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Teething disturbances; prevalence of objective manifestations in children under age 4 months to 36 months

December 2011
Medicina Oral Patología Oral y Cirugia Bucal 17(3):e491-4

DOI:10.4317/medoral.17487

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PubMed

License
CC BY 2.5

Authors:

Roshan Noor Mohamed

Taif University

Sakeenabi Basha

Faculty of Dentistry, Taif University

The aim of this study was to present data as responded by parents on teething manifestation during eruption of primary teeth and the occurrence of objective manifestations in children ages 4 months to 36 months. Hospital based face-to-face questionnaire study. One thousand and one hundred children ages four to 36 months who had at least one erupting tooth were included in the study. Parents were asked to complete a short questionnaire and children were then checked by one of the authors. Chi-square analysis was performed to analyze information obtained. Level of significance was set at P<.05. There were 660 girls (60%) and 440 boys (40%) in the study. The most frequent clinical manifestations were: Fever (16%), drooling (12%), diarrhea (8%), fever-drooling (15%), fever-diarrhea(8%) and drooling-diarrhea (6%). In the study sample, boys demonstrated a higher prevalence of diarrhea than girls (P<.05). No statistical significance regarding other clinical manifestations and gender were observed. Teething manifestations were most prevalent during the eruption of primary incisors. Occurrence of clinical manifestations in 4-12 months and 13-24 months age was statistically significant when compared with 25-36 months age (P<0.05). An association has been shown between general objective manifestations like fever (the most prevalent), drooling and diarrhea, and the eruption of primary teeth. Most manifestations appeared during the eruption of the primary incisors.

. Prevalence of Clinical Manifestations According to Tooth-Type.

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Med Oral Patol Oral Cir Bucal. 2012 May 1;17 (3):e491-4. Object ive manifestat ions of teethi ng in children

e491

Journal section: Communit y and Preventive Dentistr y

Publication Types: Research

Teething disturbances; prevalence of objective manifestations in

children under age 4 months to 36 months

Roshan Noor-Mohammed 1, Sakeenabi Basha 2

1 MDS Reader, Department of Pedodontics and preventive dentistry, College of dental sciences, Davangere, Karnataka, India,

577004

2 MDS Reader, Department of Community Dentistry, College of dental sciences, Davangere, Karnataka, India, 577004

Correpondence:

Department of Pedodontics and Preventive Dentistr y

College of Dental Sciences

Davangere, Karnataka, India, 577004

drroshannm@yahoo.co.in

Received : 18/01/2011

Accepte d: 25/03/2011

Abstract

Objective: The aim of this study was to present data as responded by parents on teething manifestation dur-

ing eruption of primary teeth and the occurrence of objective manifestations in children ages 4 months to 36

months.

Settings and Design: Hospital based face-to-face questionnaire study.

Study Design: One thousand and one hundred children ages four to 36 months who had at least one erupting tooth

were included in the study. Parents were asked to complete a short questionnaire and children were then checked

by one of the authors.

Statistical analysis used: Chi-square analysis was performed to analyze information obtained. Level of signi-

cance was set at P<.05.

Results: There were 660 girls (60%) and 440 boys (40%) in the study. The most frequent clinical manifestations

were: Fever (16%), drooling (12%), diarrhea (8%), fever-drooling (15%), fever-diarrhea(8%) and drooling-diarrhea

(6%). In the study sample, boys demonstrated a higher prevalence of diarrhea than girls (P<.05). No statistical

signicance regarding other clinical manifestations and gender were observed. Teething manifestations were most

prevalent during the eruption of primary incisors. Occurrence of clinical manifestations in 4-12months and 13-24

months age was statistically signicant when compared with 25-36months age (P<0.05).

Conclusions: An association has been shown between general objective manifestations like fever (the most preva-

lent), drooling and diarrhea, and the eruption of primary teeth.

Most manifestations appeared during the eruption of the primary incisors.

Key words: Teething, primary teeth, eruption.

