Teething can be an exciting milestone and a confusing one. One day your baby is drooling more than usual, chewing on everything, waking more often, and rubbing their cheeks. Then you spot a tiny white edge pushing through the gum and realize: the first tooth is here.
Most babies get their first tooth around 6 months, but there is a wide normal range. Some babies show signs earlier, while others do not get a first tooth until closer to their first birthday. The order can vary too, though baby teeth often follow a predictable pattern from the front teeth to the molars.
This guide includes a baby teething chart, common symptoms, safe comfort tips, what not to use, brushing basics, and when to call your pediatrician or pediatric dentist.
Quick Answer: When Do Babies Start Teething?
Many babies start teething around 4 to 7 months, and the first tooth often appears around 6 months. The lower front teeth are commonly the first to come in, followed by the upper front teeth.
However, every baby is different. Some babies may have a tooth as early as 3 or 4 months. Others may not have a visible tooth at 12 months and still be developing normally. Most children have a full set of 20 primary teeth by around age 3.
Teething is a process, not a single event. A baby may have several uncomfortable days before a tooth breaks through, then feel better for a while before the next tooth begins moving.
Baby Teething Chart: Typical Tooth Eruption Timeline
This chart shows the common order and age range for baby teeth. Use it as a guide, not a strict schedule.
| Tooth Type | Top Teeth | Bottom Teeth | What They Do |
|---|---|---|---|
| Central incisors | 8 to 12 months | 6 to 10 months | Front teeth for biting soft foods |
| Lateral incisors | 9 to 13 months | 10 to 16 months | Help bite and cut food |
| First molars | 13 to 19 months | 14 to 18 months | Help grind and mash food |
| Canines | 16 to 22 months | 17 to 23 months | Help tear and guide chewing |
| Second molars | 25 to 33 months | 23 to 31 months | Back teeth for stronger chewing |
Baby teeth usually come in pairs, one on the left and one on the right. They may not appear on the exact same day, but they often arrive within a similar period.
What Are the First Baby Teeth to Come In?
The lower central incisors, or the two bottom front teeth, are often the first teeth to appear. After that, the upper central incisors usually come in. These front teeth are the ones parents often notice first because they change the baby’s smile so visibly.
After the front teeth, the side front teeth, first molars, canines, and second molars usually follow. Molars can sometimes be more uncomfortable because they are larger and erupt farther back in the mouth.
What Does Teething Look Like?
Before a tooth breaks through, the gum may look swollen, red, or slightly raised. You may see a pale bump or a tiny white edge under the gum. Your baby may chew more, drool more, or seem more sensitive during feeding.
Common teething signs include:
- Increased drooling
- Chewing, biting, or gnawing
- Swollen or tender gums
- Mild fussiness
- Cheek rubbing or gum rubbing
- Changes in appetite
- More night waking than usual
- Drool rash around the chin, cheeks, or neck
Some babies have very few symptoms. Others become more uncomfortable, especially with the first teeth or molars. A baby’s reaction to teething can also change from one tooth to the next.
What Teething Does Not Usually Cause
Teething often gets blamed for everything, but not every symptom is from teeth. This matters because babies can get sick around the same age that teething begins.
Teething may cause mild discomfort, drooling, gum sensitivity, and a slight temperature increase. It should not usually cause:
- High fever
- Persistent diarrhea
- Repeated vomiting
- Severe cough or chest congestion
- Extreme sleepiness
- Dehydration
- Refusing all feeds for a long period
- A rash spreading beyond drool-irritated areas
If your baby seems truly ill, do not assume it is only teething. Call your pediatrician if symptoms are strong, persistent, or worrying.

Why Teething Can Affect Sleep and Feeding
Teething discomfort can feel stronger when a baby is tired, hungry, or trying to settle at night. During the day, distractions may help your baby cope. At night, the same gum pressure may feel more noticeable because the room is quiet and your baby is trying to sleep.
Feeding may also change. Some babies want to nurse or bottle-feed more often for comfort. Others pull away because sucking increases pressure on the gums. Babies who eat solids may temporarily prefer softer, cooler foods.
Try to watch patterns rather than one difficult day. If your baby has a short teething phase but still drinks enough, has wet diapers, and returns to normal after the tooth erupts, that is usually more reassuring than a baby who refuses feeds, seems weak, or shows signs of illness.
Safe Ways to Comfort a Teething Baby
Most teething comfort methods are simple. The goal is to provide gentle pressure, coolness, closeness, and skin protection.
