Baby teething: the signs, what helps, and what to skip

What teething looks like (and when)

Common signs include extra drooling, wanting to chew on everything, sore or swollen gums, and more fussiness or disrupted sleep as a tooth works through. Timing varies a lot — some babies get a first tooth before 4 months, others after their first birthday — and none of that spread is unusual. Mild discomfort and crankiness are typical; anything more is worth a second look (below).

What actually helps

Cool and counter-pressure are your friends. A chilled (not frozen-solid) teether, a clean cold washcloth to gnaw on, and gentle gum massage with a clean finger all help. Extra cuddles and patience go a long way, and if your baby is on solids, cold soft foods can soothe. That's genuinely most of it — simple, cheap, and safe.

What to avoid — this part matters

Some popular teething products carry real risks. Skip amber, wooden, or beaded teething necklaces and bracelets entirely: regulators warn they pose strangulation and choking hazards, and they don't have evidence behind them. Avoid teething gels and creams containing benzocaine and teething tablets — the U.S. FDA has warned against them for babies over serious safety concerns. And don't freeze teethers rock-solid, which can bruise gums.

One myth worth retiring: teething can cause mild fussiness and low-grade warmth, but it does not cause a high fever, diarrhea, or vomiting. If your baby has those, it's something else — treat it as its own thing and call your pediatrician rather than chalking it up to teeth.

When to check with your pediatrician

Reach out if your baby has a true fever, diarrhea, or vomiting, is refusing to eat or drink, seems unusually inconsolable, or if you have questions about the first tooth or when to start dental care. Teething should be uncomfortable, not alarming — anything that feels like more than sore gums is worth a call.