Does it look like your baby will be cutting their first tooth soon? Are you noticing a change in temperament and wondering what else you can expect to happen?
Nothing can fill a mom with so much sadness and happiness simultaneously as seeing their baby reach that milestone of getting their first tooth. It makes you excited to reach the next stage of their development, but it also breaks your heart knowing you won’t see that toothless grin ever again.
Seeing my baby’s smile change so much seemingly overnight caused me to shed a tear or two, but it also made me smile. I was also worried. My baby was so uncomfortable it broke my heart.
I knew my baby would make it through teething, but I hated the pain that went along with it. I did what I could to help by reading whatever I could find on teething.
I’m using everything I learned to write this guide so other moms won’t have to search for all this information like I did. This guide will cover when your baby’s teeth should come in, how to take care of them, and ways to soothe their aching gums.
Understanding Baby Teeth
Teeth are an important part of your baby’s appearance — they’ll only have two sets during their lifetime. So you should learn all about them and how to take care of them.
There’s no magic date your baby’s first tooth will make its debut, but there is a timeline for when you should see it.
It can range from as early as 3 months old all the way to 12 months old — although those extremes are usually the exception rather than the rule. But the average baby will generally get their first tooth sometime around the age of 6 months.
The lower central incisors are usually the first ones to cut through. If you’re scratching your head wondering which teeth those are, they are more commonly called the bottom front teeth by parents. They’ll come through sometime around 6 to 10 months usually.
They are generally followed by the top front teeth, which are called the upper central incisors. Those may come in just a couple months later, around 8 to 12 months.
Your baby will eventually have 20 baby teeth — that’s considered a full set, unlike an adult set which is usually 32.
They’ll gradually fall out for years until the last one is gone around the age of 10 to 12 years old.
If you’re wondering how fast and furious these teeth will be popping through your baby’s gum line, we’ve got you covered. Here is the order in which they appear and when you can expect them to arrive at the party (source).
- 8 to 12 months: the upper central incisors will arrive.
- 9 to 13 months: the upper lateral incisors will pop through.
- 13 to 19 months: the upper first molars will erupt.
- 16 to 22 months: the upper canines erupt.
- 25 to 33 months: the upper second molars are the last to arrive.
- 6 to 10 months: the lower central incisors will erupt.
- 10 to 16 months: the lower lateral incisors will arrive.
- 14 to 18 months: the lower first molars come through.
- 17 to 23 months: the lower canines come through.
- 23 to 31 months: the lower second molars pop through.
Baby teeth need to be taken care of just as permanent teeth do. That means doing basic things to ensure they stay healthy. That includes:
Your baby will have their first set of teeth for years — that’s why it’s essential to take care of them. They’ll start falling out when they are around 5 to 7 years old, with the central incisors generally being the first to make their exit.
After that, they’ll fall out steadily until the last one leaves somewhere between the ages of 10 to 12 (source).
The Signs of Teething
Unless your baby is the exception to the rule, you’ll generally know when they start teething. A few babies seem to sail right through it, while others become fussy, agitated, and spend more time crying than usual.
When Does Teething Begin?
If your child gets its first tooth at four months, it’s entirely possible for teething to begin as soon as two months of age. Although that seems too soon, you have to keep in mind teething can happen two to three months before you see that tooth pop through (source).
Early teething is no cause for alarm — it just means your child might be reaching that milestone before another child typically does. It’s nothing to worry about so don’t psych yourself out if another parent mentions how early your baby is teething.
What Do Teething Gums Look Like?
A baby’s gums look similar as to how they would before teething begins. If you pay close attention though, you’ll see they are a little different.
The gums may look a little swollen and a bit red right where the new tooth may be coming through.
What Are The Common Teething Symptoms?
Although symptoms can vary from child to child, they all share a few common ones. Here are some normal signs of teething that afflict many children (source):
- Drooling: If your baby starts drooling large amounts, you can safely suspect teething. If you’re noticing a lot of soaking wet bibs and shirts on your baby, teething is probably the culprit.
- Coughing: That thick drool can be overwhelming for your baby. If you notice them gagging or coughing sometimes and there’s no other reason for it, like a viral illness, teething could be to blame.
