Teething Pain Relief: Safe Options for Babies
Teething is a normal part of infancy as a baby's first teeth begin to push through the gums. It can cause tender or swollen gums, increased drooling, and a desire to chew on objects.
In the U.S., medicated teething gels containing benzocaine or lidocaine are not recommended for infants. Safer approaches can help soothe sore gums without numbing medications.
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What can help with teething pain?
Gently rubbing or massaging your baby's gums with a clean finger may help relieve discomfort.
You can also offer a firm rubber teething ring or other teething toy designed for infants. A chilled teething ring may feel soothing, but avoid freezing it because an extremely hard or cold object can injure sensitive gums.
A clean, cool washcloth may also give your baby something safe to chew on.
If your baby seems particularly uncomfortable, ask your pediatrician whether an age-appropriate dose of acetaminophen may be appropriate. Ibuprofen may be an option for some babies age 6 months and older but check with your pediatrician before giving medication.
What should you avoid?
Do not use benzocaine-containing gels or liquids for teething. The FDA warns that benzocaine can cause methemoglobinemia, a rare but potentially life-threatening condition that reduces the blood's ability to carry oxygen.
Prescription oral lidocaine should also not be used for teething. Too much lidocaine or accidental swallowing can cause serious side effects, including seizures, heart problems, brain injury, and death.
The FDA and American Academy of Pediatrics also recommend avoiding homeopathic teething products and teething jewelry such as amber necklaces.
When should you contact a doctor?
Teething usually causes only mild discomfort. Significant fever, persistent diarrhea, severe crying, marked sleepiness, poor feeding, or other signs of illness should not automatically be blamed on teething.
Contact your pediatrician if your baby seems very unwell, is having trouble eating or drinking, or has symptoms that concern you.
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