The Complete Dentist’s Guide to Teething: Comfort, Enamel Protection and Early Oral Health

By Dr Jack Brazel BChD · Reviewed by Dr John Krezel, Specialist Prosthodontist

Teething is one of the earliest milestones in your child’s development. It often begins around six months of age, but for many families it feels less like a milestone and more like a marathon.

Disrupted sleep. Sore gums. Drooling. Chewing. Irritability.

But beyond the discomfort, teething marks something more significant - the beginning of your child’s lifelong oral health journey.

This guide explains:

• When teething starts

• Why emerging enamel needs protection

• What actually helps soothe sore gums

• How to prevent early tooth decay

• What dentists recommend during this stage

When Do Babies Start Teething?

Most babies begin teething between 4-7 months, although variation is completely normal.

Common signs include:

• Increased drooling

• Chewing on fingers or objects

• Swollen or red gums

• Mild irritability

• Disturbed sleep

Contrary to popular belief, high fever and severe illness are not typical teething symptoms and should be assessed by a healthcare professional.

Why Teething Is About More Than Comfort

Primary (baby) teeth may be temporary - but their impact is not.

They:

• Hold space for adult teeth

• Support speech development

• Enable proper chewing and nutrition

• Influence jaw growth

• Affect long-term dental alignment

Most importantly, baby teeth can decay quickly.

Emerging enamel is thinner and more vulnerable than adult enamel. The early months after eruption are critical.

Teething is not just about soothing gums. It is about protecting enamel from day one.

Understanding Early Enamel

Enamel is primarily made of hydroxyapatite - a calcium phosphate mineral that gives teeth their strength.

In infants:

• Enamel is still maturing

• Surface mineralisation is ongoing

• Teeth are exposed to sugars through milk and diet

Supporting enamel integrity early reduces future dental risk.

This is why preventive dentistry begins with the first tooth - not the first cavity.

What Dentists Recommend During Teething

From a clinical perspective, teething management should include:

1. Gentle Gum Care

Before teeth erupt:

• Clean gums with a damp cloth daily

After eruption:

• Begin brushing with an age-appropriate brush

• Use a smear layer of suitable toothpaste

2. Safe Soothing Strategies

Parents often ask what actually helps.

Common options include:

• Chilled (not frozen) teething rings

• Gentle gum massage

• Age-appropriate teething gels

Any product used should be:

• Safe if swallowed

• Free from harsh additives

• Designed for infants

The Role of Hydroxyapatite in Infant Oral Care

Hydroxyapatite is the same mineral found naturally in enamel. It has been used extensively in modern dentistry and preventive oral formulations.

When included in infant oral products, it may:

• Support enamel surface integrity

• Assist in maintaining mineral balance

• Provide a non-fluoride alternative for families who prefer that approach

At MamaSmiles, our teething formulation was developed by practising dentists with a focus on:

• Gum comfort

• Enamel support

• Safe, swallow-friendly ingredients

You can learn more about our hydroxyapatite-based teething approach here.

Preventing Early Childhood Tooth Decay

Early childhood caries remains one of the most common preventable conditions worldwide.

Prevention starts early:

• Avoid putting babies to bed with sugary liquids

• Clean teeth twice daily once erupted

• Schedule a first dental visit by age one

• Establish consistent oral hygiene routines

Small daily habits have long-term consequences.

When to See a Dentist

We recommend:

• First dental visit by age 12 months

• Earlier review if parents notice white spots, staining or concerns

• Professional advice tailored to your child’s risk profile

Teething is normal - but prevention is intentional.

A Note From Our Founders

MamaSmiles was founded by practising dentists Dr Jack Brazel and Dr John Krezel, who have spent their careers focused on preventive dentistry and family care.

Dr John Krezel currently practises as a prosthodontic specialist in the UK and Dr Jack Brazel is in Western Australia working closely with families navigating early childhood oral development

Our goal is simple:

Support healthier smiles from the very beginning.