Which tooth does a child grow first? When do children cut their first teeth?

The development of each baby is accompanied by various processes, which, although identical in nature, the nature of the manifestation is individual for each. This is especially true for those situations when a child’s first teeth appear, the symptoms of which may change during the teething process. Very often their eruption is accompanied by fever, runny nose, restlessness, etc. In some children, these signs occur in full, in others partially, and in others, everything goes unnoticed. But the result is always the same - the appearance of milk teeth.

The first tooth in a child, the photo of which is presented in this article, often appears at 6 months. This period is general for everyone, but there are exceptions. All of them are caused by certain deviations. For example, there are situations when children are already born with teeth, or they appear after two years, or with a very long period of time.

Disturbances in the normal development of a child with all accompanying processes may depend on the following factors:

1. Hereditary predisposition. Teeth may appear very late or too early as stated.
2. Presence of infectious diseases. Frequent colds, infections or changes in the normal state of metabolism and intestinal function can cause delays in the process of teething.
3. Poor quality nutrition for a child or nursing mother. The lack of necessary products and elements in the daily diet can affect the development of the dentofacial apparatus and the frequency of tooth appearance. Products should not only be of high quality, but also healthy, affecting protein and mineral metabolism. At six months of age, babies are recommended to start feeding. Porridge and liquid foods are ideal, since children are not able to eat solid foods. Even if there are already several teeth, this does not allow babies to chew it well. They can only take a bite.
4. The amount of vitamin D absorbed is not adequate. Teething occurs at different times for each baby. It is especially difficult during the cold season. Due to bad cloudy weather, vitamin D production is very poor, which ultimately affects teething. Thus, the climate of the region in which the baby lives plays a big role.

Teeth eruption sequence

Many young parents are interested in the question, which teeth cut first?

Without taking into account various disturbances in the process of teething, the following periods are typical for most children:

1. 6-7 months – the central incisors of the lower row appear;
2. 8-9 m – central incisors erupt in the upper row;
3. 9-11 – lateral teeth of the upper row;
4. 11-13 – lower lateral;
5. 12-15 – the turn of small molars begins;
6. 16-20 – fangs, which are called eye canines, erupt;
7. 24-30 molars are large.

Scheme of teething in babies - sequence

The frequency and sequence of eruption of baby teeth is a purely individual process for each baby. For some, everything happens according to instructions, for others there are delays or the order of appearance changes. Only a dentist can talk about any irregularities or improper eruption, since only a specialist can qualitatively assess the processes taking place. Thus, although a delay in the appearance of teeth of two to three months is considered the so-called norm, a consultation with a doctor should still take place. It is possible to determine which first teeth appear in a child, photos of which are in this article, based on a generally accepted fact.

With normal development of a child, without any delays or disorders, the baby should be “armed” with 20 teeth at two and a half years old.

Condition of the baby during teething

Each period of development and ongoing process has its own characteristic features and symptoms. It is customary to identify certain signs when a baby’s first teeth are cut, photos of which are presented in this article. So during teething you can observe:

1. There is increased irritability and tearfulness. This condition can be caused by pain.
2. The gums change. They become more sensitive, swollen, red or white. A photo of the gums during the eruption of the first teeth is presented in this article.
3. A very common occurrence is an increase in body temperature, appetite may decrease, and stool consistency changes (disorder).
4. Insomnia may occur.
5. Puffiness appears in the cheek area and under the eyes.

The severity of these symptoms depends on the specific type of teeth that are in the process of erupting. Their greatest strength is characteristic of the canines and molars.

Baby's first teeth erupt

To determine when and how the first teeth are cut (photos, symptoms of the teething period are described in this article), it is necessary to monitor the child’s condition.

Features of assisting a child with teething

Regardless of which teeth erupt first, the baby's condition may worsen. During the period of teething, the task of every parent is to somehow help the baby, easing his condition. It is customary to highlight the following areas of effective measures:

1. Massage. Of particular importance is massaging the gums, which is a kind of circular movements in the desired area of ​​the oral cavity. Before you begin this activity, you should pay attention to the manicure. Its neat condition will reduce to zero the risk of injuring the child, since massage actions must be performed by an adult with special care so as not to cause harm. The duration of this process is on average 2 minutes. As an object for massaging, in addition to your finger, you can use an ice cube wrapped in a towel, hard fruits, and vegetables. When using food, it is necessary to supervise the child, as there is a risk of biting off a large piece, which could cause choking. Photos of the eruption of the first teeth are presented in the gallery of this article.
2. Teethers. Depending on the production, they can be unfilled or with thermogel. The peculiarity of using the second type is their cooling. Placing this teether in the refrigerator makes it possible to influence blood vessels, as well as soothe itching in the gums, remove swelling, soreness, and sensitivity. Thus, the baby’s condition can be alleviated a little.
3. Use of medications. There are tablets and special gels. Before using a particular drug, you must familiarize yourself with its features and also consult a doctor, since there is a risk of an allergic reaction. You can choose a gel with or without an anti-inflammatory focus. The frequency of use of this product is about 3-4 times a day for three days. The peculiarity of using gels is the duration of its action (20 minutes). It is most advisable to use it before meals, since soothing the gums will allow you to eat calmly and fully, and also before bed. These measures are quite necessary when the first tooth appears, a photo of which is presented at the end of the article.

