Baby teething can be a tough issue for parents to deal with. While some babies and toddlers seem to just sail through the teething process with minimal pain and fuss, other babies spend days in discomfort and pain. And, of course, discomfort and pain usually translate to NO SLEEP FOR ANYONE. Learning about baby teething symptoms and when teething starts can help a lot!
As if sleep regressions, growth spurts, sleep associations, changing nap schedules, and feeding struggles aren’t enough – a parent has to deal with baby teething pain, too!
No wonder, then, that over the last 10 years we have gotten so many questions about baby teething symptoms, and how to manage a teething baby that causes sleep disturbances in our Helpdesk!
Not to worry, though – when baby teething starts, you don’t have to suffer through teething drama alone. In this post, we’re looking at 3 tips to help manage your baby’s teething discomfort and sleep disturbances, as well as info on how you can offer comfort without undoing any sleep training progress you’ve made up to this point.
Baby Teething Symptoms
First, let’s examine some common baby teething symptoms so that you can watch for signs of teething and be proactive. Baby teething symptoms include the following:
- Drooling which can also cause a teething rash, a chapped, red chin from the drool
- Red and sore gums
- Diaper rash due to watery stools from swallowing so much extra saliva
- Diarrhea (from swallowing extra saliva)
- Refusal to feed (tender and sore gums make it tough to nurse and eat comfortably)
- Biting (your baby may chew on hands, toys, or – if you’re breastfeeding – on you!)
- Ear-pulling and/or cheek-rubbing
- Waking frequently at night
- More fussing/crying and irritability than usual
- Low-grade fever (99-100 degrees)
You May Also Be Interested In…
- How Teething Impacts Appetite (for Milk and Solid Foods)
- Sleep Regressions: Everything You Need to Know (maybe it’s not teething at all!)
When Do Babies Start Teething? How Long Does Teething Last?
Babies start getting teeth between 5 and 10 months of age and according to the American Dental Association, babies will have a full set of 20 teeth by the age of 3 years old. The front teeth are usually first and when I work directly with parents, molars at one and two years old, and eye teeth or canines around 18 months old are the most difficult. So these symptoms will come and go with sleep being affected for 4-5 nights, on average, when a tooth is cutting through the gums.
When Should Your Baby See a Dentist?
You should see a pediatric dentist by 12 months old so they can show you how to clean your baby’s new teeth effectively and avoid cavities. However, some people wait until 18 months to two years old. In some cases, the dentist will seal the molars, so I recommend seeing a dentist sooner rather than later. It can help develop a good relationship from the beginning since many adults hate the dentist. Good oral hygiene helps your overall health.
Baby Teething and Sleep: 3 Tips To Soothe Your Baby and Promote Sleep
If your baby is teething and very uncomfortable, it will almost certainly mess with their sleep schedule, at least for a bit. According to the American Academy of Pediatrics, teething can disrupt sleep though some parents have reported their baby sleeps more than usual.
Fortunately, there are ways you can provide comfort while still preserving good sleep habits, and ensuring you don’t inadvertently help your baby form new sleep associations.
Teething Toys and Teething Rings
There are many teething toys and teething rings out there, that can help minimize some of your child’s pain. These baby teething tubes are hypoallergenic and easy to clean.
These teething devices are meant to massage baby gums to give some relief from the added pressure. And, many of them are designed to be refrigerated or frozen. The coldness can help numb your baby’s sore gums naturally.
But remember, you don’t have to be high-tech with your teething tools…a “homemade” option, like a cold washcloth, can work wonders, too! You can help your baby by gently rubbing a cold washcloth over their gums.
Use Pain Reliever
Teething toys won’t exactly work during times when your child is sleeping (or, rather, is supposed to be sleeping!). If the pain is bad and is keeping your child awake, then try offering pain reliever such as Tylenol or Ibuprofen to help alleviate your baby’s pain. Just be sure to check with your healthcare provider before offering any medication to make sure it’s right for your baby.
