Teething symptoms. Teething in children under one year of age and older

Already in the maternity hospital, the young mother is provided with all the necessary basic knowledge, as well as skills for caring for the baby in the first months of his life: bathing, walking, sleeping, eating.

And it seems like it’s too early to think about teeth, but time flies unnoticed and day after day the baby grows and develops literally before our eyes. And just around the corner is the baby’s teething period, which is marked by the initial visible signs of “growing up” of your little miracle.

The timing of the appearance of the first milk teeth in a baby

Undoubtedly, this time is considered anxious for many parents - sleepless nights combined with the whims of the baby, sudden mood swings and changes in physical condition. These moments are difficult for everyone, especially for mother and child. But how can you try to change something for the better and make your baby’s life easier? Of course, there are no guaranteed ways that can completely avoid the negative symptoms of the appearance of the first teeth, but minimizing them is a completely doable task.

The most important thing to note right away is that there is no exact timing for teething. For each child, the onset of this period is completely individual. Moreover, even if you have twins, this does not mean at all that their teeth should erupt on the same day.

Of course, there are statistics that teeth mainly make themselves felt around 6 months after the birth of a child. At about a year old, a baby usually already has about 6-8 teeth. However, their complete absence is quite acceptable, provided that there are no preventing reasons.

Thus, the process and order of teething is completely unpredictable, since it depends on many external and internal factors. Noting the peculiarities of the timing of the beginning of the period, this parameter varies under the influence of various indicators:

• climatic conditions
• genetic background (heredity)
• the presence of various diseases, in particular the endocrine system
• nutrition, drinking water quality
• proper child care and others

Speaking about delayed teething, there is a direct connection with a general delay in growth and development, which can be observed with the following pathological abnormalities:

• Rickets is a disease of infancy that develops against the background of insufficient intake of vitamin D in the body, which interferes with the absorption of calcium, an essential element for the development of teeth (see more in the article)
• edentia - the absence of tooth rudiments; the presence of this disease is checked by x-ray or radiovisiograph.

Before erupting, teeth go through the stage of formation and formation of dental buds in intrauterine development from approximately 6 to 7 weeks of pregnancy, when many expectant mothers are not yet aware of their interesting position.

Which teeth appear first?

Speaking about the order of teething, everything is much clearer here. The very first teeth to appear are the lower row – the 2 central incisors. However, their appearance is relative, that is, they can erupt either in pairs or in turn. Next, according to the principle of pairing the upper and lower teeth of the same name, the central incisors of the upper row erupt.

After the incisors come the canines, but they give way to the first molars, so in their place so-called “dental spaces” are found. Next come the fangs and the remaining molars. The table shows the approximate age at which baby teeth erupt in infants, as well as the approximate age at which they are replaced by permanent ones.

Timing for the eruption of baby teeth:

By the age of three, the number of incisors, molars and canines in a baby becomes 20. And in terms of timing, everything is also purely individual, that is, this number can be achieved in just over two years.

An interesting case from medical practice: an absolutely healthy boy began teething at the age of seven months, and by the age of 1.5 years he had 19 of them. The last molar appeared only 14 months later.

How does the baby’s body react to the appearance of the first teeth?

The process of teething, despite its naturalness, has many complications that it brings to the child. After all, this phenomenon involves almost all life support systems of the body, somewhat worsening the condition of the baby.

Due to the weakening of the baby’s immune system during teething, he should be protected as much as possible from possible infection by infectious agents, and should also be left for the duration of vaccinations and other procedures and manipulations.

The symptoms of teething in babies, as a result, appear depending on his current state of health. Let's look at the main signs that are more common in this period in most children and can become a kind of starting point for the appearance of the first teeth in an infant:

• Decreased appetite in the baby, up to complete refusal to eat
• Swelling of the gums, swelling in the eruption area
• Sleep disturbance, increased moodiness, irritability
• Actively increasing the baby's urge to grab, bite and gnaw everything that comes across - due to itching in the gum area
• Increased salivation

Increased salivation in turn, causes a number of additional symptoms, which can also be used to judge the possibility of teeth appearing in an infant:

• cough and hoarseness, especially when lying down, as the main consequence of excessive salivation, as it is caused by excess salivation in the throat;
• the appearance of irritation and rashes near the mouth, on the chin, in the chest area - this sign appears due to the rubbing of the baby’s saliva with the hands and its copious flow from the mouth;
• slight loosening of stool (diarrhea), as a result of saliva getting in with food;
• the appearance of a runny nose due to saliva getting into the middle ear.

Symptom of irritability, excessive moodiness and sudden mood swings - is almost the main symptom for any baby and is caused by the following reasons:

• painful sensations from teeth breaking through the surface tissue of the gums;
• itching and discomfort, which can also spread to nearby areas - cheeks, ears, nose, the baby constantly pulls his face, and constantly drags his fists into his mouth.

Vomiting and diarrhea during teething- a rather rare occurrence, the cause of which can only be that the child swallowed saliva. If these signs are often repeated, accompanied by a high temperature, then this reaction has nothing to do with teething. In this case, we are most likely talking about a viral infection that causes gastrointestinal disorders of various etiologies (rotaviruses, astroviruses, noroviruses, caliciviruses and adenoviruses, collectively called). This condition requires mandatory pediatric examination.

Malaise due to fever. When teething, a baby's temperature may be elevated, but not more than 38-38.5 degrees. This parameter is a reaction to inflamed areas of the baby’s oral mucosa, and since its area is too small, therefore, temperature changes should be insignificant. Normally, many children behave as usual, and the usual 36.6 returns within 2-3 days.

Unfortunately, the symptoms of the onset of the appearance of baby teeth are similar to many infectious diseases, the microorganisms of which favorably and actively multiply during this period and are disguised as signs of teething. Therefore, if a child exhibits several of the listed signs at once, you should not self-medicate; call a pediatrician immediately.

How to help your baby teething?