One of the effective drugs is Dentokind. It belongs to homeopathic remedies. Features of its action: it can have a calming, analgesic effect, and normalizes the baby’s condition. The maximum frequency of taking Dentokind is 6 tablets.

The appearance of the child's first teeth

1. Unloading the intestines. The amount of food consumed should depend on the wishes of the baby. The feeding process should not be forced. During the teething period, it is recommended to drink plenty of fluids, which will help restore the required volume of fluid in the body.
2. Temperature reduction. Since teething is often accompanied by an increase in body temperature, antipyretic drugs will come to the rescue. During this period, it is necessary to carefully monitor the child, since some children almost do not react to the increase in temperature indicators, continuing to behave as usual, but others experience lethargy, irritability, and drowsiness. Thus, based on the individual characteristics of the children, each parent is obliged to carefully monitor the child’s condition. If the temperature rises, antipyretics are used. They can be used in various forms, for example, in tablets, suspensions, suppositories. Before using any product, you must read the instructions and administer strictly as prescribed. When these drugs do not have an effect, you need to call a doctor at home.
3. Nutrition. Regardless of which teeth come out first, it must be balanced. In the process of chewing food, the child’s blood supply to the gums improves, and the newly formed teeth become stronger. Thus, in order to achieve maximum effect, it is necessary to change the consistency of the food consumed. The mushy and homogeneous mass should be replaced with food with small and then large pieces. This helps not only in the process of teething and their further strengthening, but also in the subsequent development of the speaking apparatus. Often, children who have eaten solid food speak very well and speak clearly, unlike others, their speech is difficult and unclear.

Particular attention is paid to the pacifier. It has been established that sucking it when the first teeth appear has a detrimental effect on the bite. The habit of thumb sucking can lead to a similar or even worse condition.

There is an opinion that a large amount of dairy products has a beneficial effect on the process of tooth growth. Unfortunately, this fact has not been proven in practice.

Teething in children - photo

Signs and symptoms of a baby’s first teeth erupting make it possible to respond to the situation in a timely manner, as well as provide the necessary assistance to the baby.

Changing baby teeth

Regardless of which teeth appear first, the peculiarity of baby teeth is that they are prone to change. This process is not only necessary, but simply mandatory. Often, the appearance of temporary teeth is similar to that of milk teeth. Thus, the central incisors are replaced first at the age of 6-7 years, the lateral incisors - 7-8, small molars - 9-11, but the canines and large molars are replaced at 10-12.

Pattern of teeth appearance in young children

After the signs of the first teeth appear in babies, teething is a fairly long process, which usually begins from the age of six months. A child’s first tooth (symptoms, photos are presented in this article) is both a long-awaited and unexpected occurrence, since it can appear at any time.

It is impossible to name the final period for the appearance of teeth, since a very long period of time can pass between the eruption of molars and wisdom teeth. Although this process is often accompanied by pain and discomfort, it is possible to cope with them thanks to auxiliary means and medications. Having overcome all difficulties, you will eventually receive a reward - a beautiful and charming smile.

When do babies' first teeth appear?

So how many months do boys start teething? The birth of a child is the most joyful event in the family. It is followed by other touching moments: first words, first steps, first teeth. If the first two events are always joyful, then along with the last come fever and insomnia at night.

Almost all parents believe that nothing can be done about painful manifestations during this period. You just need to be patient and wait. Knowing when the period of teething begins, as well as its characteristics, can significantly alleviate the symptoms for the child.

The appearance of the first teeth

At what age do teeth begin to appear? Each baby is one and only. This applies not only to the attitude of parents and relatives towards him, but also to biological characteristics. The time when the first teeth appear depends on the following factors:

1. Child's heredity. A baby born to young parents starts teething earlier than a baby born into an older family.
2. Baby nutrition. Depending on the intake of necessary microelements (calcium, handicap) into the body with food, teeth will begin to erupt earlier or later.
3. From the floor. Girls develop much faster than boys. Accordingly, their first tooth appears much earlier.
4. Much depends on climatic conditions. In hot climates, the process can begin as early as two months of age.

Typically, the first tooth appears at 6–8 months, and the last pair of baby teeth at 2.5–3 years.

As mentioned above, at the moment medicine cannot offer a single scheme for determining when teeth begin to cut. All children are unique. When the first teeth are cut, parents sound the alarm, because... this process is accompanied by the child’s nervousness. In this case, the baby can be either 4 or 7 months old. It is very important that by the age of one year the child has at least 2 milk teeth.

Don't expect other teeth to appear after the first one. Naturally, after the first tooth, the rest will gradually grow, but this can take one month or six months. The timing is purely individual.

