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Teething baby tips:
what is normal, what helps, what to skip.

By Dr. Aakash Rana, DDS · Updated October 2026

These teething baby tips start with the reassuring part: teething is uncomfortable, but it is a normal stage, and simple, safe measures usually get babies through it. The tricky part is knowing which fussy days are teething and which are something else. Below is the usual timeline, the signs that fit teething, the signs that do not, and the remedies dentists and pediatricians advise against.

Short answer: drooling, chewing, swollen gums and crankiness are typical. High fever, diarrhea, vomiting or a baby who will not drink are not explained by teething: call your pediatrician. A clean, chilled teething ring and gentle gum massage are safe first steps. Skip numbing gels with benzocaine for children under 2, teething necklaces and honey.

When teeth usually come in

Every baby has their own schedule, and a few months early or late is common. Many babies get the first tooth around six months, some as early as three or four months and some not until after their first birthday. Most children have all 20 baby teeth by about age three. This is the rough order:

Approximate baby-tooth timeline (ranges vary widely)
TeethRoughly whenWhat parents often notice
Lower front teethAround 6 to 10 monthsDrooling and chewing on everything
Upper front teethAround 8 to 12 monthsGum swelling you can see above the lip line
Side front teethAround 9 to 16 monthsUsually milder
First molarsAround 13 to 19 monthsOften the fussiest stretch, with broken sleep
Canines (eye teeth)Around 16 to 23 monthsPointy teeth that can take a while to break through
Second molarsAround 2 to 3 yearsOlder toddlers may tell you their mouth hurts

If no teeth have appeared by around 18 months, mention it at your child's next pediatric or dental visit. It is usually just a late schedule, but it is worth checking.

Normal teething signs vs signs of something else

Signs that fit teething

  • Lots of drooling, sometimes with a rash on the chin from the wetness
  • Chewing on fingers, toys and anything within reach
  • Red, puffy gums, sometimes with a small bluish bump where a tooth is coming
  • Irritability, clinginess and lighter sleep for a few days
  • Rubbing the cheek or pulling near the ear on the same side
  • A slightly raised temperature, but not a true fever

Signs teething does not explain: call your pediatrician

  • A fever (for young infants, any fever is a reason to call promptly)
  • Diarrhea, vomiting or a rash on the body
  • Cough, runny nose with fever, or trouble breathing
  • Refusing to drink, fewer wet diapers, or unusual sleepiness
  • Fussiness that lasts more than a few days or seems severe

It is easy to blame every bad day on teeth, but babies also pick up ear infections and viruses at the same age. When in doubt, call the pediatrician rather than treating it as teething.

Safe ways to soothe sore gums

  • Gum massage. With a clean finger, rub the sore gum gently for a minute or two. The pressure often helps.
  • A chilled teething ring. Choose a solid one, chill it in the refrigerator rather than the freezer, and wash it often. Rock-hard frozen rings can bruise gums.
  • A cold, damp washcloth for your baby to chew while you are watching.
  • Cold foods such as chilled purees, if your baby already eats solids and your pediatrician agrees.
  • Extra cuddles and patience. Most rough patches last a few days per tooth.
  • Pain medicine only if your pediatrician recommends it, with the dose they give you and the label instructions.

In a Miami summer, a drooling baby can also get dehydrated faster. Keep feeds going and wipe the chin often to protect the skin.

What to avoid

Some popular remedies carry real risks. Family advice is offered with love, but these are worth politely declining:

  • Numbing gels or liquids with benzocaine for children under 2. The FDA warns against them because of a rare but serious blood condition, and they wash away quickly anyway.
  • Homeopathic teething tablets. The FDA has warned parents about them, and their contents may vary.
  • Teething necklaces and bracelets, including amber beads. The FDA warns they pose choking and strangulation risks.
  • Honey, on a pacifier or in anything, before the first birthday, because of the risk of infant botulism.
  • Sugar or juice on pacifiers, and bottles of milk or juice in bed, which feed cavities on brand-new teeth.
  • Rubbing alcohol, tablets or powders on the gums, or teething toys filled with liquid that can leak or break.

Caring for those first teeth

Before teeth appear, wipe the gums after feeds with a soft, damp cloth. Once the first tooth arrives, brush twice a day with a soft infant toothbrush and a smear of fluoride toothpaste about the size of a grain of rice. Our post on fluoride for kids explains why that small amount matters.

The first dental visit should happen by the first birthday, or within six months of the first tooth. It is short and mostly a conversation: your child sits on your lap, Dr. Aakash Rana, DDS checks how teeth are coming in, and you get answers on teething, brushing, bottles and pacifiers. Read more about your child's first dental visit and our family dentist for kids page. Dr. Rana is a general family dentist, and if your child needs care that a pediatric dentist is better placed to give, we refer you. For why early care pays off, see why baby-tooth cavities matter.

About the dentist

Dr. Aakash Rana, DDS, general dentist at Prana Dental Miami

Dr. Aakash Rana, DDS

Dr. Aakash Rana, DDS is a general dentist trained at NYU College of Dentistry, with more than $100,000 in continuing education. He plans and treats each case at Prana Dental himself, works with our in-house lab, and refers to a specialist when a case needs one.

Teething: common questions from parents

Can teething cause a fever?

Teething may cause a slight rise in temperature, but it is not considered a cause of a true fever. If your baby has a fever, call your pediatrician, because an infection may be the real reason. For young infants, call promptly.

How long does teething pain last for each tooth?

For many babies the fussiest period is a few days around the time a tooth breaks through the gum. Molars often take longer and can feel worse. If discomfort lasts much longer or seems severe, check with your pediatrician.

Are teething gels safe for babies?

The FDA advises against benzocaine teething gels and liquids for children under 2, and warns about homeopathic teething tablets. Gum massage and a chilled, solid teething ring are safer first choices. Ask your pediatrician before using any medicine.

Can teething cause diarrhea?

Teething is not considered a cause of diarrhea. Babies put many things in their mouths at this age and can pick up stomach bugs, so diarrhea, vomiting or signs of dehydration are reasons to call your pediatrician.

When should my baby first see a dentist?

By the first birthday or within six months of the first tooth, whichever comes first. The visit is short and gentle and focuses on how the teeth are coming in and how to care for them at home.

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