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Teething


Infant child teething on a teething ring under blanket at Great Grins for KIDS - Portland in Portland, OR.As any parent learns for themselves, taking care of a baby’s teeth requires daily and diligent upkeep in dental hygiene. From the moment their first tooth grows in to the pain that follows, teething is a unique experience for every child. Here at Great Grins for KIDS - Portland, we as pediatric dentists know how important it is to help young smiles stay healthy and beautiful. We see children of all ages from infancy up through college and are all too familiar with parents whose babies are taking their first steps into dental care.

Here is what to expect when your child starts teething and what steps you can take to help mediate it. If your baby is showing signs of teething and displays persisting pain, discomfort, and ill temperament, it may be time to schedule a pediatric visit. To speak to us about setting up an appointment today, please call (971) 470-0054.

Teething Sign And Symptoms


It’s not too difficult to tell when your baby begins teething, as they will most certainly make it known. He or she might be irritable during the day and get little-no sleep at night, which may likely be true for the parents as well. Common signals to look for that indicate teething include:

•  Irritability, crankiness or sleeplessness, as mentioned
•  Loss of appetite
•  Excessive crying
•  Excessive drooling, which (if left unchecked) can cause a facial skin rash
•  Swollen, sensitive gums
•  A tooth is visible below the gum
•  Trying to bite, chew, and suck on whatever is within reach
•  Rubbing of face and ears
•  Change in bowel movements
•  Low-grade rectal fever of 99 F (37.2 C)

Any of the above symptoms can last for as little as a few days, around the time a new tooth first emerges, or up to several months if several teeth are coming in at the same time. Very rarely, teething is known to not cause any noticeable symptoms at all. The challenge is, no two infants are exactly alike when their first tooth arrives so identifying the signs can be tricky.

Symptoms such as higher fever, a runny nose, lethargy, or diarrhea are often confused by parents as also being caused by teething, but this is not accurate. No evidence exists to prove that any of these are related. One possible explanation is that, because babies typically bite and chew on whatever they can to soothe their pain, they come into contact with many germs and viruses that make them sick. If your baby is found to have a rectal temperature of 100.4 F (38 C) or diarrhea, this should not be chalked up to teething.

Late Teething


A baby’s first tooth typically emerges between the ages of 6-10 months, though it is perfectly normal for it to take much longer. If your child’s pearly whites are slow to appear, but their bone growth, skin, and hair are normal, then it’s highly unlikely that anything is wrong.

Late teething does not indicate any abnormalities in your child’s overall development and can be potentially beneficial. Because the tooth takes longer to erupt, it has less time. As a result to develop tooth decay before falling out to make space for a child’s adult teeth. If he or she is still toothless by 18 months, however, then that is not normal.

Dental Tips To Soothe Your Teething Baby


As sad as it can make a parent see their baby uncomfortable or in pain, rest assured that there are many methods to soothe those sore and tender gums during the teething process:

•  Rub your baby’s gums gently with a clean finger or moistened gauze pad, the pressure can ease the child’s discomfort
•  A cool washcloth, spoon, or chilled teething ring can soothe the gums. Be mindful of what the teething ring you choose is made from, however (Ex- Do not use a ring containing lead). A ring being marketed for teething doesn’t always mean it is safe. Never give your baby a frozen ring.
•  If your child is now eating solid foods, you may offer something edible to gnaw on like a peeled & chilled cucumber or carrot. Be sure to keep a close eye on your baby though, as any pieces that break off can present a choking hazard.
•  Keep the drool dry. While excessive saliva is a natural part of the teething process, it is important to prevent skin irritation. Keep a clean cloth handy to dry the chin. You might also consider applying a moisturizer such as water-based cream or lotion.
•  If your child is especially irritable and struggling to sleep, try an over-the-counter remedy. Acetaminophen (Tylenol) or ibuprofen (Advil, Children’s Motrin, others) can help.

If you believe your child has begun their journey of teething and want to set up an appointment to speak with our orthodontic specialists Dr. Fariba Mutschler or Dr. Mark Mutschler, call Great Grins for KIDS - Portland at (971) 470-0054 today.


My daughter was a little nervous to have her dental work done but everyone in the office was super friendly and very reassuring and that helped her nervousness go away. Thanks for the excellent dental experience. ~ Lilyana G.


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