Teething is one of those baby milestones that often brings equal parts excitement and exhaustion. While it’s a big developmental step (hello, first tooth photos!), it can also be a tough time for parents. You might be wondering: Is this fussiness just a phase—or is my baby teething?
We’ve walked hundreds of families through the teething stage—and many of us are parents ourselves, we know how overwhelming it can be, especially when your baby can’t yet tell you what’s wrong.
Let us break down six common signs of teething, answer some of the questions we hear most, and discuss practical ways to help soothe your baby’s discomfort.
When Does Teething Start?
Most babies get their first tooth somewhere between 4 and 7 months, but teething can start as early as 3 months or as late as 15 months. The lower front teeth (central incisors) usually arrive first, followed by the top front teeth. By age 3, most children have a full set of 20 baby teeth.
6 Common Signs Your Baby Might Be Teething
1. Extra Drooling
One of the earliest signs of teething is increased saliva. If your baby suddenly seems like a tiny faucet, teething could be to blame. All that extra drool can also cause a mild rash around the mouth or on the chest.
What you can do:
- Keep a soft bib or cloth handy to gently dab away drool.
- Apply a thin layer of baby-safe moisture barrier (like petroleum jelly or lanolin) around the mouth and chin to protect skin.
2. Chewing on Everything
Teething babies love to chew. Gumming down on toys, fingers, or even the edge of the crib can help relieve pressure as teeth push through the gums.
What you can do:
- Offer teething rings (chilled, not frozen) or safe silicone toys for chewing.
- A cold, wet washcloth can also work well—just supervise your baby while they use it.
- Avoid teething necklaces or items that could be choking hazards.
3. Fussiness or Irritability
Teething can make babies cranky, especially in the late afternoon or at bedtime. The pressure and discomfort from erupting teeth may make your usually cheerful baby more sensitive or clingy.
What you can do:
- Cuddle more. Teething is uncomfortable, and your baby may just need extra comfort and closeness.
- Offer a cool teething toy or try gently rubbing their gums with a clean finger.
- Stick to familiar routines—consistency can be calming.
4. Trouble Sleeping
Is your baby suddenly waking more often at night? Teething might be the culprit. The discomfort can be more noticeable when they’re lying down.
What you can do:
- Try offering a teething toy before bed to help soothe discomfort.
- Stick with your normal sleep routine if possible.
- If they’re very uncomfortable, talk to your provider about safe pain relief options (see below).
5. Decreased Appetite
Sore gums may cause your baby to eat less—especially if they’re bottle-fed or transitioning to solids. Some babies even refuse to nurse or take a bottle temporarily.
What you can do:
- Offer smaller, more frequent feedings.
- Stick to softer or cold foods (like pureed fruit from the fridge) if your baby has started solids.
- If feeding becomes a struggle or your baby isn’t staying hydrated, give your doctor a call.
6. Low-Grade Fever or Mild Diarrhea
Some babies develop a slight increase in temperature (under 100.4°F) or looser stools while teething, likely due to excess drool being swallowed.
What you can do:
- Monitor symptoms closely.
- If your baby’s fever is 100.4°F or higher, or if diarrhea is persistent or severe, it’s likely unrelated to teething and worth checking in with your provider.
Frequently Asked Questions About Teething
Can I give my baby pain medication for teething?
Yes—infant acetaminophen (like Tylenol) can help relieve teething pain for babies over 2 months old. Infant ibuprofen (like Motrin) may be used for babies 6 months and older. Always check the dose with your provider first.
Should I use teething gels or tablets?
We do not recommend teething gels with benzocaine or homeopathic teething tablets due to safety concerns. Stick with cold teething toys and safe, doctor-approved options.
How long does teething last?
Teething happens in waves—a few days of symptoms before and after each tooth comes in. Some babies breeze through it, while others may have a tough time with each new tooth.
When to Call Your Doctor
Reach out to your provider if your baby has:
- A fever of 100.4°F or higher
- Refuses to eat or drink for several hours
- Diarrhea that lasts more than a day
- Ear tugging or signs of an ear infection
- Rash beyond the mouth and chest
- Unusual crying or behavior that feels “off” to you
At Northwest Family Clinics, we always encourage parents to trust their instincts. If something doesn’t feel right, we’re just a call away 24/7/365.
Teething is Tough – You Will Get Through it!
Teething is a normal, healthy part of your baby’s growth—but that doesn’t mean it’s easy. Knowing what to look for and how to help can make a big difference for both you and your baby.
You’ve got this, and we’ve got you. If you ever have questions about teething, feeding, sleep, or anything else in those first years of parenting, our team at Northwest Family Clinics is here to support your family—every step of the way.
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