The Teething Timeline
Most babies get their first tooth between 6–10 months, though some start as early as 4 months or as late as 12 months. The lower front teeth (central incisors) usually come first, followed by the upper front teeth. By age 3, most children have all 20 primary teeth. Teething itself comes in waves — some teeth cause lots of discomfort, while others seem to pop through without notice.
Real Teething Symptoms
Genuine teething symptoms include increased drooling, desire to chew on everything, swollen or tender gums, mild irritability, and slightly disrupted sleep. What teething does NOT cause: high fever (over 101°F), diarrhea, diaper rash, runny nose, or cough. If your baby has these symptoms, they're likely sick — don't attribute it to teething.
Remedies That Actually Work
Cold Pressure
Cold numbs the gums and reduces inflammation. Try a chilled (not frozen) teething ring, a cold wet washcloth to chew on, or refrigerated fruit in a mesh feeder for babies eating solids. Avoid freezing teething rings — they become too hard and can hurt tender gums.
Counter-Pressure
Gently rubbing your baby's gums with a clean finger or a soft silicone finger brush provides soothing counter-pressure. Many babies find this immediately calming. Apply firm, steady pressure rather than light rubbing.
Pain Medication
Infant acetaminophen (Tylenol) or ibuprofen (Motrin, for 6+ months) can help with significant discomfort. Dose by weight, not age, and use only as needed — not preventatively. Check with your pediatrician for proper dosing.
Remedies to Avoid
Amber Teething Necklaces
There is zero scientific evidence that amber releases succinic acid through the skin or that succinic acid relieves pain. These necklaces are a strangulation and choking hazard. The FDA and AAP advise against them.
Benzocaine Products (Orajel)
The FDA warns against using benzocaine products on children under 2 due to the risk of methemoglobinemia, a potentially fatal condition that reduces oxygen in the blood. Don't use numbing gels.
Homeopathic Teething Tablets
The FDA has issued warnings about certain homeopathic teething tablets containing inconsistent levels of belladonna (a toxic substance). These are not regulated like medicines — avoid them.
Surviving Teething Nights
Teething pain often feels worse at night because there are fewer distractions. Give pain medication 30 minutes before bedtime if your baby seems uncomfortable. Keep the room cool, offer extra comfort, and remind yourself that the worst of each tooth usually lasts only 3–5 days. This too shall pass — approximately 20 times.
Frequently Asked Questions
When do babies start teething?
Most babies get their first tooth between 6-10 months, though some start as early as 4 months or as late as 12 months. The lower front teeth usually come first. By age 3, most children have all 20 primary teeth.
Are amber teething necklaces safe?
No. There is zero scientific evidence that amber relieves teething pain. Amber necklaces are a strangulation and choking hazard, and both the FDA and AAP advise against using them on babies and toddlers.
Can I use Orajel on my teething baby?
No. The FDA warns against using benzocaine products like Orajel on children under 2 due to the risk of methemoglobinemia, a potentially fatal condition that reduces oxygen in the blood. Use cold teething rings and infant acetaminophen instead.
Disclaimer: This article is for informational purposes only and does not replace professional medical advice. Always consult your pediatrician or healthcare provider for guidance specific to your child.
