It was 3:17 AM in a freezing January, and I was sitting on the floor of my mother-in-law’s guest room in Connecticut wearing a stained pair of maternity sweatpants that I absolutely should have retired two years prior. Maya was six months old and screaming like an actual banshee. Her face was completely soaked in drool, there was a bright red rash covering her little chin, and my husband was sitting cross-legged on the air mattress frantically scrolling through WebMD in the dark, whispering furiously about ear infections. I was holding a wet baby washcloth that I had accidentally frozen into a literal weapon of mass destruction, desperately trying to get her to chew on it. We had forgotten the one good gum teether we owned on the kitchen counter back in Brooklyn, which meant we were entirely at the mercy of my mother-in-law's house, which was decidedly lacking in baby-safe chewable items.

Crap.

That night was the exact moment I realized that teething is not just some cute little developmental milestone where your baby suddenly has an adorable rice-grain tooth in their mouth for photos. It's a hostage situation. It's an endurance sport. You're just trying to survive the night without calling an ambulance because your husband is convinced the drool means she has rabies.

The night my sanity officially left my body

We tried everything in that guest room. I tried letting her chew on my clean pinky finger, which she immediately chomped down on with terrifying, jaw-clenching force because apparently that single bottom incisor was already sharp enough to cut through bone. I tried pacing the floor bouncing her while making a frantic shushing noise that probably sounded like a busted radiator. My husband suggested we give her a piece of ice, which I shot down with a look so venomous I’m surprised he didn't spontaneously combust right there on the air mattress.

I remember sitting there, completely wired on residual adrenaline and the lukewarm Keurig coffee I’d had at 9 PM, thinking about how profoundly unprepared I was for this phase. Like, I read all the books about sleep training and purees, but somehow I completely missed the chapter on what to do when your child’s skull is basically rearranging itself from the inside out and they're, understandably, pissed off about it.

If you’re currently in the thick of this nightmare and just need something, anything, to shove in your freezer so you can sleep for twenty minutes, you can always go browse Kianao’s teething collection before you finish reading my descent into madness, I totally get it.

What our pediatrician actually said about the fever

The next morning, after exactly zero hours of sleep, we drove back to the city and I immediately called our pediatrician, Dr. Aris. My husband had spent the entire car ride convinced Maya had a fever because she felt "a little warm" to the touch, and he was ready to rush her to the emergency room.

Dr. Aris, who has the patience of a saint and has talked me off the ledge more times than I can count, essentially told me that yes, babies get warm when they're actively teething because their gums are inflamed, but they don't get fever fevers. I vaguely remember her explaining something about how the teeth migrating upward causes local pressure and mild swelling which raises their body temp slightly, but she was very clear that if a baby has a fever over 100.4 degrees, it’s a virus or a bacterial thing and not just teeth trying to ruin my life.

She also told me that the whole drool rash thing was totally normal and I just needed to keep her chin dry with a soft cloth and maybe put a little barrier cream on it so it wouldn't get chapped. Which sounds so simple, but when you're operating on a sleep deficit that mimics clinical intoxication, being told "just wipe her face" feels like a revelation from the heavens.

Things we almost bought at the pharmacy that are apparently a terrible idea

So, because I was desperate, I asked Dr. Aris about all those numbing gels you see in the baby aisle at the pharmacy. The ones that promise instant relief. I was literally standing in the aisle at CVS with my phone pressed to my ear, holding a tube of benzocaine gel like it was the Holy Grail.

Things we almost bought at the pharmacy that are apparently a terrible idea — The 3 AM Meltdown That Made Me Finally Buy a Re

She basically yelled at me to put it down. Apparently, the FDA has all these strict warnings against any over-the-counter gels or creams with benzocaine or lidocaine because they can cause this rare but completely terrifying condition called methemoglobinemia, which I can't even pronounce, but it reduces oxygen in the baby's blood and can cause seizures. Oh god. I dropped the tube back on the shelf so fast I knocked over a row of pacifiers.

She was equally dismissive of those trendy amber teething necklaces that all the hipster moms at the playground swear by, pointing out that putting a string of breakable beads around a baby's neck to sleep is basically a choking and strangulation hazard waiting to happen, which, when you say it out loud, makes total sense, but when you haven't slept in a week you'll literally try anything if someone tells you it works. Anyway, the point is, skip the medieval torture devices and the questionable pharmacy gels and just find a solid gum teether that you can safely chill in the fridge—never the freezer, by the way, because frozen stuff is basically like chewing on a brick and can bruise their poor little inflamed gums.

The great stash of our second child

By the time my second kid, Leo, came along three years later, I wasn't messing around. I had accepted that teething was going to be hell, especially when the molars hit around 14 months, because those back teeth are like these blunt, awful boulders trying to break through the thickest part of their gums.

