It was 3:14 AM on a Tuesday, and I was standing dead in the middle of my kitchen wearing a stained Britney Spears baby tee from 1999 that I'd somehow repurposed as pajamas, holding a screaming four-month-old Leo while my husband Dave aggressively pushed buttons on the coffee maker like it had personally offended him. Maya, who was three at the time, had inexplicably woken up too and was sitting on the cold tile floor wearing a pair of my fuzzy winter socks on her hands, singing the Paw Patrol theme song at the top of her lungs. Meanwhile, Leo was just shrieking. A high-pitched, glass-shattering shriek. And I'm standing there, rocking back and forth in a puddle of spilled oat milk, entirely convinced that my child was battling some mysterious, devastating illness.

Spoiler alert: he wasn't sick. It was just a tiny, sharp little tooth trying to break through his bottom gum.

Before I actually lived through the dental nightmare of infant teeth erupting with Leo, I thought I knew what to expect. Maya had been a fairly easy teether, or at least my sleep-deprived brain remembered her being easy, which might just be that weird biological amnesia that tricks you into having a second kid. But with Leo, the reality was entirely different. I spent months completely delusional, blaming absolutely everything that went wrong in our house on his mouth. If he sneezed, I thought it was a tooth. If he was cranky, it was a tooth. If the WiFi went down, Dave and I probably blamed that on his gums too.

What my doctor actually told me while I cried in her office

So our doctor, Dr. Miller—who I'm pretty sure hides in her supply closet sometimes just to get a break from neurotic moms like me—sat me down one afternoon while Leo gnawed frantically on my collarbone and explained how this biological torture actually works. Apparently, babies are already born with twenty primary baby teeth just chilling under the gumline. I saw an x-ray of an infant skull once on a late-night Reddit spiral and I literally haven't known peace since. It looks like a terrifying little shark mouth hiding up in their cheekbones.

Anyway, the point is, they're already up there, waiting to ruin your life usually somewhere between four and seven months old, though Dr. Miller said some kids start at three months and others wait until their first birthday. The bottom front ones usually pop up first like little white tombstones of doom. But my biggest wake-up call was finding out how much stuff I was blaming on teething that had absolutely nothing to do with it.

Here's a highly embarrassing list of things I confidently told my doctor were "teething things to watch for" that she immediately shot down:

  • The 102-degree fever Leo ran for two days (turns out teeth don't cause high fevers, they only elevate temperature super slightly, so he just had a daycare virus).
  • That week he had explosive diarrhea that ruined three of my favorite couch pillows (again, Dr. Miller said swallowed drool can loosen things up a bit, but actual diarrhea is just a stomach bug).
  • His persistent cough that sounded like a tiny chain-smoker in my living room.
  • His refusal to sleep past 4 AM, which was genuinely just the standard four-month sleep regression making a guest appearance alongside the drool.

So yeah, I was getting it all completely wrong. True things to watch for are basically just insane amounts of drooling, swollen red gums, gnawing on literally anything they can grab, and generalized fussiness because, let's be honest, having bones push through your skin probably hurts a lot.

Stuff my kid chewed on before we figured out safe toys

Once we realized what was genuinely happening, the desperation to find him something to chew on was intense. Before I seriously bought proper baby teething toys, Leo's mouth was basically a vacuum for the most inappropriate items in our house. If you turned your back for five seconds, he was gnawing on something that would give a health inspector a heart attack.

Stuff my kid chewed on before we figured out safe toys — What I Got Entirely Wrong About The Whole Teething Nightmare
  1. The TV remote, specifically the volume buttons which he almost managed to peel off.
  2. Dave's dirty running shoes that were sitting by the front door (I literally gagged when I caught him doing this).
  3. The dog's tail, which thankfully our golden retriever was completely oblivious to.
  4. My car keys, which I later learned are covered in a microscopic layer of toxic grossness and heavy metals.

After the shoe incident, I panic-bought a bunch of stuff online. Most of it was garbage. Those liquid-filled plastic rings? I read an article saying babies can bite through the plastic and swallow whatever weird chemical gel is inside, so I threw them all in the trash immediately. I also learned that you shouldn't boil those plastic toys because the heat melts them and releases even more chemicals, which is just brilliant product design, right?

I finally stumbled onto Kianao when I was up late scrolling, and their stuff honestly saved my sanity. My absolute favorite was the Panda Silicone Baby Teether. It's a solid, one-piece baby teething toy made of food-grade silicone, which meant Leo couldn't bite any pieces off and choke on them. He was obsessed with the little bamboo part and would just sit in his high chair mashing it into his gums while I desperately chugged my lukewarm coffee. The best part was I could just toss the whole thing in the dishwasher when it got covered in lint and cracker crumbs.

I also picked up the Bear Teething Rattle because I thought a wooden baby teething ring would be good for that hard counter-pressure Dr. Miller talked about. Honestly, it's a beautiful toy and the crochet bear is adorable, but it was kind of hit or miss for us. Some days he loved the feel of the natural beechwood on his gums, and other days he just used it as a weapon to lob at his sister's head from across the room. It’s a great ring, but definitely depends on what texture your kid is vibing with that day.

