Teething is one of the more challenging phases of the first year for many babies and their parents. There's a myriad of products on the market promising relief. As a dentist and founder of Happie, I believe it's important to be honest about this — even if it means I don't simply recommend a popular remedy.
In this article
When do the first teeth come through?
On average, the first tooth erupts around six months, although for some children this can be as early as four months and for others not until their first birthday. Usually, the lower central incisors appear first, followed by the upper ones. Once the first tooth is in, approximately one more appears each month.
How do you know a tooth is coming?
Every baby reacts differently. Some children barely notice it, while others are clearly bothered by it.
Common signs:
- More drooling than usual
- Strong urge to bite on something
- Red or pale, swollen gums
- More restless sleep, fussier or more whiny than usual
- Slight increase in temperature
Do you feel a hard lump under the gums? That's probably the tooth. Note: persistent fever is not automatically a result of teething — keep an eye on this and consult your GP if in doubt.
What really helps: teething rings, massage, and cold
The simplest remedies are often the best. A chilled (never frozen, as that can cause frostbite) teething ring provides counter-pressure and relief. Gently massaging the gums with a clean, cool finger works for the same reason. Chewing on a crust of bread can also have a pleasant, natural effect.
Additionally, make sure food is not too hot — the gums are extra sensitive to heat during this period.
Numbing gels: why we are cautious
A well-known and widely sold product contains lidocaine, a local anesthetic. In the correct, low dosage and according to instructions, it can be used within the specified limits. However, an important caveat is that international health authorities warn about the risk of overdose in babies, precisely because the amount swallowed is difficult to control. Consumer organizations therefore do not recommend numbing gels as a first choice.
This is precisely what we at Happie stand for: if something isn't the best first choice, we just say so — even if it's a well-known brand. There are now also milder variants on the market without lidocaine, containing soothing ingredients such as chamomile extract and panthenol. In doubt? Always consult your pharmacist or GP, and never use anesthetics for longer than two weeks without medical advice.
Homeopathy and amber: what does science say?
Homeopathic drops and amber necklaces are regularly recommended as 'natural' alternatives. To be honest: for both, there is no scientific evidence that they actually reduce pain. That doesn't automatically mean they are harmful (amber around the neck, however, does carry a choking risk, so never let your child wear this unattended or during sleep) — but we believe you as a parent should simply know this before choosing them.
When paracetamol is useful
Is your baby clearly in a lot of pain and restless all day? Then a paracetamol suppository before bedtime can provide relief. Always read the package insert and adhere to the recommended dosage for their age and weight.
Frequently asked questions
When do a baby's first teeth come through?
On average around six months, with a normal range from about four months to the first birthday.
What helps best for teething pain?
A chilled teething ring, gentle massage with a cold finger, and avoiding overly hot food are the most reliable, simple relievers.
Are numbing teething gels with lidocaine safe for babies?
In the prescribed low dosage and usage method, they can be used within the set limits, but international authorities warn of the risk of overdose. Consumer organizations therefore recommend trying mild, non-medicinal options first.
Does an amber necklace work for teething?
There is no scientific evidence for this. Moreover, a necklace around the neck carries a choking risk, especially during sleep or unsupervised.
Can I give my baby paracetamol for teething?
For clear pain and restlessness, a paracetamol suppository before bedtime can help. Always follow the package insert and the dosage appropriate for your baby's weight and age.
Radical honesty also means admitting that the most popular remedy isn't always the best first choice.
— Samantha Sastroredjo, Dentist & Happie® Founder