Teething is usually the symptoms that accompany while the child’s primary or milk teeth are on the way to make their entry into the oral cavity by piercing the gums. Though there is no fixed time but it can begin as early as 3 months or somewhere between 4 to 7 months of age. This whole process can be problematic for both parents and child.

How to Survive Teething

Deciduous Teeth Chronology

Lower incisors (front two teeth) are the first to erupt are comes at about 6 months of age. After that top front four teeth emerge. Gradually, other teeth arrive and the pattern is usually in pairs. At the age of about 21/2 to 3 years, all 20 deciduous teeth fill the oral cavity.

Some Interesting Facts about Teeth Eruption

  • Lower teeth erupt earlier than upper ones.
  • Teeth in both jaws erupt in pairs.
  • Primary teeth are smaller and whiter in color than permanent teeth.
  • Girls precede boys in tooth eruption.

Teething Symptoms:

Teething Symptoms

  • Teething is accompanied by swelling of the gums and soreness. There can be bluish purple area around the gums. All this is normal and temporary and generally subsided as soon as the tooth appears.

  • Due to soreness and itchy feeling, your child my bite on the fingers or everything they come across. This brings a sort of relief from the teething symptoms.

  • Drooling can be seen that may cause rashes on the affected areas.

  • Teething can cause slight fever but if the temperature is very high, than you should contact your doctor.

  • You may hear from people regarding diarrhoea but no studies have proven that teething leads to diarrhoea.

  • Anything unusual in the behavior should be reported to the dentist immediately.

  • Coughing: It can be there due to the gag reflex produced from teething.

  • Due to irritation, coughing, child may refuse to feed.

How to Get Rid Of Teething:

1.     Gum Massage: This helps in soothing the gum surface and your child may feel better. You can use a sterilized finger or cold teething rings to do massage for at least 2 minutes.

Gum Massage

2.     Teethers: They are rubber coated toys and are safe for child during teething. They are also of orthodontic significance. Keep the teethers in freezer, as they acts as a cold compressor and are relieving for your child’s gums.


3.     OTC Painkillers: If the child is crying excessively or having pain than you can give Over the counter available painkillers but only after doctor’s consultation.

4.     Keep Baby’s Face Clean: To prevent rashes, clean your baby’s face with cotton wipes to remove the drool.

Keep Baby’s Face Clean

5.     Avoid Teething Biscuits: Avoid things like teething biscuits, frozen food etc. because at the age of teething, child hardly eats and giving him/her solid food can cause damage to already prone gums. Also avoid teething gels and tablets.

Avoid Teething Biscuits

How Does Baby Tooth Look Like?

Before we go into the details of deciduous tooth structure let us have a look at the chronology of deciduous teeth regarding when they appear into the oral cavity.

How Does Baby Tooth Look Like

It is quite a rare scenario that new born has teeth in his/her mouth but chances are there. Talking of common scenario, child usually gets deciduous teeth at around 6 to 8 months of age and that to lower central incisors are first to appear. Now the gummy smile of your child will be replaced by toothed smile.

These are subsequently followed by upper central and lateral incisors. After that the child gets four teeth every four months. By the time your child reaches 3 years all the 20 deciduous teeth have arrived with permanent tooth buds lying hidden inside the jaw.

Importance of Baby Teeth

Speech functioning: Though baby teeth are important for chewing and speaking but they maintain space for permanent tooth to appear. Baby teeth falls by them when their root is resorted by the permanent tooth buds. Deciduous tooth acts as a natural space maintainer.

Importance of Baby Teeth

Eating and nutrition: Though deciduous teeth are temporary and likely to fall but it is equally important for parents to take care of them. It has been seen that infants with poor dentition are likely to suffer from nutritional deficiencies thereby making them underweight. Healthy primary teeth facilitate chewing habits.

Self-confidence: Having good dentition helps building self-confidence thereby helping your child to socially interact.


Maintaining Oral Health: Having bad temporary teeth may lead to periodontal disease. Early shedding of temporary teeth leads to crowding or spacing problems.

Maintaining Oral Health

Morphology of Deciduous Teeth

Deciduous anterior tooth are quite similar to permanent incisors with long and narrow roots but they looks a bit squatty with large mesio-distal dimension.

Maxillary first deciduous molars are like permanent upper first premolars and have three roots. It is smallest of deciduous molars.

The maxillary deciduous second molar is like permanent first molars. It has four well developed cusps. They also resemble deciduous second molar.

Mandibular second deciduous molar resemble lower first permanent molars. It has two roots and five cusps.

To summarize:

  • Lower molars (deciduous) have 2 roots while their maxillary counterparts have 3 roots.

  • Upper first deciduous molars resemble upper premolars.

  • Lower first deciduous molars are unique and don’t resemble anyone.


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