Remember that all children develop differently. Don't compare them to each other. If one child develops faster than yours, this does not mean that yours is lagging behind in some way, that he is sick. If you have any concerns, just contact your pediatrician.

The milk kit includes 20 teeth. By counting the number of spawns, you can easily find out how many are left to spawn. It is impossible to predict the time when the first tooth will appear, but it is very easy to determine which ones will appear first. This happens in a clear sequence.

Here is an approximate schedule and sequence in which the teeth will appear:

• First, the lower central incisors appear, this occurs at approximately 6–8 months;
• then the upper central incisors will erupt, at the age of 8–10 months;
• after them, the upper lateral incisors emerge, at 9–12 months;
• followed by the lower lateral incisors - at 11–14 months;
• then upper first molars at 12–15 months;
• after them, the lower first molars are cut almost immediately behind the upper ones, i.e. at 12–15 months;
• the penultimate fangs erupt - at 18–22 months (first from above, then from below);
• and the last - the upper and lower second molars - at 24–32 months.

Interesting fact: this sequence is observed in all children, it is confirmed by pediatricians and fully reflects the real picture. But it is impossible to predict whether the right one or the left one will appear first.

Atypical cases

Many atypical timing of teething may be signs of certain pathological processes:

• if the first tooth appears two months ahead of time, this may indicate endocrine system disorders;
• if teeth erupted two months later than usual, you need to keep in mind the possibility of an infectious disease, metabolic disorder or dysfunction of the gastrointestinal tract;
• if a tooth does not erupt on the gum, then its axis is damaged;
• Sometimes babies are born with teeth that are removed to make breastfeeding easier.

Even in the above cases, you should not panic ahead of time. Take your child through a full course of examination, which is guaranteed to reveal all the abnormalities present in him or, conversely, confirm their absence.

How can you tell if your baby has started teething? Firstly, this can be determined by his behavior: the child becomes more and more restless, his behavior changes dramatically. Secondly, by external signs: the appearance of an easily noticeable hard red bump on the gum. But even without knowing about these two features, you definitely won’t miss the beginning of this period. Regardless of what time teeth begin to cut, this process is accompanied by a vivid clinical picture.

So, the main symptoms indicating that the baby is cutting a tooth:

• the temperature rises noticeably;
• salivation increases;
• gums turn red;
• a runny nose or cough appears;
• vomiting is possible;
• diarrhea or constipation;
• a rash appears on the cheeks.

As already mentioned, changes in the baby’s usual behavior are observed. These include:

• the baby is not at ease, he is constantly capricious, his behavior changes almost completely, sudden attacks of hysteria are possible, the child does not sleep well;
• when the teeth begin to cut, the baby pulls everything into his mouth, chews everything that comes to hand: toys, rattles, small objects, etc.;
• when the first teeth emerge, the gums swell significantly, and the germ of a tooth is visible in them;
• there is a sour smell from the mouth;
• cheeks slightly swollen;
• The baby loses his appetite.

These symptoms disappear after the first tooth appears. But when the second one begins to grow, they appear again. But don't let your guard down. With such a vivid clinical picture, which is observed when teeth come in, it is easy to overlook the symptoms of some disease.

Parents' actions

You need to start thinking about your child’s future teeth during pregnancy, since their foundation is laid at 3–4 months. You need to eat foods containing a lot of calcium more often: cottage cheese, liver, cabbage. Thanks to this, the baby's teeth will be strong enough.

And now begins the period when teeth come out. For many, this time is associated with a real nightmare. But knowing all the behavioral signs and symptoms of teething, you can help your child survive this age stage as comfortably as possible. It is necessary to monitor the baby’s condition very closely in order to provide him with all possible assistance in a timely manner. What can be done:

These were ancient methods, tried and tested by generations. Today's medicine offers a number of means to alleviate unpleasant sensations for a child. Most are gels designed to be applied to the gums. They are absolutely safe and are sold in every pharmacy. Here are the most popular ones:

• Dentinox;
• Holisal;
• Kalgel;
• Kamistad;
• Panasoral.

Gels have no effect on the dental structure and its development. They relieve discomfort due to the presence of lidocaine and menthol in their composition. In some cases, they cause an allergic reaction, so you need to monitor the baby’s well-being. It is allowed to use the gel no more than 5 times for 3 days. The duration of its therapeutic effect is about 20 minutes.

Attention! Since the child “tastes” everything, you need to remove all small objects that he can reach, and regularly disinfect toys.

If your child periodically experiences severe pain, you can contact your doctor and ask him to prescribe a pain reliever.

The appearance of teeth is a natural process. But parents are able to help their child cope with it as easily as possible. Warmth and attention are the key to a child’s well-being.

When a child's first teeth appear, parents have more troubles. Only teeth that have erupted are easily susceptible to all negative influences, so they need to be looked after from the very first day.

The most important thing is that they need to be cleaned. Initially, a sterilized bandage or a special attachment on the finger is used for this. Then they gradually begin to use a soft baby brush with a paste rich in calcium and low in fluoride. The brush should be changed every month. Parents should brush the teeth of a child under 2 years old, doing it very carefully so as not to damage the thin layer of tooth enamel. After two years, you should gradually teach your child to do this himself, but under the supervision of one of the parents.