Eliminating the negative phenomena that accompany a teething baby is not a simple task. However, there are a lot of recommendations and tips that will help your family survive this period less painfully and without any consequences.

So, how can you make teething easier for your baby? First of all, you should provide the baby with all the necessary “rodent helpers” that massage the gums, thereby calming the baby.

• All kinds of teethers, with liquid or gel filling inside, which is designed specifically for the cooling effect of the gum area. The downside is that these items will have to be put in the refrigerator periodically, and cold, as is known, temporarily relieves pain and itching.
• Pacifiers or bottles. The mechanism of action also helps to satisfy the chewing needs of the child.

Please note that constant chewing or sucking on various objects of irregular shape can become the beginning of the formation of a malocclusion. Therefore, you should choose pacifiers with a special orthodontic shape made of high-quality material (latex, silicone). Strictly monitor their cleanliness and storage.

• Finger brush– this remedy has become especially popular among young mothers in recent years, since it not only helps massage the gums and soothe the baby, but also takes care of the oral cavity. In addition, you can assess the degree of gum condition - the harder the child bites, the closer the time for the next tooth to appear.
• Massaging the gums with gauze pads, moistened with cold water. This method simultaneously relieves itching in the gums and cleanses the oral cavity of various microbes. The massage should be gentle, gentle, with the exception of sudden, inaccurate movements.

Medicinal methods to combat teething symptoms

Of course, most measures turn out to be ineffective, so when teething in children, medications are one of the highly effective aids. Pharmaceuticals offer many specialized gels, ointments and other topical products. Let us consider among them the most widely used in pediatrics and those that have stood the test of time. Many of the drugs listed contain lidocaine, which should be used with caution in pediatrics.

Dentinox (160-200 rubles) - gel or drops based on lidocaine and, has an anesthetic property. Use no more than 3 times a day; allergic reactions are possible.

Baby Doctor first teeth (140-170 rubles) – hypoallergenic gel of plant origin, has a weak analgesic effect, and has a targeted anti-inflammatory effect. The product is absolutely safe to use for infants, which is a definite plus.

Holisal (220-300 rub.) – the gel consists of choline salicylate components (anti-inflammatory effect) and an adhesive base, which helps the medicinal properties of the gel to act more effectively. Can be used up to 2-3 times a day.

Kalgel (220-300 rubles) a product based on lidocaine has a weaker analgesic effect and tastes sweet, which threatens an allergic reaction. The gel is used from 5 months to 6 times a day with an interval between doses of 20-30 minutes.

Solcoseryl (about 200 rubles) – an adhesive-based gel, effective for open wounds on the gums.

Homeopathy - Dantinorm baby This is a homeopathic remedy, the components of which affect the symptoms of teething in babies in combination: anti-inflammatory effect pain reduction combating digestive disorders Unlike gels, this solution is applied internally and has a longer lasting effect.

As for the use of such a product as Kamistad, which is now available in Russian pharmacies, it is contraindicated for children under 12 years of age; previously there was Kamistad Baby, the composition of which is safe for babies and could be used by children from 3 months. So Kamistad gel cannot be used in infants.

The use of any medicine to relieve painful sensations during teething requires consultation with a specialist, familiarization with and strict adherence to the instructions. You should take into account the influence of many factors, as well as the individual characteristics of your little one’s body.

Key findings:

Children should not be given anything sweetened or containing sugar before, after or during teething. The reason is obvious - the development of caries due to insufficient protection and cleaning of baby teeth.

• You can reduce signs of inflammation and protect the gums by wiping the baby’s oral mucosa with solutions based on medicinal plants (for example, chamomile). They are easy to use and can even be given to a child to drink.
• Do not forget about the existence of safe toothpastes for little ones labeled “0+”. They will certainly help clean your little one’s first teeth, and if ingested, they are absolutely harmless.

Any child, especially in infancy, needs to be surrounded by love and affection. For many teething babies, it is enough to simply bask in their mother’s arms and simply feel her presence nearby. Therefore, do not be afraid to spoil your little one, feel free to pick him up, cuddle him more often than usual, play with him and spend as much time as possible together. Believe me, then cutting your teeth will be more painless, and you will remember these days with a smile on your face.

Many processes occurring in our body can boast of sequence. The eruption of the upper teeth was no exception; photos are available on our website. Another rule is that it goes in pairs. That is, identical teeth erupt at the same moment. This is how fangs, lateral or central incisors grow.

You should not immediately worry if the timing of a particular child does not coincide with the values ​​that are considered average. The shift occurs for two main reasons:

• suffered severe infections;
• features of pregnancy;
• individual characteristics.

At the end of the article we provide a list of conditions that can cause minor deviations.

Children's first teeth erupt

Often so-called small bumps become noticeable on the gums before baby or permanent teeth appear. This happens most often within 2-3 weeks. Such cones are filled with a blue liquid from the inside, or remain transparent. Under no circumstances think about pathology or any disease. No intervention is required, except that periodic examinations by doctors will not be superfluous. Bloody moisture should be released only if the size increases. The incision is made by a doctor who notices the eruption of the upper teeth in infants. Symptoms and photos of gums are described in detail on our website.

Timing of teeth appearance in children

1. How does this happen?

About two dozen follicles of temporary teeth are located in a newborn child, in the inner part of the upper and lower jaws. There are 16 germs for permanent teeth. As for the remaining 16, they are formed a little later.

The development of the lower jaw occurs the fastest. On children's teeth, the enamel has a rough and porous surface; there are still few microelements here when compared with the mineralized enamel that all adults are endowed with. There is a risk that multiple caries will develop if you do not build a proper diet and do not take care of your teeth. Or do not treat them with special compounds that accelerate mineralization.

1. Permanent upper teeth in infants. How long does it take to erupt?

We are attaching diagram No. 2 to the article, where you can see a detailed answer to this question. At the end of the dentition there are the so-called molars. They begin to appear first. But they are especially vulnerable to tooth decay because they have indentations or fissures on the chewing surface.

