TEETHING Symptom Definition New primary teeth are seen working their way through the gums. Teeth come in between 6 and 24 months of age. Main symptoms are increased saliva, drooling and desire to chew on things. Occasional symptoms: mild gum pain.  Not enough to cause crying or interfere with sleep. Does not cause fever (rarely gets to 101°F), diarrhea, diaper rash, or lowered resistance to infection. Caution: blaming teething for fevers can lead to a delayed diagnosis of ear infections, urinary tract infections, meningitis and other infections. See More Appropriate Topic (instead of this one) If Main symptom is crying, see CRYING CHILD OLDER THAN 3 MONTHS OLD. FEVER is also present. WHEN TO CALL YOUR DOCTOR FOR TEETHING Call Your Doctor Now (night or day) If Your child looks or acts very sick Call Your Doctor During Weekday Office Hours If You think your child needs to be seen. You have other questions or concerns Parent Care at Home If Normal teething and you don't think your child needs to be seen. Back to Top HOME CARE ADVICE FOR TEETHING Reassurance:  Teething is a natural process.  It's harmless and it causes little if any pain.  It doesn't cause fever or crying. Gum Massage:  Find the irritated or swollen gum.  Massage it with your finger for 2 minutes.  Do this as often as necessary.  You may use a piece of ice wrapped in a wet cloth to massage the gum. Teething Rings or Teething Biscuits: Infants massage their own gums by chewing on smooth, hard objects. Offer a teething ring, pacifier or wet washcloth that has been chilled in the refrigerator, but not frozen in the freezer.  A piece of chilled banana may help. Avoid hard foods that could cause choking (e.g., raw carrots). Avoid ice or Popsicles that could cause frostbite of the gums. Cup Feeding:  If your infant refuses nipple feedings, use a cup temporarily. Pain Medicine:  If the pain increases, give acetaminophen (e.g. Tylenol) orally for 1 day. Special teething gels are unnecessary and we do not recommend them. They can cause allergic reactions or choking. Call Your Doctor If: Develops unexplained crying Develops fever above 101°F (38.4°C) Your child becomes worse Back to Top Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information. Pediatric HouseCalls Online. Copyright © 2000-2005 Barton Schmitt, M.D. FAAP Reviewed 8/2005 Revised 8/2005 See Other Topics: Crying Child Older Than 3 Months Old (Irritability, Fussiness) Fever View Index of Topics