What are the Symptoms of Teething?

Some babies are born with one tooth visible, while the rest are still developing under the gums. The lower front tooth is usually the first to erupt at around 5 to 10 months. When this starts happening, a process called teething begins.

Teething is a natural process but it can cause babies discomfort. This usually lasts 2 to 3 days.

But don’t worry, there are plenty of safe and effective ways to soothe your teething child. Here you’ll find various relief strategies, from home remedies to knowing when it’s time to call the pediatrician.

What are the Symptoms of Teething?

Most teething signs develop because it can be painful and uncomfortable. However, every child is different, so they will handle discomfort in different ways. No one symptom or cluster of symptoms can predict exactly when a tooth is about to come in.

Symptoms commonly associated with teething include:

• Drooling or dribbling more than usual — Irritation of the gums during teething can stimulate saliva production.
• Increased chewing or biting — Pressure from biting on their fingers or objects can help alleviate your baby’s discomfort.
• Mood changes — Teething may make your baby irritable or cranky, but this doesn’t apply to all.
• Difficulty sleeping — Teething can cause restlessness at night.
• A slight rise in body temperature — A minor elevation in temperature might be labeled a fever, but it should not go above 102 degrees Fahrenheit (high-grade fever).
• Swollen gums — Your baby’s gums are under pressure when new teeth come in.
• Refusal to eat, drink, or suckle — Teething pain may cause your baby to avoid these activities.
• Ear pulling — Babies may pull on their ears in an attempt to alleviate pain or pressure.
• Rash formation — Excessive drooling can lead to a rash on your baby’s chin or the edges of their mouth.

When Should You See a Doctor for Teething?

While teething can cause discomfort, you should recognize when symptoms might indicate something more serious.

Seek medical advice from a pediatrician if your baby has the following symptoms:

• High fever ⁠— A temperature above 100.4°F (38°C) is usually not related to teething and could indicate an infection.
• Diarrhea or vomiting ⁠— These are not typical teething symptoms and warrant a visit to the doctor.
• Excessive crying or fussiness ⁠— If your baby is inconsolable or their discomfort seems extreme, consult your pediatrician.

Around the time babies start teething, they lose the protection of their mother’s antibodies against bacterial and viral infections. As your baby bites their fingers or contaminated objects more often, they’re more at risk of picking up germs and getting sick.

Effective Relief Strategies for Teething Discomfort

Teething can be a tough time for babies and parents alike. Sometimes, the simplest solutions are the best. Here are some home remedies we recommend to ease your baby’s teething discomfort:

• Use a cold compress ⁠— Cold temperatures can help numb sore gums. Offer a chilled (but not frozen) teething ring, a cool washcloth, or even chilled pureed fruits.
• Gently massage your baby’s gums ⁠— Use a clean finger to gently rub your baby’s gums. The pressure can provide soothing relief.
• Give your baby extra attention ⁠— During this uncomfortable period, your baby needs a little extra love, patience, and comfort. Cuddles, rocking, and breastfeeding can provide soothing distraction.
• Offer distractions ⁠— Engage your baby in playful activities to take their mind off the discomfort.
• Get teething toys ⁠— Provide a variety of safe and textured teething toys to soothe their gums. Avoid teething necklaces, as they pose a choking hazard.
• Maintain routine ⁠— Stick to your baby’s usual sleep and feeding schedule as much as possible and maintain good oral hygiene.
• Keep your baby hydrated ⁠— This compensates for the excessive drooling and ensures the mouth stays moist.
• Offer soft cold foods ⁠— If your baby has started solids, you can give them chilled fruits and soft vegetables. Avoid sugary drinks or treats.

Avoid teething gels, as they usually contain benzocaine and are not recommended for babies due to the potential side effects that could occur.

Teething Timeline

Each tooth can erupt at different times. Teething is only completed when all of a child’s baby teeth have erupted, taking up to 3 years.

Here is an approximate timeline for teething:

Front Teeth

Timeline	Tooth Development
5 to 10 months	Bottom front teeth or bottom central incisors
8 to 12 months	Top front teeth or top incisors
9 to 16 months	Top and bottom lateral incisors

During the 8 to 12-month period, the development of top incisors can overlap with the eruption of bottom incisors.

Back Teeth

Timeline	Tooth Development
13 to 19 months	First molars or back teeth
16 to 12 months	Canine teeth between the lateral incisors and molars
2 years old	Second molars
3 years old	Full set of 20 baby teeth

Despite not having all their teeth yet, you should still visit a dentist for your baby. It’s typically recommended that you visit a dentist as soon as possible or before 4 months old.

An oral examination or check-up is important for your baby’s oral health, especially if they have natal teeth (present at birth). This can help prevent potential cavities and ensure your baby’s teeth are properly developed.