Is it teething or something else?

Is it teething or something else?

By Dr Jack Brazel BChD · Reviewed by Dr John Krezel, Specialist Prosthodontist

Is it teething or something else? Reassuring guidance from one of our MamaSmiles dentists who sees this every day

Teething puts babies through discomfort, but it often puts parents through even more. When you’re running on broken sleep, every cry sounds the same and every symptom feels like a warning sign. It becomes hard to know if your little one is simply teething or starting to get unwell - and that uncertainty can be exhausting in itself.


I’m Jack, one of the practising dentists behind MamaSmiles, and I see this confusion every week in clinic. My goal here is to give you calm, clear guidance so you can tell the difference and feel more confident about what your baby needs.

Worried it might be teething?

See our dentist-formulated teething gel for gentle gum support, made without numbing agents.

What teething actually is

Teething is simply teeth pushing up through the gums. That pressure makes gums sore, slightly swollen, and sometimes red. Some babies barely notice it. Others feel every stage.

Most babies start teething between 4 and 7 months, but it can happen earlier or later and still be normal.

Between us at MamaSmiles, we’ve seen hundreds of teething babies, and the same patterns come up again and again.


Normal teething signs we see every day

Sore or swollen gums
Gums may look puffy or red where a tooth is erupting.

Chewing everything in sight
Hands, toys, clothes. Chewing temporarily eases pressure on the gums.

Extra drooling
Some babies soak through bibs several times a day.

A flushed cheek
Often pinker on the side where a tooth is emerging.

Fussy moments
Crying or clinginess that comes and goes quickly.

Small changes in sleep or feeding
A few unsettled nights or fussier feeds due to gum tenderness.

If you’re unsure whether what you’re seeing sounds like normal teething, our guide on normal teething symptoms and what you can expect can help you feel more confident.

What is not teething

Teething does not cause:

  • High fever (38°C or above)
  • Repeated vomiting
  • Persistent or watery diarrhoea
  • A widespread or unusual rash
  • Difficulty waking
  • Breathing changes
  • A baby who seems “not right” in a big way
  • Symptoms that drag on for many days with no tooth appearing

These symptoms point towards illness, not teething. You are never overreacting by checking.

Quick FAQ

Can teething cause fever?
No. Mild warmth can happen, but a high fever is not caused by teething.

Can teething cause diarrhoea?
There’s no good evidence for this. Treat diarrhoea as illness.

How long does teething discomfort last?
Usually a few days around each tooth.

When to get medical advice

Call your GP, NHS 111, or your health visitor if:

  • Your baby has a temperature of 38°C or higher
  • They are unusually sleepy or hard to wake
  • Vomiting or diarrhoea appear alongside other symptoms
  • Their breathing looks different
  • Something feels wrong and you cannot explain why

Parents often notice early warning signs before anyone else. Trust that instinct.


When to see a dentist

Dentists play a bigger role in the early months than many parents realise.

We always encourage parents to:

  • Bring their baby along to their own check-ups
  • Let us take a quick look if you have any concerns
  • Aim for a first proper visit around age one

Starting early helps babies get used to the dental environment, which usually leads to better experiences and better oral health as they grow.

Supporting parents in these early stages is a core part of what we built MamaSmiles to do.


Safe, simple ways to soothe a teething baby

Gentle gum massage
Use a clean finger and light circular pressure.

A cool teething ring
Chilled in the fridge, not the freezer. Coolness calms irritated gums.

Evidence-led teething products
Look for transparent ingredient choices and simple explanations. Avoid products with unrealistic claims.

MamaSmiles products are designed by practising dentists to soothe gums, keep mouths clean, and support early teeth without numbing agents.

Looking for a gentle teething option?

MamaSmiles Teething Gel was developed by practising dentists to soothe gums gently, without numbing agents.

Quick summary

  • Teething usually causes sore gums, drooling, chewing, fussiness, and mild sleep changes.
  • It does not cause high fever, severe diarrhoea, vomiting, or major illness.
  • Seek medical advice if symptoms seem worrying.
  • Bring your baby with you to dental check-ups so they become familiar early.
  • Gum massage, cool rings, and evidence-led products help most babies feel more comfortable.


You know your baby best. Our job at MamaSmiles is to give you calm, evidence-based guidance that helps you feel confident - whatever stage your baby is at.

 

Dr Jack
Dentist and Co-Founder, MamaSmiles

Try Teething Gel | Berry Flavour

  • Naturally soothes gums
  • Supports healthy tooth development
  • Dentist-developed formula
  • No numbing agents or anaesthetics
  • Fluoride & sugar free
  • Gentle enough for daily use
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About the Authors

Dr Jack Brazel and Dr John Krezel, Co-Founders of MamaSmiles

Dr Jack Brazel BChD Dr John Krezel BChD, MSc, DClinDent, MPros RCSEd, MFDS RCSEd

Co-Founders, MamaSmiles

Jack and John are award-winning dentists with clinical experience across Australia, the United Kingdom, and the United States. John is a Specialist Prosthodontist registered with the GDC and Adjunct Clinical Associate Professor at the University of Michigan. They co-founded MamaSmiles out of a shared belief that families deserve oral care products held to the same standard as clinical recommendations.

This article is general information, not medical advice. If you have specific concerns about your child's oral health or your own during pregnancy, please speak to your dentist, GP, midwife, or pharmacist.