Teething Problems in Infants & Toddlers

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Teething Problems in Infants & Toddlers

Teething problems

In most children the eruption of primary teeth is preceded by increased salivation, restlessness and a tendency to place objects like finger in mouth. This observation may be the only indication that teeth will soon erupt. Many conditions including fever, diarrhea, convulsions, and primary herpetic gingiva-stomatitis have been incorrectly attributed to eruption. In fact teething does not increase the incidence of infection, nor does it cause any rise in temperature, white blood cell count but it does cause day time restlessness, an increase in the amount of finger sucking or rubbing of the gums, an increase in drooling and possibly some loss of appetite.

What are the Teething Problems? How to manage them?

Symptoms can last for just a few days, right around the time a new tooth is emerging or for as long as several months if a lot of teeth come through all at once. In some babies teething doesn’t cause any noticeable signs at all.

If your baby has diarrhea, fever or a runny nose, don’t dismiss it as a sign of teething, especially if the symptoms last for more than 24 hours. There is no scientific proof that these are linked to teething but the explanation for these symptoms is that teething babies frequently put things in their mouth to sooth their gums, so they come into contact with more viruses and other germs.

  1. Disturbed Sleep:- teething can be a painful process and this can keep your baby awake at night. So if your baby is suddenly finding it hard to settle down and rest, teething could be the cause. Try to stick to your baby’s bed time routine and give them comfort if they are unsettled.
  2. Drooling:- all babies drool a little, but a teething baby will often end up with a very wet chin. Extra drool can make your baby’s chin sore, so wipe with a clean soft cloth or put a smear of petroleum jelly on your baby’s chin for extra protection.
  3. Chewing Fingers:- chewing fingers or objects helps to relieve the pain and pressure of teething. Try to keep your baby’s hands clean so that the baby doesn’t swallow any germs.Teething ri9ng is a option but a crust of bread, bread stick, or a peeled carrot may work as well. Teething ri9ng can be cooled in the fridge, but should not be frozen. Don’t dip the ring in sugar substances.
  4. Swollen Gums:- swollen, red gums are asure sign of tething. Gentle rub with a clean finger can help to sooth them. A cool sugar free drink can help to sooth a baby’s gums. Water is best. Teething gels are also available which contains anesthetic and antiseptic but it should be used after 4-7 months.
  5. Appearance of Tooth buds:- if you look into your baby’s mouth, you can observe the little tooth buds look like small bumps along your baby’s gums. If you run a finger over them, you may be able to feel the hard tooth underneath.
  6. Eruption hematoma:- eruption hematoma also called as eruption cyst. A bluish purple, elevated area of tissue, commonly called eruption hematoma, occasionally develops few weeks before the eruption of primary or permanent tooth. The blood filled cyst is most frequently seen in the primary second molar or permanent first molar region. This condition develops as a result of trauma to the soft tissue during function and is self-limiting.
  7. Eruption sequestrum:– The eruption sequestrum is seen occasionally in children at the time of the eruption of the first permanent molar. This is seen at the time of eruption of the permanent molar or immediately after the emergenence of the tips of the cuspa through the oral mucosa. Regardless of its origin, the hard tissue fragment is generally overlying the central fossa of the associated tooth embedded and contoured within the soft tissue. As the tooth erupts and cusp emerges, the fragment sequestrates.
  8. Ectopic eruption:– Inadequate arch length or a variety of local factors may influence a tooth to erupt in a position other than normal.
  9. Natal and neonatal teeth:– natal teeth are the teeth that are present at birth; neonatal teeth are those that erupt within one month after birth.

What is the eruption sequence of primary teeth?

Normally the first tooth appears between the age of 4 to 7 months, but it’s also perfectly normal up to 10 months to 1 year. If your kid reaches 18 months with no tooth in sight, then consult pedodontist. Most children have a full set of primary teeth by the age of 3 years.

Upper teeth:-Teething problems

Central incisors 8 – 12 months
Lateral incisors 9 – 13 months
Canines 16 – 22 months
First molars 13 – 19 months
Second molars 25 – 33 months

Lower teeth:-

Central incisors 6  – 10 months
Lateral incisors 10 – 16 months
Canines 17 – 23 months
 first molars 14 – 18 months
Second molars 23 – 31 months

What is the Total number of Primary Teeth?

Primary teeth

  • Upper incisors=4
  • Lower incisors=4
  • Upper canines=2
  • Lower canines=2
  • Upper molars=4
  • Lower molars=4

Total number of Primary teeth=20 and Premolars are absent in the primary dentition.