Is Baby Teething Gel Safe? What Parents Need to Know
Healthy’s Summary
Teething can be challenging for both babies and parents, prompting many to seek relief through baby teething gels. These gels often contain numbing agents to soothe sore gums, but are they safe? Some products contain benzocaine or lidocaine, which the FDA warns against due to potential health risks.
Natural alternatives, such as chilled teething rings or gum massages, may be safer options. The best teething remedy depends on your baby’s age, health, and teething symptoms.
Understanding Baby Teething Gels
Teething gels are topical solutions applied to a baby’s gums to relieve pain and inflammation. They typically fall into two categories:
- Medicated Teething Gels – Contain active ingredients like benzocaine, lidocaine, or choline salicylate.
- Natural/Herbal Teething Gels – Use plant-based ingredients such as chamomile, clove oil, or aloe vera.
The FDA Warning on Medicated Teething Gels
The FDA strongly advises against using benzocaine-based teething gels for children under two years old because of the risk of methemoglobinemia, a serious condition that impairs oxygen transport in the blood. A 2018 FDA report states that methemoglobinemia cases linked to benzocaine have resulted in serious health complications, including deaths in infants.
Symptoms include:
- Shortness of breath
- Blue or gray skin tone
- Fatigue and confusion
Likewise, excessive ingestion of lidocaine-containing gels can be toxic, potentially resulting in seizures or heart complications. A study published in the Journal of Pediatrics found that excessive lidocaine use in infants has been linked to a 20% increased risk of toxicity-related ER visits.
Safer Alternatives for Teething Relief
If teething gels pose risks, what are safer ways to soothe your baby? Consider these:
- Chilled Teething Rings: The cool temperature helps numb gums and reduce inflammation.
- Gum Massage: Using clean fingers, gently rubbing your baby’s gums can provide comfort.
- Cold Washcloth: Letting your baby chew on a clean, damp, and chilled cloth can be soothing.
- Teething Toys: Soft silicone or rubber teething toys can be helpful in relieving discomfort.
- Breastfeeding or Bottle Feeding: Sucking motions can provide temporary relief.
Are Natural Teething Gels Safe?
Natural or homeopathic teething gels may seem like a better option, but not all are free from risks. Some contain belladonna, a potentially toxic plant extract. The FDA has recalled certain teething tablets due to inconsistent levels of belladonna. A 2017 study found that nearly 75% of homeopathic teething products tested contained levels of belladonna higher than what was labeled, posing a risk to infants.
Always check the ingredient list and consult your pediatrician before using any product.
When to Call a Doctor
Teething is uncomfortable but should not cause severe illness. Contact a pediatrician if your baby experiences:
- A fever above 100.4°F
- Severe fussiness that doesn’t improve with safe teething remedies
- Diarrhea or rashes, which may indicate other issues
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The Takeaway
While baby teething gels promise quick relief, some may carry significant health risks. Avoid medicated gels with benzocaine or lidocaine and opt for safer alternatives like chilled teething rings or gum massages. If you’re unsure what’s best for your baby, consulting a pediatrician is always the safest route.
Sources
- U.S. Food & Drug Administration (FDA). “Benzocaine and Babies: Not a Good Mix.” https://www.fda.gov
- The Journal of Pediatrics. “Lidocaine Toxicity in Infants: A Growing Concern.” https://www.jpeds.com
- American Academy of Pediatrics. “Safe Teething Relief Options for Infants.” https://www.aap.org
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