The teething process

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Teething

• When your baby's first tooth shows up, you might
  be taken by surprise or you might just finally
  understand what all those surefire teething signs
  drooling, night waking, crabbiness were
  pointing to. Every baby experiences teething
  differently Some have virtually no symptoms,
  while other babies experience teething pain for
  months. Fortunately, there are some signs to
  watch for as this developmental milestone
  approaches that can help make teething easier for
  your baby and for you.

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WHEN DO BABIES START TEETHING?

• Most babies grow their first tooth around 7
  months old, although there's a wide variation in
  timing of teething. For example, some babies grow
  their first tooth as early as two or three months
  whereas others don't get one until after their
  first birthday. Teething symptoms, however, can
  precede the actual appearance of a tooth by as
  much as two or three months.

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IN WHAT ORDER DO TEETH APPEAR?

• The most common first teeth are the two in the
  bottom center, followed by the two in the top
  center. Then, the pattern goes outward with
  lateral incisors, which are in the next spot
  over, followed by the first molars, or the molars
  closest to the opening of baby's mouth. Then come
  the canines on either side of the lateral
  incisors and last are the second molars in the
  very back.

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9 COMMON TEETHING SYMPTOMS

• Drooling. It's hard to believe so much fluid can
  come from the mouths of tiny babes, but teething
  stimulates drooling, and the waterworks are on
  for many babies starting from about 10 weeks to
  three or four months of age. If you find that
  your baby's shirts are constantly soggy, fasten
  on a bib to keep her more comfortable (and
  cleaner), and gently wipe her chin throughout the
  day to stave off chapping.
• Teething rash. If your teething baby is pouring
  out prodigious amounts of drool, the constant
  drip may cause chafing, chapping, redness and
  rashes around her mouth and chin (and even on her
  neck). Patting away the drool will help prevent
  the rash. You can also create a moisture barrier
  with Vaseline or Aquaphor, and moisturize with a
  gentle unscented skin cream as needed. Have some
  nipple cream (like Lansinoh) on hand? It's great
  for protecting tender baby skin, too.
• Coughing and/or gag reflex. All that drool can
  make babies gag and cough (you'd choke too with a
  mouthful of spit). It's no cause for concern if
  your baby has no other signs of cold, flu or
  allergies.
• Biting. Pressure from teeth poking through under
  the gums causes baby a lot of discomfort and
  that discomfort can be relieved by
  counterpressure (aka, biting). Teething babies
  will gum whatever they can find, from teething
  rings and rattles to your soon-to-be sore nipples
  (if you're breastfeeding) and fingers.
• Crying. Some babies breeze through teething with
  nary a whimper, while others suffer from a good
  deal of pain due to the inflammation of tender
  gum tissue which they feel compelled to share
  with you in the form of whining or crying. First
  teeth usually hurt the most (as do the molars,
  because they're just plain bigger), although most
  babies eventually get used to what teething feels
  like and aren't quite so bothered later on. Talk
  to your doctor about when to offer pain relievers
  like infant acetaminophen.

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9 COMMON TEETHING SYMPTOMS

• Irritability. Your baby's mouth will ache as that
  little tooth presses on the gums and pokes up to
  the surface, and, not surprisingly, it'll
  probably make her feel out of sorts. Some babies
  may be irritable for just a few hours, but others
  can stay crabby for days or even weeks.
• Refusal to feed. Uncomfortable, cranky babies
  yearn to be soothed by something in their mouths
  whether a bottle or the breast. But the suction
  of nursing may make a teething baby's sore gums
  feel worse. For that reason, teething babies are
  fussy about feedings (and get more frustrated as
  neither their discomfort nor their hungry tummies
  find relief). Babies eating solid foods may also
  refuse to eat during teething. Keep at it, and
  call your pediatrician if the strike lasts more
  than a few days.
• Night waking. The teething fairy doesn't only
  work days. As your baby's teeth begin to emerge,
  her discomfort may disrupt her nighttime slumber
  (even if she previously slept through the night).
  Before offering comfort, see if she can settle
  herself back to sleep if she's still restless,
  soothe her with patting or lullabies but avoid a
  return to nighttime feedings (which will come
  back to haunt you when teething is done).
• Ear pulling cheek rubbing. Teething babies may
  tug furiously at their ear or rub their cheek or
  chin. The reason? Gums, ears and cheeks share
  nerve pathways, and so an ache in the gums
  (especially from erupting molars) can travel
  elsewhere. (Babies with ear infections will also
  yank on their ears, so do check with your
  pediatrician if you suspect your baby may be
  bothered by more than just teething.)

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