Scheme of baby teeth eruption

Process of eruption of upper teeth

How do children's upper teeth fit? You can view the photo at the end of this article. Teeth that have just erupted have very little mineral content. Their amount is only 10 percent of the substances in the teeth of adults. Fluoride gels and varnishes are used for treatment at least once every three months. There is an opinion that the first teeth do not need cleaning. Meanwhile, due to weak mineralization, they are more susceptible to the development of bacteria that cause caries, so the issue of hygiene requires the closest attention

What might the symptoms be?

They appear in 3-5 days. The photos of inflamed gums presented below will help you imagine how children’s upper teeth erupt. The signs persist until the teeth themselves pass through the gums.

When does a baby get its first teeth?

The main manifestations are as follows:

• irritation on the chest, mouth and chin, rash in these places;
• salivation increases;
• the child wants to relieve the itching, so he bites everything he gets into his hand;
• the baby refuses to eat, his appetite worsens;
• problems with sleep begin;
• children become irritable.
• at the site of eruption, the gums swell and swell.

There are some additional signs

Normally, an increase in temperature is unacceptable. If this happens, you should look for other, accompanying inflammatory processes, and not just look at how the upper teeth are cut. Symptoms associated with fever are characteristic of viral or herpetic stomatitis and colds.

Children's first teeth

You should be concerned if the following are noticeable on the mucous membrane:

• inflammation of the gums of a bright red hue;
• small erosions surrounded by inflamed mucosa, usually bright red;
• small bubbles containing a cloudy, clear liquid inside.

This is how stomatitis manifests itself, in its herpetic form. After birth, children gradually have fewer and fewer antibodies to the herpes virus; initially, they are passed on from the mother. It is necessary to distinguish between physiological redness of the gums during normal teething and symptoms of oral diseases. The photo below clearly shows how the upper teeth erupt. Pay attention to the integrity of the mucous membrane, the presence of erosions, suppuration, and multiple blisters filled with liquid.

The eruption of the upper teeth in a child - photo.

Children's "Panadol" will help cope with a rise in temperature if it does occur. It is produced in the form of suppositories and suspensions.

Mucous membrane - the appearance of hematomas

Sometimes the gums can become swollen when the upper teeth come in. Symptoms include the appearance of a bluish tint to the mucous membrane. But intervention is not required even in such situations, only if the tumors increase in size. Then you can't do without a small incision. Otherwise, the bloody fluid will not be released.

Other problems

A cough should not appear when the upper teeth appear in infants. The photos on our website will help you understand how everything should look. The only possible reason is the release of saliva in large quantities. From time to time it ends up in the respiratory tract, and not in the esophagus, which is why the cough appears.

This may also cause vomiting. Experts advise to be wary if this particular symptom is accompanied by stool disorders and elevated temperature. A runny nose also appears at such moments, but, most often, due to colds.

Diarrhea, vomiting and fever are not related to the way the upper teeth come in. The photos confirm this. The causes of such problems are rotaviruses, intestinal infections, and other infectious processes. Then you cannot do without the help of a pediatrician, calling him at home.

If you notice inflamed gums of a bright red hue or herpetic rashes, you should seek help in treatment from a pediatric dentist. But in such cases, the pediatrician will also be able to prescribe treatment.

Examination of a child by a doctor during teething

Pediatricians are simply not familiar with the forms and rules by which stomatitis develops. And they don’t know how one form differs from another. But in each situation different drugs are needed.

How to care for your child's teeth

Hygiene must be observed even before the child’s upper teeth come in. The gums of infants are cleaned twice a day. To do this, use a clean bandage soaked in boiled water and wrapped around a finger; or a fingertip made of fabric base. After teeth appear, hygiene products should be different. Foams, pastes, toothbrushes - it is important to choose products suitable for children under 4 years of age.

Are there serious violations?

Complications may arise due to diseases previously suffered by the baby. Or because of the mother’s problems, if they were present during pregnancy. Because of this, there is not enough space for new teeth to appear, and the jaw becomes deformed.

In this case, you need to take an x-ray and go to the doctor to visually examine the jaw. Only after the appointment, treatment is prescribed on an individual basis. One of the well-known pathologies that can be easily determined visually is hypoplasia. It manifests itself as spots on the surface of the mucous membrane. Or small grooves, pits, depressions, stripes.

A teething toy for gums that will help relieve itching during teething.

Teething - why and how deviations appear

The first and second half of pregnancy are the times when the mother’s illnesses and problems have a particularly strong impact on the future health of the baby.

• It is not recommended to expose yourself to stress;
• risk factors include toxoplasmosis, rubella and infections;
• unpleasant consequences occur with ARVI with high temperatures, pneumonia;
• Kidney diseases should be avoided;
• toxicosis in the first 6-7 months of pregnancy

There are other unpleasant phenomena that can lead to disorders in children at various periods.

1. Problems arise if you have to completely stop breastfeeding.
2. Toxicosis occurs.
3. Conditions that cause convulsions appear.
4. ARVI is often suffered, and pneumonia has been suffered.
5. Sepsis in newborns.
6. Conflict between organisms due to differences in blood group, Rhesus.
7. Postmaturity, prematurity.

It is recommended to use a toothbrush starting at the age of 2 years. Tooth decay is more likely to develop if there is not enough fluoride in children's drinking water. Its daily consumption must be compensated by organizing meals for children aged 2 to 14 years. Of the simplest remedies to alleviate pain, it is worth mentioning ordinary cold. It will help reduce swelling. Special gels or ointments with an analgesic effect are produced, their use is acceptable. Medications are taken after the prescription is issued by the attending physician.

Baby teeth eruption pattern When does a baby get its first teeth?

Teething is an extremely important stage in a baby's life. And it is not surprising that parents are always concerned about the question of when the baby’s first teeth are cut, and what symptoms can normally accompany this process. Indeed, the appearance of teeth is usually accompanied by a number of painful symptoms, and it is often difficult to figure out which of them are normal and which may be a sign of illness.