Fighting caries

Since newly erupted teeth are very sensitive to all external influences, it is necessary to take the right measures in advance to prevent the development of caries. It's not that difficult. You just need to follow a number of simple rules:

1. Do not bring it to your mouth or lick a pacifier or baby spoon. An adult's saliva contains a lot of bacteria that are harmless to us, but dangerous to a child.
2. It is recommended to reduce your sugar intake as much as possible. Instead of sugary drinks, give your child natural juices or water. Don't give him sweet drinks at night.
3. Gradually teach your baby to drink a little water after eating, and when he gets a little older, to rinse his mouth after eating.
4. Get periodic oral examinations from your dentist. It is recommended to do this for the first time at the age of two, and then visit this specialist at least once every six months.
5. Try to avoid damaging tooth enamel. Without it, teeth quickly deteriorate. To do this, properly formulate your child’s daily diet. Include hard cheeses, dried apricots, natural green and black tea.
6. Teach your child to brush their teeth after meals or just twice a day.

Following these rules will help avoid the development of caries and keep your child’s teeth healthy and beautiful. As you know, the proper functioning of the entire gastrointestinal tract largely depends on the health of teeth. Thoroughly chewed food is much easier for the stomach to digest. When teeth are damaged, and especially when teeth fall out, the quality of mechanical processing of food in the oral cavity noticeably decreases, which, in turn, leads to an increase in the load on the entire gastrointestinal tract. Over time, this can lead to gastritis, peptic ulcers, or other diseases of the digestive system. Following these recommendations will help your child stay healthy.

The birth of a baby is an indescribable joy for new parents, but the baby’s health problems are frightening and alarming. A serious and difficult period in a child’s development is the period when the first teeth appear.

The baby becomes restless and the body temperature rises. Don’t be afraid of these symptoms; you need to properly help your baby survive this difficult period.

Formation and development of teeth

The laying of teeth begins at the 6th week of intrauterine development of the baby and ends when the first tooth erupts.

The development of a baby's first teeth involves various tissue elements. The development of teeth begins from rudiments, which are formed with the help of mesoderm and ectoderm.

Tooth germs have main components:

• enamel organ (formed by epithelial lining);
• papilla (forms mesenchyme);
• tooth sac (mesenchyme envelops the enamel organ).

In order for the child to have healthy teeth, the expectant mother must eat quality food, namely, regularly include fish meat in her diet; it is rich in fluoride, which protects the mother’s teeth from falling out during pregnancy.

When does a child get his first teeth?

The baby's first teeth erupt at six months of age, but if they are late, this is also part of the norm. Teeth have the ability to grow in pairs, that is, they grow in twos or four at a time.

Because of this feature, the gums become inflamed, causing discomfort and pain.

If the functioning of your baby’s endocrine glands is disrupted, the first teeth appear much earlier than expected (a month, sometimes two); in history, there have been cases of children being born with a pair of teeth already present.

The timing of the eruption of the first teeth does not in any way affect their longevity, and in the future the milk teeth will be replaced by permanent teeth in due time.

If a child suffers from diseases of various etiologies (the most common option is rickets), then until 12 months the baby will not have a single tooth. In this case, consultation with a specialist is necessary.

Video

E.O. Komarovsky says that your baby’s first teeth erupt in the following sequence:

• First of all, the lower incisors should appear in the center in half a year;
• The upper incisors appear at 8 months;
• Incisors, which are located on the sides of the central ones at the top - at 10 months;
• Lower ones - when the baby reaches one year old;
• Between one and 15 months of age, the first molars will appear;
• Fangs will erupt no earlier than the 17th month, in some children at the 20th month;
• By the end of 24 months, the second molars will appear.

First signs

There are a number of signs when the first teeth begin to emerge:

1. The gums become inflamed and swollen. If they touch the gum, the child will be in great pain, he cries and screams. There are night pains that bring discomfort to the baby;
2. The baby loses interest in food and decreases appetite;
3. Excessive irritability of the baby;
4. The main symptom of the appearance of teeth is profuse and constant salivation, which is accompanied by a wet cough;
5. There is congestion in the nasal sinuses, but the discharge from the nose is transparent, without admixtures of pus and blood;
6. At night, body temperature rises to 38C°. If the temperature rises higher, consult a doctor immediately;
7. The baby’s desire to chew on everything that comes his way, from his toys to the bars of the crib;
8. Your baby may develop symptoms of body intoxication – stool disorders and vomiting;
9. Before the first tooth is about to come out, a white line appears at the eruption site.

How to help and what to do when teeth start to come out?

You must be prepared for this difficult period, have enough patience, it will be difficult for everyone, both the child and loved ones.

First of all, it is necessary to relieve the child’s pain as much as possible.

