When Do Teething Symptoms Start in Babies?

When it’s winter, parents become even more cautious about protecting their babies from the cold. So, what is the ideal room temperature, how should they be dressed while sleeping, and what should be kept in mind when going outside? Temperature control is an important aspect of newborn care. Newborn babies are not able to maintain body temperature for long periods because their subcutaneous fat tissue is not yet thick enough. When left naked or in cold environments, their body temperature can easily drop. On the other hand, since their sweat glands are also underdeveloped, if they are overheated, they cannot sweat, and their body temperature can rise uncontrollably.

Teething Symptoms in Babies

Pediatrician Dr. Ayşe Sokullu, who states that the first teeth that appear in babies are typically the lower front incisors, explains, "After the first tooth, the lower and upper four incisors will appear in the next 6 months. Usually, the incisors come out in symmetrical pairs. Then, during the 12-18 month period, four first molars will start to appear. In the next 6 months, between 18 and 24 months, the four canine teeth will come out. In the last 6-month period, between 24 and 30 months, the four second molars will emerge, completing the set.

Thus, the completion of the baby’s primary teeth may take until 2.5-3 years old. Additionally, a 6-month variation is considered normal." Dr. Sokullu also notes that there are cases where the typical order of tooth eruption is altered, such as when upper teeth appear first or when canines and molars emerge simultaneously. "Babies who have not developed any teeth by 12-15 months should be evaluated for potential systemic issues," she explains.

Swelling, Sensitivity, and Bruising in the Gums
Dr. Ayşe Sokullu states that during the teething process, there may be swelling, tension, and firmness along the gumline, and a purple bump may also develop. "This is known as an ‘eruption cyst,’ a swelling that forms due to the rupture of capillaries while the tooth is moving through the gum tissue. Massaging the area or giving the baby a teething ring that has been cooled in the refrigerator (but not frozen) may help soothe the discomfort," she suggests.

Dr. Sokullu notes that it’s natural for babies' first teeth to come in crooked, and this is only temporary until the teeth line up properly. However, if swelling, tenderness, or bruising continues for several months without tooth eruption, a visit to the dentist is advised. "Swelling typically lasts for 1-2 weeks, but if the swelling increases, accompanied by gum bleeding or recurring canker sores, a pediatrician should be consulted. Gum diseases and recurring sores could be signs of underlying immune system issues," she warns.

If Fever Lasts More Than 3 Days During Teething, Consult a Doctor
Dr. Ayşe Sokullu highlights that while mild fever may be seen during teething, it should not last more than 1-2 days. "Fever should not exceed 38.5°C. If the fever persists above 38.5°C, especially for more than three days, and is accompanied by vomiting, diarrhea, or a rash, it might indicate an infection coinciding with teething. In such cases, it's important to see a pediatrician," she explains.

Increased Saliva Production Does Not Immediately Indicate Teething
Dr. Ayşe Sokullu emphasizes that the increase in saliva production, which often starts around 3-4 months of age, does not immediately indicate teething. "Babies who get their first tooth at 15 months may still go through this stage at 3-4 months. The production of saliva becomes more noticeable as teething progresses," she says. She also points out that babies may experience looser stools during teething, but that severe diarrhea should not be attributed to teething. "Vomiting can also occur during the eruption of the upper front teeth. If it persists, the baby should be evaluated for viral infections," she adds.

Attention to Oral Hygiene

Dr. Ayşe Sokullu stresses the importance of dental hygiene as soon as the first teeth appear. "Even though baby teeth will eventually fall out, their decay can still affect general health, oral flora, and the health of permanent teeth. Early on, cleaning wipes can be used, and once the back teeth emerge, small toothbrushes can be used for cleaning."

When Should Toothpaste Be Used for Babies?
Toothpaste is not necessary during the first 3 years, as it can be dangerous due to the risk of swallowing/aspiration. "After 3 years, a pea-sized amount of fluoride toothpaste can be used. The key to cleaning is not the toothpaste, but the correct brushing technique. Children should be taught to brush gently but effectively, without damaging the gums," Dr. Sokullu advises.

Research suggests that children should visit the dentist regularly by their first year and brush their teeth at least twice a day. Therefore, to ensure the continuation of good oral health, parents should take action. The first dental checkup should occur between 6 months and 1 year, after the first tooth erupts.

When Should the First Dental Checkup Be Done for Children?
The main reason for starting dental visits at such an early age is to teach parents how to properly clean their baby’s teeth and to prevent early childhood cavities caused by poor feeding habits.

When Should You Start Brushing Babies' Teeth?
Dr. Ayşe Sokullu recommends starting regular brushing as soon as the first tooth appears. "For cleaning, special toothbrushes designed for babies can be used after each feeding. Between 0 and 3 years, fluoride toothpaste is not recommended; brushing with just water is sufficient during this time. Fluoride-free toothpaste made for children can be used. After 3-3.5 years, children can use toothpaste with a low fluoride content until they reach 12 years old," she explains.

Why Are Cavities in Baby Teeth Important?
The primary function of baby teeth is to aid in feeding. Cavities in baby teeth can cause pain during feeding, leading to the baby rejecting food, which negatively affects their growth and development. Bacteria thrive faster in decayed lesions compared to healthy teeth. The increase in bacteria in the mouth poses a threat not only to oral health but also to overall health.

What Issues Can Early Loss of Baby Teeth Cause?

Baby teeth act as guides for the permanent teeth that follow. Premature loss of baby teeth can lead to misalignment of the teeth and jaw developmental issues. In cases of early loss of several baby teeth, children may experience psychological issues related to their appearance and speech.

For Cavity-Free Teeth in Children:

• Take your child to the dentist regularly, starting at the latest by their first year.
• Brush their teeth at least twice a day.
• Have protective treatments (sealants and fluoride applications) done starting at age 3.
• Instead of sugary snacks, feed your child fiber-rich foods like cheese, fruits, or nuts during snack time.
• After snacks, ensure they either brush their teeth or at least rinse their mouth. Xylitol-containing gum can also help by increasing saliva flow and cleaning plaque from the teeth.