Teething is a significant developmental milestone in your baby’s life, but it can also be a stressful time for both infants and parents. Understanding what to expect and how to handle teething can make this period smoother and more comfortable for everyone involved.
When Does Teething Start?
Babies typically begin teething between 4 and 7 months, but some may start as early as 3 months or as late as a year. The timeline for teething varies, but typically, the lower central incisors (bottom front teeth) are the first to appear, followed by the upper central incisors.
By the time your child is around 3 years old, they should have a full set of 20 primary (baby) teeth. The teething process occurs in stages, with different teeth emerging at different times.
Signs of Teething
Teething can cause discomfort, and babies often show various signs indicating that their first teeth are on the way. Here are some common symptoms:
- Increased drooling – Your baby may produce more saliva than usual, leading to wet clothes and rashes around the mouth or chin.
- Irritability and fussiness – The discomfort from teething can make your baby cranky and unsettled.
- Chewing on objects – Babies instinctively gnaw on toys, fingers, or anything they can grab to relieve gum pressure.
- Swollen or tender gums – The gums might appear red, swollen, and even slightly bruised where the tooth is about to emerge.
- Disrupted sleep patterns – Your baby may wake up more frequently at night due to teething pain.
- Changes in appetite – Some babies may refuse to eat or drink because sucking or chewing increases discomfort.
- Mild fever – While a slight increase in temperature is common, a high fever is not a typical symptom of teething and may indicate an illness.
How to Soothe a Teething Baby?
Though teething discomfort is temporary, parents can take various measures to help ease the pain and soothe their baby:
- Teething Toys – Provide your baby with BPA-free rubber teething rings or toys that are safe to chew.
- Chilled Washcloth – A clean, damp washcloth that has been chilled in the refrigerator can be soothing for sore gums.
- Gum Massage – Gently rub your baby’s gums with a clean finger to provide relief.
- Cold Foods – If your baby has started solids, chilled fruit purees, yogurt, or a cold spoon may help.
- Teething Biscuits – For older babies, unsweetened teething biscuits can be an option, but always supervise them to prevent choking.
- Breastfeeding Comfort – If your baby is still nursing, breastfeeding can provide comfort and a sense of security.
- Over-the-Counter Pain Relief – If discomfort is severe, consult a pediatrician about using baby-safe pain relievers like acetaminophen or ibuprofen.
- Avoid Teething Gels – Many over-the-counter teething gels contain benzocaine, which can be unsafe for infants.
Teething and Feeding Challenges
During teething, your baby’s feeding habits may temporarily change:
- Some babies may refuse to breastfeed or take a bottle because of gum sensitivity.
- Babies might bite or chew on the bottle nipple or breast, which can be painful for breastfeeding mothers.
- Solid food consumption may decrease, especially if the gums are very sore.
If your baby is struggling with feeding, try offering soft, cool foods or changing feeding positions. If the refusal to eat persists for several days, consult your pediatrician.
Common Myths About Teething
- Teething does not cause high fever or diarrhea – If your baby has a fever above 100.4°F (38°C) or persistent diarrhea, it is likely due to an infection, not teething.
- Amber teething necklaces are not effective – There is no scientific proof that amber necklaces relieve teething pain, and they can pose a choking hazard.
- Teething does not always cause extreme pain – While some babies experience significant discomfort, others may go through teething with minimal fuss.
- The timing of teething has no impact on intelligence – Whether a baby gets teeth early or late has no bearing on their cognitive development.
Teething Timeline: What to Expect
Below is a general guide to when different baby teeth typically emerge:
- 4 to 7 months – Lower central incisors (bottom front teeth)
- 8 to 12 months – Upper central incisors (top front teeth)
- 9 to 16 months – Lateral incisors (next to the front teeth)
- 13 to 19 months – First molars (back teeth for chewing)
- 16 to 22 months – Canines (pointy teeth next to the molars)
- 25 to 33 months – Second molars (very back teeth)
When to See a Doctor?
In most cases, teething is a natural process that does not require medical intervention. However, you should consult a pediatrician if:
- Your baby has a fever above 100.4°F (38°C).
- There is excessive swelling, pus, or bleeding around the gums.
- Your baby is inconsolable despite soothing measures.
- No teeth have emerged by 18 months.
Final Thoughts
Teething is a challenging but temporary phase in your baby’s growth. While it can be tough to see your little one in discomfort, knowing how to ease their pain can make a big difference. By offering appropriate teething remedies and comfort, you can help your baby transition through this phase with greater ease. Remember, every baby is unique—some may experience significant discomfort, while others barely notice the teething process. Stay patient, and before you know it, your baby will be flashing their adorable new teeth in smiles!