To do this, you can use homeopathic medicines: Dentokind or Dantinorm Baby are homeopathic medicines that effectively relieve pain and also prevent the appearance of dyspeptic disorders; they can be used regardless of how many months teeth come out. Dental gels provide excellent pain relief:

1. Pansoral “First Teeth” is a herbal medicine based on chamomile. Contraindicated in children under six months of age.
2. Cholisal - perfectly relieves signs of inflammation and has an antiseptic effect. Use with caution, may cause allergic reactions.
3. Baby Doctor "First Teeth". Relieves pain in a very short time.

Let your child also chew on specialized teethers; they are safe, easy to clean and sterilize. When a child chews actively and frequently, teeth erupt faster and easier. There are teethers that are filled with water and stored in the refrigerator; the pleasant coolness on the gums relieves pain well.

Traditional methods

If you are a supporter of traditional medicine, use the tips that our grandmothers used:

• During this period, the baby needs to feel the warmth and care of mom and dad. Carry him in your arms more often, cradle him, caress him, especially at night, when the pain intensifies;
• Distract your baby from pain with games, walk in the fresh air in the company of other children;
• Lubricate the place where teeth begin to creep in with a small amount of honey, which is wonderfully soothing. But before using honey, ALWAYS do a skin test for allergies. To do this, apply a drop of honey to the inner surface of the baby’s forearm, leave for 15 minutes, if there is no redness, honey is safe for the child;
• Teethers will replace refrigerated objects (spoon, pacifier and others);
• To avoid irritation of the skin around the baby’s mouth, it must be wiped with vegetable oils;
• Productively relieves inflammation by rinsing the mouth with a decoction of chamomile, which also has a calming effect;
• To calm the baby, you need to put him to the breast more often;
• Wrap your index finger in a sterile bandage, previously soaked in peroxide, and carefully massage the gums. This is a good way to relieve inflammation.

The most painful time does not last long, after a couple of days all symptoms will disappear, the baby will calm down and restful sleep will return.

In most cases, when teeth come out, the help of a pediatrician is not required.

But you must immediately call a doctor or ambulance in the following situations:

• The child’s body temperature is above 39C°, continues to rise and remains at high levels for a long time.
• The baby has been bothered by a long and obsessive cough for more than a week, with the discharge of purulent, “rusty”, foamy sputum, in large quantities, accompanied by an unpleasant odor.
• There is mucus or blood in the baby's stool and frequent diarrhea.
• Change in the color of stool, the appearance of a sour, sweet, fetid odor;
• The stool is not formed, watery.
• The appearance of rashes and spots on the skin.
• Discharge of cloudy fluid from the tear ducts of the eyes, swelling of the eyelids.
• A baby's runny nose lasts 3-4 days or more.
• The discharge from the nose has become purulent, greenish in color, or mixed with blood.
• The child suffers from constipation for more than a week.
• Sores or a “cheesy” coating appeared on the child’s oral mucosa (which indicates the onset of candidal stomatitis).
• There are yellowish spots on the enamel of new teeth; the tooth is “shrouded” in a black border.
• If, when the child reaches the age of one year, there is not a single tooth.

Very often, the symptoms of diseases, such as acute respiratory infection, disorders of the digestive system, are mistaken for the beginning of teething. Parents should be very attentive to their baby so as not to miss a dangerous infection.

Video

Every baby gets its first teeth a few months after birth. Moms and dads always look forward to this joyful event, but few of them know that teething in babies can be accompanied by unpleasant symptoms that make them worry about their health.

However, this is not always the case. After all, even the order of teething that is accepted as the norm may not correspond to the individual characteristics of the body. However, parents should know how babies teeth erupt and the main signs of this process in order to be able to protect not only the child, but also themselves from unnecessary worry.

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When do the first teeth appear?

The formation of the rudiments of teeth, the timing and order of their appearance in the baby are laid in the womb at 6-7 weeks of her pregnancy. All this happens strictly individually, largely determined by the underlying genetics and lifestyle of the pregnant woman.

It is for these reasons that there are no specific dates for the appearance of teeth.

But still, at what time do the first baby teeth begin to cut? Most often, the first tooth makes itself felt at the age of 4-7 months. In some babies - closer to a year, as a result of heredity or unbalanced nutrition of mother and child. The first teeth may appear in infants at 3 months. This is usually due to the mother taking vitamin and mineral complexes containing calcium and vitamin D3 or a large number of fermented milk products during pregnancy. But usually parents see the first tooth at 4 months - this is a standard indicator.

It happens very rarely (about 1 case out of 2000) that newborns already have one or more teeth - in this case, you should definitely consult with specialists to exclude defects in the development of the body. It can also be the other way around (also extremely rare), when a child’s first teeth appear only after a year. Then mommy can hear from the doctor a preliminary diagnosis - rickets, which can only be confirmed or refuted with the help of tests.

Many experts talk about the existing hereditary connection between when the first teeth appear in babies and when their parents and grandparents appear. Therefore, there is no need to sound the alarm ahead of time. If a child’s teeth appear too early or, conversely, too late, then perhaps one of his relatives experienced something similar in infancy. However, this should not be taken as a rule either, since it does not always correspond to reality.

