Erica Martin, M.D. Boys Town Pediatrics
Teething usually starts around six months of age. We will see, very rarely, teething starting at four months or in-between four and six months and that's usually if a parent has had a history of early teething.
They do start drooling and putting everything in their mouth around four months but that's a developmental milestone that is normal.
So around six months you'll start to see them drooling more than they have been, putting everything in their mouth and really chewing. Usually you see the bottom two incisors erupt first or come through the gums first. They will be fussy, likely have a little higher temperature than normal. Not a fever, so we won't see anything that is 101, it will be 99 or 100.
Sometimes sleeping is affected. They don't want to eat because their gums are hurting so their appetite goes down.
I would definitely utilize pain control measures with Tylenol and Ibuprofen depending on the age. If you are 4 months you'll use the Tylenol and if you're six months and older then Ibuprofen.
You can also use cold things so they can chew on cold rings, you want it to be a solid, one piece ring, you can put a wet washcloth in the freezer and they can chew on that. You can also try to time your Ibuprofen or Tylenol to about an hour before you want to feed them a meal, so that maybe their appetite is a little bit better when it comes to drinking.
We really hesitate on recommending any of the oral gels or the teething gels because they're pretty slobber y and they won't stay where you put them and there can be some harmful side effects if they were to get too much of that.
Some kids, they'll teeth and that will be done and over with and it's a very short time. Other kids, it drags on what seems like forever, but once the tooth erupts through the gums then the pain usually starts to subside and their appetite comes back.
Teething is the normal process of your baby's new teeth working their way through the gums. Dr. Erica Martin, pediatrician with Boys Town Pediatrics, explains when babies generally start teething and offers tips to help your baby through this sometimes, painful process.