Noor-Mohammed R, Basha S. Teething disturbances; prevalence of ob-. Teethi ng disturbances; prevalence of ob-Teething dist urbances; prevalence of ob-

jective manifestations i n children under age 4 months to 36 months. Med

Oral Patol Oral Cir Bucal. 2012 May 1;17 (3):e491-4.

http://w ww.medicinao ral.com/medo ralfree01/v17i3/medora lv17i3p491.pdf

Article Number: 17487 http://www.medicinaoral.com/

eMail: medicina@medicinaoral.com

Indexed in:

Science Citation Index Expanded

Journal Citation Reports

Index Medicus, MEDLINE, PubMed

Scopus, Embase and Emcare

Indice Médico Español

doi:10.4317/medoral.17487

http://dx.doi.org/doi:10.4317/medoral.17487

Med Oral Patol Oral Cir Bucal. 2012 May 1;17 (3):e491-4. Object ive manifestat ions of teethi ng in children

e492

Introduction

Teething is a natural physiological process that usually

occurs without problems. It consists of the migration of

the tooth from its intraosseous position in the jaw to

eruption in the oral cavity (1).

Some authors have associated primary tooth eruption

with alterations such as irritability, gingival irritation,

increased salivation, fever, agitated sleep, diarrhea, and

loss of appetite (2,3). These disturbances are respon-

sible for the referral of many babies to dental practi-

tioners, since they provoke discomfort and pain in the

patient. Parents always ask about the probable relation-

ship between these phenomena and the eruption of the

primary teeth.

The relationship between tooth eruption and organic

or systemic manifestations in children is controversial

among dentists and physicians within the literature (4).

It remains unclear whether the disturbances are caused

by the eruption of the primary teeth or whether they

simply coincide with tooth eruption. Since these dis-

turbances are mainly observed during the eruption of

the primary teeth, the objective of the present study was

to determine their occurrence in a population seen at a

child health institute and research centre.

Material and Methods

The study was conducted in the Child Health institute

and research centre. Children who visited the child

health institute over the period of six months were exam-

ined and one thousand and one hundred children were

selected who satised following inclusion criteria,

1. Children age between four months to 36 months

2. Displayed at least one tooth in the process of erup-Displayed at least one tooth in the process of erup-

tion. Eruption was determined if the clinical crown of

the tooth was visible, but not exceeding 3 mm exposure

above the gingiva.

Written consent was procured from all the parents who

participated in the study. Ethical clearance for the study

was procured from the ethical committee of the institu-

tion prior to the study. Data was obtained mostly from

the mothers who were the accompanying parent most

of the time. Parents were asked to complete a short and

simple questionnaire in local language. Information was

relayed in a yes/no manner about three objective mani-

festations noted during the eruption of the primary inci-

sors, canines, and molars, including drooling, diarrhea,

fever, and the combination of these symptoms. Drooling

was dened as excessive saliva coming out of the mouth

like bubbles or continuous salivation. Oral examination

of the child was done by one of the authors. Data was

analyzed using descriptive statistics. Chi-square analy-

sis was performed for the information obtained. Level

of signicance was set at P<.05.

Results

There were 660 (60%) girls and 440 boys (40%) in the

sample selected. Table 1 shows the distribution of the

clinical manifestations that were registered in the study.

In 32% of the children, no clinical manifestations were

noted. In 68% of children one or more of the symptoms

were registered. Each manifestation appeared alone or

in combination with others. The most frequent clinical

manifestations were: fever (16%), drooling (12%), di-

arrhea (8%), fever-drooling (15%), fever-diarrhea (8%),

drooling-diarrhea (6%) and the combination of fever-

drooling-diarrhea was found in 3% of the children.

Clinical manifestation Frequency Percentage

Fever 176 16

Drooling 132 12

Diarrhea 88 8

Fever-drooling 165 15

Fever-diarrhea 88 8

Drooling-diarrhea 66 6

Fever-drooling-diarrhea 33 3

No symptoms 352 32

Total 1100 100

Table 1. Distribution of the Cl inical Manifestations in the

Study Population.

In the study, boys demonstrated a signicantly higher

prevalence of diarrhea than girls (P<.05). No statisti-

cal signicance regarding other clinical manifestation

and gender were observed. Table 2 shows the clinical

manifestations that were present during the eruption

of the primary teeth according to the different type of

teeth. Individually fever was signicantly more preva-

lent during eruption of the incisors. (Table 3) shows the

frequency of clinical manifestations according to age.