Other important factors in tooth growth are:

• Maternal nutrition during breastfeeding, affecting the quality of milk.
• Climatic conditions. It has been observed that in hot regions children develop teeth earlier than in colder regions.
• The lifestyle of a pregnant woman, which plays an important role in the formation of not only the teeth of the embryo, but also its entire body.
• The presence of diseases in the baby: pathologies of the endocrine system, gastrointestinal tract and others.

In a small percentage of children who do not have teeth in the second year of life, a disease such as adentia is detected - the complete or partial absence of tooth germs. In such a situation, it is important to contact a dentist in time, who will use an x-ray to determine the extent of the disease and take appropriate treatment measures.

In any case, when a child’s teeth are coming out, there is no need to panic ahead of time - this is a natural process laid down by nature. Mom should remain calm and not once again look for deviations from the norm.



Order of appearance

According to the standards established by dentists, by the age of one year a child should have 8 teeth: 4 upper and 4 lower incisors. By the age of three there should be 20. The following approximate sequence of teeth appearance has been determined:

• lower central incisors - 4-7 months;
• upper central incisors – 7-10 months;
• upper lateral incisors – 9-12 months;
• lower lateral incisors – 10-16 months;
• lower first molars – 12-18 months;
• upper first molars – 13-19 months;
• upper canines – 16-22 months;
• lower canines – 17-23 months;
• lower second molars – 20-31 months;
• upper second molars – 25-33 months;



The indicated order is only a vague diagram of teething in infants, because, as was said earlier, each child is individual, and his teeth are not asked when they need to appear. Today, a large number of children erupt only 1-3 teeth by the age of one year, but by 2-3 years they already have a full “milk” set.

There is no need to worry when children cut teeth out of sequence, for example, the canine did not wait for the chewing ones to appear, or all the lower incisors came out first, and only then the upper ones. This is not a significant deviation from the norm. The main thing is that by the age of three the baby has all his milk teeth.

There is a misconception that the later teeth start cutting, the longer they last. This is wrong. As practice shows, they fall out at approximately the same age as “early” teeth. Also, their quality does not depend on how many months they appeared.

In other words, the timing of the appearance of baby teeth does not affect the timing of the appearance of permanent teeth.





Teething symptoms

Teething occurs differently in babies. Many mothers say that their children did not react in any way to such an important event, and the first “comrade” that erupted was discovered by a loud knock on the spoon while eating. Others complain about sleepless nights, incessant whims, fever and other unpleasant moments.



And yet, how to determine that teeth are being cut? Every attentive mother will see these signs of teething in a baby. The classic symptoms are:

• Increased salivation in a baby is the very first sign that indicates that the first teeth are being cut. Sometimes, due to the abundance of saliva in the area of ​​the nasolabial triangle, irritation may appear, especially if the baby sucks on a pacifier. Therefore, it is recommended that mother periodically blot (do not wipe) this area with a clean napkin and smear it with rich baby cream several times a day to protect the skin from irritation.
• Redness and swelling of the gums occur as a result of tooth movement within the soft tissue. In some children, a few days before teething, the gums in this place may not just turn red, but turn black and begin to bleed a little. You don’t have to worry about this, because once the tooth appears, the hematoma will resolve on its own. You just need to make sure that the baby does not put non-sterile objects in his mouth and does not introduce an infection into the wound.
• The child rubs his chin and ears, as severe pain in the baby can spread to these areas. But such a sign may also indicate inflammation of the middle ear.
• Anxiety and restless sleep are caused by itching of the gums and the appearance of painful sensations. The gums itch, causing discomfort to the baby and making him capricious. He puts everything in his mouth and can suck and bite fists.
• Loss of appetite. When teething, the baby often loses his appetite, refusing complementary foods. If he is on breastfeeding, in no case should you refuse him breastfeeding for the sake of a heartier lunch. At this stage, breast milk is not only a source of vitamins, but also a source of calm.
• The increased temperature is explained by the baby’s body’s response to the inflammatory process occurring in the gums. It is believed that temperature is accompanied by the eruption of the upper teeth. It can rise up to 38°C, and lasts no more than 2 days. If longer, it is recommended to consult a doctor for advice, as this may be a symptom of ARVI.
• Loose stools in a baby are caused by swallowing a large amount of saliva and accelerating intestinal motility. The quality of the stool changes, it becomes more watery. The frequency of bowel movements per day should be 2-3 times and no longer than 2-3 days. When teeth begin to cut, the mother should carefully examine the contents of the diaper and monitor the child’s health: if the color and smell of the stool changes, mucus and blood appear, or the temperature rises, you should immediately call a doctor.
• Nasal congestion and cough are associated with increased salivation. A runny nose can last 4-5 days, it will be clear and watery. A cough is formed as a result of saliva flowing down the back of the throat and worsens when lying down. Typically, a reflex cough does not require treatment. But, since teething in children weakens their immunity, these manifestations can serve as a signal of the onset of a respiratory disease. A doctor's consultation is required.