1. Offer a Chilled Teething Ring
A firm rubber or silicone teething ring can give your baby safe counter-pressure. You can chill it in the refrigerator, but do not freeze it solid. A frozen teether can become too hard and may irritate delicate gums.
2. Massage the Gums
Wash your hands and gently rub your baby’s gums with a clean finger. Some babies like light pressure for a minute or two. Stop if your baby pulls away, cries harder, or seems uncomfortable.
3. Use a Cold Washcloth
A clean, damp, chilled washcloth can be soothing. Let your baby chew on it while supervised. Do not leave your baby alone with any cloth or teething object.
4. Protect Against Drool Rash
Extra drool can irritate the skin around the mouth, chin, cheeks, and neck. Gently pat drool dry instead of rubbing. Change wet bibs often. A simple barrier ointment may help protect irritated skin if your pediatrician agrees.
5. Offer Extra Comfort
Sometimes teething babies need more holding, rocking, or quiet time. This does not create bad habits. Pain and discomfort can make babies seek closeness, and responsive comfort can help them feel safe.
What Not to Use for Teething
Some teething remedies are not safe for babies. Avoid anything that can cause choking, injury, unsafe medication exposure, or strangulation risk.
Do not use:
- Teething necklaces, bracelets, or anklets
- Frozen-solid teethers
- Teethers filled with liquid or gel that could leak
- Topical numbing gels unless specifically directed by a healthcare provider
- Products with benzocaine or lidocaine for teething pain
- Homeopathic teething tablets or gels without medical guidance
- Alcohol or herbal remedies rubbed on the gums
- Hard foods that could break into choking pieces
If your baby seems very uncomfortable, ask your pediatrician about age-appropriate pain relief. Do not guess dosing, and do not use adult medications.
Teething and Diaper Changes: Why Parents Notice a Connection
Some parents notice looser stools, more diaper irritation, or extra fussiness around teething. Teething itself does not usually cause true diarrhea, but babies may swallow more drool, chew on more objects, or have diet changes around the same time. These factors can affect stool or skin comfort.
If your baby’s diaper area becomes irritated, keep changes gentle and frequent. A portable changing table can help keep wipes, creams, clean diapers, and spare clothes nearby during fussy teething days.
For a nursery setup, diaper changing tables with storage can make it easier to keep drool bibs, washcloths, diaper cream, and clean outfits organized in one place.
How Teething Affects Starting Solids
Teething and starting solids often overlap because both happen in the second half of the first year. A teething baby may chew more, show interest in textures, or prefer soft foods for a few days.
Helpful foods for babies already eating solids may include:
- Plain yogurt
- Mashed avocado
- Soft oatmeal
- Mashed banana
- Cool applesauce with no added sugar
- Soft cooked vegetables
Avoid hard teething biscuits or foods that can break into sharp or choking-size pieces unless they are appropriate for your baby’s age and eating skills. Always supervise eating closely.
When Should You Start Brushing Baby Teeth?
Start brushing as soon as the first tooth appears. Use a small, soft-bristled baby toothbrush and a tiny smear of fluoride toothpaste. Brush gently twice a day, including before bedtime.
Before teeth appear, you can clean your baby’s gums with a soft, damp cloth. This helps create a gentle oral-care routine before brushing begins.
Early Tooth Care Tips
- Brush twice daily once the first tooth appears.
- Use only a smear of fluoride toothpaste for babies and toddlers.
- Avoid putting a baby to bed with a bottle of milk, formula, or juice.
- Do not dip pacifiers in honey, sugar, or sweet liquids.
- Schedule a first dental visit by age 1 or within 6 months of the first tooth.
Baby teeth may be temporary, but they matter. They help with chewing, speech development, jaw growth, and holding space for adult teeth.
Teething and Sleep: How to Help Without Unsafe Habits
Teething may lead to extra waking, shorter naps, or a harder bedtime. During these phases, keep comfort gentle and sleep safety consistent.
Use these steps:
- Offer gum massage or a teether before bedtime.
- Use a clean, dry bib during awake time if drooling is heavy.
- Keep bedtime calm and predictable.
- Comfort your baby when they are distressed.
- Return your baby to a safe sleep space once settled.
If your baby sleeps near you in a smart baby crib, it may be easier to notice changes in sleep, drooling, or fussiness while still keeping your baby in a separate sleep space. For babies who respond well to gentle motion before rest, a smart cradle may support a calming routine when used according to safe sleep guidance.

How Long Does Teething Pain Last?