Most clinical manifestations were observed between

the ages of 4 to 24 months. Mean age for reporting of

rst objective sign of teething was 7 ½ months. The

clinical manifestations decreased with age. Fever was

the most frequent clinical manifestation followed by

drooling and fever-drooling between the ages of 4 to12

months. Fever, drooling and fever-drooling were more

prevalent objective signs in study sample respectively.

Regarding the occurrence of clinical manifestations in

4-12months and 13-24 months age group there was no

statistical signicance (P>0.05). There was statistically

signicant difference on comparison of clinical mani-

festations between 4-12months group with 25-36months

age group (P<0.05) and 13-24months group with 25-36

months group children (P<0.05).

Med Oral Patol Oral Cir Bucal. 2012 May 1;17 (3):e491-4. Object ive manifestat ions of teethi ng in children

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Discussion

The studies on teething disturbances in children have re-

ported teething symptoms in as high as 80-90% of their

study population (5), the results of this study showed

that 68% of children with erupting teeth demonstrated

general systemic symptoms like drooling, diarrhea, and

fever, whereas 32% of study sample was asymptomatic.

These symptoms could appear alone or in a combination

with others. Lower percentage of teething symptoms

in this study may be due to not considering symptoms

such as irritability, gingival ir ritation and disturbed

sleep which are subjective in nature. The ndings were

in accordance with the results of previous studies (6-11).

The presence of fever alone and in combination of other

symptoms was 16% and 26% respectively. On the whole

fever reported in this study either alone or in combina-

tion was in high percentage of children (42%) which is

in accordance with the ndings of GaliIi et al. (8), Car-

penter (7), and Jaber et al. (9) who also showed a high

percentage of children with fever. Multiple tooth erup-

tions may establish a stress condition, during which the

resistance against infections is reduced and incidence of

infectious diseases is increased. Bennet and Brudno (12)

suggest that fever during the process of primary tooth

eruption is caused by the human teething virus (HT vi-

rus), which, at the beginning of life, is responsible for

a primary infection that becomes subclinical. The HT

virus remains in a latent state in the alveolar crypt until

its stimulation through eruptive movements, provoking

fever as well as local signs and symptoms such as gingi-

val inammation, hemor rhage, and pain (12).

This study showed that fever and drooling separately

and in combination were the most common manifesta-

tions accompanying the eruption of the incisors. Drool-

ing may be explained by the fact that the child agitates

the oral cavity, producing irritation and redness of the

gums (13).

The authors found that the clinical manifestations as-

sociated with the teething process decreased with age.

Most symptoms were found between the ages of 4 to 24

months, while fever, the most common manifestation,

was most prevalent between the ages of 4 to 12 months.

The authors could nd no explanation concerning the

nding that boys demonstrated signicantly higher

prevalence of diarrhea in the children under study.

Foster and Hamilton (14) have suggested that diarrhea

during tooth eruption is associated with the contamina-

tion of the baby’s ngers or objects put into the mouth.

There was statistically signicant result on compari-

son between 4-12months with 25-65months age group

Clinical manifestation Incisors (%) Canines (%) Molars (%)

Fever 9 3 4

Drooling 7 2 3

Diarrhea 2 1 5

Fever-drooling 8 2 5

Fever-diarrhea 3 1 4

Drooling-diarrhea 4 1 1

Fever-drooling-diarrhea 2 0 1

No symptoms 7 11 14

Total 42 21 37

Table 2. Prevalence of Clinical Manifestations According to Tooth-Type.

Clinical manifestation (n=395)

4months-

12months (%)

(n=387)

13months-

24months (%)

(n=318)

25months-

36months (%)

Fever 19.24 19.37 7.86

Drooling 15.25 11.68 8.49

Diarrhea 9.87 8.0 5.66

Fever-drooling 20 16.7 6.69

Fever-diarrhea 10.37 7.49 5.68

Drooling-diarrhea 10.12 5.26 1.88

Fever-drooling-diarrhea 4.55 3.1 0.94

No symptoms 10.6 28.4 62.8

Table 3. Prevalence of Clinical Manifestations According To Age.

