Teeth eruption in infants and children

What is not written about baby teeth already. At what age? What is the correct order? For what should you pay attention? When is the first visit to the dentist? And most importantly – can a 38.5 fever be attributed to Teeth eruption ?
On all these questions and more, in this chapter written with the help of Dr. Esti Davidovich, a champion dentist who specializes in children.

When does a first tooth erupt?

Remember that the baby is born with deciduous teeth in his gums and under them also some of the permanent tooth sprouts.
The first tooth erupts on average from the age of six months, but the range is wide, from the age of 3 months to a year.

Which tooth will erupt first and what is the proper rate?

Usually the central incisors in the lower jaw erupt first, later in the upper incisors (see photo). The first molars, hatch around the age of a year and a half. Teeth usually erupt in pairs with the lower ones preceding the upper ones. The rate of tooth growth varies from infant to infant and tooth growth usually ends towards the age of two and a half to three years. Upon completion of the process the child will have 20 deciduous teeth in his mouth.

Interesting but the girls are ahead of the boys at the age of teething.


How (if at all) can teething be detected in infants?

A few days before the tooth erupts you can see swelling in the gums and a white bump, which is actually the erupting tooth.

What can indicate a delay in the growth of teeth?

Remember that at the time of teeth eruption there is a wide range and in most cases even earlier or later teeth eruptio is not a medical problem but a normal range. In many cases of late hatching a similar story can be obtained from one of the parents.

However, in case of late hatching a pediatrician should be consulted. What will the pediatrician look for? Mainly nutritional deficiencies or hypothyroidism. Remember that usually there is no hidden disease but you have to be patient.

Which systemic signs are related and which are not related to teeth eruptio in babies?

It is customary to attribute to teeth eruptio many symptoms and diseases. This belief may be due to the fact that many babies get sick relatively often at the age of teeth eruptio. Perhaps a little disappointing but good quality scientific studies have shown that teeth eruptio (especially front incisors), leads to a very slight rise in infant fever, but not to a range of over 38 degrees. Also, no association was found between teeth eruptio and systemic diseases including diarrhea, runny nose or cough.

But, if a mother is willing to swear that every time before her child has a tooth eruption there is some particular medical phenomenon that she already recognizes in advance, then I accept that not everything is written in the textbooks.

What is certain to do with teething in babies? Significant restlessness, salivation and sensitivity in the gums.

What treatment can be given to make teething easier?

Since teething can be responsible for a lot of suffering and discomfort, it can be given in this short period of time. Paracetamol or Ibuprofen .

In terms of local treatment for gums, you can consider various teethers or preparations for local application.

Teethers – The cold of the "bites" causes the blood vessels in the gums to constrict and relieves the pain. In addition, the bite exerts local pressure and also relaxes.

Preparations – products designed for local treatment and relief of pain and irritation in the gums due to teething. These products come as a gel for application on the gums and are divided into two main groups:

Preparations based on natural active ingredients such as: hyaluronic acid, clove plant oil, saffron, fennel, aloe vera, olive oil, ginger and chamomile. Some believe that these preparations make it a little easier, but I belong to a system that believes that their effectiveness is very limited and that they are usually an unnecessary financial expense.

Preparations containing Benzocaine Anesthetics – Aloe vera preparations that were intended to prevent pain when teething, are currently prohibited for use, especially in children under two years of age. Using them can cause hemoglobinemia- impairing the ability to carry oxygen of the hemoglobin in the blood.

At what age does the growth of permanent teeth begin and end?

On average at age 6 and ending at age 13. Even in the permanent two most often the beginning is in the lower incisors.

At what age is there room for a pediatrician dental examination?

The recommendation of the Israeli Pediatric Dental Association (as well as other international associations) for a first visit to a pediatric dentist is at the age of one year, about six months after the first tooth has erupted into the oral cavity. The goal is less dental care but more recommendations that can help prevent dental disease.