A single teething episode often lasts a few days before and after the tooth breaks through. Some babies seem uncomfortable for a short time. Others have a longer fussy window, especially with molars.
If discomfort lasts for many days without any gum changes, or if symptoms become severe, check for other causes. Ear infections, colds, mouth sores, feeding problems, or digestive issues can sometimes look like teething from the outside.
When No Teeth Have Come In Yet
If your baby has no teeth at 9 or 12 months, it may still be within a normal range. Some babies simply get teeth later. Family history can also play a role.
However, it is reasonable to ask your pediatrician or pediatric dentist if your baby has no teeth by around 12 to 15 months, especially if there are other growth, feeding, or developmental concerns. If no teeth have appeared by 18 months, a dental evaluation is a good idea.
When to Call the Pediatrician
Call your pediatrician if your baby has symptoms that seem stronger than normal teething discomfort.
Ask for medical advice if your baby has:
- High fever
- Persistent diarrhea
- Repeated vomiting
- Signs of dehydration
- Refusal to feed or drink
- Severe or unusual sleepiness
- Persistent cough, congestion, or breathing concerns
- Ear pulling with fever or ongoing distress
- Bleeding, pus, or unusual swelling in the gums
- No teeth by 18 months
Trust your instincts. Teething is common, but it should not be used to explain away symptoms that seem serious or out of character for your baby.
Baby Teething Comfort Checklist
Use this quick checklist during teething phases:
- Chilled firm teether
- Clean damp washcloth
- Soft bibs for drool
- Barrier ointment for drool rash if appropriate
- Soft baby toothbrush
- Tiny smear of fluoride toothpaste after first tooth
- Extra cuddles and calm bedtime routine
- Pediatrician-approved pain relief if needed
Common Teething Mistakes to Avoid
- Blaming every symptom on teething: High fever, vomiting, and persistent diarrhea need medical attention.
- Using unsafe teething jewelry: Necklaces and bracelets can create choking or strangulation risks.
- Freezing teethers solid: Very hard frozen objects can irritate gums.
- Using numbing gels casually: Some oral numbing products can be unsafe for young children.
- Waiting too long to brush: Start brushing when the first tooth appears.
- Letting baby sleep with a bottle: Milk or formula pooling around teeth can raise cavity risk.
Final Thoughts
Teething usually begins around 6 months, but every baby has their own timing. The lower front teeth often appear first, followed by the upper front teeth, side teeth, molars, canines, and second molars. Most children have 20 primary teeth by around age 3.
Use a baby teething chart as a helpful guide, not a strict deadline. To comfort your baby, choose safe options: chilled firm teethers, clean washcloths, gentle gum massage, drool care, and extra closeness. Avoid unsafe numbing gels, teething jewelry, frozen-hard objects, and unapproved remedies.
Teething can be uncomfortable, but it should not cause severe illness. If your baby has high fever, persistent diarrhea, vomiting, poor feeding, dehydration signs, or symptoms that worry you, call your pediatrician. With safe comfort, early brushing, and a little patience, teething can become a more manageable part of your baby’s growth.
FAQ: Baby Teething Chart and Comfort
When do babies usually start teething?
Many babies start teething around 4 to 7 months, and the first tooth often appears around 6 months. Some babies teethe earlier, while others do not get a first tooth until closer to 12 months.
Which baby teeth come in first?
The lower central incisors, or bottom front teeth, are usually the first baby teeth to come in. The upper front teeth often follow next.
How many baby teeth do children get?
Children usually get 20 primary teeth in total: 8 incisors, 4 canines, and 8 molars. Most children have their full set by around age 3.
What are common teething symptoms?
Common teething signs include drooling, chewing, mild fussiness, swollen gums, cheek rubbing, changes in appetite, night waking, and drool rash around the mouth or chin.
Does teething cause fever?
Teething may cause a slight temperature increase, but it should not cause a high fever. If your baby has a true fever, seems ill, or has other concerning symptoms, contact your pediatrician.
How can I soothe a teething baby safely?
Try a chilled firm teething ring, gentle gum massage with a clean finger, a cold damp washcloth, extra cuddles, and drool rash care. Ask your pediatrician about pain relief if your baby seems very uncomfortable.
Are teething necklaces safe?
No. Teething necklaces, bracelets, and anklets are not recommended because they can create choking, strangulation, or injury risks.
When should I start brushing my baby’s teeth?
Start brushing as soon as the first tooth appears. Use a soft baby toothbrush and a tiny smear of fluoride toothpaste twice a day, especially before bedtime.