tooth growth

tooth growth / symptoms

Tooth growth in children

Tooth growth usually begins in babies from the fifth to the seventh month. As a rule, the breaking through of the milk teeth runs without complications. However, there are often comorbidities such as gum pain, mild fever, loss of appetite and general malaise. For the parents, this usually means little sleep and exhausting time. To make it easier for the children to teething, there are many natural remedies that can relieve discomfort in tooth growth.


  • Tooth growth in children
  • Quick help with painful tooth eruption
  • Tooth growth - a short overview
  • definition
  • The development of the teeth
  • The childbirth
  • From the first to the last tooth
  • The right care for the first teeth
  • Teething symptoms
  • Diagnosing problems with tooth growth
  • Treatment options for tooth growth
  • Regular checks for prevention
  • Whatever you can try

Quick help with painful tooth eruption

The first tooth breaks in children are often associated with pain. This can be a stress test for the little ones as well as for the parents. A range of proven home remedies can make this phase easier. For example, biting on a chilled teething ring or chilled carrots or pieces of apple helps alleviate the pain. Natural remedies with chamomile and myrrh can be applied to the affected area and gently massaged. This promotes blood circulation and has an anti-inflammatory effect. If the pain does not improve, a pediatrician may also recommend pain-relieving ointments.

Tooth growth in babies is often associated with a variety of physical concomitant symptoms. (Image: seregraff /

Tooth growth - a short overview

With the one unproblematic for others a Zerreißprobe. Tooth growth can sometimes be a burden on both children and parents, even if it is a natural process that is not usually the cause of disease. Here is a brief overview of the tooth growth and the associated possible complaints:

  • definition: Tooth growth describes the development of the teeth, ranging from the plants in the embryonic stage on the development of the deciduous teeth to the finished development of the permanent dentition.
  • Primary teeth: The milk teeth denture is completed at around the age of three. It consists of ten teeth each in the upper and lower jaw: four deciduous incisors, two deciduous teeth and four molar teeth.
  • Permanent dentition: The permanent dentition of an adult, including the wisdom teeth, consists of 16 teeth each in the upper and lower jaw: four incisors, two canines, four small molars, four large molars, and two wisdom teeth.
  • Symptoms of tooth eruption: In babies, there are often signs of malaise in the course of tooth eruption. It can cause symptoms such as mild fever, loss of appetite, increased salivation, increased excitability, sleep disturbances and facial rash.
  • diagnosis: Tooth growth is a natural process and usually does not require medical attention. A doctor should monitor the development of the teeth at regular intervals in order to intervene if necessary. In acute pain, a pediatrician can be visited.
  • Treatment of breakthrough painChilled teething rings, carrot or apple pieces, as well as natural chamomile and myrrh gum massages can relieve the pain. A pediatrician may recommend other anti-inflammatory or pain-relieving ointments and gels.


Tooth growth is the development of teeth (odontogenesis) from the development of their facilities in the embryonic stage on the education and the breakthrough of the deciduous teeth to the permanent teeth. Often, however, the term is referred only to the deciduous teeth and the permanent teeth.

At the age of three, most children developed a complete baby teeth dentition. At the age of six, the deciduous teeth begin to fall out to give way to the permanent teeth. (Image: Radarani /

The development of the teeth

Tooth growth and tooth development begin approximately in the sixth week of pregnancy, when in the area of ​​the later upper and lower jaw each a dental arch from the oral epithelium. In the course of the development of the baby in the womb, the deciduous teeth are gradually formed through various stages, which break through within the first two to three years of life and are fully developed. Most externally visible tooth growth begins with the first two teeth in the lower jaw. If all baby teeth are present, the toddler has ten teeth each in the upper and lower jaw, which are gradually replaced by the remaining teeth at the age of six to nine years. This process takes place in two phases: In the first phase (six to nine years), the first permanent teeth break behind the row of milk teeth. The deciduous teeth gradually fall out and the lateral and central incisors break through. In the second phase (nine to twelve years), first the canines and the so-called premolars (molars, which have a milk tooth predecessor) break out. Then the other big molars break through too. The breakthrough of the whitening teeth, the last permanent teeth, takes place only from the age of 18 years.

The childbirth

The baby teeth dentition consists of 20 teeth and is usually fully developed at the age of two to three years. It contains ten teeth each in the upper and lower jaw - four deciduous incisors, two milky tusks and four molar teeth (molars). Usually, after about six months, the lower incisors break through first. A little later, the upper ones follow. When the child is about 18 months old, the first milky tusks show up. From this age or from two years often break the first molars. In most cases, at the age of three, all deciduous teeth are visible.