[n= number of subjects]

Med Oral Patol Oral Cir Bucal. 2012 May 1;17 (3):e491-4. Object ive manifestat ions of teethi ng in children

e494

suggesting increased occurrence of clinical manifes-

tations during 4-12months age. Occurrence of clinical

manifestations was not statistically signicant between

4-12month and 13-24months. The dental and pediatric

literature presented different opinions regarding general

symptoms related to children’s teething, which were not

always data-based and were contradictory. The subjec-

tive nature of the information provided by the parents

was one of the reasons for this. It is difcult to separate

the signs and symptoms related to dental eruption from

changes in the behavior of the child based solely on the

parents’ subjective views. This was due to the extended

period of time of the teething. Drooling at the age of 4 or

5 months could have been associated with dental erup-

tion, but it also could have been a sign of the normal

activity of the salivary glands (15-17).

Despite the fact that there was an agreement about the

presence of symptoms during the eruption of primary

teeth, some authors totally objected to a cause-effect as-

sociation between them (17). It should be remembered

that coincidentally, primary tooth eruption begins when

infants lose mater nal antibody protection against bac-

teria and viruses; making the baby more vulnerable to

general threatening conditions as the newly pierced gin-

giva around an erupting tooth offers a convenient viral

infection site (18).

Focusing on the objective signs allowed the authors to

overcome a possible bias that could have been present

if the data were obtained solely from the parents, or if

other subjective symptoms would have been studied and

gleaned some light on this somewhat unsolved issue.

The study was limited by the study sample, which were

selected from the people visiting one particular child

health institute. This of course, may not be representa-

tive of whole of the population. Also, only three signs

were examined in the study: drooling, diarrhea and fe-

ver. Further research is needed on larger populations

and should include more signs. It should be noted, how-

ever, that before signs or symptoms of a potentially seri-

ous illness can be attributed to infants’ teething, other

possible causes must be ruled out. On the basis of the

results of this study, the authors arrived at the following

conclusions: a) An association has been shown between

general objective signs (drooling, fever, and diarrhea)

and the eruption of primary teeth with fever being the

most prevalent sign followed by drooling and fever-

drooling combination. b) Most signs appeared during

the eruption of the primary incisors. c) When an infant

at teething age has some symptoms, they may be at-

tributed to teething but other possible causes must be

ruled out rst.

References

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fants: A cohor t study. Pediatrics. 2000;106:1374-9.

2. Macknin ML, Piedmonte M, Jacobs J, Skibinski C. Symptoms

associated w ith infant teething: a prospective study. Pediatrics.

2000 ;105:747-52.

3. Vaysse F, Noirrit E, Bailleul-Forestier I, Bah A, Bandon D. Er up-

tion and teething complications. Arch Pediatr. 2010;17:756-7.

4. Hulland SA, Lucas JO, Wake MA, Hesketh KD. Eruption of t he

primary dentition in human infants: a prospective descript ive study.

Pediatr Dent. 2000;22:415-21.

5. Cun ha RF, Pugliesi DM, Garcia LD, Murata SS. System ic and

local teething distu rbances: prevalence in a cli nic for in fants. J Dent

Child (Chic). 2004;71:24-6.

6. Wake M, Hesketh K , Allen M. Parent beliefs about infant teeth-

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7. Carpenter JV. The relationship between teethi ng and system ic dis-

turbances. ASDC J Dent Child. 1978;45:381-4.

8. Galili G, Rosenzweig KA, Klein H. Er uption of pri mar y teeth and

general pathologic cond itions. ASDC J Dent Child. 1969;36:51-4.

9. Jaber L, Cohen IJ, Mor A. Fever associated with teething. Arch Dis

Child. 1992;67:223-4.

10. Peretz B, Ram D, Hermida L, Otero MM. Systemic manifesta-

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11. Feldens CA, Faraco IM, Ottoni AB, Feldens EG, Vítolo MR.

Teething symptom s in the rst year of life and associated factors: a

cohort st udy. J Clin Pediatr Dent. 2010;34:201-6.

12. Bennet HJ, Brudno DS. The teet hing virus. Pediatr Infect Dis.

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human pr imary dent ition. ASDC J Dent Child. 1972;39:178-83.

