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This article is for general information only and does not replace medical advice. If in doubt, contact your paediatrician or midwife.

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Baby Teething

The first teeth usually appear between 4 and 7 months. Teething can be uncomfortable but is a normal milestone. Some babies teethe without issues, others become restless and fussy.

Possible Causes

  • 1Natural developmental process: 20 milk teeth emerge between 4 and 30 months
  • 2Order: Usually lower incisors first, then upper, then side and back teeth
  • 3Genetics influences timing: Some babies teethe at 3 months, others not until 12
  • 4Inflammatory reaction in gums from tooth eruption

What You Can Do

  • Cooled (not frozen) teething ring for chewing
  • Rub clean finger or damp washcloth over gums
  • Teething gel without benzocaine (e.g., with chamomile or clove)
  • Paracetamol or ibuprofen (from 6 months) for significant discomfort — after consulting paediatrician
  • Amber necklaces have NO proven effect and are a strangulation risk — DO NOT use

When to See a Doctor

  • Fever above 38.5°C — teething does NOT cause high fever, look for another cause
  • Diarrhoea — often wrongly attributed to teething
  • Baby refuses food for more than 24 hours
  • Severe swelling, redness, or pus on gums
  • Gum bleeding that won't stop

Age-Specific Notes

4-7 months: First teeth (lower incisors). 8-12 months: Upper incisors and lateral incisors. 12-16 months: First molars — often the most painful. 16-20 months: Canines. 20-30 months: Second molars. By about 2.5 years, all 20 milk teeth are present.

Frequently Asked Questions

When should I start brushing teeth?
As soon as the first tooth appears! Use a soft baby toothbrush with a rice-grain sized amount of fluoride children's toothpaste (500 ppm fluoride). Brush twice daily, especially thorough in the evening.
Do amber necklaces help with teething?
No. There is NO scientific evidence for pain relief. Amber necklaces are a strangulation hazard and can break (choking risk from swallowed beads). Paediatricians and dentists unanimously advise against them.
My baby is 10 months with no teeth — is this normal?
Yes, completely normal. Some babies don't get their first tooth until 12-14 months. This is genetic and not a cause for concern. Only if no tooth has appeared by 18 months should it be evaluated.

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This article is for general information only. It does not replace individual medical advice. If you have concerns, contact your paediatrician, midwife, or call emergency services.