Teething is a significant milestone in your baby's development, marking the journey toward their first set of teeth. This process typically begins around 6 months of age and continues until about 3 years old, culminating in a complete set of 20 primary teeth. However, every child is unique, and teething timelines can vary.

As a parent, witnessing your baby's discomfort during teething can be challenging. Symptoms like drooling, gum swelling, and irritability are common. Understanding the stages of teething and knowing how to alleviate your baby's discomfort can make this phase more manageable for both of you.

At Hurst Pediatric Dentistry, we believe in empowering parents with knowledge and support. Early dental visits are crucial; the American Academy of Pediatric Dentistry recommends scheduling your child's first dental appointment by their first birthday or within six months after the first tooth appears. This early introduction helps in monitoring oral development and establishing a foundation for lifelong dental health.

In this guide, we'll walk you through the five stages of teething, offering insights and soothing strategies to help your little one—and you—navigate this journey with confidence and comfort. But!

How To Recognize That Your Baby Is Teething?

Teething can feel like a mystery at first—especially for first-time parents. Your baby can’t tell you they’re teething, but their little body sends clear signals when teeth are on the move. Knowing the signs can help you respond with confidence, comfort, and care.

• Here’s how to spot the start of teething, stage by stage:

  1. Excessive Drooling

  If your baby suddenly needs more bib changes than usual, teething may be to blame. As teeth begin pressing toward the surface, the body produces more saliva to protect and cool sore gums.

  Parent tip: Gently wipe their chin often to prevent irritation or drool rash.

  2. Chewing and Gnawing

  From soft toys to their own tiny fists, babies love chewing on anything they can grab. This helps relieve the pressure under the gums caused by erupting teeth.

  Safe options: BPA-free silicone teethers, chilled washcloths, and teething mittens.

  3. Fussiness or Irritability

  Teething discomfort can make even the happiest baby a little crankier than usual—especially in the evenings or at bedtime. It’s normal for them to want more cuddles and soothing during this time.

  At Hurst, we recommend keeping their sleep routine as consistent as possible.

  4. Changes in Eating or Sleeping

  You may notice your baby nursing or feeding less eagerly, especially if sucking increases gum sensitivity. Sleep disruptions are also common when teething peaks (especially with molars).

  If your baby’s feeding stops completely or sleep disruption becomes severe, it’s a good idea to consult your pediatric dentist or pediatrician.

  5. Ear Pulling or Cheek Tugging

  Teething pain often radiates across the jaw, which may lead babies to pull on their ears or rub their cheeks. This is especially true when molars are emerging.

  Note: If this behavior is paired with a fever or signs of illness, it may be an ear infection—not just teething.

  6. Visible Gum Changes or Tooth Buds

  Red, swollen gums or small white bumps near the gumline are a clear sign that a tooth is getting ready to emerge. You might even catch a glimpse of the tooth breaking through during a big smile!

When in Doubt, Check With Your Pediatric Dentist

Every baby is different, and not all will show the same signs at the same time. If you're unsure whether it's teething or something else, Hurst Pediatric Dentistry is here to help.

Our friendly team is trained to recognize normal teething symptoms vs. red flags that may require further care. And don’t forget—we recommend the first dental visit by age 1 to get your baby on the path to lifelong healthy smiles. 

What Happens Next? Understanding the 5 Stages of Teething

Now that you know how to spot the signs of teething, you might be wondering: What happens next? Teething isn’t a one-time milestone—it’s a gradual process that unfolds over months, with each stage bringing new developments (and yes, new symptoms too).

From the first drool to the final molars, understanding these 5 stages of teething will help you anticipate changes, ease your baby’s discomfort, and support their oral health with confidence.

Let’s take a closer look at what each stage involves—and how you can be prepared, every step of the way.

Stage 1 – Pre-Teething Awareness (0–3 Months)

Early Clues Your Baby Might Be Teething Soon

Even in the earliest months of life, your baby may begin showing signs that their first teeth are quietly preparing to erupt. While no teeth are visible yet, their tiny mouths are full of activity!

Here are a few early indicators:

• Increased Drooling: Your baby may start to drool more than usual. This is a natural response to the teething process, even if teeth haven’t appeared yet.

• Chewing and Mouthing Objects: You’ll notice your baby putting fingers, fists, and toys in their mouth more often to explore and soothe gum sensitivity.