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Work attributed to: College of Dental Sciences and Bapuji Child

Health Institute and Research cent re, Davangere, Karnat aka, India

Global prevalence of teething problems in infants and children-A systematic review and meta-analysis

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Sep 2024
INT J PAEDIATR DENT

Background Eruption of primary teeth is associated with local and systemic manifestations. Understanding the global prevalence is necessary to formulate the standard guidelines for management. Aim To evaluate the global prevalence of problems associated with teething in infants and children aged 0–36 months. Design PubMed, LILACS, Web of Science, Scopus, and EMBASE were searched on May 31, 2023, and it was updated on January 31, 2024. Gray literature and reference search were performed. Cross‐sectional, case–control, and cohort studies done in hospital or community settings, reporting the prevalence of signs and symptoms during the eruption of primary teeth in infants aged 0–36 months, were included. Two reviewers extracted data using a pre‐piloted sheet. Data were analyzed and pooled by using random‐effects meta‐analyses. Results Twenty‐five studies were included. The global prevalence of teething problems was 80.0% (95% confidence interval [CI]: 67.8–89.9). The most common local symptom was increased biting (65.9%, 95% CI 37.5–89.3), and irritability (60.7%, 95% CI 50.6–70.3) was the most common general symptom. Conclusion The pooled prevalence of teething problems was estimated to be 80%. There was a variability in the prevalence of teething problems based on geographic location.

Single Nucleotides Polymorphisms in COX2 Gene and their Association with Signs and Symptoms of Teething – A Pilot Study

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Objective To investigate the association between single nucleotide polymorphisms in the COX2 gene (rs689466 and rs5275) and local and systemic signs and symptoms of teething. Material and Methods Forty-four pairs of mothers-babies/toddlers were included. Erupted primary teeth were evaluated during clinical examination. Local and systemic signs and symptoms of teething were obtained from mothers' reporting via anamnesis. Samples of buccal cells were retrieved for DNA genotyping using real-time PCR. The T-test, Chi-square test, logistic regression, and haplotype analyses were applied. Results Almost all mothers (95.5%) reported at least one local or systemic sign and symptom of teething. The most common was increased salivation (79.5%), diarrhea (72.3 %), and fever (70.5 %). The mean number of signs and symptoms per child was higher in boys than girls (mean = 5.1; SD= 1.5; p=0.008). Sleep disturbance (p=0.03) and loss of appetite (p=0.05) were more reported in boys. The rs689466 and rs5275 were not associated with signs and symptoms of teething (p>0.05). Conclusion The single nucleotide polymorphisms in the COX2 gene (rs689466 and rs5275) were not associated with local and systemic signs and symptoms of teething. Keywords: Cyclooxygenase 2; Genes; Tooth Eruption

Parental beliefs and attitudes about teething signs and symptoms: a systematic review

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Apr 2023
INT J PAEDIATR DENT

Background: Parents believe that teething is associated with signs and symptoms, which may induce them to give medications that could harm their children. Some children may require alleviation of symptoms and overall attention. Aim: To assess parents' beliefs and attitudes towards teething. Design: Through electronic databases and grey literature, this systematic review identified cross-sectional studies reporting parents' beliefs, knowledge and attitudes about the signs and symptoms of primary tooth eruption in children aged between 0 and 36 months. Three reviewers independently selected the studies, collected the information, assessed methodological quality, and checked for accuracy with disagreements solved by a fourth reviewer. The Agency of Research and Quality in Health questionnaire for cross-sectional studies was used for the quality assessment. Descriptive analysis with median and interquartile ranges were adopted. Results: Twenty-nine studies comprising 10,524 participants from all geographic regions were included. The methodological quality of the studies was moderate. Most parents have beliefs in signs and symptoms during dentition, the most reported symptom being the desire to bite. Oral rehydration was the most exposed attitude in the studies included. Only a small proportions of parents reported no attitude. Conclusions: The majority of parents believed in at least one sign or symptom associated with teething, and only few of them would do nothing or just wait for the signs or symptoms to pass, with no difference among countries. Protocol doi: 10.17605/OSF.IO/S2KZ3.

