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Teething – The eruption and cutting of teeth especially the primary teeth.

Teething can be a very difficult time for parents and child. The child will experience some level of discomfort and most parents cannot bear to see their children hurting at all. Not to mention the possible loss of sleep for baby and parents.

Signs and Symptoms of Teething

By age 2 and 1/2 most children have all 20 of their primary teeth. During the process of teeth erupting into the mouth, your child may experience some signs and symptoms. These can include the following:

-Excessive Drooling. Many babies drool so much during the teething process that it is hard to even begin to keep them dry. Teething stimulates drooling and it begins for most babies at about 10 weeks of age.

 –Rash on cheeks or chin. The rash development is linked to excessive drooling. If your baby is drooling excessively, they may develop a dry skin rash around the mouth, and on their chin due to contact with the excessive saliva. Drying the skin around the mouth frequently will help prevent the rash. Use of a gentle skin cream will help moisturize the rash, helping it to heal faster.

 –Coughing. Sometimes the drool will make babies cough for no apparent reason. The baby is actually gagging a little on the excessive drool. The baby should be monitored if this persists and also check to ensure there are no other signs or symptoms of cold, allergies, or flu present.

-Chewing or Biting. As the teeth begin to push through the gums it can cause some discomfort for the baby. Babies learn very quickly that counter pressure will sooth that discomfort. That is why they enjoy chewing on things, especially cold, around this time. This can also be a tough time for mom if she is breast feeding.

-Discomfort or Pain. Every baby will be affected differently. Some experience terrible pain and others barely anything. The first teeth to erupt usually cause the most pain or discomfort. Most babies eventually get used to the pain or discomfort and it is not as severe after the initial tooth eruptions.

 –Irritability. Babies will become irritable during this time as their sleep is affected by chronic discomforts. The same could be said for some parents!

 –Refusing to Feed or Eat. The suction of feeding can cause babies discomfort during this time. Teething babies sometimes become fussy about feedings and become even angrier when they get hungrier and hungrier. Talk to your pediatrician about possibly offering solid foods to baby during this time if they are not already on them. The chewing will relieve some of the discomfort.

 -Development of Diarrhea. This has caused some division among pediatricians but some parents report the development of diarrhea during the teething process. Either way it is important to keep your baby hydrated during the teething process. Speak to your pediatrician if the diarrhea persists.

-Development of a Low grade fever. The fever is believed to be due to the inflammatory process in the body. As the teeth erupt, the babies gum tissue becomes inflamed and this inflammation can sometimes produce a low grade fever (less than 101 degrees F). Treat as you would any other low grade fever but if it persists call your doctor.

-Poor Sleeping Habits. The teething process does not only happen during the day, it can spill over into the evenings. The teething discomfort can disrupt nap time as well as night time sleeping.

-Gum Hematoma. Teething can cause bleeding under the gum tissue, which looks like a bluish lump. It is not anything to be worried about and can heal faster with the help of a cold compress.

-Ear pulling; cheek rubbing. Teething babies may tug on their ears or rub their cheeks or chin. The reason for this is that these areas all share the same nerve pathways. Discomfort in the mouth can travel to other areas in and around the face. Be on the lookout for an ear infection as well. Babies who have ear infections have similar symptoms.

Relief From Teething

There are some things parents can do to make their babies feel better. They include:

-Chewing. As mentioned earlier, chewing soothes teething babies. Some good choices might be rubber teething rings and rattles for them to chew on. Another good option is a frozen, wet washcloth to let them chew on. Our babies liked cold, peeled carrots, they are large,  impossible to swallow or chew, but taste good and are not too hard. The cold will relieve the discomfort.

-Rubbing. Your finger rubbed firmly on baby’s gums, or a wet washcloth, can provide the same soothing counter pressure. Your baby may not like it at first because it might initially hurt, but the counter pressure will bring relief.

Pain relief. If all of the above do not work to relieve the teething discomfort you may want to turn to some sort of pain relief. Acetominophen (Tylenol) is an excellent choice, but as always, check with your pediatrician before using any medications. Some people like to use topical numbing agents, like Anbesol, but babies tend to get very upset with the feeling it gives.

Conclusion on Teething

Teething can be a difficult time for both parents and baby, but armed with good educational information, you can get through it as easily as possible. Follow the tips above to keep you and your baby happy and comfortable.

 

Tooth eruption is a process in tooth development in which the teeth erupt into the mouth and becomes visible.

The arrival of a new tooth, or tooth eruption is a big event for most of us! As a baby, tooth eruption allows for introduction of new foods with more substance. Later on, many parents and kids look forward to a visit from the tooth fairy, and for their new “grown up” teeth to come in. It is an exciting time for parents and children alike and losing baby teeth is an important milestone in most kids and parents lives. It means they are growing up, getting bigger, and taking on more responsibility for themselves at home and school.

