Teething is a major milestone in your baby’s development — and one that often comes with drool, fussiness, and a whole lot of chewing. For many parents, it’s also a time of uncertainty: Is this normal? How can I help? When will it get easier?
While teething can be uncomfortable for your baby, there are many gentle and effective ways to support them through the process. Understanding the signs, timelines, and relief strategies will help you navigate this stage with more confidence and calm.
When Does Teething Start?
Most babies begin teething between 4 and 7 months of age, although it’s completely normal to start earlier or later. Some babies are even born with teeth (natal teeth), while others don’t get their first tooth until after their first birthday.
Typical teething timeline:
- 4–7 months: Bottom central incisors (front teeth)
- 8–12 months: Top central incisors
- 9–16 months: Lateral incisors (next to the front teeth)
- 13–19 months: First molars
- 16–23 months: Canines (pointy teeth)
- 23–33 months: Second molars
By around age 3, most children will have a full set of 20 baby teeth.
Signs Your Baby Is Teething
Teething symptoms can vary widely from baby to baby — some show little discomfort, while others experience days or even weeks of fussiness.
Common signs of teething include:
- Increased drooling
- Chewing on hands, toys, or fingers
- Red or swollen gums
- Fussiness or irritability
- Slight decrease in appetite
- Disrupted sleep or frequent waking
- Rubbing ears or cheeks
Some babies may also develop a mild rash around the mouth from excess drool. This can usually be managed with gentle cleaning and a protective balm or cream.
What Teething Does Not Cause
It’s important to separate teething myths from facts. While teething can cause discomfort, it does not typically cause:
- High fever (over 38°C or 100.4°F)
- Persistent diarrhea
- Vomiting or severe congestion
If your baby is showing these symptoms, consult your pediatrician. They may indicate another illness happening alongside teething.
How to Soothe a Teething Baby
There’s no way to completely prevent the discomfort of teething, but you can ease your baby’s symptoms with safe, effective strategies.
1. Offer Something to Chew On
Gentle pressure on the gums provides natural relief.
Safe teething options include:
- Silicone teething rings
- Teething toys (BPA-free and approved for babies)
- A clean, damp washcloth chilled in the fridge
- Teething mittens
- Cold (but not frozen) spoon for supervised chewing
Avoid teething necklaces or bracelets — they pose a choking and strangulation risk.
2. Massage the Gums
Wash your hands and gently rub your baby’s gums with a clean finger. Many babies find this pressure soothing, especially when a new tooth is close to breaking through.
3. Keep Baby Comfortable
A warm bath, extra cuddles, or baby-wearing can help comfort your little one during fussy moments. Maintaining a calming bedtime routine can also support better sleep even during tough nights.
4. Use Cold (Not Frozen) Relief
Cold helps numb the gums and reduce inflammation. Chill teething rings, spoons, or wet cloths — but never freeze them solid. Frozen items can damage delicate gums and pose a risk of injury.
5. Try Over-the-Counter Remedies Cautiously
Always consult your pediatrician before using medication.
Possible options:
- Infant acetaminophen (paracetamol): for babies over 2 months
- Infant ibuprofen: for babies over 6 months
- Avoid teething gels or homeopathic tablets unless approved by a medical professional — many contain ingredients that are not safe for babies.
Keeping Baby Dry and Clean
Teething drool can lead to skin irritation. Use a soft bib and change it frequently throughout the day. Gently wipe your baby’s chin and mouth and apply a thin layer of baby-safe moisturizer or balm to protect the skin.
How Teething Affects Sleep
Many parents notice that teething disrupts their baby’s sleep, especially when a tooth is about to erupt.
Tips for managing teething and sleep:
- Stick to a consistent bedtime routine
- Offer a cold teething toy before sleep
- Use medication only when absolutely necessary and with guidance
- Provide extra comfort — rocking, cuddles, or a soft lullaby can make a big difference
Remember: sleep may be off for a few days, but it typically improves once the tooth breaks through.
Feeding Tips During Teething
Some babies may refuse solids or feedings when gums are sore.
What can help:
- Offer cold foods like yogurt or pureed fruit
- Use soft spoons to avoid putting pressure on tender areas
- Breastfeed or bottle-feed in a quiet, distraction-free space
- Don’t force food — follow your baby’s cues and try again later
If refusal to eat lasts more than a couple of days, speak with your doctor.
What to Avoid During Teething
Not all teething remedies are safe. It’s important to avoid items that could do more harm than good.
Avoid:
- Teething gels with benzocaine — not recommended for children under 2
- Amber teething necklaces or bracelets — choking and strangulation hazard
- Hard or frozen foods — risk of gum injury or choking
- Alcohol-based home remedies — not safe for any age
Stick to pediatrician-approved methods and always supervise your baby during teething play.
When to See a Doctor
Most teething issues can be managed at home, but it’s important to know when to seek professional care.
Call your pediatrician if:
- Your baby has a fever over 38°C (100.4°F)
- Symptoms last more than a week without improvement
- Your baby shows signs of an ear infection (pulling at the ear, excessive crying)
- There’s bleeding, pus, or unusual gum swelling
- Feeding stops completely or signs of dehydration appear
Better to ask than guess — your pediatrician is your best guide during this stage.
Final Thoughts
Teething can be challenging for babies and parents alike, but it’s also a sign of healthy growth. With patience, preparation, and the right soothing techniques, you can make this milestone a little easier for everyone.
Stay flexible, offer comfort, and trust that this stage — like all the others — will pass. Before you know it, you’ll be admiring that first little tooth with pride and remembering how far you and your baby have come together.
You’re doing a wonderful job — and those toothy smiles ahead are worth every moment.