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MS. Parental Myths, Beliefs, Awareness and Practices Regarding Teething in Infants

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Background: Teething is a physiological process that involves the eruption of teeth from their intraosseous position in the jaws into the oral cavity. Objective: To investigate parental beliefs, myths and awareness that exists regarding teething and to find out parental practices to alleviate teething troubles in their children. Study Design: Descriptive cross-sectional study. Dentistry. Parents who have had a past experience of managing their child during his/her teething period were enquired, using a self-designed and validated structured questionnaire. Results: According to 87.5% of the parents it was problematic for them to manage their child during teething. Most frequent sign and symptom reported by parents was general irritability (80%), followed by diarrhea (74.2%) and desire to chew / bite on something (70.8%). To alleviate their child's teething troubles, 43.3% of them used homeopathic medicine and 26.7% allowed bottle feeding at night. Almost one-third parents regarded delayed eruption as an abnormality and indication of presence of underlying systemic disease, hence, 2.5% of them wanted to take the child to a faith healer while, 4.2% were in favor of getting a gum incision. Interestingly, 17.5% and 6.7% parents thought that early eruption is a sign of intelligence of the child and sign of a cursed family respectively. Conclusion: Myths related to teething and erroneous parental practices to deal with this phenomenon can be detrimental to Childs health, however it is still being reported by few parents. Hence, this matter needs to be addressed and false beliefs to be eliminated with the help of dental health professionals through parental education.

Relação entre a erupção dos dentes decíduos e manifestações locais e/ou sistêmicas: revisão integrativa

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Article

Sep 2024

Introduction Tooth eruption is the physiological process of movement of teeth from inside the jaw to their position in functional occlusion in the oral cavity. This process starts on average at 6 months of age and can cause local inflammatory symptoms, as well as signs and symptoms in the general health of babies and children.  Methodology The purpose of the cross-sectional questionnaire study was to assess the knowledge and attitude of dentists toward teething and essential treatment for toddlers. Validated questionnaire on google forms was circulated among the participants via social media. Data from Google forms was entered into excel sheets and SPSS 23 software was used for inferential analysis.  Results Of the 301 dentists assessed, the study included 54.5% females and 45.5% males, mostly general practitioners aged 26-30 years. Of the participants, 99% were aware of teething, with 89.7% encountering patients. Common symptoms were chewing objects (80.4%) and swollen gums (77.1%). Teething occurs at 4- 7 months for 7-8 days. 84.7% recognized eruption problems. 73.4% considered hematoma self-limiting. 82.1% knew pharmacological and non-pharmacological methods. Advice included teething rings (80.7%) and distraction (77.1%). 96% recommended regular dental check-ups. 97.7% felt CDE was needed, and 99.3% wanted better parental guidance on teething management.  Conclusion The results of the present study help conclude that included dentists had good level of knowledge and attitude toward teething of toddlers.

Babies Teething Process and Practices for Problems During This Term

Article

Aug 2018

Food texture experiences across age groups in 4–36‐month‐old children in the United States

Article

Nov 2021

The question of what to feed becomes a new challenge as an infant reaches the transition to complementary foods. Limited information is available that provides a texture progression map for complementary food introduction. Thus, the objective of this study was to determine the relationship between age and food texture experiences (FTE) in young children aged 4-36 months in the United States. A parent-reported survey was fielded with 328 children categorized into five age groups (AGs): 4-8 mo (AG1), 9-12 mo (AG2), 13-18 mo (AG3), 19-24 mo (AG4), 25-36 mo (AG5). The present study analyzed four questions focused on food texture experiences, with statistical analyses including probit and logit models, and analysis of variance. Results showed that all 16 food textures were tried at least once (>50%) by AG3. The question answered by participants, “How well does your child manage a specific texture” showed that significant differences existed among AGs for the management of ten food textures (including chewy, hard, soft), whereas teething alone had no effect. The most refused textures by the children were: AG1 - crispy (27%), AG2 - leafy (23%), AG3 - leafy (40%), AG4- tough meat (52%), and AG5 - leafy (51%). With increasing AG, the refusal probability of nine food textures, including chewy, leafy, and rubbery, also increased (p<0.05). The refusal probability of cold food temperatures decreased with increasing age (p<0.05). This study observed FTE in children across AGs and provides useful information to parents and practitioners as they introduce food textures into children's diets. This article is protected by copyright. All rights reserved.

