The Truth About Teething and Sleep

I hear this all the time: “My baby isn’t sleeping well because they’re teething.”
And I get it—when you see swollen gums and your baby is extra fussy, it feels like teething has to be the reason. But here’s the thing… teething isn’t usually what’s behind weeks (or months) of rough nights.

Let’s break it down.

Does teething really hurt?

Yes, it can. As teeth push through, gums can get sore and babies may be crankier than usual. But the discomfort usually comes in short spurts—it’s not something that lingers nonstop for weeks on end. The American Academy of Pediatrics notes that while teething can cause minor discomfort, it shouldn’t cause long-term sleep problems.

Can teething keep babies awake?

Teething may lead to a rough night or two here and there, but if your little one is waking multiple times every night for weeks, something else is likely going on—like sleep associations or not having solid sleep routines in place.

Babies who know how to self-soothe can usually handle temporary bumps (like teething) and settle back to sleep more easily.

How long does teething last?

Teething is a slow process. It typically starts around 6 months and can continue until age 2 or even 3. If you’re waiting for all the teeth to come in before tackling sleep training—you could be waiting years. And in the meantime, poor sleep habits can become even more ingrained.

Teething is not a reason to delay sleep training

It’s easy to blame teething for sleep struggles, but consistency is what really matters. When babies have strong sleep foundations, teething might throw them off for a night or two—but they bounce back quickly.

Tips for handling teething + sleep

  • Try safe remedies: Offer a cold teething ring or gently rub their gums. Always check with your pediatrician before giving any medication.

  • Stick with routines: Even if your baby is fussy, keep bedtime predictable. Consistency builds security.

  • Comfort without creating new habits: Soothe with your voice, touch, or presence—but avoid starting habits like rocking or feeding to sleep.

  • Keep perspective: A bad night or two is normal. With consistency, your baby will return to their usual sleep patterns.

Teething can be uncomfortable, but it’s rarely the real reason for ongoing sleep struggles. Solid sleep habits are what make the difference. So don’t put off sleep training until “teething is over”—your baby (and you!) deserve restful nights, even through the ups and downs.