Tips for Helping Your Child with that First Tooth

Posted on 3/16/2026 by NC Pediatric Dentisty

Seeing that first little pearly white pop through your baby's gums is a major milestone! It's exciting, but it can also be a little unsettling, both for you and your little one. Teething can bring some discomfort, but knowing what to expect and how to help can make the process smoother for everyone. Let's explore some helpful ways to soothe your child as their erupting teeth make their grand appearance.

Understanding Teething

Teething usually starts around 6 months, but it can vary widely. Some babies might get their first tooth earlier, while others might be a bit later. Don't worry if your child doesn't fit the "average" timeline! Common signs of teething include increased drooling, fussiness, gum rubbing, chewing on objects, and sometimes a slight increase in temperature. Some babies may also have changes in their eating or sleeping habits.

Safe and Effective Soothing Techniques

Here are some tried-and-true methods to provide relief:

•	Cold Comfort: Gently rub your baby's gums with a clean finger or a chilled teething ring. The cold helps to numb the area and reduce inflammation. You can also use a cold, wet washcloth. Make sure whatever you give your child is too large to be a choking hazard.
•	Gum Massage: A gentle massage with a clean finger can work wonders. The pressure helps to alleviate discomfort.
•	Teething Toys: Offer your baby a variety of safe teething toys with different textures. The act of chewing can help to relieve pressure. Look for toys made from BPA-free materials.
•	Healthy Distractions: Sometimes, a little distraction is all it takes. Engage your baby with playtime, stories, or a soothing song.
•	Over-the-Counter Options: If your baby is experiencing significant discomfort, talk to your pediatrician or pediatric dentist about appropriate pain relief options.

What to Avoid

It's important to be aware of certain practices that are not recommended for teething:

•	Teething Necklaces and Bracelets: These pose a choking hazard and are not recommended by experts.
•	Teething Gels with Benzocaine: The American Academy of Pediatrics advises against using teething gels containing benzocaine due to potential side effects.
•	Sugary Foods and Drinks: Avoid giving your baby sugary foods or drinks to chew on. This can lead to tooth decay as soon as the erupting teeth are visible.

Establishing Good Oral Hygiene

Even before the first tooth erupts, it's important to start cleaning your baby's gums with a soft, damp cloth after feedings. Once the first tooth appears, you can start using a soft-bristled toothbrush designed for infants and a tiny smear of fluoride toothpaste (about the size of a grain of rice).

The First Dental Visit

The American Academy of Pediatric Dentistry recommends that children have their first dental visit by their first birthday or within six months of the eruption of their first tooth. This early visit allows the dentist to check the development of the teeth and gums, discuss proper oral hygiene practices, and answer any questions you may have. It also helps to establish a positive relationship with the dentist from a young age.

Teething is a natural part of your child's development. With a little patience and the right strategies, you can help your baby through this milestone with minimal fuss. Remember to consult with your pediatrician or pediatric dentist if you have any concerns about your child's teething.

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