I became borderline obsessed with hoarding medical-grade silicone. My absolute favorite, the one that basically saved my marriage and my sanity, was the Panda Teether Silicone Baby Bamboo Chew Toy. I honestly bought it initially because it was cute and I was vulnerable to internet advertising at 2 AM, but it turned out to be a massive lifesaver.

The thing I actually loved about this specific gum teether was the flat shape. When Leo was around 4 months old and just starting to gnaw on his own fists, he had zero hand-eye coordination. He would try to hold those thick, heavy water-filled rings and just end up punching himself in the face, which obviously made him cry harder. But the panda one was flat and lightweight enough that his little uncoordinated hands could actually grasp it, and it had all these different textured bumps on the bamboo part that he would aggressively grind his gums against. Plus, it's 100% food-grade silicone, which meant when he inevitably dropped it onto the floor of a moving subway car, I could take it home and literally boil it to sanitize it.

Wood versus silicone and my entirely biased opinion

Now, I know a lot of people love wooden toys. My mother-in-law bought us the Handmade Wood & Silicone Teether Ring, and don't get me wrong, it's gorgeous. It looks beautiful in those aesthetic Instagram nursery photos, and the contrasting textures of the smooth beechwood and the squishy silicone beads are really great for sensory play.

Wood versus silicone and my entirely biased opinion — The 3 AM Meltdown That Made Me Finally Buy a Real Gum Teether

But honestly? When it's 4 AM and my baby is rabid and the toy is covered in a thick layer of sticky drool and somehow the cat's hair, I don't have the mental capacity to carefully wipe down untreated natural wood with a damp cloth so it doesn't warp. I want to throw things in the dishwasher. I need things to be idiot-proof. So while the wooden ring was great for the stroller during daytime hours when I was a functioning human, it wasn't my trench-warfare nighttime choice.

Instead, I leaned heavily on fully silicone options like the Squirrel Teether. It has this little ring design that’s easy for them to hook their fingers through, and the textured acorn part is perfect for reaching those weird side angles when the lateral incisors are coming in. I'd just keep two or three of these in the refrigerator at all times, rotating them out like I was running a highly unglamorous relay race.

Just survive the phase

Look, there's no magic bullet for teething. Your baby is going to be fussy, their sleep is going to regress just when you thought you had a routine nailed down, and you're probably going to drink an unhealthy amount of coffee. But having the right tools makes the difference between a rough night and a total meltdown.

Don't panic-buy pharmacy gels, don't freeze your washcloths into lethal weapons, and for the love of everything, don't leave your only good teether at home when you visit your in-laws.

If you're staring down the barrel of the 6-month teething regression and your baby is currently gnawing on your collarbone, do yourself a favor and stock up on something safe and washable. Check out the full collection of safe, sustainable teething relief at Kianao and get your fridge rotation started.

My messy, totally unscientific FAQ about teething

How do I know if it's teething or a cold?

Honestly, half the time it feels like a guessing game, but for my kids, the drool was the biggest giveaway. Like, soak-through-three-bibs-an-hour kind of drool. They also constantly jammed their hands into their mouths and got super irritable. Dr. Aris always reminded me that if the fever is over 100.4, or if there's vomiting or thick green snot, it’s probably a daycare bug and not just a tooth coming in.

Can I just freeze their toys to make them colder?

I learned this the hard way with the concrete washcloth, but no! You really shouldn't put a gum teether in the freezer. It makes the material way too hard, and instead of soothing the gums, it can genuinely bruise the tissue which just makes them scream louder. Just stick the silicone ones in the regular refrigerator for like 20 minutes. It's plenty cold enough.

What if my baby absolutely hates every teether I buy?

Leo went through a phase where he rejected everything I offered him and only wanted to chew on the tags of his blankets. If they won't take a physical toy, you can try washing your hands really well and just using your bare finger to massage their gums in little circles. Sometimes the firm counterpressure of a finger works better than a toy, even if it means you get bitten a few times.

When the hell does this phase honestly end?

I wish I had better news, but it comes in waves for like... two years. Maya got her bottom two teeth at six months, took a break, and then popped four upper teeth at once when she was nine months old, which was a spectacular week in our house. The two-year molars are usually the grand finale, and once those boulders are through, you're pretty much in the clear until they start falling out in kindergarten.

How many of these things do I really need?

More than you think, but less than the baby industry wants you to buy. I found that having three solid silicone ones was the magic number. One for the diaper bag, one in the fridge getting cold, and one actively being chewed on and subsequently thrown onto the floor. You don't need a drawer full of them, just a few reliable ones that you can wash easily when you're half asleep.