Search

Teething vs Toothache: How to Tell the Difference

Normal teething symptoms (what’s common)

Teething often comes with:

  • Drooling
  • Wanting to chew everything
  • Mild fussiness
  • Slight gum tenderness
  • Slightly disturbed sleep

Teething usually affects the gum area where a tooth is erupting and tends to come in waves.

What’s NOT normal teething (possible toothache)

These signs suggest it may be a cavity, infection, or another dental issue:

  • Pain in one specific tooth that doesn’t come and go
  • Crying while eating/chewing on one side
  • Sensitivity to cold or sweet foods
  • Swollen gum “pimple,” pus, or bad taste
  • Facial swelling
  • Dark spots, holes, or white chalky patches on teeth
  • Bad breath that persists

If something looks “off,” trust your instinct.

Quick test: location and timing

  • Teething: gum area, generalized discomfort, comes in waves
  • Toothache: one spot/tooth, worse at night, triggered by chewing/temperature

Safe home relief that actually helps

For teething:

  • Cool (not frozen) teether ❄️
  • Gentle gum massage with clean finger
  • Chilled washcloth
  • Age-appropriate pain relief only if needed (ask your pediatrician)

Avoid:

  • Teething gels with numbing agents unless advised
  • Honey for infants under 1 year
  • Anything that can break off and choke

For suspected tooth pain:

  • Avoid very cold/sugary foods
  • Soft foods
  • Call a pediatric dentist for evaluation

When to call urgently

Contact a dentist fast if you see:

  • Swelling of face or gums
  • Fever with mouth pain
  • Trouble swallowing
  • Your child can’t sleep due to pain
  • A bump on the gum near a tooth

Preventing “mystery pain” later

  • Brush twice daily with fluoride toothpaste (age-appropriate amount)
  • Don’t let kids fall asleep with milk/juice
  • Reduce frequent snacks and sticky sweets
  • Regular checkups so small issues don’t become big ones

Quick FAQs

Can teething cause fever?
Mild temperature changes can happen, but high fever usually isn’t teething—check with a doctor.

How do I know if my child has a cavity?
Look for white/brown spots, sensitivity, pain while eating, or visible holes—then book a dental visit.

When Should My Child Start Seeing the Dentist?

When Should My Child Start Seeing the Dentist?

When Should My Child Start Seeing the Dentist? Many parents wonder when the right time is for their child’s first dental visit. The answer? By their first birthday or as

The Power of Preventive Care in Pediatric Health

The Power of Preventive Care in Pediatric Health

The Power of Preventive Care in Pediatric Health As a parent, ensuring your child’s well-being is a top priority. While managing day-to-day needs like nutrition, education, and emotional support, it’s

Red Classic Independence Day Flyer

Why Do We Celebrate Independence Day?

Every year on July 4th, people in the United States celebrate Independence Day. It is a special day filled with flags, parades, family time, and colorful fireworks. But why is

Share:

More News & Blogs

Subscribe to our Newsletter

Join our next community event

Back-to-School days, holiday celebrations, school visits — free, fun and kid-friendly. Leave your details and we’ll invite you when the next one is scheduled.

Event Interest

Free parent guides from our dentists

The Smile Academy has 40+ short guides written by our pediatric dentists, organized by your child’s age.

Get kids' dental tips in your inbox

Short, practical advice from our pediatric dentists: brushing battles, teething, healthy snacks, what to expect at each visit — about twice a month, no spam.

Subscription Form

You’ll get a quick confirmation email first. Unsubscribe anytime.