Tips for Helping Your Child with that First Tooth

Posted on 11/3/2025 by NC Pediatric Dentisty

Getting ready for your baby's first tooth? It's a big milestone! This is an exciting time, but it can also bring some discomfort for your little one. Let's talk about how to make this experience as smooth as possible for both of you.

Understanding Erupting Teeth

The process of erupting teeth, or teeth pushing their way through the gums, typically starts around six months of age, but it can vary. Some babies get their first tooth earlier, and others later. Don't worry if your baby is outside the typical range! Every child develops at their own pace.

You'll usually see the two bottom front teeth (the lower central incisors) emerge first. After that, the top front teeth usually follow. This whole process continues until your child has a full set of 20 primary teeth, usually by around age three.

Signs of Teething

How do you know your baby is teething? Here are some common signs:

•	Increased drooling: This is a classic sign. All that extra saliva can sometimes lead to a rash around the mouth.
•	Irritability and fussiness: Your baby may be more cranky than usual, especially when the teeth are actively pushing through.
•	Chewing on everything: Teething babies love to gnaw on things to relieve the pressure on their gums.
•	Swollen or tender gums: You might notice a red or slightly puffy area on the gums where a tooth is about to come in.
•	Slightly elevated temperature: While a high fever is usually not caused by teething, a very slight increase in temperature can occur. If your baby has a fever over 101°F, it's best to consult with your pediatrician.
•	Changes in sleep patterns: Teething discomfort can sometimes disrupt your baby's sleep.

Soothing Your Teething Baby

Here are some proven methods to help ease your baby's discomfort:

•	Cold pressure: Gently rub your baby's gums with a clean finger or a cold, wet washcloth. The cold can help numb the area and reduce inflammation.
•	Teething toys: Offer your baby a variety of safe teething toys to chew on. Look for toys made of firm rubber that are easy to grip. You can chill them in the refrigerator (not the freezer!) for extra relief.
•	Teething biscuits: Be mindful that many teething biscuits are high in sugar. Choose sugar-free options or those made with whole grains. Always supervise your baby when they are eating biscuits.
•	Over-the-counter pain relievers: If your baby is very uncomfortable, talk to your pediatrician about giving them an appropriate dose of infant acetaminophen or ibuprofen. Always follow the dosage instructions carefully.
•	Extra cuddles and attention: Sometimes, all your baby needs is a little extra love and comfort. Holding and rocking your baby can help them feel secure and ease their distress.

Caring for New Teeth

Once those pearly whites start to appear, it's time to start brushing!

•	Use a soft-bristled toothbrush: Choose a toothbrush designed for infants and toddlers.
•	Use a tiny amount of fluoride toothpaste: For children under three, use a smear of fluoride toothpaste about the size of a grain of rice.
•	Brush gently: Gently brush your baby's teeth twice a day, especially after meals and before bedtime.
•	Make it fun! Turn brushing into a positive experience by singing songs or making funny faces.

When to See a Pediatric Dentist

It's recommended that your child see a pediatric dentist within six months of getting their first tooth or by their first birthday, whichever comes first. This visit allows the dentist to check the health of your child's teeth and gums, discuss proper oral hygiene practices, and answer any questions you may have. Regular dental check-ups are essential for maintaining your child's oral health and preventing future problems.

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