Teething is one of the great milestones of your baby’s development and memories of your baby's first big toothy grin will be treasured forever. Some babies sail through the process and are showing off their first teeth before you know it, but for others it can be a more uncomfortable time, causing distress to both you and your baby.

When does the process of teething begin?

When a baby begins teething, there is no set pattern on when it will begin, how long it will take and how painful it will be. For one baby cutting a tooth might happen overnight without pain, while another child might have to go through a long, drawn out and painful experience. You may sometimes visibly see a rise or lump in the gum for several weeks, while sometimes there may be no visible clue at all until the tooth actually appears.

The process of teething often follows hereditary patterns, so if the mother and father teethed early or late, your baby may follow the same pattern. On average the first tooth comes in during the seventh month, although it can arrive as early as three months, as late as a year, or in rare cases even earlier or later.

Which teeth come in first and how many with there be?

In total there are twenty primary (first) teeth, which is twelve less than the full set of thirty-two permanent teeth adults have. Most children have a full set of primary teeth by the time they are around two or three years old. These teeth usually last until about the age of six, when the teeth that were first to appear become loose and fall out as the second teeth begin to push through the gums. The primary teeth continue falling out until roughly the age of twelve. Again, these ages mentioned above are only averages and your child may follow an earlier or later pattern. The following is the most common pattern in which your baby’s teeth will usually appear.

What are the symptoms of teething?

The symptoms of teething vary from child to child. Because of these different experiences, parents and physicians often disagree as to the symptoms of teething and how painful it is. The list below shows symptoms that a teething baby may experience. While most parents usually agree that some or all of the symptoms below happened around the time of teething, it is still recommended that if your baby experiences any of these symptoms you check with your pediatrician to rule out other possible causes for the symptoms.

1. Irritability: As the sharp little tooth rises closer to the surface your baby’s gums may become increasingly more sore and painful, leading to your baby being very fussy. The pain and discomfort is most often worse during the first teeth coming in and later when the molars come in because of their bigger size. This is most often the case since babies become accustomed to the sensations of teething and learn to live with them. But you may find your baby may be fussy during the whole time that every tooth comes in. Every child reacts differently.
2. Drooling: From three to four months of age you may see your baby start drooling more often than normal. Teething stimulates drooling, which is often worse with some babies than others.
3. Coughing: The extra saliva can cause your baby to occasionally cough or gag. This is usually nothing to worry about as long as your baby seems fine and shows no signs of a cold or flu and does not run a high fever.
4. Chin rash: If your baby is a big drooler, the constant contact with saliva can cause the skin around the chin and mouth to become irritated. To help prevent this, gently wipe your baby’s mouth and chin periodically throughout the day.
5. Biting & gnawing: A baby that is teething will gnaw and gum down on anything she or he can get their mouth around. The counter pressure from biting on something helps relieve the pressure from under the gums.
6. Cheek rubbing and ear pulling: Pain in the gums may travel to the ears and cheeks particularly when the back molars begin coming in. This is why you may see your baby rubbing their cheeks or pulling at their ears. However, keep in mind that pulling at an ear can also be a sign of an ear infection.
7. Diarrhea: While this is a symptom that is disagreed upon by physicians, researchers and parents, most parents usually notice slightly looser bowel movements when a baby is teething. It is believed that the most likely cause of this is the extra saliva swallowed, which then loosens the stool. Be sure and report any diarrhea to your doctor that lasts more than two bowel movements.
8. Low-grade fever: A fever is another symptom that doctors are sometimes hesitant to directly link with teething. But there are many parents who will disagree with this and find their baby gets a slight fever while teething. The best thing to do is be extra safe and notify your doctor if a fever last more than two days.
9. Not sleeping well: With teething pain happening during the day and night, you may find your child wakes more often at night when the pain gets bad enough. Most parents agree that the night waking happens more often during the first set of teeth and with the molars.
10. Cold like symptoms (runny nose, etc.): Some parents find that their baby will show signs of having a cold. Runny noses, coughing and general cold symptoms are believed to come from the baby having their hands in their mouth more often. Play it safe and always notify your doctor if symptoms such as this occur.

How can I help my baby with the pain?

There are several things that you can try to help ease the pain of teething; some work and some don’t, but most parents agree they’re always worth a try.

• Teething rings, water filled and chilled rubber teething toys; mom and dads fingers can all provide counter pressure that can sometimes bring relief.
• Offering your baby a cold bottle of water can also help. If sucking on the bottle bothers your child, offer a cold cup of water. The water can also help replenish your baby’s fluid if they’re drooling a lot or have loose bowel movements.
• Cold food has also been found to be helpful by some parents. Chilled applesauce, yogurt and pureed peaches may be more appealing to your baby and also more nutritious than a chilled teething ring.
• You can rub little amount of honey on baby’s gums.
• Massaging his/her head can also soothe the baby.

The teething process will come and go just like so many other things with new babies. Keep trying different things until you find what provides the best relief for your child.

Note: Before trying any of the suggestions listed above or any other type of home remedy it is highly recommended that you contact your pediatrician first. You should follow your pediatricians advise first before trying anything mentioned on this site or on any other site. Your child's doctor knows what is best for your child.