental Milestones to Watch For

First Tooth Appearance

Celebrate the emergence of your baby's first tooth, typically around six months of age.

Full Set of Primary Teeth

By age three, most children have a complete set of 20 primary teeth, marking the end of the teething journey.

Common Myths About Teething Gums

Teething and High Fever

Contrary to popular belief, teething does not cause high fever. If your baby has a significant temperature, consult a healthcare provider.

Teething and Diarrhea

While some believe teething leads to diarrhea, there's no scientific evidence supporting this claim.

Misconceptions About Timing

Teething timelines vary widely among children. Delayed tooth eruption is often normal but should be monitored.

How to Clean Baby’s Gums and Teeth

Pre-Tooth Gum Care

Before teeth emerge, clean your baby's gums with a soft, damp cloth to maintain oral hygiene.

Introducing Baby Toothbrushes

Once teeth appear, use a baby-sized toothbrush with soft bristles and a rice-sized amount of fluoride toothpaste.

Teething and Speech Development

How Oral Discomfort Affects Talking

Teething pain may temporarily affect your baby's willingness to babble or speak. This is typically short-lived.

Monitoring Delays or Difficulties

If speech delays persist beyond the teething period, consult a pediatrician or speech therapist for evaluation.

When Teeth Don’t Erupt On Schedule

Normal Variations

Some children experience delayed tooth eruption without underlying issues. Regular dental check-ups can ensure healthy development.

Signs of Delayed Eruption

If no teeth have emerged by 18 months, seek advice from a pediatric dentist at Encore Dental Studio to rule out potential concerns.

Long-Term Oral Care After Teething

Transitioning to Routine Dental Visits

Schedule your child's first dental appointment by their first birthday to establish a foundation for lifelong oral health.

Establishing Oral Hygiene Habits

Encourage daily brushing and flossing habits early on to promote healthy teeth and gums.

Encore Dental Studio for Pediatric Teething Concerns: Expert Pediatric Dental Guidance

At Encore Dental Studio, we are committed to providing comprehensive dental services with a focus on comfort, efficiency, and results. From same-day dental crowns to emergency dentistry, our experienced team ensures your oral health needs are met quickly and effectively.

We proudly serve families and individuals in Winston-Salem and surrounding areas, offering a welcoming environment where your smile comes first.

We are located at 755 Highland Oaks Dr STE 106, Winston-Salem, NC 27103, United States and we are open from Monday through Thursday from 8 AM to 4:30 PM. 

Book an appointment.

Conclusion

photo of a dentist and a little girl showing a thumbs up

Understanding the stages of teething gums empowers you to support your baby through this developmental phase with confidence and care.

By recognizing symptoms, providing appropriate relief, and maintaining good oral hygiene with Encore Dental Studio, you can ensure your baby's comfort and health. Remember, every child is unique, and patience is key as you navigate the teething journey together.

Frequently Asked Questions (FAQs)

Can teething cause a rash around the mouth?

Yes, excessive drooling during teething can lead to skin irritation and rashes around the mouth and chin.

Should I be worried if my baby hasn’t started teething by 12 months?

Not necessarily. While most babies start teething by six months, some may experience delays. Consult your pediatrician if concerned.

Can teething cause changes in bowel movements?

Teething may coincide with changes in bowel habits, but persistent diarrhea should be evaluated by a healthcare provider.

How can I tell if my baby is teething or sick?

Teething symptoms include drooling, gum swelling, and irritability. High fever, vomiting, or lethargy may indicate illness and require medical attention.

What’s the best way to relieve teething pain at night?

Providing a chilled teething ring, maintaining a soothing bedtime routine, and offering comfort through gentle rocking can help alleviate nighttime teething discomfort.

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