teeth Archives - Little Cedars Day Nursery

Teething can be an uncomfortable and painful stage for babies. As teeth start to come through, gums can become sore. Because of this, the little ones can become irritable and emotional, without really understanding why they’re feeling as they do. Every parent will know that having an irritable, tearful baby can be stressful for parents as well as for the baby. With all of this in mind, our Rough Guide to Teething should help parents to help their babies through this difficult stage.

When Does Teething Start?

Teething is the process of the milk teeth beginning to “erupt” (protrude) through the gums into plain sight. It usually begins when children reach the age of about 6 months. It varies, though, with some children even being born with one or more teeth. Usually, though, teething follows a general pattern, as follows:

First, the central incisors in the lower jaw are usually the first teeth to appear. This normally happens at the age of about 6 to 10 months.
The upper central incisors follow closely behind, at 8 to 12 months on average.
Between 9 and 13 months of age, the top lateral incisors usually come through with the those in the lower jaw appearing between 10 and 16 months of age.
The first upper molars come through between the ages of 13 and 19 months, with the first lower molars appearing from 14 to 18 months of age.
The canine teeth usually appear between 16 and 22 months of age in the upper jaw and between 17 and 23 months in the lower.
Finally, the second molars usually come through between 23 and 31 months of age in the lower jaw and between 25 and 33 months of age in the upper.

For each tooth that erupts, the teething process takes about 8 days, including roughly 4 days before the tooth is visibly protruding through the gum and 4 days where it moves through and into plain sight. During the 8 days, an “eruption cyst” (a bluey-grey colouration) may be visible on the gum in the area concerned. Of course, all of this can be uncomfortable and painful for the baby, particularly when the larger, back teeth come through — but it’s something we all go through. Ultimately, babies will usually end up with 10 milk teeth in the upper jaw and 10 in the lower by the time they’re 2½ to 3 years of age.

What are the Signs of Teething?

Along with the bluish-grey colouration in the gums mentioned above, other signs of a teething baby include drooling, sore-looking gums, red cheeks, the baby being tearful, rubbing their ears or chewing hands/toys more than usual. If the baby does drool, ensure that their faces are regularly wiped so as to avoid painful rashes causing further discomfort.

How Can You Help a Teething Baby?

Parents can help teething babies in several ways. Distraction is a powerful tool, so anything that will distract the baby from their discomfort can help — for example, playing with the infant.

If the baby or toddler is chewing things, giving them a commercially-available teething ring can give you greater control over exactly what they are chewing and allow you to ensure that you are keeping it clean for them. Always follow safety instructions, of course, and buy only from an appropriate, high quality, safe source.

The NHS also suggests giving teething children (6 months to 1 year or older) sticks of apple, carrot, breadsticks or bread crusts to chew on but this must be done under close adult supervision otherwise they could be a potential choking hazard.

Teething can be painful for the baby, so gently massaging affected areas of the baby’s gum with a clean finger can also soothe them to an extent.

Beware Unlicensed Teething Gels

Some parents may be tempted to buy Teething Gel for their infant. The NHS warns parents to be careful if doing so, as there are some dangerous products out there, particularly on the Internet and particularly when it comes to ‘homeopathic’ teething products. They state that there is no known evidence to suggest that teething gels work in any case, whether they’re licensed, unlicensed or homeopathic gels. However, if parents do decide to use them, they should only purchase them from proper UK pharmacies whilst ensuring that the gels are licensed for use in the UK. NHS information about the potential dangers of teething products, particularly homeopathic ones, can be found here.

Teeth Showing? Start Brushing!

Once your baby has one or more teeth showing through the gum, you should start brushing their teeth right away. This typically happens at the age of about 6 months. Take a look at our Ultimate Guide to Brushing Teeth for Babies & Children for much more information, including when to start, how to do it, what fluoride content the toothpaste should have, what to use as a brush — and much more.

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It’s important for children to start their teeth cleaning regime right from the moment their first tooth appears. Good oral hygiene is important for teeth, health, and ultimately self-confidence when they’re a little older. It’s therefore essential for children to get used to cleaning teeth properly and visiting their dentist right from their early years.

When & How To Brush Baby/Toddler Teeth

Start brushing your baby’s teeth as soon as they get their first tooth. On average, this is usually around 6 months although it does vary. Here is a good approach:

Facing a mirror, sit your baby on your lap, facing away from you, with the back of their head against your chest or shoulder. The mirror in front of you both will allow the baby or toddler to learn from you and for you to clearly see what you’re doing. Sitting them with their head backing onto your chest will allow a stable head position when you come to brush. Toddlers a little older can perhaps stand in front of you instead, but otherwise the same approach usually works nicely.
Using a small toothbrush, a ‘finger brush’ or, if they only have one or two teeth, even a piece of clean gauze wrapped around your finger, apply a small smear of age-appropriate* toothpaste if it’s for a baby or toddler up to 3, or a pea-sized amount for children aged over 3.
You can then begin the process of brushing your baby’s teeth. Small, gentle, circular motions around all teeth and gums is a good approach when starting. Because of the view in the mirror, they will gradually learn how to do it themselves. You can also help to guide their hands initially when they first start trying themselves.
For the 3-6-year-olds who have a pea-sized amount, encourage them to spit out any toothpaste and foam etc. There’s no need to rinse, because the fluoride in the toothpaste will work better without washing it completely away.
Repeat their teeth brushing twice a day with one instance ideally being just before they go to bed. This ensures that their teeth are clean all night rather than allowing any build-up of plaque during the night hours when they’re asleep.
Continue helping them until you can ensure that they’re able to brush their teeth properly, unaided. This could take them up to the age of 7 or more.

