Recognize increased drooling as an early teething sign

Excessive drooling (sialorrhea) is one of the earliest and most common signs of teething. Saliva production increases as the gums become stimulated by teeth moving beneath the surface, often starting weeks before a tooth actually breaks through.

What to Look For

• Noticeably wetter chin, neck, and chest throughout the day
• Soaked shirt fronts or bibs that need frequent changing
• A red, slightly raised rash around the mouth, chin, or neck from prolonged skin contact with saliva (drool rash)

What to Do

• Gently pat (do not rub) the skin dry with a soft cloth throughout the day
• Apply a thin layer of petroleum jelly or lanolin to the chin and neck as a moisture barrier to prevent drool rash
• Use absorbent bibs to keep clothing dry and reduce skin irritation

Tips

• Drooling alone does not confirm teething -- babies naturally produce more saliva starting around 3-4 months as salivary glands mature
• If drool rash develops, keep the area clean and dry; consult your pediatrician if it becomes cracked or infected
• Never tie a bib on during sleep due to strangulation risk