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Infants

4 min read

First teeth: teething tips that actually work

Drool, chewing and a few rough nights are normal when teeth come in. Here’s what soothes sore gums — and what to skip.

Dr. Maya Chen, MD

Dr. Maya Chen, MD

Pediatrician · Portland

Baby chewing on a purple toothbrush

When teeth arrive

The first tooth usually shows up between 6 and 12 months, most often one of the lower front teeth. Some babies start earlier and some later; both are normal.

Signs of teething

Extra drool, chewing on everything, swollen gums and some fussiness are all common. Teething doesn’t cause a high fever or diarrhea, so call us if you see those.

What helps

  • A chilled (not frozen) teething ring.

  • Rubbing their gums gently with a clean finger.

  • A cold, wet washcloth to chew on.

  • Acetaminophen dosed by weight for a rough night — ask us for the right dose.

What to skip

Avoid numbing gels with benzocaine or lidocaine, amber teething necklaces (a choking and strangling risk) and homeopathic teething tablets.

Brushing from the first tooth

Brush twice a day with a smear of fluoride toothpaste the size of a grain of rice, and book a first dental visit by their first birthday.

This article is general information, not medical advice. If you’re worried about your child, call us — or 911 in an emergency.

Dr. Maya Chen, MD

Written by

Dr. Maya Chen, MD

Pediatrician · Portland

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