How to Maintain Oral Hygiene During Teething in Babies? | Dr. Ekin Pas

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Dr. Ekin Pasinlioğlu

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How to Maintain Oral Hygiene During Teething in Babies?

When Does Teething Start?

Most babies start teething between 4 and 7 months
Some babies begin earlier (as early as 3 months), others later (up to 12 months)
The lower front teeth are typically the first to erupt

Why Is Oral Hygiene Important During Teething?

Increased drooling provides a moist environment that promotes bacterial growth
Inflamed gums are more vulnerable to infection
Improper cleaning can lead to early plaque buildup and tooth decay
Early routines set the foundation for long-term oral health

How to Maintain Oral Hygiene in Babies?

1. Before Teeth Erupt (0–6 Months)

Clean gums gently once a day using a damp gauze pad or silicone finger brush
Focus on cleaning after feedings
Keep skin around the mouth dry to avoid irritation from drool

2. When Teeth Begin to Erupt (6–12 Months)

Clean teeth twice daily (morning and bedtime) with a baby toothbrush or finger brush
If using toothpaste, apply only a rice grain-sized amount of fluoridated toothpaste (1000 ppm fluoride)
Replace the toothbrush every 3 months or sooner if bristles are worn
Always clean the mouth before bed, especially after milk or food intake

3. With the Introduction of Solid Foods (8+ Months)

As food sticks more to the teeth, cleaning becomes even more essential
After sweet or sticky foods, prioritize brushing
Encourage sips of water to help naturally rinse the mouth

Recommended Oral Hygiene Tools for Babies

Product Type	Recommended Age	Notes
Finger brush	0–12 months	Soft, BPA-free material
Baby toothbrush	6+ months	Small head, soft bristles
Fluoridated toothpaste (1000 ppm)	6+ months	Use only a rice grain-sized amount
Gauze or cloth	From birth	Clean and moistened with water

Common Mistakes to Avoid

Ignoring oral cleaning before teeth erupt
Not brushing after sugary meals
Using too much toothpaste
Starting brushing too early or too late
Giving bottles or pacifiers after the baby has fallen asleep

Additional Tips to Support Oral Health

Use chilled (not frozen) teething rings to soothe gums
Apply barrier creams around the mouth to prevent rash from drooling
Sterilize pacifiers and bottles after each use
Plan a first dental visit after the first tooth erupts (usually by age 1)

When to See a Pediatric Dentist

If teething hasn’t started by 18 months
Severe gum swelling, redness, or signs of pus
Yellow or brown discoloration on new teeth
Persistent bad breath
Resistance to toothbrushing that prevents adequate cleaning

Frequently Asked Questions

Yes. Cleaning the gums helps maintain healthy oral flora and prepares the baby for future hygiene habits.

Not if used in very small amounts (rice grain size) and with appropriate fluoride concentration (1000 ppm). It’s generally safe if swallowed occasionally.

Parents should assist with brushing until the child is around 2–3 years old, as motor skills are not yet fully developed.

Yes. Early exposure to sugars can lead to early childhood caries. Good habits and oral hygiene are essential from the start.

Occasional odor may be normal, but persistent bad breath could indicate poor hygiene or an oral issue. Check hygiene habits and consult a dentist if needed.