From the Research
Teething symptoms typically include increased drooling, irritability, gum swelling and tenderness, sleep problems, decreased appetite, mild fever (less than 101°F), and a tendency to chew on objects. These symptoms generally begin about 3-5 days before a tooth emerges and subside once the tooth breaks through the gum. For relief, parents can offer clean, chilled (not frozen) teething rings, gently massage the baby's gums with a clean finger, or use a clean, damp washcloth for the baby to chew on. Over-the-counter medications like infant acetaminophen (Tylenol) or ibuprofen (for babies over 6 months) can be used according to weight-based dosing instructions for pain relief. Some key points to consider when managing teething symptoms include:
- Avoiding teething gels with benzocaine, as they can cause methemoglobinemia, a potentially life-threatening condition 1, 2, 3.
- Avoiding homeopathic teething tablets and teething necklaces due to safety concerns.
- Being aware of the potential risks of topical anesthetics, particularly in patients with active infections or other underlying health conditions 4. If symptoms seem severe or include high fever, rash, vomiting, or diarrhea, consult a healthcare provider as these likely indicate an illness unrelated to teething. It's essential to prioritize the baby's safety and well-being when managing teething symptoms, and to seek medical attention if there are any concerns. The pressure of teeth pushing through the gums causes inflammation and discomfort, triggering the baby's nervous system to respond with various physical reactions, as noted in a study on teething in children 5.