From the first to the last tooth

The following information is rather to be understood as empirical values ​​and may be very different for the individual persons in both the order and the time. This is in most cases no cause for concern. The growth process should be monitored by regular visits by a physician, who can intervene in good time should an inappropriate condition occur. The following table shows at what age which teeth break as expected.

  • Around the six months: The first central incisors break through.
  • At the nine months: The lateral deciduous teeth become visible.
  • About 18 months: The first deciduous teeth show up.
  • Between the 18th month and two years: The first molar teeth prevail.
  • After the third year of life: All baby teeth are broken.
  • From six years old: The first big molar breaks through.
  • From seven years old: The central incisors are replaced by permanent incisors.
  • From eight years old: The permanent lateral incisors break through.
  • From nine years old: The permanent canines and the remaining small molars in the lower jaw prevail.
  • From ten years old: The remaining small molars in the upper jaw become visible.
  • From eleven years: The permanent canines of the upper jaw and the second small molars in the upper and lower jaws show up.
  • From twelve years old: The second remaining large molars break through.
  • At the age of 15: The permanent teeth are completely visible.
  • From 18 years: The wisdom teeth break through. This process can last until age 25 or older.
Care of the teeth should start with the first tooth. (Image: Anke Thomass /

The right care for the first teeth

The Professional Association of Paediatricians recommends that the first baby teeth be regularly cleaned with a cotton swab, since these can already affect the health and growth of the subsequent teeth. Milk teeth have a smoother enamel than the permanent teeth and are particularly prone to tooth decay. Therefore, parents should start with the children's dental care as early as possible. If four to five teeth have broken, a special baby toothbrush should be used for cleaning. From about the age of three, parents can teach their children how to brush their teeth. The brushing of the teeth should be supported in the first time still by a parent. It should be used child toothpaste, which has either no or only a very low fluoride content.

Teething symptoms

Normally the breakthrough and growth of the first teeth in the child are without complications. Often, babies are teething but whining and show general signs of discomfort ranging from fever to diarrhea. Parents often complain about particularly short nights during this time.

First signs of the breakthrough of baby teeth are in babies around the fifth to seventh month of life strong salivation and the "biting" in objects. Many children cry more often and show a reddened butt. In the mouth, the gums appear sore and reddish. Fever or fever, vomiting and diarrhea with abdominal pain may also be added, although severe symptoms are usually not directly related to tooth eruption, as this is a natural growth process and not a disease.

Diagnosing problems with tooth growth

If parents notice that their baby is suffering from accompanying complaints during the eruption of their teeth, a visit to the pediatrician or alternative practitioner is usually sufficient. A dentist need only be consulted in rare cases, for example, if there are no signs of deciduous tooth breakage, and possibly developmental defects have already occurred in the teeth or if the first teeth look unusual or diseased.

During the examination, the child's mouth is first examined and, if necessary, carefully scanned. In addition, questions are asked about the exact complaints in order to rule out another cause of the problems. If there are doubts about the complete development of the deciduous teeth, an X-ray image can provide information about tooth growth in the upper and lower jaw.

A chilled teething ring can often relieve the pain of the first tooth breaks. (Image: inarik /

Treatment options for tooth growth

Home remedies and natural remedies are very effective for the most common ailments that babies experience during tooth growth, such as toothache or gum pain, and general malaise. This is how a cooling teething ring relieves the pain in the mouth. Natural remedies with chamomile and myrrh also have an anti-inflammatory effect and can be dripped onto the affected areas and then gently massaged. In this way, the circulation of the gums is promoted and facilitates tooth breakdown. To massage the gums, the children can also chew on a carrot or dry bread.

Regular checks for prevention

The guideline of the Federal Joint Committee for the early detection of diseases in children regulates the ten screening tests, which should be standard in the first six years of life. According to the guideline, the first check of the teeth should take place during the U5 examination, which takes place between the fifth and eighth month of life. From then on, each subsequent standard screening test (ie U6, U7, U7a, U8 and U9) should include a check on the teeth.

Whatever you can try

Although the following tips are not scientifically proven, they are widely used. For example, amber chains from the field of crystal healing are also to help with toothache by delivering minimal quantities of succinic acid to the skin, thus accelerating wound healing and helping to combat infections. In homeopathy, depending on the type of concomitant symptoms during teething, chamomilla, creosote (especially diarrhea), magnesium phosphoricum, calcium phosphoricum, belladonna and podophyllum (especially diarrhea) may be used. (ag; vb; updated December 24, 2018)


  • Internet presence Professional Association of Children and Youth Physicians e.V. (bvkj.); Visited on December 17, 2018
  • Internet presence of the National Association of Statutory Health Insurance Physicians (KZBV); Visited on December 17, 2018
  • Guideline of the Federal Joint Committee for the early detection of diseases in children (as of 19 October 2017)