Age norms can vary quite significantly depending on the child’s race, heredity, the nature of the mother’s diet during pregnancy, climate, environmental conditions in the region of residence and many other features.

However, pediatricians determine the approximate (average) timing of the appearance of teeth, which should be guided by when assessing the development of a child.

Normal timing

Today it is considered normal if a child’s first teeth appear at the age of 6–8 months, and by the age of one year the number of teeth reaches eight. All 20 baby teeth must erupt when the baby reaches three years of age.

Photo: All baby teeth erupt by the age of three

Baby's teeth at 3–4 months

Teething that begins 1-3 months earlier than the average should not be a cause for concern.

In most cases, a baby's first teeth appear at 3 months as a result of the mother taking multivitamin or mineral complexes containing vitamin D, calcium during pregnancy, as well as increased consumption of fermented milk products (cheese, cottage cheese, kefir).

Children with early teeth should be shown to the dentist at least once every 6 months, since caries is more likely to occur on “early” baby teeth.

Earlier appearance of teeth (before the age of 2–3 months) requires additional examination - this may be a sign of hormonal disorders or pathology of mineral metabolism in the child.

First teeth after one year

Even taking into account individual characteristics, at least 1–2 milk teeth should appear by the age of one year. If a one-year-old baby still has no teeth, he should be shown to a dentist and pediatrician to rule out malformations and diseases.

When teething is delayed:

• for rickets and other disorders of mineral metabolism;
• in frequently ill, weakened children;
• with endocrine pathology;
• with poor nutrition, late introduction of complementary foods (for example, due to a child’s allergies to cottage cheese, eggs, vegetables, etc.);
• with pathology of the gastrointestinal tract with impaired digestion and absorption;
• in premature babies – the degree of delayed eruption is directly related to the degree of prematurity;
• with a genetic predisposition, including hereditary diseases of bone and cartilage tissue;
• with edentia (a congenital malformation - the absence of the rudiments of baby teeth), baby teeth do not appear at all.

Video: first teeth

Sequence of cutting

There is a certain order in which baby teeth erupt: the lower central incisors appear first, followed by the upper central ones. Next, the upper and lower lateral incisors erupt in pairs, followed by the upper and lower first molars. Then canines and second molars appear.

Violation of the order of eruption

In some children, teething occurs in a different order, which is due to individual characteristics and is a physiological norm.

Photo: Violation of the order of teething

The only unfavorable sign that requires consultation with a dentist to exclude a congenital anomaly is a violation of pairing, when one tooth of a pair has erupted, other teeth have begun to appear, but the second is still missing.

Symptoms

The severity and frequency of symptoms accompanying the appearance of baby teeth in children are variable and individual: for some they may be complete, while for others eruption occurs without any discomfort at all.

The main signs of teething:

• local changes (inflammation and looseness of the gums);
• increase in temperature;
• excitability;
• runny nose, cough;
• diarrhea.

Gum inflammation

During its growth, the sharp edge of the tooth pushes the gum tissue apart and injures it, causing inflammation and other local changes. The first thing that occurs is swelling of the gums, which is easy to notice when examining the child’s mouth.

Swollen gums make the baby have a strong desire to scratch them, and he constantly “drags” something into his mouth, actively chews various objects - a pacifier, toys, clothes, a blanket, his own fingers, and can bite the mother’s breast when feeding.

Photo: During teething, the baby’s gums itch

Immediately at the moment of cutting into the tooth, you can see the separation of the gum tissue, accompanied by redness. At this time, the gums are extremely painful, sometimes easily injured (blood appears when you tap a spoon over an emerging tooth, bleeding is possible when chewing).

In some cases, when fangs or molars erupt, even a hematoma (bluish-colored tumor) occurs above the tooth, requiring surgical intervention.

Photo: Inflammation of the gums and gum hematoma during teething

Excitability

Pain, burning sensation, tension in the gums, drooling, and increased temperature during teething are very painful for infants.

Children become restless, capricious, constantly demand attention, and sleep is often disturbed. Many babies become more sensitive to external stimuli: they begin to react painfully to bright lights or loud sounds.

High temperature

The increase in temperature during teething is caused by biologically active substances released during the development of local inflammation in the gums.

As a rule, a temperature in the range of 37.5–38.5°C appears 1–2 days before the tooth erupts and disappears immediately after the tooth “opens” the gum.

Prolonged or severe fever in an infant with a temperature greater than 39°C is always suspicious for other illnesses.

Runny nose and cough

A runny nose and cough occur due to a large amount of saliva that flows into the nasopharynx, causing soreness and irritation; at the same time, the glands of the nasal mucosa are activated.

The cough is rare, usually wet, with the release of mucous sputum or saliva. Characteristically, the cough intensifies when the child is lying on his back.

Nasal discharge is also mucous in nature (liquid or semi-liquid, transparent). They flow from the baby’s nose, the baby “grunts” and “squishes,” especially during sleep and while eating. Nasal congestion should not appear.

Digestive disorders

The appearance of the first teeth may be accompanied by a decrease in appetite up to a complete refusal to eat and drink, diarrhea, regurgitation and vomiting.

Decreased appetite is associated with the child’s poor health and pain in the mouth. When the tooth erupts, gum inflammation stops and appetite is restored. Breastfed babies may either refuse the breast or require the breast more frequently than usual, every 15 to 20 minutes.

Diarrhea is caused by excessive salivation: children swallow saliva, which dilutes the stool. It is acceptable to increase the frequency of bowel movements by 2–3 times compared to the child’s individual norm, but not more than 6 times a day.

The stool acquires a semi-liquid or liquid consistency, but its yellow (yellow-brown) color remains. There should be no impurities of blood, mucus, or greenery. Watery stools often cause irritation on the skin of the perianal area.

Regurgitation and vomiting occur as isolated episodes, usually accompanied by high fever. Persistent repeated vomiting, vomiting like a fountain, constant regurgitation is a reason to immediately consult a doctor.

