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Writer's pictureDr. Lisneida Arjona

Teething Timeline and Stages: A Pediatric Dentist's Guide

Updated: Jul 18

Navigating through your child’s early developmental milestones can be as rewarding as it is challenging, especially when it comes to understanding the teething timeline. Recognizing the stages of teething, identifying teething symptoms, and knowing when babies start teething are all crucial elements of pediatric dental care that can make this journey smoother for both parent and child.

Teething timeline

This article offers a comprehensive guide to the teething timeline and its stages. It covers essential topics such as how to support your child through each stage of teething, debunking common myths and misconceptions about teething, and when it's time to consult your pediatric dentist. Additionally, it provides insights into selecting the best teething toys and understanding teething fever, equipping parents with the knowledge and tools needed to confidently navigate this aspect of their child's growth.


Understanding the Five Stages of the Teething Timeline

Understanding the five stages of teething is important for parents to effectively manage this challenging period. It helps in anticipating their child's needs, providing appropriate relief, and maintaining their overall well-being.


Overview of the Stages

Stage 1: (0-6 months) - Babies are born with a full set of 20 primary teeth hidden within their jawbones. Known as 'milk teeth', these do not usually emerge before 6 months.


Stage 2: (6-8 months) - The first teeth, typically the lower and upper front teeth or incisors, start to erupt. This stage may cause discomfort, prompting babies to chew on objects to ease the pain.


Stage 3: (10-14 months) - Primary molars appear in the back of the mouth. Symptoms similar to stage 2 continue, with an increase in drooling and irritability.


Stage 4: (16-22 months) - Canine teeth emerge, positioned between the molars and incisors. Parents might use similar soothing techniques as in earlier stages.


Stage 5: (25-33 months) - The large molars, the biggest of the baby teeth, come in, often causing significant discomfort. This stage may challenge the usual soothing methods.


How to Support Your Child Through Each Stage

Stage One: Birth to 6 Months

At this early stage, babies typically do not have visible teeth, but teething symptoms can start to manifest. Parents can prepare by ensuring they have suitable teething toys that are safe and designed for infants. Gentle gum massages with a clean finger can also provide relief for tender gums.


Stage Two: 6 Months

As the incisors begin to emerge, babies might experience increased discomfort. Offering chilled teething rings or clean, damp washcloths can help soothe sore gums. It's also important to introduce solid objects for chewing, like silicone teethers, under supervision to prevent any choking hazards.


Stage Three: 10-18 Months

During this period, primary molars start to appear, which can be quite painful due to their larger size. Continuing with gum massages and providing sturdy teething toys are crucial. Parents should monitor for signs of increased irritability and provide comfort through extra cuddles and attention.


Stage Four: 16-22 Months

Canine teeth make their appearance and might cause similar discomfort as earlier stages. Maintaining routines of offering cold chewables and massaging gums can be beneficial. At this stage, it's also advisable to start teaching toddlers to use toothbrushes designed for their small mouths to instill good oral hygiene habits early.


Stage Five: 25-33 Months

The large molars are the last to emerge and often cause significant discomfort. Providing harder chew items like carrots or cucumber slices can help. It's also a good time to ensure that children's pain relief methods, such as acetaminophen, are used judiciously and under pediatric guidance to manage discomfort effectively.

Teething timeline

Common Myths and Misconceptions About Teething

Teething and Fever

A prevalent myth is that teething causes high fever. However, while teething might lead to a slight increase in body temperature, it is usually low-grade and not a cause for concern. High fevers, defined as temperatures above 100.4°F (38°C), are not related to teething and warrant consultation with a healthcare professional to rule out other conditions.


Teething and Diarrhea

Contrary to common belief, there is no conclusive evidence linking teething to diarrhea. While some parents report changes in their child's bowel movements during this phase, these are not directly caused by teething. Maintaining hygiene and consulting healthcare professionals if symptoms persist is crucial.


The Role of Teething Rings and Other Aids

Teething rings and other aids like gum massages can provide relief to a teething baby. It's essential to use non-toxic and safe materials for teething aids to avoid any health hazards. Parents should avoid teething gels with benzocaine and amber necklaces.


When to Consult Your Pediatric Dentist

When unusual teething patterns occur, such as teeth erupting earlier than four months or later than expected, it's advisable to consult with your pediatric dentist. Each baby's development is unique, and deviations from the norm might require professional assessment to ensure there are no underlying issues affecting your child's dental health.

Prolonged discomfort or pain during teething is another signal to seek advice. While some discomfort is normal, excessive or persistent symptoms could indicate other health concerns. A pediatric dentist can provide guidance and relief options tailored to your baby's specific needs.


Choosing the right teething aids is crucial for your child's comfort and safety. Discuss with your pediatric dentist the most appropriate teething toys, especially if your child has more teeth coming in. They can recommend products that offer varied textures and are made from safe materials to help alleviate teething discomfort effectively.


Conclusion

By understanding the timeline of teething—from the emergence of the first tooth to the appearance of the last molar—parents can effectively soothe their child’s discomfort, choose the right teething toys, and discern normal developmental milestones from symptoms warranting a consultation. The significance of this journey lies not just in managing the discomfort but in fostering an environment conducive to healthy dental habits that will serve children well into the future.


As we conclude, it's important to remember that while most teething experiences can be managed with the insights and methods shared, the unique nature of each child's development might present specific challenges. In these instances, the professional guidance of a pediatric dentist becomes invaluable. Our team of experienced pediatric dental professionals are here for you. Request an appointment with Dr. Lis or call us now at (914) 556-1961. Follow us on Facebook and Instagram. Integrating this knowledge into your parenting approach ensures not only the well-being of your child's dental health but also instills a foundation for lifelong oral hygiene practices.


FAQs

What is the 7+4 rule in pediatric dentistry?

The 7+4 rule is a mnemonic used to remember the timing of when primary teeth appear. By 7 months of age, a child typically has their first teeth, and by 11 months, they should have four teeth.


What does the typical teething timeline look like?

The typical teething timeline varies, but generally, the first teeth (bottom incisors) appear between 5 to 7 months. The top incisors follow at about 6 to 8 months, with the top lateral incisors emerging around 9 to 11 months.


In what order do teeth typically appear during teething?

Teeth generally appear in the following order:

  • Bottom incisors (bottom front teeth): These usually emerge first, around 5 to 7 months.

  • Top incisors (top front teeth): These follow shortly after, appearing at about 6 to 8 months.

  • Top lateral incisors (on either side of the top front teeth): These typically come in at around 9 to 11 months.

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