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Dr Gopinath Rao, Consultant Neonatologist, gives clear answers to the most common questions about teething in babies. This guide helps parents understand what to expect and how to ease their baby’s discomfort with confidence

Like many other developmental milestones, teething also differs among babies. However, most babies sprout their first tooth sometime during their first year of life. Let's look at some of the common questions parents have about teething.
Most babies start teething around six months of age. But some babies are born with their first teeth, while others start teething before they are four months old, and a few others get their first tooth only after they are 12 months old.
Q. What are the common symptoms of teething?
A. Although some babies are lucky to have their teeth cut through without pain or discomfort, teething symptoms generally start a few weeks before the tooth erupts. During this time, there is a possibility that babies may have:
Teething is often associated with symptoms such as diarrhoea and fever. However, there's little evidence to support this.
Q. In which order do the teeth erupt in babies?
A. The bottom front teeth are usually the first to appear within six months of birth.
This is followed by the top front teeth, which tend to come through between six and nine months.
Teeth on either side of the top front teeth appear between nine and eleven months.
Teeth on either side of the bottom front teeth appear between ten and twelve months.
Most children will have all their milk teeth erupt by the time they reach three years of age.
Q. Is there any remedy for teething pain?
A. I am sure we've all heard of a few remedies from the older generation. Although I found very few of their remedies to be helpful, there is no harm in trying some of the following:
Q. How to keep those early milk teeth healthy?
A. Parents should regularly brush their children's teeth twice a day with not more than a pea-sized amount of fluoride toothpaste.
Children's intake of sugary foods and drinks should be kept to a minimum. Avoid sending them to bed with feeding bottles.
Give them plenty of foods rich in vitamins and minerals, especially vitamin C, as it is very important for healthy gums.
Q. When should parents worry about delayed teething in their babies? And when should they visit a dentist?
A. Most babies get their first tooth by their first birthday. However, it is acceptable to wait till the age of 15 months for the first tooth to appear. But in case of further delay, it is advisable to see the dentist for a specialist opinion. It is also good to see the dentist within six months of the first tooth.
Dr Gopinath Rao, MBBS, MRCPCH, FRCPCH(UK), Neonatal CCT(UK), is a Consultant Neonatologist at Motherhood Hospital, Chennai.
Last updated on: April 01, 2026
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