Teething

No matter when it begins or how long it lasts, tooth eruption causes every baby some discomfort. As a result, teething babies often drool excessively, refuse food, and gnaw on all sorts of objects. Contrary to folklore, teething does not cause high fever, diarrhea, and vomiting. It does, however, frequently coincide with periods of fussiness, which may well be a response to painful gums and other teething-associated discomfort.

The two lower front teeth are usually the first to erupt, sometime after the fourth month and before the tenth. Next come the two top-center incisors and two more lower incisors. The first four molars and pointed (canine) teeth between the molars and incisors generally are in place by the second birthday. Soon after, the remaining four molars and rear cuspids arrive, making a complete set.

Many dentists believe that good dental hygiene can lessen the pain of teething. They recommend cleaning the gums and new teeth with a washcloth twice daily, especially after bedtime feedings. Doing so helps fight bacteria, reducing the risk of infection and tender sores. Begin to teach your child to use a toothbrush when the hard-to-reach back teeth come in, and start regular dental checkups sometime during the second year.

WHEN SHOULD I SUSPECT THAT MY BABY IS TEETHING?
It is usually easy to recognize that a baby is teething: The baby drools nonstop, sucks his fingers, and enthusiastically bites down on hard objects. Sometimes the baby's sleeping and eating patterns become irregular.

IS MEDICAL ATTENTION NECESSARY?
No. Usually a hard rubber pacifier does the trick, easing the pain and even promoting correct jaw development. Avoid plastic objects, which can splinter, and never soothe a teething baby with a full bottle of milk, which can promote tooth decay and set up an unhealthy pattern of using food to sooth discomforts other than hunger.

A cold teething ring, metal spoon, or ice cube wrap can also soothe and properly stimulate irritated gums. If the baby seems to be in serious pain, you may be tempted to use an over-the-counter anesthetic ointment that temporarily numbs the gum. Ask your pediatrician first, and if you get the go-ahead, be sure to follow the directions on the package label. Keep in mind that such ointments sometimes cause allergic reactions and may be harmful if swallowed.

Occasionally, purplish bruises appear on the gum after molars break through. Although they are unsightly, these cysts are relatively harmless. Bring them to the pediatrician's attention only if they are swollen.

COPING WITH TEETHING

• Start cleaning the baby's gums before teething begins, to prevent bacteria that can cause irritation.

• Provide a hard rubber pacifier or cold teething ring to soothe sore gums. Don't, however, give frozen teething rings, which can injure the mouth.

• A dose of acetaminophen may ease some discomfort.

• Don't rub the gums with aspirin, which can cause irritation and may be dangerous if swallowed.

• Give pain relievers, such as over-the-counter anesthetics, only as a last resort. They may mask a more serious problem warranting professional attention.

GETTING HELP
Call your doctor if:

• Teething has not started by the first birthday.

• Swollen, purplish bruises appear around new molars.

Excerpt from THE DISNEY ENCYCLOPEDIA OF BABY & CHILD CARE, © 1995 DSH Communications, Inc. This material is based on current medical research and, to the best of the editors' knowledge and understanding, is accurate and valid. However the reader should not use information contained in this material to alter a medically prescribed regimen or as a form of self-treatment, without seeking the advice of a licensed physician.