Tooth Eruption Facts

Humans have two sets of teeth, primary (or baby) teeth and then permanent teeth. These teeth develop in stages. The schedule is different but the development and tooth eruption of each of these sets of teeth is very much the same. Following are a few facts about tooth eruption:

Tooth eruption tends to happen in parallel. This means that the bottom molar tooth on your left side should erupt into your mouth at about the same time as the bottom molar tooth on the right side.

-Primary tooth development begins during the 2nd trimester of a woman’s pregnancy. Primary teeth are place holders for permanent teeth.

-Loss of primary teeth due to extraction or loss of space due to breakdown of baby teeth, makes a child susceptible to malocclusion and more likely to need orthodontic treatment.

-The crown of a tooth is the first to begin forming. The roots continue to develop and lengthen even after the teeth have come through the gums.

-There are 20 primary teeth. These are usually fully erupted by age 3, and remain until around 6 years of age when they begin to fall out to make room for your permanent teeth.

-Adult teeth usually begin to erupt into the mouth between 6 and 12 years of age. Most adults have 32 permanent teeth.

-Permanent teeth are larger and take longer to erupt than primary teeth.

Tooth Eruption – Types of Teeth

A person’s teeth will vary in size, shape, and their location. Each tooth in your mouth has a job to do and that is why it is shaped the way it is and where it is located. Tooth eruption follows a definite pattern.  There are 5 types of teeth:

1) Incisors. Incisors are the eight teeth in the front of your mouth (four on top and four on bottom). These teeth are used to take bites of your food. Incisors are usually the first teeth to erupt. Primary incisors erupt at around 6 months of age.Permanent incisors should come in at  6 and 8 years of age.

2) Canines. We have four canines in our mouths. These are the next type of teeth to erupt. Canines are your sharpest teeth and are used for ripping and tearing food apart. Teeth eruption for primary canines usually occurs between 16 and 20 months of age, with the upper canines coming in just before  the lower canines. The order is reversed for permanent teeth. Lower canines erupt around age 9, with the uppers erupting at about 11-12 years of age.

3) Premolars. Primary molars are replaced by premolars. Premolars (also called bicuspids) are used for chewing and grinding of food. You have four premolars on each side of your mouth, two on the upper and two on the lower jaw. The first premolars appear around age 10 and the second premolars arrive about a year later. Premolars are generally the teeth that may need to be removed during orthodontic treatment to create space.

4) Molars. Primary molars (replaced by the permanent premolars) are also used for chewing and grinding food. Teeth eruption for these happens between 12 and 15 months of age. The first permanent molars erupt around 6 years of age while the second molars come in around 11-13 years old.

5) Third Molars. These are also referred to as “wisdom” teeth. These are the last teeth to erupt into the mouth and do not typically erupt until age 18-21 years of age. Some

Tooth Eruption Issues - Peg Laterals - Marielaina Perrone DDS

Tooth Eruption Issues – Peg Laterals

people never develop third molars at all. These molars may cause crowding and need to be removed. Other times they develop in the jaw but never erupt into the mouth. When this happens it is referred to as impacted.

Tooth Eruption Issues

-Supernumerary teeth.  Extra teeth may form and make normal tooth eruption more difficult, delayed or impacted. This happens most often in the wisdom tooth area. Another type of extra tooth is called a mesiodens. This is an extra small tooth growing right between the two upper front teeth and needs to be removed surgically. There is also Gemination, or twinning of a tooth, wherein, a double tooth forms.

Malformed  Teeth. Tooth eruption is not always perfect. Sometimes genetics, medications etc. can cause malformed teeth. Examples are peg laterals (very small lateral incisors), mulberry molars (a molar

Fused Tooth - Marielaina Perrone DDS

Tooth Eruption Issues – Fused Tooth

that has a raspberry like appearance), Fused teeth (two different teeth which form conjoined into one tooth such as a lateral and canine),  Dens in dente (a tooth growing completely inside of another tooth).

If a tooth does not form in the primary dentition (for example a child never forms a front baby tooth), there will never be a permanent tooth to replace it. Also, tooth eruption in the lower arch in front can sometimes erupt behind the primary teeth. This is quite normal but may necessitate the need of removal of the primary teeth to aid tooth eruption.

If teeth are not erupting properly, have your dentist take an x ray. Sometimes there are developmental or genetic issues causing malformed teeth, extra teeth or lack of tooth development. It is important to monitor tooth eruption as it happens. The earlier these issues are detected, the better you can prepare for future treatment needs.

 

Primary Tooth Eruption Chart

Tooth Eruption Chart - Marielaina Perrone DDS

Tooth Eruption Chart