• Slight Irritability: Discomfort in the gums may cause them to be fussier than usual, especially during feeding or when trying to sleep.

These behaviors are completely normal and often mark the beginning of teething awareness.

What’s Going On Inside Baby’s Gums

During this stage, your baby’s primary (baby) teeth are forming underneath the gums. By the time they’re born, those teeth are already present in the jawbones, slowly making their way to the surface. Around this time, pressure from the developing teeth can start to stimulate nerve endings in the gums, causing some early discomfort.

While it’s rare for teeth to break through before 4 months, the foundational work is well underway.

What Parents Can Do

Although your baby may not yet be experiencing full-blown teething, a few comforting strategies can ease their early symptoms and make them feel secure:

• Gum Massage: Use a clean finger or soft infant toothbrush to gently massage their gums.

• Silicone Teething Mittens or Toys: These provide safe chewing relief and stimulate sensory exploration.

• Wipe Away Drool: Use a soft bib or cloth to keep their chin dry, preventing rashes or irritation.

• Extra Snuggles: Sometimes, all they need is a little extra comfort from you.

💙 Tip from Hurst Pediatric Dentistry: If you’re unsure whether your baby’s behavior is related to teething, give us a call! We love helping parents navigate these early milestones with confidence and care.

Stage 2 – Gums Swelling & Drooling (3–6 Months)

Symptoms to Watch For

At this point, teething becomes more obvious—and a little messier! As your baby nears 3 to 6 months, they might begin experiencing:

• Swollen, tender gums: A sign that a tooth is making its way to the surface.

• Heavy drooling: You may find yourself swapping out bibs multiple times a day!

• Increased biting or gnawing: Everything becomes fair game for chewing—fingers, toys, even crib rails.

• Slight fever or crankiness: While a low-grade fever can accompany teething, anything over 101°F should be discussed with your pediatrician.

Soothing Tips for Early Discomfort

At Hurst Pediatric Dentistry, we know these symptoms can leave both babies and parents feeling a bit frazzled. Here are a few parent-approved, pediatrician-recommended ways to offer relief:

• Cold Comfort: Gently chill a clean washcloth or teething ring in the fridge—not the freezer—and let baby gnaw on it.

• Silicone Teething Toys: Look for ones that are BPA-free and easy to grip.

• Gentle Gum Massage: Light pressure with a clean finger can work wonders.

• Distraction Play: Singing, snuggling, or playing peek-a-boo can help take their mind off the discomfort.

Skip the numbing gels with benzocaine or lidocaine—they’re not recommended for infants due to safety risks.

Pro Tip from Hurst

Don’t worry if teething disrupts naps or feeding. Stick to a calming routine and offer comfort where you can. If your baby seems especially miserable, we’re always happy to offer guidance and check for any concerns.

Stage 3 – First Tiny Teeth Emerge (6–12 Months)

The First Tooth Appears: Usually the Lower Central Incisors

At last, the moment you’ve been waiting for—your baby’s first tooth has arrived! For most babies, it’s one (or both) of the lower central incisors that show up first, typically between 6 and 10 months of age. This milestone often brings a mix of excitement and… a few more drool-soaked bibs.

You might notice:

• A small white bump poking through the gum

• A return of fussiness or interrupted sleep

• More intense chewing or biting on everything in reach

Rest assured, this is all completely normal. That tiny tooth is a big deal!

🪥 Begin Gentle Oral Care Immediately

As soon as a tooth breaks through, it’s time to start an oral hygiene routine—yes, even for just one little tooth! Starting early helps your child get used to daily brushing and builds positive dental habits.

Here’s how:

• Use a soft, damp washcloth or an infant toothbrush with soft bristles

• Brush twice daily with just a smear (rice grain-sized) of fluoride toothpaste

• No rinsing or spitting necessary at this stage—just a gentle clean

Hurst Tip: Make brushing time fun! Sing a short song, use a puppet brush buddy, or let your child “help” you brush too.

Schedule the First Dental Visit

The American Academy of Pediatric Dentistry recommends your child’s first dental checkup by age 1, or within 6 months of their first tooth erupting. This early visit is all about getting comfortable, catching any concerns early, and giving you practical tips for your child’s smile.

