Identical multiples typically teethe around the same time. Mirrorimage identicals probably will get their first teeth on opposite sides of their mouths. Fraternal twins’ first teeth may come in months apart. Most babies’ initial teeth arrive anytime between 3 (very rare) and 18 months, usually around 12-14 months. Teething begins with the two center bottom teeth, followed a month or two later by the four upper teeth. Then in about four weeks, you’ll find the two lower incisors followed by first molars and eye teeth.

Rub sore gums gently with your finger and give babies a teething ring. A mild pain reliever such as Infant’s Tylenol drops will help reduce any mild fever that results from teething. Establish good dental habits early—start during infancy. Breastmilk and formula both contain high amounts of sugar that coats the gums and sets the stage for dental “caries” (baby cavities) to develop. Help prevent future dental problems for twinfants by simply wiping off their gums with a soft-bristled tooth brush or clean cloth a couple times each day. Make this a habit after completing morning and nighttime feedings. As baby teeth begin to emerge, use a soft-bristled brush with only a tiny amount of kid-toothpaste or water. Avoid adult toothpaste until your twins understand how to spit. Too much fluoride can cause permanent tooth stains.

By the age of 2, your twins should have their teeth brushed one to two times daily with your help. You can prevent baby cavities by giving your twinfants bottles only during mealtime.

Teach your twins to drink from a cup by their first birthday, clean their gums and teeth daily, and never, ever put your twinfants to bed with a bottle! A lot of sugary fruit juice is also bad. Plain water to drink for thirst is much better.