What is it?

Teething does not cause fever, convulsions, diarrhea, nightmares, stomachaches, or temper tantrums. True, all of these may occur during the time of teething but are not a result of it. At about six months of age, most babies will have their first tooth. Usually the two lower front teeth will erupt first. Usually by three years, all twenty so called “baby teeth” will be in place. Here are some things to remember: 

Symptoms 

• Mild discomfort may be noted, especially as the teeth are pushing to the surface.
• There is an increased desire to chew or suck.
• Sucking on hands may increase.
• Slight increase in drooling may occur but is mostly related to the increased chewing or sucking. 

Treatment 

• Be patient - don’t try to over treat.
• Use teething rings or firm, unbreakable plastic objects, too large to swallow, to allow chewing. These may be soaked in cold water to provide a more soothing feel.
• Don’t use frozen objects for teething. They may damage sensitive tissues in the mouth.
• Use a soft clean cloth or soft tooth brush to cleanse the teeth as they erupt.
• For discomfort not relieved by the teething ring, an occasional dose of ibuprofen or acetaminophen, in the properly prescribed dose, may be used. However, use these sparingly, especially in the very young child. 

Call the Doctor if 

• Bleeding, inflammation, swelling or the presence of pus occurs.
• Whenever injury to the tooth occurs.
• If a tooth is accidentally removed, place it in milk to preserve it and seek immediate attention. The tooth in all likelihood can be replaced in its proper socket. 

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