Coconut Baby

Teething

What helps, and what to put down

Almost everything that works is free. Two whole categories of teething product carry safety warnings, and they are sold cheerfully in the same aisle as the ones that do not.

Disclosure: As an Amazon Associate I earn from qualifying purchases. Links on this page go to Amazon and may earn a commission at no additional cost to you. Nothing here is medical advice — ask your pediatrician about your baby.

Two things to know before you shop

Amber teething necklaces and any jewelry worn by a baby. Regulators have warned against these because of strangulation and choking risk, and there have been deaths. The claimed mechanism — a substance released by warm amber — is not supported by evidence. Nothing goes around a baby's neck, wrist or ankle for teething, including while supervised, including while sleeping, including the ones sold as safe.

Benzocaine gels and teething tablets. Regulators have warned against benzocaine products for children under two because of a rare but serious blood disorder, and certain homeopathic teething tablets have been recalled over inconsistent belladonna content. Do not give any oral pain medication to an infant without asking your pediatrician first.

Who this is for

  • Parents of a baby who has become suddenly miserable and drooly somewhere around the middle of the first year.
  • Anyone choosing a teether and unsure which materials and shapes are worth the money.
  • Anyone who has been recommended an amber necklace by a well-meaning friend and wants to know why the answer is no.

Who should skip it

  • Anyone whose baby has a fever, diarrhea, a rash or is genuinely unwell. Teething does not cause those, and assuming it does is how illnesses get missed. Call your pediatrician.
  • Parents buying a full teething kit. You need one or two things, and one of them is a washcloth.

When, and what it actually looks like

First teeth commonly arrive somewhere around six months, and the normal range is wide — some babies at three months, some past their first birthday, and a few born with a tooth already. Late teething is usually nothing. Mention it at a check-up rather than worrying about it.

What teething genuinely causes: drooling, chewing on everything, sore and swollen gums, irritability, and disrupted sleep and feeding for a few days around each tooth.

What it does not cause, despite folklore: fever, diarrhea, vomiting, or a rash anywhere other than the chin and neck from drool. This distinction matters. Attributing a real illness to teething is one of the more common ways a sick baby gets watched instead of seen.

What actually helps

The effective list is short, cheap and unglamorous.

Cold, not frozen. Cold dulls the ache. Frozen is hard enough to bruise inflamed gums, so a teether should come out of the fridge rather than the freezer, and never out of the freezer solid.

A damp washcloth, chilled. Wet a clean cloth, wring it, chill it in the fridge, let the baby gnaw it. It is free, the texture is exactly what they want, and most parents find it beats anything they bought.

Counter-pressure. A clean finger rubbed firmly on the gum. It works, it is immediate, and it costs nothing.

Something to chew that is the right shape. Which is what a teether is for, and the only reason to buy one.

Managing the drool. The rash around the chin, neck and chest is caused by constant wet. Pat it dry often rather than wiping hard, and use a plain barrier — this is another job the jar of coconut oil does well, or a zinc-based cream if it is already irritated. A bib changed frequently does more than any cream.

Compare teethers on Amazon

Check the construction in the photos — one piece, no seams that could split, no removable parts.

Choosing a teether

Four things to check, and they are all visible in the product photos.

One piece. No parts that can be pulled off, unscrewed, or bitten free. Anything small enough to fit through a toilet-roll tube is a choking hazard.

No liquid or gel filling. These can split and leak, and they freeze harder than is good for a sore gum.

Material. Food-grade silicone and natural rubber are the common choices and both work well — natural rubber is out if there is a latex allergy in the family. Untreated hardwood teethers are popular and fine, though they need to be kept dry and checked for splitting. Skip anything with paint or a coating.

Shape. Long and thin enough to reach the back gums, where the discomfort often is, but not so long it can be pushed too far in. Something a baby can hold themselves is worth more than something clever.

Check for recalls before buying, particularly with marketplace sellers, and inspect regularly for splits. Replace anything damaged rather than washing it again.

Feeders, biscuits and the things sold as food

A whole shelf of teething products is food or food-adjacent, and it is the part of the category with the most confusion in it.

Mesh and silicone feeders — the little handled pouches you put a piece of fruit into — let a baby gnaw something cold without breaking off a piece large enough to choke on. They work, and they are one of the few genuinely clever items here. Wash them properly, because they are difficult to dry and the mesh kind stain and harbor residue. Inspect for holes before every use.

Teething biscuits and rusks deserve more caution than their packaging suggests. They soften unevenly, and a chunk can break off whole — which is a choking risk in a baby who does not yet chew reliably. They are also frequently sweetened, against new teeth, which is the opposite of helpful. If you use them, the baby is upright, supervised, and never left with one.

Frozen fruit in any form should be treated the same way as any other hard food for a baby this age: it belongs in a feeder rather than in a fist.

And a general rule that covers the whole shelf: if a teething product is designed to be chewed until it comes apart, it is designed wrong.

The bigger picture

Once teeth arrive they need cleaning — a soft infant brush and a smear of fluoride toothpaste, twice a day, starting with the first tooth. Your dentist or pediatrician will tell you the appropriate amount, which is smaller than most people assume. A first dental visit is generally recommended around the first birthday.

Avoid putting a baby to bed with a bottle, which pools sugars against new teeth all night.

And know that the misery passes. Each tooth is a bad few days, not a permanent state, and by the time you have found the perfect teether the tooth has usually arrived and the whole thing is over until the next one.

Compare first toothbrushes on Amazon