Video: intestinal infections in a child

How to relieve your baby's condition

During teething, try to spend as much time as possible with your baby and pick him up more often. Be sure to give your baby enough to drink; if he refuses the bottle, give him liquid from a spoon. Apply to your baby's breast as often as he wants - this calms him down.

Photo: When teething, take your baby in your arms more often

As additional measures, you can massage your gums and use medications.

Gum massage

First of all, do not stop your child from scratching his gums on his own, but be careful not to get his hands on small objects or foods that he could swallow or inhale.

For chewing, give your baby rubber toys, thick corrugated teethers (teethers with water, which can be cooled in the refrigerator, are especially good at relieving pain). Simply a piece of coarse cloth soaked in cool water (for example, a clean waffle towel) may be quite effective.

You can massage your gums with your finger after washing your hands. There are also special silicone finger brushes for children's gums.

It is allowed to offer children chilled bananas and cookies - but only under the supervision of their parents.

Local anesthesia

For local anesthesia, dental gels based on benzocaine, lidocaine or choline salicylate are used.

All of them give only a short-term effect (within 30-60 minutes), but are not safe. To avoid side effects and unwanted reactions, they should be used after consultation with a pediatrician, extremely carefully and no more than 3 times a day. The most popular of them are Kalgel, Kamistad, Kholisal.

Photo: Kamistad (left) and Solcoseryl (right)

Antipyretics

For infants, antipyretic drugs based on only two drugs are approved for use - ibuprofen and paracetamol.

Photo: Preparations based on Paracetamol - Children's Panadol (left) and Efferalgan suppositories (right)

Photo: Ibuprofen-based drugs - Ibufen (left) and Nurofen (right)

Against the background of teething, it is allowed to use an antipyretic 2-3 times a day in an age-appropriate dosage, not only against a background of high temperature (38.5 ° C and above), but also when the child is severely restless, since the drugs have an analgesic effect.

Do not exceed the permissible daily dose and give your child an antipyretic for more than 2 days without consulting a doctor!

Homeopathy

Homeopathic remedies are used both in the form of local dosage forms and in oral forms, in rectal suppositories.

Local remedies include gels with chamomile and other medicinal herbs - Dantinorm Baby, Doctor Baby. Homeopathic granules Hamomilla and Belladonna are prescribed internally, 1 piece each. 3 times a day, drops Parodol EDAS-122. Viburkol is available in the form of rectal suppositories.

Photo: Homeopathic remedies - Dantinorm Baby (left) and Doctor Baby (right)

Homeopathic medicines have a mild anti-inflammatory, analgesic and antipyretic effect and have a minimum of contraindications. However, their use should be discussed with your pediatrician.

Traditional medicine

Among traditional medicines, the most effective are anti-inflammatory decoctions, teas and solutions that should be used to lubricate the baby’s gums. They are prepared by brewing pharmaceutical chamomile - separately or mixed with other herbs - sage, lavender, mint, lemon balm.

Photo: Decoction of chamomile (left) and mint (right)

A solution of tea soda - 1 tsp also helps. per glass of boiled water. Moisten a finger wrapped in gauze with the prepared mixture and treat the baby’s gums.

Be attentive to your baby! All painful symptoms should not be attributed solely to teething. It is quite possible that some disease may be associated.

Delaying treatment can result in serious complications. Remember: if you are in doubt, it is better to play it safe and show your child to the doctor.

Symptoms for which you should definitely call a doctor:

• Temperature above 38°C.
• Diarrhea more often than 5-6 times a day, or if there are pathological impurities in the stool (mucus, blood, greens).
• Vomit.
• Cough.
• Runny nose with yellow or yellow-green discharge.
• Constant or high-pitched crying of the baby.
• Formation of hematoma on the gum.

Sometimes the introduction of preventive doses of vitamin D (if the child does not already receive it), as well as an increase in calcium-rich foods (cottage cheese, kefir) in the menu, helps to speed up teething. However, you should not introduce new dishes at the moment of teething.

In order to avoid a sharp rise in temperature and other undesirable reactions, preventive vaccinations should also not be carried out against the background of the appearance of teeth.

Already the first teeth require care: brush them with a baby brush (for infants it is better to use a silicone finger brush) and baby toothpaste.

In order for the bite to form correctly, it is necessary to try to wean the child off the pacifier, and instead of a bottle with a nipple, switch to drinking from sippy cups or a cup. But this should be done not at the moment of teething, but after, so as not to injure the baby.

Video: caring for first teeth

Signs and traditions

The most common tradition is a gift for the first tooth (grandmother or other relatives give a silver spoon).

To make teething easier, our grandmothers put amber beads on the babies and protected them with amulets made of coral and necklaces made of red silk ribbons.

There are also interesting signs associated with the first teeth:

• If the baby starts teething very early, or the upper incisors appear first, then in a year a second child will appear in the family;

Frequently Asked Questions

How long does it take to cut?

Tooth eruption occurs within 1–3 days. However, sometimes it is difficult to determine exactly when the tooth began to erupt. Parents and even pediatricians mistakenly take moderate swelling of the gums and drooling, which can occur several months before the tooth appears, as signs of teething.

Is it true that the appearance of fangs is accompanied by particularly severe pain?

Is it true. The structural features of the fangs (sharp edges, uneven edges, thickness) cause particularly intense pain.

Does it matter whether the upper or lower teeth erupt first?

No. The order of teeth eruption is an individual feature, which is a variant of the physiological norm.

Don't forget: the most important thing your baby needs during such an important period as teething is your love, care and patience!

With the advent of a newborn, a lot of reasons for joy appear in the lives of young parents: the child’s smile, his first words and steps. Among the important moments of child development, a special place is occupied by the period when the child is cutting teeth, the symptoms of which often frighten adults to the point of horror. The baby becomes restless, cries constantly, sometimes his temperature rises or diarrhea begins. It is much easier to survive this time if you know how babies teeth erupt and what can be done to alleviate the baby’s condition.

