Is It Normal for My Baby to Come Out the Two Bottom Teeth at the Same Time?

​​​​​By: Dina DiMaggio, MD, FAAP & Julie Cernigliaro, DMD

1.  Nigh babies will develop teeth betwixt vi and 12 months.

There is a wide range of variability of when a first tooth may appear—some babies may not have any teeth past their first birthday! Around 3 months of age, babies will begin exploring the world with their oral cavity and have increased saliva and start to put their hands in their oral fissure. Many parents question whether or non this means that their babe is teething, only a first tooth usually appears around 6 months quondam. Typically, the start teeth to come up in are most always the lower front teeth (the lower central incisors), and most children will usually have all of their babe teeth by age iii.

two.  Fluoride should be added to your child'south diet at six months of historic period.

Fluoride is a mineral that helps prevent tooth disuse past hardening the enamel of teeth. The good news is that fluoride is often added to tap h2o. Give your baby a few ounces of water in a sippy or straw cup when you brainstorm him or her on solid foods (about half-dozen months of age). Speak with your pediatrician to run into if your tap water contains fluoride or whether your child needs fluoride supplements. Fluoride is not typically found in most bottled water. See FAQ: Fluoride and Children for more information.

3.  Massaging sore gums, offering something cold, or acetaminophen, on an occasional rough nighttime, tin aid soothe your babe's teething pain.

Ordinarily teething doesn't cause children also much discomfort, nevertheless, many parents can tell when their infant is teething. Babies may prove signs of discomfort in the expanse where the tooth is coming in, the gums around the tooth may be swollen and tender, and the baby may drool a lot more than usual.

Parents can help ease teething pain by massaging their baby'due south gums with clean fingers, offering solid, not liquid-filled, teething rings, or a make clean frozen or wet washcloth. If you offer a teething beige, make sure to scout your baby while he or she is eating it. Chunks can break off easily and can lead to choking. As well, these biscuits are non very nutritious and about contain saccharide and salt.

A baby'south body temperature may slightly rise when teething; however, according to a 2016 study in Pediatrics, a true fever (temperature over 100.4 degrees Fahrenheit or 38 degrees Celsius) is not associated with teething and is actually a sign of an illness or infection that may require treatment. If your baby is conspicuously uncomfortable, talk with your pediatrician about giving a weight-appropriate dose of acetaminophen (e.g., Tylenol) or if over half dozen months, ibuprofen (e.g., Advil, Motrin). Make sure to ask your pediatrician for the right dose in milliliters (mL) based on your child's age and weight.

Many children, yet, volition have no problems at all when their teeth come up in!

iv.  Do not use teething tablets, gels with benzocaine, homeopathic teething gels or tablets, or amber teething necklaces.

Stay away from teething tablets that contain the establish poison belladonna and gels with benzocaine. Belladonna and benzocaine are marketed to numb your child's pain, simply the FDA has issued warnings against both due to potential side effects.

In add-on, amber teething necklaces are not recommended. Necklaces placed effectually an babe's neck tin can pose a strangulation risk or be a potential choking take chances. There is too no inquiry to support the necklace's effectiveness. See Teething Necklaces and Beads: A Caution for Parents for more information.

5.  You should brush your kid's teeth twice a day with fluoride toothpaste.

One time your child has a tooth, y'all should be brushing them twice a day with a smear of fluoride toothpaste the size of a grain of rice, especially afterward the last drink or food of the day. Remember not to put your babe to bed with a bottle—it tin lead to tooth decay.

Once your kid turns 3, the American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD)recommend that a pea-sized corporeality of fluoride toothpaste be used when brushing. When your kid is able, teach him or her to spit out the backlog toothpaste. It is best if you lot put the toothpaste on the toothbrush until your child is well-nigh age vi. Parents should monitor and assist their child while brushing until he or she is around vii or 8 years old. When your kid can write his or her proper name well, he or she also has the ability to brush well.

six.  Ask your pediatrician nigh your baby'due south teeth and fluoride varnish.

During regular well-child visits, your pediatrician will cheque your babe's teeth and gums to ensure they are good for you and talk to you almost how to keep them that mode.  The AAP and the United States Preventive Services Task Force likewise recommend that children receive fluoride varnish once they accept teeth. If your child does not yet take a dentist, ask your pediatrician if he or she can apply fluoride varnish to your baby's teeth. Once your child has a dentist, the varnish can be applied in the dental office. The earlier your child receives fluoride varnish the better to assistance preclude molar decay.

seven.  Make your first dental appointment when the first tooth appears.

Try to brand your baby'due south first dental engagement subsequently the eruption of the first tooth and by his or her kickoff birthday.

Both the AAP and the AAPD recommend that all children see a pediatric dentist and establish a "dental dwelling house" by age one. A pediatric dentist will make sure all teeth are developing normally and that at that place are no dental problems. He or she volition also give you farther advice on proper hygiene. If yous don't take a pediatric dentist in your community, find a full general dentist who is comfortable seeing young children.

Additional Information:

• Brushing Up On Oral Health: Never Too Early to Starting time​​
  

• How to Prevent Tooth Decay in Your Baby

• Brush, Volume, Bed: How to Construction Your Child's Nighttime Routine

• Give Your Baby the All-time Possible Start
  

About Dr. DiMaggio:

Dina DiMaggio, Physician, FAAP, is a board certified pediatrician at Pediatric Associates of NYC and at NYU Langone Medical Center. She is the co-author of The Pediatrician's Guide to Feeding Babies and Toddlers, a comprehensive transmission written by a team of medical, diet, and culinary experts. Follow her on Instagram @Pediatriciansguide.

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About Dr. Cernigliaro:

Julie Cernigliaro, DMD, is a board certified pediatric dentist and the Associate Director of the Pediatric Dental Residency Program at Lutheran Medical Center in Brooklyn, NY. She holds a faculty position at NYU College of Dentistry and currently works in individual practice at Happy Smiling Pediatric Dentistry, PC in NYC.

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The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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Source: https://www.healthychildren.org/English/ages-stages/baby/teething-tooth-care/Pages/Babys-First-Tooth-Facts-Parents-Should-Know.aspx

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