The acute symptoms listed above may occur on any specific tooth. But it is especially painful for a child when two, three or even four teeth come out at the same time. In this case, the symptoms of teething in infants can be increased several times. It is believed that the most painful are the upper teeth and canines. But all this is determined by the individual character of the organism.



When is medical help needed?

According to a large number of opinions of pediatricians, normal signs of tooth growth are salivation, swelling of the gums, anxiety, and loss of appetite. In other cases, parents should be concerned about the baby’s health.



Experts say that high fever, cough, diarrhea and vomiting are a consequence of a weakened immune system due to teething in a child. This is explained by the fact that the baby, in order to calm the discomfort in the gums, puts everything in his mouth. Thus, it introduces a large number of harmful microbes into the body - the main pathogens of diseases.

How can you tell if your child needs help? If the temperature rises above 38°C, a severe chest cough begins, vomiting and diarrhea appear - these are signals to immediately call a doctor.

How to help a child?

A difficult time begins for the whole family when the first teeth of infants begin to grow. It is important to understand that during this period it is the parents who must help their child by providing him not only physical but also psychological support. After all, the child’s beginning whims at this stage are not “manifestations of character,” but a reaction to his state of health.



How can you help a child when his first baby teeth are cutting?

• Breastfeeding for breastfed babies is the main way to calm down. If a child often asks for the breast, you should not refuse him, because this way he feels a strong connection with his loving mother. And even more so, in such a difficult time, you cannot wean the baby so as not to cause psychological trauma to the baby.
• There are special teethers to relieve itching in babies. They are flat rubber toys with a rough surface that help scratch gums and help teeth erupt. Often the teethers are filled with water inside, so they can be placed in the refrigerator to cool and then given to the baby. The cold surface will soothe sore gums. If the baby does not want to hold the teether in his hand, but reaches for other objects, you should not refuse him. The main thing is that the item is clean, without sharp corners or removable small parts. Some parents, when their children are teething, prefer to give them a bagel, cracker, or crust of bread instead of toys. This is acceptable, but subject to careful supervision of the baby so that he does not choke on a piece or crumb.
• A light massage of the gums will help to temporarily relieve the pain and itching of the gums when teeth are erupting, as well as to slightly speed up the process of their appearance. The massage should be performed with cleanly washed hands without long nails. Movements should be smooth, circular, without strong pressure.
• During the period of excessive drooling, when children's first teeth erupt, it is important to provide the baby with plenty of fluids to avoid dehydration. It must be remembered that even if the baby is breastfeeding, he still needs water, since mother's milk is, first of all, food.
• As the first milk teeth are cut, the baby may be capricious a lot or, conversely, be calm. His mood is unstable: having just cried, he can burst into laughter a few minutes later. Therefore, to distract him from the pain, you can try playing with toys or reading children's books. This will not only redirect the child’s attention, but also give him a feeling of comfort from being near his mother.

Relieving symptoms with medication

To prevent teething symptoms in children under one year from clouding their understanding of the world, you can use various pharmaceutical drugs after consulting with your pediatrician in advance.



Dental gels for pain relief

The most common are dental gels, such as Kalgel, Kamistad, Dentinox, Cholisal. They are carefully applied, lightly rubbing, onto the inflamed gums, without fear that the baby may swallow the medicine. These are fairly safe drugs that have anti-inflammatory, anesthetic and antiseptic effects. They help relieve painful symptoms when a child is teething.



When first used, it is recommended to use a small amount of gel to test the child for an allergic reaction. If there was none, then rubbing the drug up to 6 times a day is allowed, but only when the child really needs it.

Antipyretics

Everyone knows that when teething, a baby’s temperature may begin to rise. They usually don’t bring it down to 38°C, but what to do if the mark gets higher? Antipyretic drugs come to the aid of mother and baby: Nurofen, Paracetamol, Ibuprofen, Panadol, Efferalgan.



For children, these drugs are produced in a special children's form - in the form of syrups. Their use will relieve pain and aches and prevent the temperature from rising higher. For babies in the first months of life, instead of syrups, you can buy antipyretic suppositories: Tsefekon, Efferalgan, Nurofen. Their action is similar to the above-mentioned syrups.

Seeing that the child is teething, the mother must monitor not only the temperature, but also what symptoms complement the overall picture. If you experience coughing, diarrhea, vomiting, or the baby cries for a long time and does not calm down, you urgently need to call a doctor at home.

Proper care of baby teeth

When a child has his first tooth, and then the rest grow, you need to start caring for them properly. To do this, you can wrap a gauze pad around your finger or use a special silicone toothbrush. You need to brush your teeth very carefully so as not to injure the gums and thin enamel.



By the age of two, it will be possible to purchase a special children's toothpaste (preferably without fluoride) that is safe to swallow, as well as a toothbrush for a certain age category. Of course, the child himself will not yet be able to properly brush his teeth, so adults should control this process, helping the baby eliminate plaque.