- A rash: All that drool can cause a red rash on your baby’s cheeks, chins, neck, and even chest from the wet clothes rubbing against its precious skin.
- Biting: A teething baby will bite on almost anything — everything is fair game. That includes their hands, your hands, teething toys, and even their own crib rails. If you’re breastfeeding, you might find them trying to go after your nipples as well.
- Fussiness: If you notice your normally happy baby has started acting irritable, teething might be the reason. It could last for hours, days, or even weeks.
- Crying: The crying can be hard for a parent because no one wants to see their baby in pain. But you can take some comfort in the fact the first couple of teeth seem to bother babies the most.
- Refusing food: When their mouths are sore, babies might refuse the bottle or breast. Just stay patient and keep attempting to get them to drink something or eat solid food.
- Frequent waking: Even good sleepers might wake up throughout the night during the worst part of their teething.
- Pulling on the ear: There are two main reasons babies sometimes do this — teething pain and ear infections. You’ll want to make sure to pay close attention to any other symptoms that would point toward an ear infection, such as fever.
What Are NOT Symptoms of Teething?
There are other symptoms some parents chalk up to teething, but experts say they’re likely caused by something else. These symptoms include:
- Diarrhea: Diarrhea isn’t normally caused by teething, according to the experts. It’s likelier your child ate something that didn’t agree with them or they’ve been exposed to a virus or bacteria.
- Fever: Some parents say low-grade fevers are a symptom of teething, but experts say it’s not a typical symptom.
- Runny nose: Babies can often get runny noses that seem to last for days, but teething isn’t the reason for those runny noses. A virus or allergies is the most likely reason for it.
- Lethargy: Your baby might be tired and a bit out of it when teething, but they shouldn’t be lethargic. If you notice your baby acting like that, look for other symptoms and call your doctor.
When Is Late Teething Something to Worry About?
Your child is probably just a late bloomer when it comes to pushing their teeth though, so try not to panic if your baby reaches their first birthday with no teeth in sight. Check out their other signs of growth, like their bones and hair. If that’s normal, there is probably nothing to worry about.
If there aren’t any teeth showing up by the time your child is 18 months old, you should tell their doctor just in case. A visit to a pediatric dentist might be in order at that point.
20 Remedies for Teething
When you see your baby in pain, it’s only natural you want to help. Luckily there are quite a few things you can do to bring them some relief. Here are 20 solutions to try.
Put a spoon in the refrigerator to give your baby a nice chill on their gums. Make sure you don’t put it in the freezer though or it might stick to their gums, making a bad situation worse. This method should be used before their first teeth come through — you don’t want them to break their delicate little teeth on the hard metal.
The sucking motion might cause additional pain for babies, which is why some babies are fussy eaters while teething. But others might find it soothing. If breastfeeding gives your baby comfort, try to schedule some additional time for it.
Taking a wet washcloth and putting it in a baggie and sticking it in the refrigerator or freezer can be really soothing for your baby to chew on. If you’d like to offer them a tiny bit of nutrition along with the washcloth, you could dip it in breast milk instead of water.
Cold foods like a little bit of applesauce, yogurt, or even ice cream if your baby is a bit older can feel heavenly on your baby’s sore gums. This method is particularly appealing for moms if their baby hasn’t been eating well because of teething pain.
Teething toys have been used for decades to soothe gums. If you aren’t crazy about your baby chewing on a piece of plastic, there are other toys on the market, including fabric teethers. You can even get them made with organic fabric.
If your baby is really struggling with gum pain, you can try giving a dose of acetaminophen, the active ingredient in Tylenol. That medication is well tolerated by babies and is safe to give them. You will need to discuss the correct dosage with your baby’s doctor.
Your baby should never wear jewelry because of the choking hazard amber teething necklaces pose to them. But one trend you can embrace is teething jewelry for moms. There are a lot of necklace options made out of silicone your baby can chew on.
Topical numbing agents, like Orajel, may work for your baby. Some moms like to limit medications and try more natural relief alternatives first. Because of an ingredient called benzocaine in regular Baby Orajel that the FDA has come out with a warning about, you might want to find a gel that is benzocaine free.
Unfinished wood teethers can be good options for moms who want to give their baby a teether but who aren’t crazy about plastic or fabric teethers.