Retrospective analysis of the effects of a hyaluronic-based gum gel to counteract signs and symptoms of teething in infants

Article

Sep 2021

Background: Teething discomfort is a widespread disorder affecting a very high percentage of infants. It creates anxiety in parents, who look for help in pediatric clinics. The use of hyaluronic acid gels has been shown in the last 20 years to be an effective tool, generally devoid of side effects, in reducing oral mucosal inflammation in adults. Recently, such results have also been confirmed in infants affected by teething. Methods: From our routine practice results, we have retrospectively reported the efficacy and the safety profile of Bonjela® Soothing Teething Gel (Bonkela, Reckitt Benckiser, UK), a teething gel capable of addressing in a significant way this infant complaint, which improves all the clinical outcomes used in these types of study to describe the clinical condition of infants. Results: The time×group interaction showed significant differences in unexplained cry, irritability, inappetence, salivation and gum redness (P<0.01 for all comparisons), with lower Likert scores in the treated group respect to the control one. Conclusions: The treatment with Bonjela® Soothing Teething Gel contributed to reduce some common symptoms of teething, in comparison to the standard use of a teething ring alone.

Fever associated with teething

Article

Full-text available

Mar 1992
Arch Dis Child

A relationship between teething and fever was sought by examining mothers' reports of the 20 days before the eruption of the first tooth in 46 healthy infants. Twenty infants had a fever of greater than 37.5 degrees C on day 0 compared with seven infants (or fewer) from day 19 to day 4. The danger of attributing fever to teething is emphasised.

Les anomalies de l’éruption dentaire

Article

Jun 2010
Arch Pediatr

L’éruption dentaire est un phénomène physiologique qui permet à une dent de faire irruption dans la cavité buccale jusqu’à une position fonctionnelle. Elle fait intervenir notamment des phénomènes de résorption osseuse. L’éruption des dents permanentes est précédée par la résorption des dents temporaires jusqu’aux prémolaires. Les anomalies de l’éruption surviennent aussi bien au niveau des dents temporaires que des dents permanentes, bien que leur nature soit généralement différente. Il faut distinguer les accidents d’éruption (généralement inﬂammatoires), les anomalies chronologiques (retard et avance) et les anomalies topographiques.

[Eruption and teething complications].

Article

Jun 2010

Teething Symptoms in the First Year of Life and Associated Factors: A Cohort Study

Article

Apr 2010

To investigate the occurrence and management of teething symptoms during the first year of life and associated factors. 500 children were recruited at birth. Research assessments including structured interviews, anthropometric measurements and dental examination were carried out after birth, at 6 months and at one-year of age. The primary outcome of this study was defined as the occurrence of one or more teething symptoms within the first year of life, as reported by the mother. Teething symptoms were reported in 73% of the children analyzed (273/375). The symptoms most frequently reported were irritability (40.5%), fever (38.9%), diarrhoea (36.0%) and itching (33.6%). Dentists had little influence on the management of symptoms and self-medication to relieve them was a common practice. The risk of reporting teething symptoms was higher for children from nuclear families (p = 0.040) and for children from families with higher income (p = 0.040). Teething symptoms were highly reported in this population. Pediatric dentists should be accessible and provide adequate orientation when symptoms can be managed at home or immediate referral to health services when more serious diseases are suspected.

The relationship between teething and systemic disturbances

Article

Sep 1978

J V Carpenter

Teething--are today's pediatricians using yesterday's notions?

Article

Oct 1975
J Pediatr

Paul J. Honig

The teething virus.

Article

Jul 1986
Pediatr Infect Dis

A prospective study was carried out on 500 teething infants which demonstrated that a new infectious agent, the human teething virus, is responsible for the febrile response that accompanies the eruption of deciduous teeth. Speculations are made concerning whether or not primary care physicians will began prescribing amoxicillin instead of Jack Daniel's to treat teething infants and their parents.

General disturbances attributed to eruption of the human primary dentition

Article