Teething is an important milestone, and seeing those first pearly whites push through the gums can be an exciting time for parents. But teething can also bring problems, ranging from sore gums to sleep disruptions, making it a trying time for the whole family. Fortunately, teething problems are temporary, so it won't be long before your little one is sinking his newly-formed teeth into all the new foods he'll soon be able to enjoy.
Sore Gums
Your teething baby will probably experience sore gums, and her attempts to soothe the pain, through chewing on everything in sight, may be one of the first signs you notice that something is happening inside her mouth. You can help her ease the ache in her gums by providing appropriate teething rings, teething biscuits or a cold spoon for her to gnaw on. If your baby lets you, you might try gently pressing on her gums with a clean finger or a soft washcloth. Teething gels are another option, but discuss the benefits and risks with your pediatrician before trying them.
Gum Hematoma
A gum hematoma isn't common, but some babies might experience this bleeding under the gums as teeth push their way out. The bluish lump might look worrisome, but it generally isn't a major problem. You can help your baby feel better with a cool compress until the hematoma goes away on its own once the tooth is out.
Drool
The excessive drool a baby produces during teething can make a mess on clothing, high chair trays, toys and bedding. In addition to leaving puddles everywhere, your teething infant might also fall victim to drool rash, red and swollen patches on the face, neck and chest caused by saliva irritating the skin. Wiping up drool whenever you spot it can help keep your baby rash-free. If it becomes severe, try putting ointment or diaper cream on areas prone to drool.
Fever
Most teething babies develop a slight fever when a new tooth is breaking through. The fever should stay below about 101 degrees Fahrenheit. Anything higher can be signs of an actual illness and should be reported to a doctor.
Coughing
You might notice an increase in coughing and gagging when your baby starts to grow teeth. This happens because the excess saliva drips down into his throat, collecting there and causing problems. Coughing and gagging are usually worse when your baby lies down, so try to give him as much time upright as possible. As your baby gets older and moves past the point where SIDS is a concern, you can ask your pediatrician about letting him sleep on his side or tummy to help saliva drain out of his mouth instead of pooling in his throat.
Sleep Problems
A baby who is teething often develops sleep problems, even if she was a champion sleeper before teeth started growing in. This can be as simple as more frequent night wakings to extreme irritability when trying to go to sleep. If you are still breastfeeding at night, this can be an easy way to lull your baby back to sleep. Babies who are on formula or who have already been night-weaned might require other methods, such as gentle soothing or singing lullabies. If you can offer remedies for sore gums, this might provide relief for long enough for her to fall back asleep on her own.