Cold fruit such as frozen berries or apple slices that might normally pose a choking hazard to your baby can be placed in a mesh feeder. The big chunks will stay out of their mouths while the juice will go right in, making them want to chew even harder.
It works with adults and it works with children — giving them something else to focus on besides the pain. A walk in the stroller or a warm bath might be just enough to have them forgetting their gum pain.
If your baby is already using a sippy cup, giving them a cup filled with cold water and a little ice can provide relief on their aching gums. This method won’t cost you a dime, but it could help greatly.
If your baby’s favorite thing to chew on seems to be your finger, that’s fine. But make sure to do a thorough hand washing first and never allow your baby to chew on your fingers if you feel ill. And be prepared for those gums to really work your finger over!
Chamomile tea has soothing properties for your baby’s gums and it’s a good anti-inflammatory agent. You can try the washcloth trick, dipping it into the tea, and chilling it in the refrigerator. Or you can mix a little tea in with applesauce in case your baby objects to the flavor (source).
Peel a piece of ginger root and rub it on your baby’s gums for a couple of minutes. The ginger should help relieve some of the swelling and the pain. You can do this throughout the day as long as your baby doesn’t object to the flavor (source).
You can make homemade teething biscuits or buy them commercially prepared like the Happy Baby wafers. The hard texture will be great for teething and all the saliva will break them down so your child won’t have as much of a choking hazard.
If your baby is more interested in your kitchen utensils than teething toys, let them gnaw on a one-piece silicone spatula for a while and see if that helps. It might be enough to keep them entertained and lessen the pain.
Babies love anything they don’t normally get to play with, including a toothbrush. Find a soft-bristled one and let them start chewing on it. The bristles will feel soothing on their gums. Just make sure they are seated and supervised so they don’t gag themselves.
Popsicles are a great teething soother. If you’re not a fan of all the sugar that can be found in store-bought popsicles, you might want to make your own. You can use organic fruits or juices for a healthier treat.
Using a circular motion, rub your baby’s gums, face, forehead, and jaw to help take some of the tension away from your baby. Your baby might not like it at first, but over time might grow to love it.
Remedies to Take Caution for Safety Purposes
Not all teething remedies are safe for your baby to try. Here are some you’ll want to avoid.
X Baltic Amber Necklaces
Despite their recent popularity, experts warn against using Baltic amber necklaces because of the choking hazard they pose for babies.
In theory, these necklaces are supposed to work because they allegedly release a substance that relieves pain when the amber is warmed up by a baby’s mouth. The only problem is that science doesn’t show any evidence these necklaces work.
X Numbing Gel
This makes both lists — things you can try and things you should avoid. Natural teething gels may be worth a try, which is why they made the list above. But any teething gel that contains benzocaine isn’t a good thing to give babies.
Benzocaine gels have been linked to a potentially fatal condition called methemoglobinemia.
Why It’s Bad
I always think of numbing gels as a last resort for teething pain. Acetaminophen seems to be safer and does a better job of helping take the edge off of the pain.
X Essential Oils
Even though essential oils may have some benefit in other ways, putting them in your baby’s mouth is not safe (source). You should never rub any essential oil on your baby’s gums. They may get sick if you do so.
Essential oils can be toxic when applied to the skin undiluted and when they are ingested, both by adults and children. Essential oils shouldn’t be used at all around a baby.
While this may seem like a no-brainer, moms in the past have used whiskey to relieve their baby’s teething pain. If you have a well-meaning grandma thrown into the mix, she might suggest trying this home remedy.
But you should tell her you’re not going to because it doesn’t work and that alcohol, even in small amounts, is bad for children (source).
Belladonna has been found in teething tablets and has been linked to adverse reactions such as seizures and even deaths. For that reason, you shouldn’t buy any teething product that contains belladonna.
Belladonna comes from the nightshade plant, which has earned a reputation for being deadly. If you’re still tempted to use it, keep in mind some of the potential side effects of belladonna are terrible, including hallucinations, blurred vision, fast heartbeat, convulsions, coma, and death.
How Teething Affects Breastfeeding
Breastfeeding is a great way to provide your baby with all the nutrition they need, but teething can complicate it. Here are some of the problems you and your baby may run into while you’re breastfeeding.
