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Teething, without the myths

What teething actually looks like, what safely helps, and the symptoms that deserve a call — to us or your pediatrician.

What's normal

Teeth usually start appearing around 6 months (anywhere from 4 to 15 months is common), lower front teeth first. Expect drooling, chewing on everything, gum tenderness, mild fussiness, and disrupted sleep for a few days per tooth.

What actually helps

  • Cold: a refrigerated (not frozen) teething ring, a cold damp washcloth to chew, or cold foods if your child eats solids.
  • Pressure: a clean finger rubbing the gums for a minute or two.
  • Comfort: extra holding and distraction go further than any product.
  • If your pediatrician agrees, an age-appropriate dose of infant acetaminophen or ibuprofen (6 months+) can help on the worst nights.

What to skip

Numbing gels (benzocaine), homeopathic teething tablets, amber necklaces, and frozen-solid teethers — all either unsafe or unhelpful.

When to call

True fever, refusal to drink, a rash beyond simple drool irritation, or symptoms lasting weeks aren't teething — check with your pediatrician. And once that first tooth is in, it's time for the first dental visit.

This guide is general education, not a diagnosis. Every child is different — when in doubt, call us at (615) 349-8450 and ask.

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Quick answers

Parents also ask

Does teething cause fever?

True fever (100.4°F / 38°C or higher) is not caused by teething. A teething baby may be slightly warmer and fussier, but a real fever means something else — call your pediatrician.

Are teething gels safe?

Skip numbing gels and teething tablets — products with benzocaine or belladonna are not recommended for babies. Cold, pressure, and comfort work better and are safe.

Are amber teething necklaces okay?

No — they are a strangulation and choking hazard, and there's no evidence they help. Pediatric health organizations recommend against them.

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