How children teeth grow

Symptoms

At the age of 4-8 months, the first symptoms of teething in infants begin to appear. They usually look like this:

• redness and swelling of the gums;
• increased salivation;
• the child’s desire to keep something in his mouth all the time, to gnaw and bite toys;
• loss of appetite;
• vomit;
• tearfulness;
• increase in temperature;
• restless sleep;
• constipation or diarrhea;
• nasal congestion, cough;
• diathesis.

Each baby deals with teething teeth differently. Some children experience indigestion when teeth begin to appear on the lower jaw, and a fever when on the upper jaw.

It would seem that the body reacts too violently to such a natural process as teething: the symptoms may indeed resemble an incipient disease. But the pain that accompanies this “happy” event is so strong that adults could withstand it no better. Before “showing itself to the world,” the tooth must grow through the bone tissue and gum mucosa.

Dangerous signs of teething in a baby

Despite the fact that indigestion, fever, stuffy nose and cough are common accompaniments of teething, some doctors do not consider these symptoms to be so clear-cut. The explanation for this opinion is very simple: the first years of a child’s life are marked not only by growing teeth, but also by a high risk of getting an infection. Therefore, ordinary diarrhea can be either a completely harmless “incident” or a manifestation of a dangerous disease. In this case, how can you understand that teeth are being cut and pathology is not making itself known?

Wet cough

When teething, symptoms such as excessive salivation and a slight cough are quite normal. Saliva collects in the throat area, and the lying baby wants to get rid of it by coughing. In a sitting position, a wet cough also appears, but much less frequently. It usually goes away in 2-3 days and does not require special treatment.

It’s another matter when a child coughs very hard and often, and there is also excessive phlegm. The cough lasts more than 2 days and is accompanied by wheezing and shortness of breath, causing the baby to suffer. In this case, you should immediately contact your pediatrician.

Runny nose

During the period when children are teething, the amount of mucus secreted in the nose increases significantly. It is transparent, liquid and does not look painful. Normally, a runny nose is not severe and goes away in 3-4 days. As a treatment, you can limit yourself to simply rinsing your nose to remove accumulated mucus.

Parents should be alerted to a profuse runny nose, which produces cloudy white or greenish mucus. If such nasal congestion does not go away within 3 days, you should consult a doctor.

Fever

Teething in infants is accompanied by the active production of bioactive substances in the gum area. This process provokes an increase in temperature to 37-38 C for 1-2 days. Then the baby's condition returns to normal. Parents can bring down the temperature with the help of antipyretic drugs that are harmless to children.

But sometimes the child’s well-being does not improve, and the temperature lasts more than 2 days. This is a serious reason to visit your doctor. A visit to the pediatrician is also required if the temperature rises above 39 C.

Diarrhea

The body noticeably increases salivary activity when children begin teething. Because of this, the baby constantly swallows saliva, which speeds up intestinal motility. The result is diarrhea, characterized by watery stools. The act of defecation in a child does not occur too often - 2-3 times a day. Diarrhea usually goes away within 2-3 days.

You should consult a doctor if diarrhea is prolonged, very frequent and intense, as it can provoke a dangerous state of dehydration for a small child. Parents should also be wary of mucus or blood in the stool.

Sometimes the opposite of diarrhea is a digestive disorder - constipation. It should not be allowed to last more than 3-4 days. It is necessary to discuss with your doctor how you can help your baby’s intestines cleanse.

Parents who observe symptoms of teething in infants for the first time should consult a pediatrician in all unclear situations. It is better to bother the doctor once again than to allow the child to develop the disease. With your second baby it will be much easier, and the signs of teething will not seem so scary.

When do children start teething?

The date of appearance of teeth, like other statistical information, is determined approximately rather than accurately. It all depends on the individual characteristics of the child: some become a “nibbler” much earlier than expected, others later. It is noticed that boys are slightly behind girls. On average, children begin to erupt teeth at this age:

In today's infants, the first tooth appears at approximately 8.5 months, which slightly delays the growth period of the rest. Before the first year of life, the baby can boast of at least one tooth. As a rule, by the age of 3, a child will have a full set of 20 baby teeth.

Many children have 2 or even 4 teeth coming out at once. Such a load can be difficult for the baby to bear, but paired teething is a completely normal phenomenon.

It is not so important at what month the teeth begin to cut and in what order: this does not affect the “quality” in any way. Therefore, there is no need to worry that the child is a little behind or ahead of his peers - he simply develops at his own rhythm.

It is necessary to carefully care for your child’s oral cavity:

• For a baby up to 1-1.5 years old, wipe his teeth with a special silicone brush;
• from 1.5 years of age, buy your child a baby brush;
• From the age of 2, teach your child to rinse his mouth after eating.

The first visit to the dentist with a child should be made upon reaching 1 year of age.

How to help your child

What to do to relieve your baby's teething symptoms

Babies react very sensitively to the behavior of their parents, especially their mother. Therefore, you can brighten up the teething period by simply giving your child maximum friendly attention. Need to:

• hold the baby in your arms more often;
• talk kindly to the child, sing to him;
• distract the baby with toys;
• do not quarrel in the nursery, avoid screaming in the presence of the child.

Breastfed babies, when teething begins, tend to have contact with their mother's breast as often as possible. During this period, there is no need to set a strict feeding schedule: this will only worsen the child’s condition. In 2-3 days everything will return to normal, but in the meantime you should breastfeed your baby as often as he asks. This will calm him down and reduce his level of irritability.