Teeth brushing can be made more fun for your child. For example, with music, by singing a song to your baby/toddler, making it part of a game, cleaning your own teeth at the same time or using a fun timer.

There’s a Phone App for Brushing Teeth!

The NHS even recommends a teeth brushing phone app that parents & carers can download — called ‘Brush DJ’ in the phone app stores (available for IOS and Android). It’s free (correct at time of writing), plays 2 minutes of fun music while the child’s teeth are brushed — and a whole lot more. Developed by a dentist, the timer’s purpose is to teach the child that it’s not a race — quite the opposite in fact. Ideally they need to give every tooth and gum area individual attention to ensure everything is very well cleaned. 2 minutes is a good benchmark for the whole teeth brushing exercise, so the app is ideal. It gives useful information, for example about cleaning in between teeth, and allows users to set reminders for dentist visits and suchlike.

* Toothpaste Type & Fluoride Content

Some parents may be aware of some negative information circulating about fluoride. For those who are really concerned, there are fluoride-free toothpaste options. However, in contrast, the UK’s NHS recommends¹ using fluoride toothpaste and suggests the following guidelines:

Up to 3 years of age:	Use children’s fluoride toothpaste containing no less than 1,000ppm of fluoride (check label) or family toothpaste containing between 1,350ppm and 1,500ppm of fluoride.	Use only a smear
Children 3 to 6 years of age:	Use children’s fluoride toothpaste containing no less than 1,000ppm of fluoride (check label) or family toothpaste containing 1,350ppm to 1,500ppm of fluoride.	Use a pea-sized amount
Children aged 7 years & over:	Use fluoride toothpaste containing 1,350ppm to 1,500ppm of fluoride (check label).	Use a pea-sized amount

Safety Considerations

Always supervise babies and toddlers — they will need your help when they’re very young.
Don’t allow your baby or toddler to play with the toothbrush when it’s not being used. They should also not walk or run around with it, particularly with it in their mouth, as this would be a huge safety risk.
Discourage your child from swallowing or eating the toothpaste and never allow them to lick paste from the tube.

Take Children to the Dentist Early On

It’s important to get children used to visiting the dentist and for this to be a positive experience. Dentists can highlight any potential problems early on and regular visits will also ensure that children realise the importance of teeth cleaning and oral hygiene as they grow. Starting early is also more like to avoid the possibility of them being nervous about visiting the dentist (if you are nervous yourself, try not to let this show as it could project the fear onto your child). NHS dental treatment is free for UK children. Find a dentist here.

Go Easy on Sugar

Natural sugars are found in things like fruit, fruit juice, honey and even in whole milk. Added sugars are types of sugar that have been added as ingredients to foods by manufacturers. These can include sucrose, glucose, dextrose, maltose, fructose, hydrolysed starch, inverted sugar syrup, raw sugar, brown sugar, cane sugar, muscovado sugar and so on.

Sugar and tooth decay go hand-in-hand

Sugar and tooth decay go hand-in-hand, especially if too much sugar is in the diet and/or if toothbrushing isn’t regular and thorough. The amount of potential decay is also made worse the longer sugar stays on the teeth. Cutting down on sugar intake will help limit the problem, as will a good tooth brushing regime. Here’s what parents and carers of babies and young children can do:

Avoid giving little ones drinks with added sugars. Milk and water are usually best.
Check labels and ingredients so you know your child’s food and drink is not laced with sugars. That includes pre-prepared baby foods.
Encourage them to eat savoury foods rather than sugary ones.
Avoid giving children sweets and biscuits, except as occasional treats. Ask friends and family members to do the same.
If you give your little one fruit juice, limit it to once in the day (150ml) as part of their ‘five a day’ and, better still, dilute it with water (1 part fruit juice to 10 parts water).
Limit any sweet food and drink to meal times.
Brushing teeth after sweet foods and drinks is a good habit to get into.
If you need to buy medicine for your baby or child, as the pharmacist if a sugar-free version is available.
If your child needs a drink at night, only give formula or breast milk, or water. Sugar contained in milk is less likely to cause tooth decay so does not need to be avoided.
Avoid the use of bottles and valved bottles (from the age of 6 months) when giving children fruit juice or squash. Free-flowing alternatives like beakers mean any sugar or acid contained in the drink is less likely to bathe the teeth in sugar for so long. Acids found in fruit juice or squash can also harm teeth, by the way.

Getting it Right – the Benefits for Your Child

Getting the approach right means healthier teeth and gums, fresher breath, better looking teeth, more self-confidence and potentially better health overall as the child grows up. Setting good teeth cleaning and tooth hygiene habits early on means children are more likely to continue the good work as they grow into adulthood. This includes regular, fear-free visits to the dentist for check-ups.

Little Cedars Nursery, Streatham

This guide was brought to you by Little Cedars Nursery. We are an outstanding nursery and pre-school in Streatham, near Balham, Tooting and Furzedown in London SW16. We have just a few spaces available at time of writing so, if you are looking for high quality nurseries or childcare in this area, please get in touch:

Apply for a Place Arrange a Visit Message Us 020 8677 9675

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Rough Guide to Teething