A Developing Smile: When Should Baby Teeth Erupt?

November 20, 2013

Baby’s first teeth can be a big ordeal for baby as well as mommy. For first time mothers, it can be stressful not knowing what to expect. Unfortunately, every child is different and some babies find teething to be a breeze, while others are fussy. Today we will try to help alleviate some of that stress by informing you about some of the things you can expect from your child’s blossoming smile.



Primary Teeth

Baby’s primary teeth begin erupting between 6 and 10 months. If your baby’s teeth are coming in quickly you may not notice the order in which they erupt. However, if your baby’s teeth take longer to come in, knowing where to look for the next one can help you figure out if teething is why your baby is fussy.


The first teeth that erupt are the lower front teeth – called central incisors. These teeth can erupt as early as 6 months of age, but some children don’t get them in until they’re almost one. The lower central incisors are followed by the upper central incisors.


The central incisors are followed by the lateral incisors – top then bottom. In some cases, baby’s first molars may erupt before baby’s canines. If you see signs of teething, but don’t see any teeth coming in, check for molars. Finally baby’s second molars usually erupt between 23 and 33 months. By the time your child is 3 years old they should have all twenty of their primary teeth.


What to Expect

Some babies don’t show any signs of teething, but most babies show at least one of the following signs:

  • Drooling
  • Gum swelling
  • Gum sensitivity
  • Fussiness
  • Biting
  • Refusing food
  • Sleep problems
  • Slight fever
  • Upset stomach

There are many commercial teethers on the market that work well to help soothe baby’s discomfort. You can also try giving your child a washcloth soaked in cold water to chew on as this may help with their discomfort.


How to Care for Primary Teeth

Prior to baby’s teeth coming in, it is best to use a washcloth daily to clean their gums. In addition to cleaning your baby’s gums, this helps introduce your child to an oral hygiene routine. When your child’s first tooth appears, you should begin brushing their teeth with water or a fluoride free gel. We recommend Spry Tooth Gel with xylitol. Six months after your child’s first tooth erupts, you should schedule an appointment with your dentist. At this time the dentist will check to make sure that your baby’s teeth are coming in and your dentist will begin to develop a relationship with your child.


As your child grows, you should keep supervising their toothbrushing. Our Evanston dentists don’t recommend switching to a fluoride toothpaste until your child has mastered spitting out the fluoride free toothpaste (usually between 3 and 5 years of age). At 2 or 3 years of age your child will probably want to start brushing their own teeth, go ahead and let them. Brush your teeth with them present to show them the proper way to brush. Then let them “check” your teeth to make sure you didn’t miss anything while you “check”(aka brush) their teeth.


Teething doesn’t have to be a big ordeal. Having an idea of what to expect will make it easier, as will having professionals to help answer your questions. As your child grows, our Evanston dental office will be there with you, tooth by tooth. Feel free to call us with any teething questions you have.

June 24, 2025
Pregnancy is a time of excitement, anticipation, and transformation. As your body adapts to nurture new life, your needs evolve—including your dental care. At Stephens Dentistry, we’re passionate about supporting expectant mothers through every stage of this journey. Understanding the connection between oral health and pregnancy is not just important for your smile, but for the wellbeing of both you and your baby.  How Pregnancy Impacts Oral Health Pregnancy brings about a surge in hormones, especially estrogen and progesterone, which can have a profound effect on your gums and teeth. Many women notice changes in their oral health during pregnancy, including increased sensitivity, swelling, or bleeding gums. These shifts aren't just uncomfortable—they can also signal conditions that need attention to safeguard your overall health. Pregnancy Gingivitis: What You Need to Know One of the most common dental issues during pregnancy is pregnancy gingivitis. According to the Centers for Disease Control and Prevention , up to 60–75% of pregnant women develop gingivitis, which is characterized by red, swollen, and bleeding gums. This occurs because hormonal changes heighten the body’s response to the bacteria in dental plaque. If left untreated, gingivitis can progress to periodontitis—a more serious gum infection that can cause tooth loss and has been linked to health risks beyond the mouth. Oral Health and Birth Outcomes The importance of oral health during pregnancy goes beyond comfort and aesthetics. Research has shown a significant link between maternal gum disease and adverse pregnancy outcomes, such as preterm birth and low birth weight. A systematic review published in the Journal of Dental Research found that women with periodontal disease may be more likely to deliver prematurely or have babies with low birth weights. Although more research is ongoing, the potential connection means that taking care of your gums and teeth is an essential part of prenatal health. Why Dental Care Shouldn’t Wait Some expectant mothers worry about dental treatments during pregnancy. The good news is that routine dental care—including cleanings and necessary treatments—are not only safe but recommended during pregnancy. The American College of Obstetricians and Gynecologists confirms that preventive dental work is important and can be performed safely, especially in the second trimester. Delaying care can allow small problems to become bigger ones, and untreated infections can pose a risk to both you and your baby. If you are planning to become pregnant, scheduling a dental checkup beforehand is an excellent way to get ahead of any issues. Practical Tips for Expectant Mothers Maintaining oral health during pregnancy doesn’t have to be complicated. Here are some tips to keep your smile healthy throughout your pregnancy: Brush and Floss Regularly: Aim to brush twice a day with fluoride toothpaste and floss daily. This helps remove plaque and reduce your risk of gingivitis. Eat a Balanced Diet: Focus on nutritious foods rich in calcium, vitamin D, and protein, which support both your oral and overall health. Manage Morning Sickness: If you experience vomiting, rinse your mouth with water or a fluoride mouthwash rather than brushing immediately afterward, as stomach acid can soften tooth enamel. Stay Hydrated: Drinking plenty of water helps wash away food particles and bacteria, and can also help combat dry mouth, which is common in pregnancy. Schedule Regular Dental Visits: Let your dental team know you are pregnant so they can tailor your care. At Stephens Dentistry, we take extra precautions to ensure your comfort and safety during each visit. Learn more about our preventive dental services . Recognizing When to Call Your Dentist While mild gum sensitivity is common, it’s important to reach out to your dentist if you notice persistent bleeding, swelling, or pain. These symptoms could indicate an infection that needs prompt attention. If you develop a dental emergency during pregnancy, don’t hesitate to contact your dentist—timely care is always the best choice for both you and your baby. Supporting Your Health at Stephens Dentistry At Stephens Dentistry, we’re committed to providing compassionate, personalized dental care for every stage of life—including pregnancy. Our team stays up-to-date on the latest guidelines and safety protocols to ensure you receive the best care possible. For more information on how we support our patients during pregnancy, visit our dental care for families page. Pregnancy is a beautiful journey, and your smile should be a part of it. Prioritizing your oral health is a gift to yourself and your growing family. If you have questions or want to schedule your next dental visit, contact our office —we’re here to help you every step of the way.
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