Dear Sarah from exactly six months ago.

You're currently standing in your sister's kitchen at 2 PM on a Tuesday, wearing those gray sweatpants with the mysterious yogurt stain on the knee, holding your screaming six-month-old nephew. You confidently volunteered to babysit because "I've done this twice with Leo and Maya, how hard could it be?"

It's so hard. Oh god.

I'm writing this to you now, sipping a cup of coffee that I've microwaved three separate times this morning, because watching you panic-text your sister about whether babies can get a 102-degree fever from a tooth coming in was physically painful for me. You completely forgot everything, didn't you? The sleep deprivation erased it all. It’s like pregnancy amnesia but for drool.

So sit down, move the crusty spit-up rag off the chair, and let’s review what we actually know about surviving the mouth-pain phase, because apparently, you need a refresher.

Why is everything suddenly covered in a layer of slime?

Remember when Leo was about five months old and suddenly his shirts were just constantly soaked? Like, LITERALLY dripping. I went through ten bibs a day. My doctor, Dr. Miller—who has the patience of an actual saint—had to gently explain to me that extreme drooling is just step one. It causes this awful red rash around their mouth that makes them look like a tiny, angry clown.

And the fever thing! You were freaking out yesterday because your nephew felt like a tiny radiator. Dr. Miller told us years ago that the whole "fever means teeth are coming" thing is mostly a giant myth that moms pass around at the park. Or like, maybe they get a tiny, tiny bit warmer, but if they're burning up with a real fever over 100 degrees, it's probably just a regular daycare virus. Which, crap. That means your nephew probably just has an ear infection. You should probably tell your sister that. Anyway.

They also chew on everything. The crib railing. Your fingers. The dog's tail if he doesn't move fast enough. They just want counter-pressure because their gums feel like they're being pushed apart by tiny, blunt little pitchforks.

Please, for the love of all that's holy, don't buy those amber necklaces. I know they look very bohemian and cute, but I read somewhere that pediatricians hate them because they're a massive choking hazard, and also they just make your baby look like they're about to start following a jam band around the country. Dismissed.

The freezer is your new best friend (and yes, you can freeze silicone)

Okay, this is the part where I've to apologize to you, Past Sarah, because you've been giving people terrible advice.

For years, I told my friends that you could only put silicone in the fridge, not the freezer, because I thought it would get too hard and hurt their gums. I don't know who told me this. I probably made it up in a sleep-deprived haze in 2018. But I just read the actual research from the brand about teething with a Haakaa, and guess what? You CAN freeze solid silicone teethers. In fact, you absolutely should.

Instead of doing that thing where you wet a washcloth, freeze it, and then hand it to the baby—which just results in them sucking on thawing, metallic-tasting freezer water that drips down their neck and makes them scream louder—just chuck a pure silicone teether in the freezer next to the frozen waffles.

Food-grade silicone doesn't freeze into a literal rock the way water does. It just gets incredibly, blessedly cold. And because silicone is non-porous, it doesn't absorb the smell of the frozen fish sticks sitting on the shelf above it. It's safe, it numbs the pain, and it takes like ten minutes to get cold.

The breastmilk popsicle trick that saved my sanity

If there's one thing I want you to remember from when Maya was a baby, it's the milk popsicle hack. You completely forgot to do this for your nephew yesterday.

The breastmilk popsicle trick that saved my sanity — Haakaa Teething Hacks: A Survival Guide to the Drool Apocalypse

Do you remember those horrible mesh feeders we bought at Target? The ones with the little netting? They're disgusting. They trap banana fibers and strawberry seeds in the microscopic holes, and no matter how long you scrub them with a tiny brush, they always smell faintly of old, sour milk. They're a biohazard.

What we finally figured out—and what actually works—is using a solid silicone fresh food feeder. Haakaa's teething product line has this incredible silicone feeder that's just one smooth piece of magic. You pour a little bit of breastmilk (or formula, or even just pureed water and berries if they're old enough) right into the cap, pop the silicone pouch in, and freeze it. Then you hand this frozen "milk nugget" to the baby. It melts slowly through the tiny holes, completely numbing their furious little gums while simultaneously keeping them hydrated.

It's brilliant. And when they're done, you just throw the whole silicone thing in the dishwasher. No mesh. No scrubbing. Just peace and quiet for exactly twelve minutes.

Aesthetic wooden rings vs. the harsh reality of baby jaws

We need to talk about Dave for a second. My wonderful, highly-opinionated husband who decided during my second pregnancy that we were going to be a "neutral, natural materials only" family. He read one article about plastic overstimulation and suddenly our house looked like a beige Scandinavian forest.

He was obsessed with buying these beautiful, minimalist wooden ring toys. And to be fair, they're really lovely. But you've to be honest about what babies actually want when their mouth hurts.

