For many parents, the teething stage is one of the first major developmental milestones that comes with a mix of excitement and concern. The sight of that first tooth breaking through can be heartwarming, but the journey to get there isn’t always smooth. From early gum care to preparing for your baby’s first dental check-up, supporting healthy development takes knowledge and the right approach. So, you want to know how to tell if baby is teething? And more importantly, how can you help them through it?
In this guide, we’ll cover the common signs and symptoms of teething, how the teething process works, and the safest and most effective baby teething remedies you can use at home.
When Do Babies Start Teething?
Most babies start teething between 4 and 7 months of age, although some may begin earlier or later. It typically starts with the lower central incisors, the two bottom front teeth. This is followed by the upper central incisors, then lateral incisors, first molars, canines, and finally, second molars.
The timing can vary widely from child to child. Some babies may get their first tooth as early as three months, while others may not see a tooth emerge until after their first birthday. By the age of 3, most children will have a full set of 20 milk teeth, also known as baby teeth.
How to Tell If Baby Is Teething: 15 Common Signs and Symptoms
Every baby is different, but there are several classic teething signs to look out for. Here are the most common signs of teething:
1. Red, Swollen Gums
One of the earliest and clearest symptoms of teething is red, swollen gums. As the erupting tooth pushes up through the gum line, it causes localised inflammation and discomfort in the baby’s mouth.
2. Excessive Drooling
A teething baby will often produce more saliva than usual. This constant drooling can lead to a teething rash around the mouth, chin, and even the chest if not kept dry with a soft cloth or bib.
3. Irritability and Fussiness
Teething pain can make babies crankier than usual. You may notice your child becomes more difficult to soothe, especially during naps or bedtime.
4. Chewing or Biting Everything
Babies may instinctively chew on their fingers, toys, or household objects to relieve pressure on their gums. This is often one of the earliest teething symptoms.
5. Sucking Fingers or Hands
Along with chewing, your baby may begin frequently sucking fingers or fists. This action helps to massage their sore gums and alleviate teething pain.
6. Trouble Sleeping
Teething pain can interfere with your baby’s sleep, especially at night when they’re lying down and feeling the pressure in their gums more intensely.
7. Low-Grade or Slight Fever
A slight fever pulling through the teething phase can sometimes occur, but it should not be high. If your baby has a persistent or high fever, contact your doctor.
8. Changes in Eating Habits
A baby who is usually eager to breastfeed or bottle-feed might refuse feeds when teething pain makes sucking uncomfortable. On the flip side, others may want to nurse more often for comfort.
9. Teething Rash
Teething rash occurs due to constant drooling, irritating your baby’s skin. A damp washcloth can help clean the area and prevent further irritation.
10. Pulling Ears or Rubbing Cheeks
Because the nerves in the jaw, ears, and cheeks are closely connected, discomfort from erupting teeth can radiate outward. Babies may tug on their ears or rub their cheeks in response.
11. Visible Tooth Bud
Sometimes, you can spot or feel the sharp edge of an erupting tooth beneath the gum line. A clean finger can be used to gently rub the area to check.
12. Gagging or Coughing
Excessive drooling can cause minor gagging or coughing. If there are no signs of illness, this may just be a teething-related symptom.
13. Mild Diarrhoea
While not proven conclusively, some parents report looser stools during teething due to increased saliva swallowing. If symptoms persist, consult your doctor.
14. A Change in Cry
Some parents can tell when the cry is different, more strained or distressed, indicating teething pain rather than general discomfort.
15. Teething Timeline Matching
If your baby is between 4 and 7 months of age and showing multiple symptoms of teething, there’s a strong chance their first tooth is on the way.
Understanding the Teething Process
Although many parents focus on the discomfort of the teething baby, it’s important to remember this is also a crucial step in their development. Healthy teeth support proper speech, chewing, and jaw development.
Safe and Effective Baby Teething Remedies
Here are some gentle, evidence-based ways to offer teething pain relief:
1. Chilled Teething Ring
A chilled teething ring (not frozen) can provide cool relief to sore gums. Ensure the teething ring is BPA-free and meets Australian safety standards.
