Teething is a natural developmental stage that typically begins around six months of age, though it can vary widely from child to child. During this time, primary teeth begin to emerge through the gums, which can lead to noticeable changes in behavior and comfort levels. At Dentistry for Children and Young Adults in San Jose, CA, Dr. Shawn Taheri, DDS, emphasizes that while teething is normal, understanding its signs can help parents better support their child. Common symptoms include increased drooling, irritability, swollen gums, and a tendency to chew on objects. Some infants may also experience disrupted sleep or mild changes in appetite.
It’s important to recognize that not all discomfort during infancy is related to teething. Fever, severe diarrhea, or prolonged irritability should not be automatically attributed to emerging teeth and may require medical attention. Teething typically follows a predictable pattern, starting with the lower central incisors and gradually progressing to other teeth. By age three, most children will have a full set of 20 primary teeth. Early awareness of oral development plays a role in long-term oral health, which aligns with concepts introduced in Preventive Care and Dental Exams and Cleanings, emphasizing the importance of monitoring dental milestones from infancy.
Safe and Effective Ways to Relieve Teething Discomfort
Managing teething discomfort focuses on soothing inflamed gums and providing safe outlets for chewing. Parents can gently massage their child’s gums with a clean finger or offer a chilled (not frozen) teething ring to reduce inflammation. Cold temperatures can provide relief by numbing sore areas, but frozen items should be avoided as they may damage delicate gum tissue. A clean, damp washcloth that has been cooled in the refrigerator can also be a simple and effective option.
There are several approaches parents can consider when soothing a teething infant:
- Offer chilled teething toys made from safe, non-toxic materials
- Use gentle gum massage to ease pressure
- Maintain a consistent oral hygiene routine even before all teeth erupt
- Provide age-appropriate foods if the child has started solids
Over-the-counter medications should only be used under professional guidance, as some products marketed for teething may not be recommended for infants. Additionally, topical numbing gels are generally discouraged due to potential risks. Establishing early oral care habits, such as wiping gums and eventually brushing emerging teeth, helps build a strong foundation for lifelong dental health, similar to principles found in Teeth For Life. These early habits can reduce the risk of decay and make future dental visits more comfortable.
Supporting Children with Special Needs During Teething
Teething can present additional challenges for children with special healthcare needs, as they may have heightened sensory sensitivities or difficulty communicating discomfort. Caregivers may notice increased behavioral changes, such as agitation or withdrawal, during this stage. In such cases, consistency and patience are key. Providing familiar soothing techniques and maintaining a calm environment can make a meaningful difference.
Children with special needs may benefit from individualized approaches to oral care and teething relief. For example, introducing oral stimulation tools designed for sensory support or using visual cues can help ease the process. Caregivers should also be attentive to oral hygiene, as some children may be more prone to plaque buildup or delayed tooth eruption. Early and consistent attention to oral health supports overall well-being and helps prevent complications as teeth continue to develop.
Understanding teething is an important step in supporting a child’s growth and comfort. Dentistry for Children and Young Adults in San Jose, CA, led by Dr. Shawn Taheri, DDS, recognizes the importance of educating families so they can confidently navigate each stage of their child’s dental development.
Resources
American Academy of Pediatric Dentistry. (2023). Teething Guidelines for Infants.
Mayo Clinic Staff. (2022). Infant Teething: Tips for Soothing Sore Gums. Mayo Clinic.
Centers for Disease Control and Prevention. (2023). Children’s Oral Health Basics.