At Hurst Pediatric Dentistry, our first visits are stress-free, playful, and empowering—for both kids and parents. We'll help you feel confident about your child's oral health journey from day one.

Stage 4 – Teething Picks Up (12–18 Months)

Multiple Teeth = More Fussiness

This stage often brings a surge of new teeth—and with it, a noticeable shift in your baby’s mood and routine. The upper and lower lateral incisors and first molars usually erupt during this time, which can feel like a lot happening all at once.

Common symptoms:

• Crankiness and clinginess

• Trouble falling or staying asleep

• Chewing on fingers, toys, or crib rails

• Gum tenderness and visible swelling

These symptoms are normal, but they can throw off feeding schedules, naps, and even your baby’s temperament.

How to Help Your Teething Toddler

At Hurst Pediatric Dentistry, we know that a little comfort goes a long way. Here’s how to help your toddler feel soothed and supported during this multi-tooth eruption phase:

Sleep-Supportive Tips

• Stick to a calming bedtime routine (bath, lullaby, cuddles)

• Offer a teething-safe object at bedtime (chilled teether or pacifier)

• Elevate the head slightly (check with your pediatrician first)

Mealtime Hacks

• Choose soft foods (mashed banana, yogurt, avocado)

• Offer chilled fruits in a mesh feeder for soothing relief and nutrients

Comfort Rituals

• Gentle cheek and jaw massage

• Extra cuddle time and verbal reassurance

• Rotate between teething rings and gum-friendly toys

Reminder: Avoid teething tablets with belladonna or over-the-counter gels that contain benzocaine—they're not recommended for infants or toddlers by the FDA.

Hurst Tip for Parents

You’re not alone in this! If your child’s teething symptoms seem extreme or are affecting their ability to eat, sleep, or smile, it’s always okay to call us. We’re happy to check their progress and give you peace of mind.

Stage 5 – The Full Primary Set Develops (18–33 Months)

Final Molars = Maximum Teething Discomfort

By now, your toddler has likely adjusted to the teething process—but the final molars can still bring some serious challenges. These second molars, located at the very back of the mouth, are the largest baby teeth to erupt, and they usually appear between 25 and 33 months.

Here’s what you might notice:

• Intense gum pressure or pulling at ears and cheeks

• Fussiness, especially around mealtime or bedtime

• Refusal to eat crunchy or chewy foods

• Occasional low-grade fever or interrupted sleep

This stage marks the completion of the primary (baby) teeth, totaling 20 teeth by around age 3.

Establishing Healthy Brushing Habits

Now that your toddler has a full smile, it’s the perfect time to lock in daily oral hygiene habits that will last a lifetime.

Here’s your go-to brushing checklist:

• Use a soft-bristled toddler toothbrush

• Apply a pea-sized amount of fluoride toothpaste

• Brush twice a day for 2 minutes

• Let them “help” you brush—make it a fun, team activity!

Pro tip from Hurst: Play a favorite song or use a brushing app to keep things fun and consistent. Encourage your little one to smile big in the mirror after brushing—it helps build pride and routine!

Toddler-Friendly Techniques

• Turn brushing into a game (think “superhero teeth time”)

• Give choices: “Do you want the dinosaur brush or the penguin brush?”

• Create a reward chart with stickers for every successful brushing session

And don’t forget—continue regular dental visits every 6 months. At Hurst Pediatric Dentistry, we track growth, catch concerns early, and celebrate every healthy milestone.

Fortunately, babies’ teeth don’t all come in at the same time! Typically, teeth erupt or come through the gums in pairs:

• lower central incisors (at 6-10 months old)

• upper central incisors (at 8-12 months old)

• upper lateral incisors (at 9-13 months old)

• lower lateral incisors (at 10-16 months old)

• upper first molars (at 13-10 months old)

• lower first molars (at 14-18 months old)

• upper canines (at 16-22 months old)

• lower canines (at 17-23 months old)

• lower second molars (at 23-31 months old)

• upper second molars (at 25-33 months old)

Note that not all babies’ teeth come in according to this typical timetable. Some experience early eruption, while others experience delayed eruption, meaning some babies may start to teethe in the first few months of life or the teeth could make an appearance closer to the baby’s first birthday.

How to Comfort Your Baby During Every Teething Stage

Every baby experiences teething a little differently—but one thing is universal: they need comfort, and you need practical, pediatric-approved tools to help.

