Teething is a significant milestone in a baby’s development, but it can also be a challenging time for both infants and parents. Understanding when babies start teething, recognizing the symptoms, and knowing how to provide relief can make this phase easier to navigate.
I remember when my first child was born, I couldn’t tell if her sudden fussiness was a sign of teething or something completely different. Now, with four children at home, I’ve become somewhat of an expert. I’ve also been lucky enough to have children who haven’t been overly affected by the teething process.
If you’re a new parent or you are experiencing teething with a child for the first time, I have created this simple guide. I’ve included the general timing of teething, the order in which teeth typically emerge, symptoms to watch for, and some home and medical remedies to soothe your little one.
When Do Babies Start Teething?
Most babies begin teething between 4 to 7 months of age, though some may start as early as 3 months or as late as 12 months.
If you have a girl at home, Johns Hopkins University notes that girls are likelier to experience tooth eruptions earlier than boys, although that’s not guaranteed. I know my son’s teething started coming in much later than his three sisters.
The timing varies widely among infants, and factors like genetics can influence when the first tooth appears. According to Healthline, early teething is not uncommon, and parents should not be alarmed if their baby’s teeth emerge sooner or later than average.
Years ago, my wife created a baby teething eruption post that features a chart with general timelines for each tooth in your baby’s mouth.
Symptoms of Teething
Teething can cause a range of symptoms, which may vary from baby to baby. While some babies breeze through teething with minimal discomfort, others may experience more pronounced symptoms.
Below, I’ve broken down the most common symptoms and provided a quick recap in case you’re a struggling parent and want a fast way to check out what’s happening with your baby.
Teething Symptoms And What They Look Like
Drooling is one of the most common and noticeable signs of teething. The process of tooth eruption stimulates saliva production, which leads to excessive drooling. This constant wetness can sometimes cause a drool rash around the mouth or chin. To manage this, gently wipe your baby’s face with a soft cloth and apply a barrier cream to protect the skin.
Babies often chew on objects to relieve gum discomfort. You might notice your little one gnawing on toys, fingers, or anything they can get their hands on. The pressure from chewing helps counteract the pressure of the teeth pushing through the gums, providing some relief.
Irritability is another common symptom. Sore gums can make babies fussier than usual, leading to increased crying or clinginess. This is especially true during periods when the teeth are actively breaking through the gums.
You may also notice swollen or tender gums. The area where the tooth is emerging may appear red and inflamed. In some cases, a small bluish bump, known as an eruption cyst, may form. While this can look concerning, it’s usually harmless and resolves on its own.
Teething can also disrupt your baby’s sleep patterns. The discomfort may cause nighttime fussiness or frequent waking, particularly when the larger molars are coming in.
Some babies experience a mild fever during teething, but it’s important to note that a high fever (above 100.4°F or 38°C) is not typically associated with teething and may indicate an unrelated illness.
Finally, loss of appetite can occur due to gum soreness. Babies may refuse food, especially when using a bottle or spoon, as the sucking or chewing motion can irritate their gums.
Summary Of Teething Symptom's In Babies:
- Drooling: Excessive saliva production, sometimes leading to a rash.
- Chewing on objects: Babies gnaw to relieve gum pressure.
- Irritability: Fussiness due to sore gums.
- Swollen or tender gums: Redness and swelling where teeth are emerging.
- Difficulty sleeping: Discomfort disrupts sleep patterns.
- Mild fever: Slight temperature increase, but high fever is not typical.
- Loss of appetite: Refusal to eat due to gum soreness.
The Order Teeth Typically Come In For Babies
Teeth usually emerge in a predictable pattern, though there can be variations. Understanding this typical pattern can help parents know what to expect and when.
I’ve also included what function each set of teeth performs, mostly because I find it interesting, and I hope you will, too.
Here’s What Typical Tooth Eruption Order Looks Like
The first teeth to appear are usually the lower central incisors, which are the bottom front teeth. These typically emerge between 6 to 10 months and are often the least painful to erupt. They play a key role in biting and cutting food.
Next come the upper central incisors, the top front teeth, which usually appear between 8 to 12 months. These teeth are more noticeable when your baby smiles and help with biting and tearing.
Following the central incisors, the upper and lower lateral incisors emerge. These teeth, located next to the central incisors, typically come in between 9 to 16 months. They assist in biting and tearing food.
The first molars usually appear between 13 to 19 months. These back teeth are used for grinding food and can be more painful to erupt due to their larger size.
