Teething

ByDeborah M. Consolini, MD, Thomas Jefferson University Hospital
Reviewed/Revised Sep 2023
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Teething is the process in infants of tooth eruption through the gums.

    Although there is wide variation, a child's first tooth usually erupts by 6 months of age, and a complete set of 20 deciduous teeth usually develops by 2½ years of age.

    Clinicians often counsel parents that before a tooth erupts, the child may cry, be fussy, and sleep and eat poorly. Also, during tooth eruption, the child may drool, have red and tender gums, and chew constantly on objects such as toys and crib rails.

    Table

    Teething does not cause fever. Children who have fever and who are especially fussy should be evaluated for a viral or bacterial infection, because these symptoms are not caused by teething.

    Teething devices worn around the child's neck should be avoided.

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