During the period when teeth are being cut, children have a strong need to scratch their gums with something. As a rule, they use their favorite toy for this purpose. But there are also special teethers made from safe materials that help the baby get through a difficult period. Their prices vary significantly:

• Curababy girl teether – 1450 rub. In fact, it is a combination of a rattle, a massage toothbrush and a teether. Material: soft rubber and hard plastic;
• Curababy boy set – 2000 rub. Boy's version of the previous model. Also included is a children's toothbrush;
• cooling teether “Eight” from Canpol – 270 rub. Made from a polymer frame and filled with distilled water;
• “Eight” teether from Nuk – 160 rub. Made of polyvinyl chloride, it has a textured surface that allows you to massage your gums. The set includes 2 pieces;
• Bright Starts teethers – 350 rub. for 3 pcs. They have a textured surface that develops motor skills in children. Made from soft polymer and filled with water;
• combined teethers from Nuk – 520 rub. for 3 pcs. Their main difference is that each teether varies in degree of rigidity and is suitable for a certain period of tooth growth.

Naturally, when a child is actively teething, you want to remove the symptoms of what is happening as quickly as possible. But you shouldn’t place too much hope on teethers: babies often refuse them, preferring a regular rattle to such “specialized” items. In this case, you need to make sure that the child puts only a safe object in his mouth: without sharp corners or small parts that can be chewed off. Many parents “slip” a chilled spoon or pacifier to the baby, or even make do with ordinary drying.

Medicines that relieve teething symptoms in babies

Some parents are sure that their child should not be given any medications. But this opinion exists only until the moment of learning how babies teeth cut. Under the influence of the child’s suffering and relatives tired of his screams, the parents decide to go to the pharmacy. What medicine can relieve teething symptoms in children?

1. Dantinorm baby. Homeopathic medicine in the form of a solution. It relieves pain for a long time and also reduces the severity of digestive disorders. Estimated cost – 300 rubles.
2. Dentokind. Homeopathic medicine developed specifically for children. On average, its cost is 700 rubles. for 150 tablets. The medicine relieves all the unpleasant symptoms of teething in infants, including nasal congestion, diarrhea and fever. Children are supposed to swallow the tablets, but they are often too young to do so. So the pill can be dissolved in a teaspoon of water and given to the baby to swallow.
3. Kamistad. Gel. It has an anesthetic, anti-inflammatory, regenerating and antiseptic effect. The main active ingredients are lidocaine and chamomile extract. Average price – 150 rubles. for 10 g. Not recommended for children under 3 months.
4. Dentinox. Gel or solution. The average cost is 180 rubles. for 10 g/ml. Relieves pain and inflammation of gums. Safe even if the child swallows a little of the gel.
5. Holisal. Gel. Cost – 330 rubles. for 10 g. Anesthetizes, relieves inflammation and kills germs. May cause an allergic reaction in the form of a short-term burning sensation.
6. Kalgel. Gel. The main component is lidocaine. Suitable for children over 5 months. It has a weak analgesic effect and can provoke an allergic reaction.

Homeopathy and gels do not always alleviate teething in children, the symptoms of which are almost always accompanied by pain. Therefore, you can give your child an age-appropriate pain reliever:

• Paracetamol for children. Suspension. Relieves pain, lowers temperature. Do not take for more than 3 days in a row;
• Panadol. Candles, suspension. It is based on paracetamol. Candles are convenient to use if the child is very small;
• Nurofen for children. Suspension. Contains ibuprofen. After a single dose, it relieves pain for a long time.

During the period when a child is teething, symptoms cannot be relieved with Aspirin. It is completely unsuitable for children as an antipyretic or analgesic.

Folk remedies

All the unpleasant signs of teething in children were known even when medicine was not so developed. Therefore, there are many ways to alleviate a child’s condition using folk remedies. Among them:

1. Cold. You need to keep a spoon or pacifier in the freezer and give it to your baby. The cooled item will relieve pain and soothe the gums a little. For older children, you can offer vegetables, fruits, and juices from the refrigerator.
2. Massage. You should soak a small piece of gauze in peroxide or chamomile infusion. They need to carefully wipe the area where the tooth began to cut.
3. Motherwort decoction. You need to pour 1 tsp. herbs 0.5 liters of boiling water. Allow the drink to cool slightly, add some sugar and offer it to your child. You can also use valerian root tea.
4. Honey. You should carefully smear your gums with honey. It perfectly calms and relieves irritation.
5. Chicory or strawberry root. You just need to let the baby chew on the root. This way the child will massage the gums and soothe the pain.
6. Soda solution. When teeth are being cut, 1 tsp will help relieve symptoms. soda diluted with a glass of water. You need to moisten a piece of bandage in the solution, wrap it around your index finger and treat your gums with it.

It is also necessary to carefully wipe away any saliva that has accumulated around the mouth. If teething is accompanied by vomiting and diarrhea, the child should be fed liquid pureed food and given plenty of fluids to drink.

There are several folk methods used for the appearance of teeth, which must be abandoned:

• press firmly on the gums with your finger. This will only increase pain and irritation;
• giving your child stale bread or cookies. He may choke on crumbs. Teethers are much safer in this sense;
• wipe the gums with undissolved soda or pick them. There is little benefit from this, but there is a risk of infection.

During the period when the baby is teething, the symptoms are difficult to bear not only for the child, but also for his parents. Baby cries are not one of the classic “joys of motherhood,” but you can’t do without them. But when the baby survives the painful days of teething, he will successfully go through another stage of growing up.

What does Dr. Komarovsky think about this topic?

More

Children's teeth always erupt at approximately the same period of time, but in different ways. For some, everything proceeds quickly and unnoticed, while others feel all the possible symptoms of teething in infants - pain, fever, itching. This is a very exciting moment for parents, because many do not know how to behave in this situation. This article will discuss all the options for this process and possible help for the baby. You will learn how babies teeth erupt, and the photo will help you see everything clearly.

Young parents need to know in advance the symptoms of teething in infants, as well as the approximate timing. Although they are approximately the same, some children may have their first teeth at 3 months, while others may have their first teeth closer to 8-9 months. Both of these options are considered normal and should not be a cause for concern. Usually by the age of one year a child has about 10 teeth, but there may also be fewer. Their complete absence at this age is considered abnormal. You can determine when the first teeth will appear based on heredity, as well as the level of health and lifestyle of the mother during pregnancy.

What to do when your child starts teething?