Your Baby May Want to Use Your Nipple as a Teether
This is one situation greatly feared by breastfeeding moms. We’re cool with using our breasts to provide nutrition to our babies, but the thought of all the nipple pain as your baby bites down on them is almost more than we can take.
But there are some moves you can pull to help cut down on the biting.
- Give your baby a teether before they start nursing.
- Use a clean finger to massage their gums before they feed.
- If your nipples have had all they can take, place the breast milk in a sippy cup or bottle and let them take it that way.
Your Baby May Want to Nurse More
If your baby seems to take comfort in nursing more when they’re teething, that’s great news. But your baby’s relief may come at a price you’ll have to pay. All that extra feeding could cause you to have sore or cracked nipples.
The best way to manage this is to go back to the basics of latching. Wait for a wide open mouth from baby, and be sure the latch is deep. Keep baby close to your body so that the nipple doesn’t get shallow in their mouth.
Editor's Note:Michelle Roth, BA, IBCLC
If you’re having trouble with sore nipples because your baby is feeding more, dab fresh breast milk on your nipples at the end of a feeding. That can help soothe sore nipples.
You can also apply nipple cream. Just be sure to choose one that doesn’t need to be washed off before the next feeding since that may cause more pain.
And when you go to dry your nipples after washing them, pat them dry — don’t rub. Rubbing will just make the irritation worse.
Your Baby May Refuse Your Breast
While some babies want to feed constantly while breastfeeding, other babies hate to feed because the sucking motion makes the pressure in their gums feel worse. So how can a mom get her baby to take in breast milk while they are refusing the breast?
Before attempting a breastfeeding session, make sure your baby’s gums are well chilled by using the cold washcloth trick or letting them chew on a chilled teether. The ice rub may make your baby forget about the pain long enough to get a few ounces of breast milk in their belly.
Worst Case Scenario
5 Myths and Old Wives’ Tales
For generations, old wives’ tales were what moms believed in and paid attention to. That was in the days before doctor’s offices, well-baby check-ups, and easily accessible information.
Some of the myths and old wives’ tales are downright bizarre. Here are five of the strangest:
Back in the day, one popular old wives’ tales was that rubbing fresh rabbit brains on a baby’s gums could help relieve the pain. That one is enough to make most moms ill. I would rather deal with teething pain a million times over than coat my sweet baby’s gums with rabbit brains!
Everyone wants to believe their child is blessed, but looking at early teething as a sign of luck is pretty far-fetched. It is what was believed in the Malaysian culture, though.
In actuality, early teething is still perfectly normal and it doesn’t point to good luck any more than being left-handed makes you evil, which is another old superstition.
While one culture’s view of early teething is that it brings luck, another thinks it’s just the opposite. In Chinese culture, early teething is really bad news. So bad, that early teethers used to be viewed as bearers of misfortune.
Imagine how much that sucked to be one of those innocent kids growing up who happened to be an early teether!
I’m not sure how this little chestnut came about, but it’s a strange one for sure. Supposedly if you take a raw egg, still in the shell, place it in your baby’s used sock, and hang it in their bedroom, it will help with teething pain.
If you’re the superstitious type and you love trying old wives’ tales like these, this one shouldn’t be harmful to your baby in any way. At worst, it will just be an amusing waste of time. Some parents actually swear by this method though.
Teething doesn’t cause ear infections, although a baby can often have teething pain and ear infections at the same time. Ear infections and teething are both common ailments in babies, and because they can occur simultaneously, that’s why some old wives’ tales show a link between the two.
Teething can cause ear pain though, so if you see your baby tugging on their ear and there is no sign of an ear infection, it might just be plain old teething.
The Bottom Line
Teething can be painful and frustrating for both you and your baby. But you should keep in mind that it’s only temporary. You’ll both get through this, even if it doesn’t feel like it sometimes.
The pain from teething can be intense for some babies, but there are enough tips to try in this article that you should be able to find some that work for you. The main thing is to keep trying until you find something that gives your baby — and you — a little relief.
Have you dealt with some fierce teething pain with your children? How did you overcome it?
If you know any moms who have babies entering the teething time, please share this article with them. It just might provide the inspiration and hope they need to get through this tough time.