Here’s our ultimate, Hurst-approved guide to easing your baby’s discomfort through all five teething stages.

Cool & Calming Remedies

Why it works: Cold temperatures reduce inflammation and numb the gums—safely and naturally.

• Chilled (not frozen) teething rings or silicone toys

• Refrigerated washcloth (dampened, then placed in a clean zip bag)

• Cold fruit in a mesh feeder for older babies (always supervise!)

Hurst Tip: Never freeze teethers solid. It can cause gum damage or bruising.

Gentle Touch Therapy

Why it works: Light pressure soothes sore gums and gives baby a moment of comfort.

• Gently rub baby's gums with a clean finger

• Massage their jawline or cheeks in circular motions

• Use a soft baby toothbrush as a gum soother

Safe & Soothing Toys

Why it works: Keeps little hands busy—and their mouths soothed.

• BPA-free silicone teethers (easy to grip, dishwasher-safe)

• Textured rubber toys designed for gum massage

• Plush comfort objects for nap or car rides

Pro Tip: Rotate toys daily to keep things interesting for your little explorer.

Calming Routines

Why it works: Consistency helps babies cope better with the ups and downs of teething.

• Keep bedtime and naptime rituals predictable

• Use white noise or soft music to soothe fussiness

• Offer extra snuggles, comfort nursing, or bottle-feeding as needed

What to Avoid

• Numbing gels with benzocaine or lidocaine (FDA warns against use in children under 2)

• Amber teething necklaces (choking and strangulation hazard)

• Unwashed toys or hands in baby’s mouth

Create a Comfort Kit

Keep a small basket or diaper bag pouch stocked with:

• Chilled teether

• Soft cloth for drool

• Baby-safe pain reliever (if recommended by pediatrician)

• Favorite plush toy or blanket

Hurst’s Reassuring Reminder

Every child’s teething journey is different—but no matter what stage you’re in, we’re here to guide you with a gentle touch, trusted tips, and a warm smile.

When to Call Your Pediatric Dentist

As a parent, it’s natural to wonder: Is this normal teething—or something more?

While most teething symptoms can be managed at home, there are certain signs that signal it’s time to check in with your pediatric dentist.

Schedule Your Baby’s First Visit By Age 1

The American Academy of Pediatric Dentistry (AAPD) recommends that your child see a dentist by their first birthday, or within 6 months of their first tooth appearing—whichever comes first. (AAPD)

Why it matters:

• Early visits help monitor oral development

• Establishes a “dental home” for your child

• Builds familiarity and reduces future anxiety

• Allows personalized advice for teething, brushing, and diet

At Hurst Pediatric Dentistry, we make first visits feel fun, educational, and totally stress-free.

Signs It’s Time to Call the Dentist or Pediatrician

If your child is teething and shows any of the following, give us a call or consult your healthcare provider:

• Fever over 101°F (teething alone doesn’t typically cause high fevers)

• Excessive gum swelling or bleeding

• Refusal to eat or drink for more than 24 hours

• Unusual rash or diarrhea

• Teeth coming in crooked or unusually spaced

• Pus or white spots around the gums

Never hesitate to reach out—early attention prevents small concerns from becoming bigger issues.

What a Visit to Hurst Pediatric Dentistry Looks Like

• Warm welcome and personalized introduction to Dr. Hurst and the team

• A gentle “knee-to-knee” exam with baby in your lap

• Guidance on teething care, nutrition, brushing, and pacifier use

• Leave with a sticker, a new toothbrush, and (most importantly) peace of mind

Bonus: We make it photo-worthy—don’t be surprised if your little one gets a “First Visit” certificate and a spot in our “Cavity-Free Club” wall!

Once your child cuts their teeth, read about “5 Fun Ways To Get Your Child To Brush Their Teeth” or try “16 Silly Songs To Brush Your Teeth By” for fun ideas on establishing good oral hygiene.

You’re Doing Great, Parent!

Teething may be bumpy, but it’s also beautiful—it marks the start of your baby’s smiley journey through childhood. With a little knowledge, lots of love, and a pediatric dentist you can trust, you’ve got everything you need to handle it like a pro.

Have questions or ready to schedule your child’s first visit?
Book a gentle, joyful appointment with Hurst Pediatric Dentistry today!