Oh god, and the dropping. We lost so many toys in parking lots until I finally bought a few of their Wood & Silicone Pacifier Clips. You can clip them to pacifiers, obviously, but I'd just loop them right onto the panda teether. That way when he inevitably aggressively chucked it out of his stroller in the Target checkout line, it didn't bounce across the filthy floor.

If you're currently in the thick of it and just need something safe for them to gnaw on, you can browse Kianao's organic teething toys here but honestly, just find whatever works for you and your kid.

The freezer mistake and my mother-in-law's terrible advice

You'd think the logical thing to do when your baby's gums are swollen and fiery red would be to freeze their toys into solid blocks of ice and rub numbing gel all over their mouth to make it stop hurting, but Dr. Miller basically banned me from doing either of those things because apparently rock-hard frozen plastic can honestly severely bruise their delicate gums and those over-the-counter benzocaine gels can cause a crazy life-threatening oxygen condition that I can't even pronounce. So instead of tossing everything in the deep freeze and hoping for the best, you kind of just have to stick their toys or wet washcloths in the regular fridge next to the leftover takeout so they get nicely chilled before handing them over to your miserable child.

The freezer mistake and my mother-in-law's terrible advice — What I Got Entirely Wrong About The Whole Teething Nightmare

And then there was the amber necklace incident. My mother-in-law came over one afternoon and handed me this delicate little string of amber beads, swearing up and down that the resin would absorb Leo's pain. I almost put it on him because I was desperate, but then I remembered an AAP warning I'd read about them being massive strangulation and choking hazards. Like, babies have literally died from them getting caught on crib corners. I had to awkwardly hand it back to her and pretend Dave was strictly against jewelry for infants. It was super uncomfortable, but whatever.

The drool situation was honestly out of control

Nobody warned me about the sheer volume of liquid that would pour out of this kid's mouth. Leo was producing enough saliva to fill a small wading pool. It soaked through his shirts, his sleep sacks, my shirts, Dave's shirts. But the worst part was the drool rash. Because his chin and neck were constantly wet, his skin broke out in this angry, red, painful-looking rash that made him even more miserable.

I spent half my day just dabbing his face with burp cloths trying to keep him dry. We eventually had to establish a strict uniform of organic cotton drool bibs that we changed like six times a day. If you don't have good absorbent bibs, get them now. Your laundry machine will hate you, but your baby's neck will thank you.

And once those little razor blades honestly popped through, the whole game changed again because suddenly I had to figure out how to brush them. The dental association says you're supposed to start brushing twice a day with a tiny smear of fluoride toothpaste as soon as the first tooth appears, which sounds great in theory until you try to stick a toothbrush into the mouth of a thrashing, angry badger. We did our best. Most days he just sucked the toothpaste off the bristles and clamped his mouth shut, but my doctor said the exposure to the fluoride was better than nothing.

Ready to stop using your own fingers as a chew toy? Browse the full collection of Kianao baby essentials before the next tooth hits.

Answering your panicked midnight questions

You probably have a million questions, and I know exactly how you feel because I was Googling these exact things at 4 AM while crying into a cold cup of coffee.

How do I know if they're seriously getting a tooth or just being a baby?

Honestly, sometimes you don't know until you hear that tiny *clink* against a spoon. But for Leo, the biggest giveaways were the endless rivers of drool, his sudden obsession with aggressively biting my shoulder when I held him, and his gums looking super puffy and red right in the front. If they're just whining but not trying to chew their own fists off, they might just be tired or going through a leap.

Can this whole thing cause a crazy high fever?

I swore up and down it did, but my doctor told me flat out that I was wrong. It can bump their temperature up to like 99 or maybe 100 degrees just from the swelling, but if your kid hits 100.4 or higher, they've picked up a bug. Don't do what I did and ignore a 102 fever because you think it's an incisor coming in.

Why shouldn't I freeze their toys solid?

Because their gums are already inflamed and super sensitive, and handing them a rock-hard block of ice can seriously bruise the tissue and cause frostbite on their lips. Just stick the silicone teethers or a damp washcloth in the regular fridge for twenty minutes. It gets cold enough to numb the pain without causing blunt force trauma to their mouth.

When am I supposed to take them to the dentist?

The official rule I was told is either by their first birthday or within six months of their first tooth showing up, whichever comes first. I dragged Leo in at around eleven months. He screamed the entire time, the dentist looked in his mouth for exactly four seconds, said "looks good," and charged me for a visit. It's mostly just to get them used to the environment, so don't stress if it's a total disaster.

Are those numbing gels safe if I'm really desperate?

Please don't use them. The FDA has put out massive warnings against using benzocaine or lidocaine gels on kids under two. It can cause this super rare but terrifying condition where the oxygen levels in their blood drop dangerously low. It's totally not worth the risk when you can just give them a chilled piece of fruit in a mesh feeder or a safe silicone toy instead.