2. Cold Spoon or Damp Washcloth
Gently rub your baby’s gums with a cold spoon or a damp washcloth that has been chilled in the fridge. This provides both pressure and cooling comfort.
3. Gently Rubbing the Gums
Use a clean finger to gently rub your baby’s gums. The counterpressure can ease discomfort and distract them from the pain.
4. Soft Cloth or Bib
Keep a soft cloth or bib handy to absorb excess drool and prevent a teething rash.
5. Pain Medicine (When Advised)
If your baby is in significant distress, a child-safe pain reliever like infant paracetamol may help. Always consult your dentist before using pain medicine.
6. Teething Gels
Some parents use teething gels for short-term relief. Use only those recommended by your healthcare provider, and avoid any products with benzocaine or lidocaine, which can be harmful to young children.
7. Teething Rings and Toys
Teething rings and toys offer a safe way for babies to soothe themselves through chewing. Just ensure they’re age-appropriate and not a choking hazard.
8. Gentle Rocking or Cuddling
Sometimes, all your baby needs is a cuddle. Gentle rocking, a lullaby, or skin-to-skin contact can help reduce their discomfort and help them relax.
9. Avoiding Choking Hazards
Do not offer raw foods, frozen items, or teething necklaces, as these may present serious choking hazards or strangulation risks.
Caring for Your Baby’s First Teeth
Once that first tooth emerges, it’s time to start oral care habits. Here’s how to support a healthy smile from the start:
- Use a soft toothbrush with water to clean your baby’s teeth twice a day.
- At 18 months, introduce a low-strength fluoride toothpaste or low-fluoride toothpaste, unless otherwise advised.
- Do not let your baby fall asleep with a bottle, as prolonged exposure to milk can lead to tooth decay.
- Avoid dipping dummies in honey or sugary liquids.
- Start using dental floss when two teeth touch.
- Book your baby’s first dental check-up by their first birthday or within six months of their first tooth erupting.
Early dental visits help monitor your child’s teeth development and spot any early signs of decay.
Frequently Asked Questions
How Many Teeth Will My Baby Have?
Most babies will develop a full set of 20 baby teeth, also called milk teeth, by the age of three.
Can Teething Cause a High Fever?
No, teething does not cause a high fever. A slight fever pulling through the gums may occur, but anything over 38°C should be evaluated by a general practitioner.
What If My Baby Has No Teeth by 12 Months?
Some babies take longer to get their first tooth. However, if your child hasn’t had any teeth emerge by 18 months, it’s best to consult a paediatric dentist.
Do I Need to Worry About Tooth Decay in Baby Teeth?
Yes. Baby teeth are important placeholders for adult teeth. Early decay can affect the alignment of permanent teeth and overall oral health.
When to See a Doctor or Dentist
- High fever
- Persistent diarrhoea
- Refusal to eat or drink
- Rash not linked to drooling
- Signs of infection or pus around the gums
Final Thoughts: Support Your Teething Baby With Comfort and Care
The teething process can be a challenging time for both babies and parents. But with the right knowledge and a bit of preparation, you can provide your baby with comfort, effective teething pain relief, and a healthy start to their dental journey.
If you’re concerned about signs of teething or want to support a smoother teething experience, book a consultation with us at MyHM Dentist or call (02) 9158 6379.
Resources
Johnson, S. (2017). ‘Teething Syndrome: When Your Baby Starts Teething’. Healthline, 17 August. San Francisco, CA: Healthline Media.
https://www.healthline.com/health/teething
Mayo Clinic Staff. (2024). ‘Infant and Toddler Health’. Mayo Clinic, 21 December. Rochester, MN: Mayo Foundation for Medical Education and Research.
https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/teething/art-20046378
Norris, T. (2018). ‘Identifying and Treating Teething Rashes’. Healthline, 26 July. San Francisco, CA: Healthline Media.
https://www.healthline.com/health/parenting/rashes-with-teething