To clearly see how infants teeth erupt, you can view the photo in this article. Approximate dates for the appearance of teeth and their location:

1. The lower front incisors are the first to appear at 6 to 8 months of age.
2. After a few months (about 7-10, depending on the period of appearance of the first teeth), the upper incisors appear, located exactly above the lower ones that have already appeared.
3. From 8 months to 1 year, the upper and lower lateral incisors erupt, close to the existing teeth.
4. By the age of one and a half years, the first molars erupt. They are located at the top. Their eruption may happen a little earlier - you can start waiting at 13 months.
5. A few months after the appearance of the upper molars, the lower molars also appear - usually the baby at this time is about 15-19 months old.
6. The upper canines appear when the baby is already 16 months old.
7. The lower canines erupt after a short period of time - from 17 to 22 months.
8. At two years of age, the second pair of lower molars erupts.
9. After a short time, the second pair of upper molars is the last to appear.

You can see photos of teething in infants in this article, as well as in the gallery of our website.

It is also important to know that all terms are approximate and may not correspond to the real picture. In addition, the order in which teeth appear may be disrupted.

In order not to worry and know that everything is going well, you need to regularly visit a doctor who will assess the baby’s condition.

Symptoms

Signs of tooth growth in infants can appear either quite acutely or be completely absent. They can appear a month before the first tooth. Its imminent appearance can be understood by the child’s behavior: he begins to chew toys more and more and put his hands in his mouth, he may refuse food or, conversely, demand it more and more often; becomes restless, whiny, sleeps poorly.

Baby teething

Signs of teeth in an infant are also reflected in the general condition of the body: the temperature rises, diarrhea begins, less often vomiting, a stuffy nose, and a cough appears. Salivation increases greatly, and the gums appear red and swollen. All these signs signal the imminent appearance of a tooth.

1. The first sign is an increase in temperature. The reason for this is the processes that occur in the gums. The temperature rises to 38 degrees and lasts up to two days. A longer period should raise concerns. It must be reduced carefully, only using means approved for infants. In any case, an elevated temperature is a reason to consult a specialist to rule out other possible diseases.
2. Diarrhea is an equally common symptom of teething. This is due to increased salivation. This unpleasant symptom lasts up to three days, and the act of defecation itself during this time can be up to three times a day. If after the specified period the diarrhea does not stop, you need to visit a doctor. Also, the help of a specialist may be needed if diarrhea is too frequent and excessive.
3. Constipation is the opposite effect of the previous symptom. As a rule, diarrhea is more common, but constipation is also common. If it lasts more than a few days, you need to help the baby’s intestines cleanse using acceptable means.
4. Cough occurs due to a large amount of saliva that enters the child’s throat. A wet cough may also appear, which can go away on its own within up to three days. If your baby has a strong cough, you should show him to the pediatrician.
5. When teeth appear in infants, a runny nose may appear. Like a cough, it goes away on its own. In this case, nasal discharge is clear and does not cause concern. The appearance of any color in mucus is an unhealthy sign.

Babies are teething

How babies cut teeth - photos are presented in this article. On them you can see what the gums look like at a given period. Signs of teething in a baby, photos of which are also presented in this article, will help determine how difficult this process can be and what you should prepare for. If suddenly the symptoms become too acute and the baby feels completely unwell, you should definitely call a doctor at home. He will tell you how to alleviate the child’s general condition.

At this time, the child requires a little more care than usual. It is necessary to constantly monitor its condition and notice any changes. By following a few simple tips, you can relieve teething symptoms in your baby:

• The child's nutrition must be balanced strictly according to age. It should contain a minimum of sweets to prevent the development of caries, and also include all the necessary components rich in vitamins. To avoid complications, it is best to choose them with the help of a pediatrician;
• To avoid unnecessary irritation, the baby’s saliva should always be gently blotted, taking care not to damage the skin. You can lubricate the skin around the lips with baby cream;
• When the temperature rises, it is necessary to exclude the appearance of other diseases, such as colds. To do this, you need to visit a pediatrician, who will determine exactly why the temperature could rise;
• Medicines are used only on the recommendation of a doctor. Various medications cannot be taken without a prescription, and solutions containing alcohol cannot be used to improve the child’s condition;
• Only he should eat from the child’s spoon. You can only try his food with a different spoon, otherwise there is a risk of infection;
• When diarrhea occurs, the anus area is also irritated. To do this, you need to minimize the use of diapers, wash the baby only with water, without napkins. The irritated area can be lubricated with sea buckthorn or special baby oil;
• Teeth care should begin immediately after they appear. To do this, you need to purchase a soft baby toothbrush or a special brush for babies. The child needs to be shown how important this procedure is and why it needs to be done regularly. The child should learn to brush his teeth at least twice a day, and also at least just rinse his mouth after eating. Toothpaste should be selected according to age;
• The dentist is usually visited at the age of two years, but if there are any deviations, a visit can be made earlier.

What to do if your baby is teething

If all the dental symptoms are present in an infant, then the child can be given special toys. They are specifically designed to reduce pain, irritation, relieve itching and provide distraction. Thanks to them, the baby stops putting his hands in his mouth, which can lead to even greater irritation. Such toys are usually covered with a special bubble coating, inside which there is liquid. They are kept in the refrigerator (but not in the freezer) and given to the baby chilled for chewing.

You can buy them at a pharmacy - then they are guaranteed to be made from safe materials and will not cause any harm. So the teeth of infants, whose symptoms worsen the general condition of the body, become less pronounced.

Gum massage toys for children

In addition to such toys, you can use other devices. For example, our grandmothers took pieces of carrots or apples for this purpose. The fruits brought double benefits to the baby - they nourished his body with vitamins and relieved pain and itching. You can also let it dry, but it should be without sharp edges. You can also give wet cool gauze. If your baby is teething, the symptoms can be reduced with the help of a special gel. It is intended for children and can alleviate their condition. To do this, apply a small amount of gel to the irritated gums. But it cannot be used often.