Every second mother studies information about how a baby’s teeth erupt, what time they cut, the order of teething, and signs of growth on the Internet and in other accessible ways. She will be interested in information from the famous Dr. Komarovsky and the Russian Dental Society. Pregnant women and young mothers share many useful tips on websites dedicated to women's and children's health. You can’t ignore local pediatricians, from whom you can also learn everything you need about proper child care.



Taking care of your teeth from early childhood not only ensures oral health, but also instills a useful habit, which, unfortunately, a good quarter of the adult population does not have.

Medicine is moving forward more and more every year. Therefore, by turning to a specialist for help in time, you can provide your child with a healthy and snow-white smile for many years.

All parents remember the period when teeth are cut. Changes in behavior and disturbances in the functioning of organs occur. Knowing the signs of teething, you can help your child cope with pain in time and avoid complications.

The first teeth appear at about 6 months of age. It may take 2 months from the moment the first signs appear until the tooth appears.

The following symptoms will help you understand that your baby is teething:

• before the teeth emerge, the gums look inflamed and swollen;
• salivation increases;
• the child begins to put all objects and toys into his mouth;
• eats poorly;
• sleep becomes interrupted, often wakes up crying.

The baby's behavior during teething also undergoes changes. The baby becomes capricious, excitable, and often asks to be held.

Does not tolerate harsh sounds or bright light. There are sudden changes in mood: from apathy to an increased desire to be paid attention to.

Signs of teething that resemble the onset of a cold and bowel dysfunction:

1. frequent regurgitation;
2. the temperature rises to 38 degrees;
3. bowel disorder (constipation or diarrhea);
4. runny nose;
5. cough;
6. rash on cheeks.

It is not necessary that all these symptoms will be detected immediately. Some babies may only experience diarrhea, while others may simply drool. When the upper teeth come in, the temperature often rises.

During teething, especially the upper ones, the gums are injured. Therefore, you can see blood on it. It can change the smell of your mouth.

Dangerous signs of the disease

At the moment when the first teeth are cut, the child’s immunity decreases. The body weakens and becomes susceptible to germs and bacteria. Parents should identify the symptoms of the disease in time.

In order to understand whether a child is starting to have a cold or is just teething, it is important to know the symptoms that are characteristic of both cases.

If a child’s immunity is weak, then oral diseases may occur during the appearance of teeth.

• Thrush. This is a fungal disease. Symptoms of the disease: the gums and tongue become covered with a white coating, itching appears, and loss of appetite occurs. The pain intensifies. You need to contact a specialist.
• Stomatitis. Symptoms: ulcers and wounds can be found in the oral cavity.
• Caries. Appears on teeth that have weak enamel. Mandatory dental intervention is required.

Timing of eruption

All children get their first teeth at different times. But already from the 1st month growth begins inside the gums. Teeth can come out early - at 3 months, or they can appear late - at 10-11 months. Most often, the first tooth can be seen at 6 months.

The early appearance of teeth in infants (3 months) is associated with the intake of vitamins and minerals during pregnancy. If teeth appear before 3 months, the child needs to be examined. This may be the cause of endocrine diseases.

Normally, by the age of one year there should be at least 1 tooth. In cases where the teeth do not come out for a long time, the child should be shown to a doctor to rule out developmental pathologies.

Reasons why babies teeth erupt late:

• rickets;
• weakened immune system;
• endocrine disorders;
• unbalanced diet, late complementary feeding;
• premature birth;
• edentia – absence of the rudiments of baby teeth.

The pattern by which the upper teeth erupt in most children is as follows:

The pattern of teething of the lower row of teeth in many children is as follows:

In some children, the pattern of teeth appearing changes, for example, the canines rather than the incisors emerge first. This is an individual feature that does not bring anything bad.

Consultation with a dentist is necessary when the pairing of eruption is disrupted: one tooth of the pair has appeared, but the other has not, while other teeth are being cut. This may indicate a congenital malformation.

Unpleasant symptoms and pain accompany the period when fangs come out. This is due to the fact that these teeth have sharp, wide and jagged edges.

The upper teeth are often accompanied by a runny nose. This occurs due to the spread of swelling and inflammation of the nasal mucosa. By the age of 3, babies should have 20 baby teeth.

Preventative dental checkups should not be ignored. First visit – at 1 year. Only a specialist can identify oral problems in a timely manner.

Giving help

You can alleviate the symptoms of teething with increased attention and affection. You need to pick up the child more often, play with him, talk to him, read books. This is how the baby feels cared for and is distracted.

Adults need to know what activities will help alleviate the condition:

Problems that arise with the first teeth

The color of the first teeth can tell about the child's health.

• If the base has a blackish tint, this indicates that you are taking iron supplements. This color can be observed in chronic inflammatory diseases.
• A yellowish-brown tint indicates that the mother took antibiotics during pregnancy, or the child himself during the appearance of teeth.
• A yellowish-green tint indicates blood disorders.
• The red tint appears during a congenital disorder of porphyrin pigment metabolism.

When teeth are being cut, parents can help their child. The main thing is to understand the signs in time and consult a doctor. Care and attention are the best medicines for a baby at this time!