Red cheeks, drooling, sleepless nights, and a cranky baby who seems “off” for days if you’re a parent navigating your baby’s first teeth, you’re not alone. Teething is a normal developmental milestone, but it often brings confusion, stress, and questions: Is my baby in pain? Should I give medication? Is this even teething or something else?
Understanding the signs, timeline, and ways to comfort your baby can make this stage more manageable for both of you.
When Does Teething Start?
For most babies, the first teeth begin to emerge between 4 and 7 months of age. However, timing varies widely:
- Some babies are born with teeth (natal teeth)
- Others don’t begin teething until after their first birthday
- Genetics often play a role in timing
The typical order of appearance:
- Lower central incisors (bottom front)
- Upper central incisors
- Lateral incisors (sides)
- First molars
- Canines (cuspids)
- Second molars
By age 3, most children have a full set of 20 primary (baby) teeth.
Common Signs of Teething
Teething doesn’t look the same for every child, but typical symptoms include:
- Increased drooling
- Swollen or red gums
- Desire to chew on everything
- Irritability or fussiness
- Disrupted sleep patterns
- Rubbing ears or cheeks
- Slight rise in temperature (not a true fever)
- Loss of appetite for solids or breast/bottle feeding
Teething does not cause high fever, diarrhea, or rash. If your baby shows these symptoms, especially in combination, a doctor should evaluate them for another cause such as an infection or virus.
How Long Does Teething Discomfort Last?
Some babies experience teething pain for a few days before and after the tooth emerges. Others may seem unbothered by it entirely.
On average, each tooth may cause symptoms for 3 to 5 days, but teething can feel like a long stretch because teeth often come in waves one after another or even multiple at once.
The most intense periods of discomfort often occur with:
- First teeth (due to novelty and gum sensitivity)
- Molars (larger teeth pushing through more tissue)
Safe and Effective Ways to Soothe a Teething Baby
The goal is to relieve discomfort while staying safe and avoiding overmedication. Recommended remedies include:
- Chilled (not frozen) teething rings or a cold washcloth for baby to gnaw on
- Gum massage with a clean finger
- Cold baby spoons or teething toys designed for infants
- Extra cuddles and comfort your presence is soothing
- Distraction with songs, gentle movement, or favorite toys
If your baby is especially uncomfortable, pediatricians may recommend:
- Paracetamol (acetaminophen) or ibuprofen (only for babies over 6 months and under medical guidance)
- Topical gels should be used with caution and only under medical advice, as some contain ingredients unsuitable for infants
Avoid:
- Freezing teething rings (too hard on gums)
- Honey (unsafe under 12 months)
- Herbal remedies not approved for infant use
- Teething necklaces (choking and strangulation hazard)
Does Teething Affect Sleep?
Yes many parents report more frequent night wakings or shorter naps during active teething phases. Gum pain tends to intensify at night when distractions are minimal, and lying down may increase pressure on sensitive areas.
Gentle reassurance, soothing routines, and patience are key. Most babies return to their usual sleep patterns once the tooth breaks through.
Teething and Feeding Changes
Some babies temporarily refuse to breastfeed or bottle-feed during teething due to gum sensitivity. You might also notice:
- Biting during feeding
- Preference for softer textures
- Increased drooling that affects swallowing or appetite
This is typically short-lived. Offer smaller, more frequent feedings and allow your baby to set the pace.
When to Call a Pediatrician
While teething is normal, contact your doctor if your baby has:
- Fever above 38°C (100.4°F)
- Diarrhea or persistent vomiting
- Rash not related to drooling
- Signs of dehydration (dry mouth, fewer wet diapers)
- Refusal to eat or drink for more than 24 hours
- Swollen gums that appear infected (pus, severe redness)
These may indicate an illness unrelated to teething, and early intervention can prevent complications.
Teething Is a Milestone Not a Medical Emergency
Though it can feel exhausting and emotionally draining, teething is a sign that your baby is growing exactly as they should. With the right knowledge and support, you can navigate this stage with more confidence and a lot less guesswork.
If you’re unsure whether your baby’s symptoms are normal or need further evaluation, the pediatric specialists at Erdem Hospital are here to guide you through teething challenges with compassion, expertise, and care tailored to your child’s needs.
