Teething: Symptoms, Timeline, and Safe Relief Methods
Drooling, fussiness, and sleepless nights — teething is tough for babies and parents alike. Learn what's normal, when teeth appear, and how to safely soothe the pain.
When Do Babies Start Teething?
Most babies get their first tooth between 4 and 7 months, though anywhere from 3 to 12 months is considered normal. By age 3, most children have all 20 primary (baby) teeth. The lower central incisors usually come in first, followed by the upper central incisors.
Common Teething Symptoms
- Excessive drooling (can cause a chin rash)
- Chewing on everything in sight
- Swollen, red, or tender gums
- Fussiness and irritability
- Mild sleep disruption
Note: Teething does not cause high fever, diarrhea, or vomiting. If your baby has these symptoms, consult your pediatrician — another illness may be the cause.
Safe Ways to Relieve Teething Pain
- Cold washcloth: Wet and chill (not freeze) a clean washcloth for your baby to chew
- Teething rings: Rubber or silicone rings — refrigerate, don't freeze
- Gum massage: Rub gums gently with a clean finger
- Infant acetaminophen: For severe discomfort, ask your doctor about appropriate dosing
What to Avoid
The FDA warns against teething gels containing benzocaine (like Orajel) for children under 2 — they can cause a rare but serious condition called methemoglobinemia. Amber teething necklaces pose strangulation and choking risks and are not recommended by pediatricians.
Starting Dental Care
As soon as the first tooth appears, begin brushing twice daily with a rice-grain sized amount of fluoride toothpaste. Schedule your baby's first dental visit by their first birthday or within 6 months of the first tooth appearing.