As a leading pediatric dental practice in Wake Forest, NC, we often hear from concerned parents about their children’s 6-year molars. This significant milestone in dental development can bring unexpected challenges, including fever and vomiting, leaving many parents wondering what’s normal and what isn’t.
Understanding 6-Year Molars
Six-year molars represent a crucial phase in your child’s dental development. These permanent teeth are the first set of adult molars to emerge, typically appearing behind the existing baby teeth rather than replacing them. Most children get four 6-year molars, with one appearing in each quadrant of the mouth.
During this stage, children transition from having roughly 20 primary teeth to developing their permanent set. Many parents ask us, “How many teeth does a six-year-old have?” The answer varies since each child develops differently, but typically, a six-year-old has a mix of both baby and permanent teeth, usually around 22-24 teeth total.
The Connection Between Molars and Fever
Parents throughout Raleigh, NC frequently ask about the relationship between teething and fever. Can molars cause fever? The short answer is yes. When 6-year molars emerge, they can trigger an inflammatory response in the body, leading to mild temperature elevation. This is different from the teething experiences of infancy and toddlerhood because these molars are larger and emerge through fresh tissue rather than replacing existing teeth.
Common fever characteristics during molar eruption include:
- Low-grade fever (typically 99-101°F): This mild fever associated with teething usually lasts 2-3 days per episode. Unlike high fevers from illness, teething-related fevers tend to be lower and more manageable. However, parents should monitor temperature regularly and ensure it doesn’t climb too high.
- Intermittent temperature spikes: The fever may come and go as the teeth move through different stages of eruption. This pattern can continue for several weeks as all four molars emerge, though not necessarily simultaneously.
- Accompanying symptoms: Along with fever, children might experience general discomfort, irritability, and localized pain. These symptoms often appear cyclically as each molar makes its way through the gum tissue.
Managing Molar-Related Fever at Home: A Practical Guide
- Temperature Monitoring
- Use a reliable digital thermometer
- Check temperature at consistent times
- Keep a symptom diary to track patterns
- Comfort Measures
- Offer cool water frequently
- Use clean, cold washcloths for comfort
- Provide soft, cool foods
- Consider over-the-counter pain relievers (consult with healthcare provider for proper dosing)
- Environmental Adjustments
- Maintain comfortable room temperature
- Dress child in lightweight clothing
- Ensure adequate hydration
Understanding Vomiting and Additional Symptoms
At our Wake Forest, NC office, we often address concerns about vomiting during molar eruption. While less common than fever, vomiting can occur during this process. The combination of increased saliva production, swallowing discomfort, and general distress can sometimes lead to gastrointestinal symptoms.
Additional symptoms might include:
- Increased drooling and swallowing difficulties: The emergence of molars can significantly increase saliva production. This excess saliva, combined with the discomfort of swallowing, may contribute to nausea and occasional vomiting. Parents should ensure children stay well-hydrated and maintain good oral hygiene during this time.
- Sleep disturbances and behavioral changes: Many children experience disrupted sleep patterns during molar eruption. This can manifest as difficulty falling asleep, frequent night wakings, or general irritability during the day. Maintaining consistent bedtime routines becomes especially important during this period.
Pre and Post Molar Eruption Care: Your Action Plan
Before Eruption:
- Schedule a dental check-up
- Stock up on comfort items
- Prepare age-appropriate pain relievers
- Establish good oral hygiene habits
During Eruption:
- Monitor symptoms daily
- Maintain regular dental hygiene
- Provide appropriate pain relief
- Document any concerns
After Eruption:
- Schedule follow-up examination
- Continue monitoring oral hygiene
- Watch for alignment issues
- Maintain regular dental visits
For professional guidance through this process, contact us at 919.435.7660 or schedule an appointment online.
Warning Signs and When to Seek Help
While some discomfort is normal, certain symptoms warrant professional attention:
- High or persistent fever (over 102°F): Unlike the mild fever typically associated with teething, high temperatures may indicate an infection or other medical condition requiring immediate attention. If your child’s fever persists beyond three days or reaches concerning levels, seek medical evaluation.
- Severe pain or swelling: While some discomfort is expected, severe pain or significant swelling around the jaw or face may indicate complications requiring professional assessment. These symptoms could suggest an infection or other dental issues needing prompt treatment.

Conclusion
The emergence of 6-year molars represents a significant milestone in your child’s development. While fever and vomiting can be concerning, understanding these symptoms and having proper management strategies can help make this transition smoother. Remember that each child’s experience is unique, and what’s normal for one may differ for another.
Frequently Asked Questions
How long does teething last for molars?
The entire process of 6-year molar eruption typically takes several months, with active symptoms lasting 2-3 weeks per tooth. However, the timeline can vary significantly among children.
Can teething cause high fevers?
While teething typically causes mild fever (99-101°F), high fevers are not normal and should be evaluated by a healthcare provider.
Do babies throw up when teething?
While vomiting can occur during teething, it’s less common with 6-year molars than with baby teeth. Persistent vomiting should be evaluated by a healthcare provider.
How can I tell if my 6-year-old’s symptoms are from molars or illness?
Molar-related symptoms typically include mild fever, localized discomfort, and increased drooling. If symptoms are severe or accompanied by other signs of illness, consult a healthcare provider.
Can molars coming in cause fever in toddlers versus older children?
Fever can occur with tooth eruption at any age, but the experience may differ between toddlers and school-age children due to their ability to communicate symptoms and cope with discomfort.