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Teething

Also called: Teething, baby teeth coming in

When a baby's first teeth come through the gums, usually starting around 6 months. Babies may drool, chew, and be fussy, but teething doesn't cause high fever or diarrhea.

StartsAround 6 months (4 to 12 months is normal)
SignsDrooling, chewing, sore gums
Not from teethingHigh fever, diarrhea, rash

Overview

The bottom front teeth usually come in first. All 20 baby teeth are usually in by about age 3.

If a baby has a fever over 100.4°F (38°C) or is very sick, look for another cause.

Symptoms

Common signs:

  • Drooling, chewing, and sore gums
  • Fussiness

Less common

  • Trouble sleeping
  • Rash on the chin from drool

When to get medical care

Call 911A baby who is limp, very hard to wake, or having trouble breathing.
Get care todayA fever of 100.4°F (38°C) or higher in a baby under 3 months, or any fever above 104°F (40°C).
See a doctor soonFussiness that doesn't settle, or no teeth by 18 months.

Causes

Teeth pushing through the gums.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Diagnosis

No tests are needed.

Questions you may be asked

  • Fever or other symptoms

The exam

A look at the gums.

Treatment

Soothe sore gums safely.

Self-care

  • Rub the gums with a clean finger
  • Give a chilled (not frozen) teething ring
  • Wipe drool to prevent rash

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
PainDose by weight; ask your child's doctor.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Don't use teething gels with benzocaine, teething tablets, or amber necklaces; they aren't safe.

Prevention

Start dental care:

  • Wipe gums daily
  • Brush teeth with a rice-sized smear of fluoride toothpaste

Which doctor treats this

  • Start with your child's pediatrician or dentist.

Back to school, work, or sports

  • Most people can go back to school or work the same day or the next day.

For caregivers

  • Learn the warning signs and when to call the doctor or 911.
  • Keep a list of your child's medicines, doses, and doctors on your phone.
  • Tell teachers, coaches, and sitters what to watch for and what to do.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Teething discomfort passes as each tooth comes in.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Is this teething or something else?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Teething

Sources

Last updated 2026-11-12.