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.
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.