You may want to time when you offer pain reliever with when you know your baby or toddler will need to feed. So, for example, try offering a dose right after the bedtime feeding. The medication will last 4-6 hours, and that will maximize the chances that your baby will give you a good, long stretch of sleep at the start of the night. Also, you will want to avoid products containing benzocaine! That’s the ingredient proven unsafe for children younger than two years by the Food and Drug Administration in 2018.
Here are a few other medications or treatments (all Benzocaine-free) with your doctor’s approval to consider rather than Ibuprofen or Tylenol:
- Camilia – Homeopathic drops to relieve teething and minor stomach upset
- Hyland’s – Homeopathic oral pain relief
I had my babies quite some time ago, but you will want to experiment with the proper teething remedy for your baby. My second son did well with Ibuprofen but not Tylenol. He would go to sleep pretty quickly after getting some when a tooth was cutting through, but again, be sure to get the green light from your pediatrician before giving any pain relievers.
Baby Teething and Sleep Training
So, what should you do if your child suddenly starts teething during sleep training? We recommend that you keep on sleep training. Now, this is a general recommendation – there are times when teething discomfort may be so intense that you have to just suspend your efforts for a night or two. But in general, we recommend that you don’t stop sleep training due to teething. There will ALWAYS be “issues” that crop up, which will impact your baby’s sleep, and if you were to stop for all of them, you may never get around to teaching your baby better sleep habits! While you might need to moderate your sleep training efforts a bit, and will definitely need to adjust your expectations during teething, it’s usually best to stick with sleep coaching.
We’d also recommend that you don’t make teething an excuse for putting off sleep training, or for suffering through interrupted sleep. Remember, your child will teethe for a 2-3 years on and off – so if you wait until teething is over to start working on sleep, you’ll be waiting for a long time!! That translates to a lot of lost sleep for all of you. You will no doubt always be able to find a reason to avoid or delay sleep coaching, but if your little one’s sleep is truly problematic, then it’s usually best to just start sleep training, and deal with any speed bumps like teething as they crop up. We know that when it comes to sleep training, the first step is usually the hardest to take – but once you take it, you’ll be well on your way to better sleep!
Provide Comfort Without Undoing Progress With Sleep Training
Figure out how you can provide comfort without creating new “bad” sleep habits, or undoing sleep training progress. For instance, if you want to reinforce the habit of sleeping in the crib, avoid bringing your baby into bed with you during bouts of teething pain – instead, hold your baby until she’s calm, but put her back down in her crib to fall back to sleep. You will definitely want to comfort your baby during teething pain, and when the pain is at its worst, you may need to have a night or two when you break all your “rules” but do try to avoid doing anything that you don’t want to do long-term. One night of co-sleeping for comfort won’t hurt, but if you do it every night for two weeks, then you’ve most likely just created a brand-new expectation for your baby.
My plan with my first son was that if he was extra fussy during the day, I’d give him Ibuprofen at bedtime. If he had any night wakings 6+ hours (give or take 1 hour) after the medication, I’d tend to him with another dose and then stay with him for 30 minutes until it kicked in and he was calm, then I’d put him back down. It was usually only about 2-4 days of super fussy times that he needed extra soothing until the tooth popped through. Other times, I’d have to be more stringent on my nighttime visits, because of the problems it would create.
Need more sleep training tips while teething? Become a VIP and unlock more teething and sleep training tips along with access to all our e-Books, recordings, workbooks, live chat with a sleep consultant, and more!
Jess says
My 11 month old just started to sleep through the night with a little help on night weaning since I breastfeed. I noticed a tooth popping through and he’s suddenly back to waking every few hours. Nursing seems to calm him down. Am i ruining the hardwork if i resort back to nursing?
Debbye @ The Baby Sleep Site says
Hi @Jess – Thank you for writing to us! Teething can disrupt sleep for even the best sleepers, so hang in there as that tooth does it’s work! Calming you baby by nursing is a good thing if it helps soothe him! If you do continue to nurse when he wakes until that tooth erupts, you may want to work on putting him back to bed before he is asleep – so you do not pick up or revert back to old habits!
