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Starting at about 4-5 months onwards, you may notice the symptoms of teething. By approximately 7-8 months of age, the child is teething tirelessly. If there are no teeth present by 12 months of age, then one must seek professional advice.


Upper Teeth  

Primary Erupt

  Permanent Erupt

Central Incisor   8 - 12  months     7 - 8  years
Lateral Incisor   9 - 13  months    8 - 9  years
Canine ( Cuspid ) 16 - 22  months  11 - 12  years
First Premolar   10 - 11  years
Second Premolar   10 - 12  years
First Molar  13 - 19   months 6 - 7    years
Second Molar   25 - 33  months 12 - 13  years
Third Molar         17 - 21  years


    Lower Teeth

    Primary Erupt

  Permanent Erupt

   Third Molar           n 17 - 21  years
   Second Molar        23 - 31  months     11 - 1 3  years
   First Molar            14 - 18  months          6 - 7   years
   Second Molar           n   11 - 12  years
   First Premolar          n   10 - 12  years
   Canine (Cuspid)        17 - 23 months           9 - 10  years
   Lateral Incisor          10 - 16   months        7-8    years
   Central Incisor          6 - 10   months        6 - 7   years

Children's Teeth
Children's teeth begin forming before birth. As early as 4 months, the first primary or baby teeth to erupt through the gums are, the lower central incisors. The pace and eruption varies with every child. By the time the child is 3 years old, about 20 primary teeth have erupted.

Oral care should begin soon after birth. Gums must be cleaned after every feeding. You can begin brushing your child's teeth as soon as they appear.

Permanent teeth appear around the age of 6 years, the first ones being the molars and lower central incisors. This process continues approximately up to the age of 21 years.

Adults have 28 permanent teeth or upto 32 including the third molars (wisdom teeth).

Symptoms of teething :

1. Crying more than usual.
2. Dribbling increases.
3. Chewing on fingers and rubbing the mouth.
4. Swollen and red gums.
5. Loose bowel movements - but should be diarrhoea.
6. Pulling on ears.
7. Refusal to suck on breast or bottle.
8. There will be no fever.

Causes :
The new teeth grow upwards towards the surface of the gums and break through the skin causing pain and discomfort.

Treatment for relieving discomfort of teething

Traditional Treatment :
There are certain things which can be done to relieve the discomfort due to teething.

1. Gently massage the swollen gums with one of your clean fingers.
2. Give your child something cold to gnaw or a chilled teething ring.
3. A wet washcloth frozen for 30 minutes is also helpful to relieve pain.
4. Do not use whiskey, lotion, or ointment to reduce the teething pain. They may contain an agent that can numb the throat and cause the baby to choke.
5. Use a mild pain reliever drug to reduce the pain.
6. Avoid hard, salty and acid foods.

Alternative / Natural Treatment :

Herbal Therapies - Certain herbal remedies are recommended for inflamed gums. A professional advise is necessary before using it.

Homeopathy - Homeopathic teething remedies are available in the form of over the counter drugs like Chamomilla, which is a useful remedy for teething children. However you should first consult your doctors before giving any medication.

Lifestyle - When your child begins teething, start cleaning the teeth with a soft toothbrush. This will get the baby used to good oral hygiene from an early age. Give your baby a toothbrush as a try when the teeth first come through.

When to seek professional advice :

a. When there are other symptoms such as diarrhoea, fever or chills.
b. When no teeth are present by 12 months of age.

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