I ended up buying the Handmade Wood & Silicone Teether Ring to compromise with him. It's really really pretty—it has this smooth, untreated beechwood ring that Dave loved, combined with soft, squishy silicone beads that I knew the baby would honestly use.

It's... just okay. Like, the quality is fantastic, and it’s completely non-toxic and safe, but Maya was weirdly particular. She would gnaw on the silicone beads for a minute, then stare at the wooden ring like it had offended her, and throw it across the living room for the dog to fetch. Some babies love the hard resistance of wood against their gums. Mine preferred to hurl it like a tiny discus. So it's great for photos and great for some kids, but you really have to figure out if your baby is a "hard chewer" or a "soft chewer."

The one that seriously worked (and lived in my purse)

Now, if you want to know what seriously saved our lives, it was this random little Panda Teether. I bought it on a whim at 3 AM while nursing Leo.

The one that seriously worked (and lived in my purse) — Haakaa Teething Hacks: A Survival Guide to the Drool Apocalypse

It's flat. That's the secret. It’s flat and has this textured bamboo design on the side that's thin enough to reach all the way back to where the molars come in. When Leo was about eight months old, those back teeth started moving, and he would just shove his entire fist into his mouth trying to reach the pain. The round rings couldn't get back there without him gagging himself.

The panda teether was lightweight enough that his uncoordinated little hands could really grip it, and he would just sit in his stroller, furiously chewing on the panda's ear like it owed him money. I bought three of them. One for the diaper bag, one for the car seat, and one only for the freezer. It’s 100% food-grade silicone, so when he dropped it on the floor of Target (which happened constantly), I could literally just take it into the bathroom, wash it with warm soap and water, and hand it right back.

If you're building a survival kit for your sister, grab a few things from a reliable organic baby toys collection, but make sure at least one of them is flat, textured, and made of pure silicone.

Embracing the chaos of the drool years

Look, the truth is, this phase just sucks. There's no magical cure that stops the pain completely. You just have to manage it.

You'll try the frozen milk tricks, you'll rotate the silicone toys, you'll buy the Squirrel Teether just because the little acorn detail is cute and has a different texture for them to explore. You'll wipe up oceans of spit-up and drool. You will step on a wet, cold silicone toy in your bare feet in the dark, and you'll curse loudly, and the dog will judge you.

But then, one morning, you'll be trying to feed them a spoonful of sweet potatoes, and you'll hear that tiny, sharp *clink* against the spoon. And you'll pry their little lips back, and there it's. A tiny, translucent little chicklet tooth poking through the bottom gum.

And you'll realize you survived. At least until the next one comes in.

Anyway, text your sister back. Tell her to check his ears, freeze some milk, and that you're leaving right now to go buy her some iced coffee. You've got this.

Ready to build your own drool-apocalypse survival kit? Check out Kianao’s full collection of safe, natural, and incredibly easy-to-clean teething essentials. Your baby’s gums (and your sanity) will thank you.

The Messy, Real-Life FAQ

How do I really know if they're teething or just being awful?

Honestly? Sometimes you don't until the tooth appears. But the big giveaways for my kids were the literal rivers of drool, the red rash around the chin, pulling at their ears (the jaw pain radiates upward, which is confusing as hell because it looks like an ear infection), and sudden, fiery hatred of their favorite solid foods. If they just want to bite your shoulder and cry, it's probably teeth.

Wait, so I can definitely freeze solid silicone teethers?

YES. I was completely wrong about this for years. As long as it's a solid, 100% food-grade silicone teether (like the Panda or the Squirrel), you can stick it right in the freezer for 15-20 minutes. It gets icy cold and really helps numb the swollen gums. Just don't freeze the wooden ones, because the wood will crack and get ruined.

What's the best way to clean these things without losing my mind?

Because I refuse to hand-wash anything if I don't have to, I love that pure silicone teethers can just go in the top rack of the dishwasher. If it has a wooden ring, though, do NOT soak it or put it in the dishwasher. You just have to wipe the wood part with a damp cloth and mild soap. No bleach, obviously.

Are those wooden ring teethers genuinely safe? I worry about splinters.

I worried about this too, but quality ones (like the untreated beechwood Kianao uses) are naturally splinter-resistant and surprisingly durable. They don't use chemical varnishes, so the wood is safe to chew. That said, always supervise your baby. If they somehow manage to crack it because they've the jaw strength of a tiny shark, take it away immediately.

When does this nightmare phase usually end?

I’m so sorry to tell you this, but it comes in waves for like... two years. The front bottom ones usually show up around 6 months, then it's quiet, then the top ones come, and then eventually the two-year molars arrive to ruin your life one last time. Stock up on coffee now.