Teething Nightmares: How to Soothe Your Baby’s Pain and Sleepless Nights
Teething Nightmares: How to Soothe Your Baby’s Pain and Sleepless Nights
Teething can be a challenging phase for both babies and parents. If your baby is suddenly irritable, drooling excessively, and struggling to sleep at night, it is likely due to teething pain. While teething is a natural developmental milestone, it can disrupt sleep, cause discomfort, and lead to restless nights.
In this comprehensive guide, we will explore:
- Common signs and symptoms of teething
- Proven teething remedies to soothe pain
- Safe and effective sleep strategies for teething babies
- When to seek medical advice
By understanding how to manage teething discomfort, you can help your baby—and yourself—get the rest you both need.
When Do Babies Start Teething?
Teething typically begins between four to seven months, but it can start earlier or later. The first teeth to emerge are usually the lower central incisors, followed by the upper front teeth. By the age of three, most children have their full set of 20 primary teeth.
The general teething timeline is as follows:
- 6 to 10 months – Lower central incisors
- 8 to 12 months – Upper central incisors
- 9 to 16 months – Upper and lower lateral incisors
- 12 to 18 months – First molars
- 16 to 22 months – Canine teeth
- 20 to 30 months – Second molars
Understanding this timeline can help you prepare for teething-related discomfort and sleep disruptions.
Signs Your Baby Is Teething
Teething symptoms can start weeks before a tooth emerges. Some common signs include:
- Excessive drooling – Increased saliva production can lead to wet clothes and mild skin irritation.
- Chewing on objects – Babies tend to bite on toys, fingers, or household items to relieve gum pressure.
- Swollen or red gums – The gums may appear inflamed, and you may see a tiny white tooth emerging.
- Irritability and fussiness – Your baby may seem crankier than usual, especially in the evening.
- Disrupted sleep patterns – Frequent night wakings and difficulty settling are common.
- Loss of appetite – Teething discomfort may make your baby reluctant to eat or drink.
- Ear pulling and face rubbing – Some babies tug at their ears or rub their cheeks due to radiating gum pain.
If your baby has a high fever (above 100.4°F), diarrhea, or severe discomfort, consult a pediatrician, as these symptoms are not typically caused by teething.
How to Soothe Teething Pain and Improve Sleep
1. Provide Cold Relief
Cold temperatures help numb sore gums and reduce inflammation. Some safe cold remedies include:
- Chilled teething rings (not frozen, as extreme cold can damage gums)
- A cold, damp washcloth for your baby to chew on
- Refrigerated (not frozen) fruit in a mesh feeder for older babies
2. Offer Safe Teething Toys
Teething toys provide counterpressure to relieve discomfort. Choose soft, BPA-free silicone or wooden teethers. Avoid plastic toys containing harmful chemicals.
3. Massage the Gums
Gently rubbing your baby’s gums with a clean finger or a soft silicone baby toothbrush can provide relief. Applying light pressure can soothe inflammation and promote blood circulation.
4. Use Teething Biscuits (for Older Babies)
If your baby has started solids, teething biscuits or firm foods like chilled carrot sticks (under supervision) can help soothe sore gums. Ensure the food is soft enough to prevent choking.
5. Maintain a Consistent Bedtime Routine
A predictable bedtime routine can help your baby settle despite teething discomfort. Try:
- A warm bath before bed to relax tense muscles
- Gentle rocking or a bedtime lullaby to create a calming environment
- Dim lighting and white noise to promote sleep
6. Breastfeeding or Bottle Feeding for Comfort
For some babies, sucking provides relief, while others may refuse to nurse due to gum pain. If your baby resists feeding, try offering a chilled pacifier or a bottle with cold breastmilk or formula.
7. Consider Pain Relief Medication (If Necessary)
If teething pain is severe, consult a pediatrician about using pain relief options such as:
- Acetaminophen (Tylenol) for babies over two months
- Ibuprofen (Motrin) for babies over six months (if not dehydrated)
Avoid teething gels with benzocaine, as they can pose health risks.

How Long Does Teething Discomfort Last?
Each tooth may cause discomfort for a few days before breaking through the gums. However, since teething occurs in stages, babies can experience intermittent discomfort for months. Some babies handle teething better than others, so individual experiences vary.
When to Seek Medical Advice
Teething pain is usually manageable with home remedies. However, contact a doctor if your baby:
- Has a fever above 100.4°F
- Refuses to eat or drink for over 24 hours
- Has swollen gums with unusual redness, bleeding, or pus
- Shows signs of an ear infection (persistent ear pulling, fever, or fussiness)
A pediatrician can assess whether symptoms are due to teething or another underlying condition.
Final Thoughts
Teething can be a difficult phase, but with the right strategies, you can help your baby feel more comfortable. Providing cold relief, safe teething toys, and maintaining a soothing bedtime routine can make a significant difference.
Most importantly, remember that teething is temporary. With patience and care, your baby will soon have a beautiful new set of teeth, and those sleepless nights will become a thing of the past.
Looking for Expert Guidance on Infant Development?
If teething struggles are overwhelming, consider speaking with a parenting expert. Book a consultation with Dr. Abhishek Pasari at www.drabhishekpasari.com for personalized advice on managing teething and improving your baby’s sleep.