The canines, or pointed teeth next to the lateral incisors, typically emerge between 16 to 23 months. These teeth are used for tearing food and add to the completeness of your baby’s smile.
Finally, the second molars come in between 23 to 33 months. These are the very back teeth and complete the set of 20 primary teeth. By the age of 3, most children have a full set of primary teeth.
Summary Of Tooth Eruption Order:
- Lower central incisors: 6 to 10 months.
- Upper central incisors: 8 to 12 months.
- Upper and lower lateral incisors: 9 to 16 months.
- First molars: 13 to 19 months.
- Canines: 16 to 23 months.
- Second molars: 23 to 33 months.
Teething Syndrome
Teething syndrome refers to the collection of symptoms associated with the eruption of primary teeth. While many parents attribute a wide range of behaviors and symptoms to teething, it’s important to distinguish between normal teething discomfort and signs of other health issues.
According to the Cleveland Clinic, teething syndrome is generally mild and should not cause severe illness. If your baby exhibits symptoms like a high fever, vomiting, or diarrhea, consult a healthcare professional to rule out other causes.
It can be hard to distinguish between an actual sickness and symptoms of teething, that’s why it’s essential to maintain regular contact with your healthcare provider and to ensure your children are visiting the doctor for all of their scheduled check-ups.
Contact your doctor immediately if a fever spikes over 100.4 degrees in children six months and younger. For children old enough to take a fever reducer, monitor them closely, and if their temperature does not subside, contact their primary health provider.
Home Remedies For Teething Babies
There are several safe and effective ways to soothe your baby’s teething discomfort at home. In our household, a few of our children responded well to freezer-based teething toys, but every child is different,t and you may have to experiment with various options until you find something your child accepts.
Teething toys are a go-to solution for many parents. Firm rubber teething rings or toys provide a safe surface for babies to chew on, helping to relieve gum pressure. Avoid liquid-filled teething toys, as they may break and leak.
Cold items can also provide relief. Chilled (not frozen) teething rings or a cold washcloth can numb the gums and reduce swelling. The cold sensation is soothing and can help distract your baby from the discomfort.
Gum massage is another simple yet effective remedy. Gently rubbing your baby’s gums with a clean finger can alleviate discomfort. Make sure your hands are clean to avoid introducing bacteria.
Finally, comfort and distraction can work wonders. Extra cuddles, singing, or engaging activities can help take your baby’s mind off the pain. Sometimes, a change of scenery, like going for a walk, can also help.
Summary Of Home Remedies For Teething Babies:
- Teething toys: Firm rubber toys for chewing.
- Cold items: Chilled rings or washcloths to numb gums.
- Gum massage: Gentle rubbing with a clean finger.
- Comfort and distraction: Cuddles and engaging activities.
Medical Remedies For Teething Babies
If home remedies aren’t enough, there are medical options to consider. There is a limited number of ways you can help your baby through the teething process. Thankfully, the few options available can be very effective for many babies.
Pain relievers like acetaminophen (e.g., Tylenol for babies) or ibuprofen can be used for severe discomfort. Always consult your pediatrician for the correct dosage and ensure the medication is appropriate for your baby’s age. Talking to your doctor is a good way to determine if your child’s teething is also likely causing their discomfort or if something else is at play.
Teething gels can provide temporary relief by numbing the gums. However, the FDA advises caution due to potential risks associated with certain ingredients, such as benzocaine. Always read labels carefully and consult your doctor before use. I would consider this a last remedy for parents who are at their wit’s end and dealing with fussy babies who are not getting enough sleep because of severe teething discomfort.
Summary Of Medical Remedies For Teething:
- Pain relievers: Acetaminophen or ibuprofen for severe pain.
- Teething gels: Temporary relief, but use with caution.
When to See a Doctor
While teething is a normal part of development, certain symptoms warrant a visit to the doctor. I’ve written about those symptoms above, so here is a quick recap in case you’ve become worried about the state of your baby’s health during the teething process.
- A fever higher than 100.4°F (38°C).
- Diarrhea or vomiting.
- Persistent irritability or refusal to eat.
- Signs of infection, such as pus or swelling around the gums.
Teething is a natural process all babies go through, but it can be a trying time for infants and parents. By recognizing the symptoms, understanding the typical order of tooth eruption, and using safe remedies, you can help your baby navigate this milestone with minimal discomfort. If you’re curious about your child’s permanent teeth eruption, we have also created a post focused on that next milestone.
As always, if you are ever unsure about your baby’s symptoms or need advice, don’t hesitate to consult your pediatrician.