Good luck Jess! Hope things smooth out soon!
Victoria Waters says
My 9.5 month old hasn’t got any teeth yet and has been drooling for some time, putting anything in his mouth etc! He’s just started crawling too.
We start the bedtime routine at 6pm and he’s down by 7pm. Feeding him first, bath/change then read. Either whilst i’m reading or about an hour after going down (including when we give him baby ibuprofen) he wakes up screaming hysterically and he will often wake once or twice in the night, screaming again. I have even slept in his room and he still screams if I try to comfort or cuddle him. We don’t do a dreamfeed any more. He has 4 bottles a day (3 x 7oz and 1 x 8oz) with three solid meals in between.
Could it be teething or could it be hunger at night?! He won’t take water in the night.
He has two naps a day 1.5/2hrs each so I don’t think it can be overtiredness.
I just don’t know what to do to calm him down for a better nights sleep! White noise doesn’t work either.
I feel blessed as he’s such a happy boy in the day but I feel sad for him when he wakes up like this as he seems like he wants to be asleep but nothing can lull him back. Could it be teething and just that none of the meds I use work for him (gel, powders, liquid, ibuprofen) and will we just have to see what happens when he gets his teeth?! Thanks.
Nicole Johnson says
@Victoria Welcome to our sleepy little village! I’m sorry to hear your 9 1/2 month old is waking a couple of times a night. It’s hard to say definitely what is waking him in the night, since it depends on how long he stays awake, what you have to do (if anything) to get him back to sleep, and how long this has been occurring. This is the type of analysis we do during a one-on-one sleep consultation when we review your full sleep history. I’m sure you’ve compared his formula intake to averages and that type of thing. Let me know if you are interested in getting a professional evaluation. Hang in there and good luck!
A mom of three says
@victoria first off I have three children two toddlers and a 10 month old. I would definitely recommend a nighttime bottle some children just get hungry at night I learned that after my first so you should definitely try a bottle it won’t hurt to try mine still have a bottle and go right back to bed it works for me then they go on for another 6 hours straight. I hope this helps.
Adeel shehzad says
Thanks ! Glad you enjoyed it and found it helpful!?
Kayla says
My little boy is just 4 months old and teething. I am sure it’s his back teeth first. Meaning he is very very miserable. He keeps pulling at the one ear where his back gums are swollen. The concern I have is he is sleeping much more then usual not really walking for feeds. I rub ambesol on his gums every 3-4 hours and he also has calpol every 4 hours. Could this be why? Or is it due to teething? He has no temperature. But he does have a sore bum stuffy nose and dribbling a lot all signs of teething. But why is he sleeping so much?
Janelle Reid says
@Kayla, Thank you for writing! I am sorry your son is teething so bad. 🙁 I have always had such a challenging time determining if my babies were teething or had a cold (or both!) because they are almost the exact same symptoms. Since I am not a medical professional, I would suggest if there is any concern about weight gain because of the missed feedings that you reach out to your child’s doctor and get their input. Some babies are able to sleep longer stretches at this age, so it could be a combination of being fatigued (from teething or a cold) and maybe you just have a really good sleeper! I hope he finds some relief soon! Thanks for stopping by and leaving a comment!
SOUL says
Hello
my little girl is 10months old. its been 3 nights she wakes up in the middle of the night crying like she’s petrified, and then vomits.
anyone has this problem? and what might the reason be
Janelle Reid says
@Soul, Thank you for commenting – I am so sorry to hear that your daughter has been waking up like that the past few nights! I hope things have been better the last 2 nights since you initially posted. One thing to consider at her age is that separation anxiety can begin to show up in a big way if it hasn’t already so this is always a possibility that she is waking up and getting scared that you are no longer there. Here is an article with some tips on how to deal with this: https://www.babysleepsite.com/sleep-training/baby-toddler-sleep-separation-anxiety/
The other thing to mention is that around this age their imagination is beginning to spark a little more, so some children do develop some fear of the dark. If this is continuing, you may try putting a night light in the room. This does not work for every kid (like my kids for instance would have nothing to do with a nightlight and it only made matters worse) so do what is best for you and your daughter. 🙂
I hope things have gotten better for you! Thank you for stopping by!
