Teething is a normal physiologic process
of eruption of teeth into the oral cavity (mouth).It begins at age 6months and
span for a period of 2years for the complete eruption of 20 deciduous (milk) teeth
in a 2 year old baby.
If your child is over 2years without any
tooth in the mouth consult your dentist for evaluation and possible management.
The idea of teething being considered as
a cause of serious illness is a myth not the truth. The same age of teeth
eruption coincides with the period of dwindling maternal antibodies i.e. baby’s
protection by the maternal antibody is reduced.
Journey
of the tooth into the mouth
This involves the movement of the
developing teeth within and through the jaw bone and gum to appear in the mouth.
During this period baby experiences certain tingling sensations and the gum
itches. In an attempt to itch baby picks any object in view to itch e.g bunch
of keys, shoes etc which are usually not clean enough to be introduced into the
mouth. This essentially results in infection coupled with the fact that baby’s
passive immunity from the mother during this period is reduced (a normal
phenomenon which allows the baby to build its own immunity).This forms the
basis of erroneous beliefs of serious illness associated with teething.
Often times the general illness observed
at this period are viral infections termed herpetic gingivostomatitis, which
are not diagnosed by the dentist because mother believes it’s the normal
teething period.
True
signs and symptoms of teething
-Redness
and/or swelling of gingiva
-
Slight increase in temperature
False signs include
Diarrhoea
Marked
fever
Vomiting
Increased
salivation
False
signs and symptoms attributed teething are results of :
-Reduced
protective immunity from mother.
-Baby
is crawling at this age and takes anything in sight to the mouth.
-Food
supplements have been introduced at this period which is strange to the baby’s
digestive system.
-Increased
salivation observed is due to normal functioning of the baby salivary gland sensitized
by the itching sensation.
Care of a teething baby
- Use of clean teething toys/rings (refrigerated)
- Teething foods like hard rusk and biscuits,
which consist of flour and fats (no sugar)
-
Refrigerated carrots
All
these serve as hard substances to enable child itch the gum where tingling sensation
is experienced but in a clean environment.
UTMOST
CLEANLINESS IS REQUIRED FOR A SAFE TEETHING
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