Caroline says
Our 7 month old has consistently napped for 45 minutes 3 or 4 times a day since he was 3 months old or so. However recently he started teething (just got his 2nd tooth) and his naps have been anywhere from 15 minutes to 30 minutes, with the occasional 45 minute nap and the VERY rare hour nap. I put him down awake and he falls asleep on his own almost every time so I don’t think it’s a sleep prop issue… But I’m not sure what to do to get him some more/better rest during the day!
Tiana says
My baby use to sleep 6-8 hours a night up until three months old. She is now six months with two teeth and waking every 2 hours at night. I put her on my breast and she almost falls back asleep instantly, I think it’s comforting for her teeth. How can I make her sleep through the night again?
Jessica Diller says
@Tiana, thank you for commenting. I am sorry to hear that your baby is having such trouble with sleep. Teething can be a big factor is sleep (or lack thereof), and we understand how difficult this can be for everyone in the household. I recommend reading this article about teething and sleep: https://www.babysleepsite.com/sleep-training/teething-sleep/
Abby says
My son is just over 3 months old and has most of the signs of teething. Just recently he has been falling asleep on my breast for day feeds. Is this normal/ok, or should I be waking him so he’s not undertired? I’m assuming this is comfort for him if he is in fact teething.
Thanks in advance, Abby
Danielle says
Hi Abby,
Thanks for using The Baby Sleep Site as a resource! It’s very common for babies under 4 months-old to fall asleep while eating, especially since babies this age are averaging 4-6 hours of daytime sleep. If your baby is getting enough milk and gaining weight appropriately, feel free not to worry about it too much. If he’s not gaining weight appropriately, or if you’d rather he didn’t fall asleep while eating, you can consider moving your feedings a little earlier in the routine. Many people like to feed right after naptime, for example, so that if he falls asleep while nursing before nap, you can still feel comfortable that he’s eaten enough. We do have a sample 3 month-old schedule here, to help: https://www.babysleepsite.com/schedules/3-month-old-baby-sleep-and-feeding-schedule/
I hope this helps, but please get in touch if you have any other questions!
patience soetan says
thank you for helping me out.
Emily DeJeu says
@ patience soetan – sure thing! Thanks for taking the time to comment. 🙂
Alice says
DS (15mos) had been sleeping through the night like a champ after using a lot of the advice on this site, then… He has been sick 3 times in the last 3 months, still pretty ok… Then he started to transition to one nap, still doing pretty well, some noise at night, but not bad and napping well… Now he is on a race to cut one of the 6 teeth that I can see causing his gums to swell. He has been up every night for at least a week, and I’ve had to go in to comfort him the last 4 nights in a row (around 5 hrs after he went to bed, independent of giving Tylenol or not). We usu do CIO (cuz gentler methods just didn’t work for him, he’s highly perceptive and doesn’t deal well with me being in the room on a normal basis), but the last 2 nights he would fuss and/ or cry for 15-20 mins around 12-3 am, which I consider to mean that he won’t/ can’t calm himself. The other night the only way to calm him was to co-sleep in his room, and he was still up at his sleep transitions for a couple of hours. Ack! I just hope he goes back to his normal routine after these suckers come through!
Emily DeJeu says
@ Alice – oh, this sounds so tough!! It really does sound like you are focused on offering comfort while still maintaining good sleeping habits, which is awesome. I’d say just keep doing what you’re doing, and trust that this too shall pass! Of course, when it does pass, you may run smack into the 18 month sleep regression, but hey – maybe it’s best to just take it one day at a time. 😉
Thanks for commenting, Alice – and best of luck to you! We’re always here if you have further questions.