Teething is the process in which the baby's first tooth (the deciduous tooth, often called "baby tooth" or "milk tooth") sequentially appears by emerging through the gums, usually arriving in pairs. The mandibular central incisor is the first eruptive tooth, usually between 6 and 10 months. It took several years for all 20 teeth to complete the eruption of the tooth. Although the teething process is sometimes referred to as "cut teeth", when the teeth appear through the gums they do not cut the meat. Instead, hormones are released inside the body that cause some cells in the gums to die and separate, allowing the teeth to come.
Teething can cause slightly higher temperatures, but not rise to the fever range, 100-101 ° F (37.8-38.3 ° C). Higher temperatures during teething are caused by some forms of infection, such as the herpes virus, a widespread early infection among teenagers.
Video Teething
Signs and symptoms
The level of pain that the baby can handle will be different for each child. Some may appear to suffer more than others while they are teething. The pain and swelling of the gums before the teeth appear is the cause of the pain and swallowing experienced by the baby during this change. These symptoms usually begin about three to five days before the teeth appear, and they disappear as soon as the teeth break the skin. Some babies are not even bothered by teeth.
Common symptoms include drooling or dripping, chewing, mood swings, irritability or irritability, and swollen gums. Crying, difficulty sleeping, restless sleep at night, and mild fevers are also associated with teeth. Teething can begin as early as 3 months and continues until the child's third birthday. In rare cases, an area may be filled with fluid and appear on top of where the tooth erupts and cause the gums to become more sensitive. Pain is often associated more with large molar because they can not penetrate gums as easily as other teeth.
Some of the obvious symptoms that babies have entered the teething stage include chewing on their toes or toys to help reduce the pressure on their gums. Babies may also refuse to eat or drink because of the pain. The symptoms will generally fade on their own, but doctors should be told if they are worsening or persistent. Teething can cause signs and symptoms in the mouth and gums, but does not cause problems elsewhere in the body.
Pulling the ears is another sign of pain; the pain in the mouth pulsed across the baby's head so they pulled their ears to believe that it would provide relief. A mild rash may develop around the mouth due to skin irritation caused by excessive saliva or dripping.
Order of appearance
Baby's teeth tend to appear in pairs - the first lower incisors appear and then the other lower incisors appear before the next set begins to appear. Common patterns of emergence are:
- The lower central incisor (2) at about 6 months
- The upper central incisor (2) is about 8 months
- The upper lateral incisor (2) is about 10 months
- The lower lateral incisor (2) is about 10 months
- First Premolar (4) about 14 months
- Canines (4) about 18 months
- Second premolar (4) about 2-3 years
Milk teeth tend to appear faster in women than in men. The exact pattern and initial start time of teething look hereditary. When and how teeth appear in infants has nothing to do with the health of the child.
Misdiagnosis as teething
Teething has not been proven to cause fever or diarrhea; However, the belief that teething causes fever is very common among the elderly. While there is some evidence that teething can cause high temperatures, it does not cause fever (temperatures greater than 100-101 ° F (37.8-38.3 ° C.). A small study in 1992 found an increase in temperature Significantly on that day the first dental eruption.Another study in 2000 found "mild temperature rise" but not fever over 102Ã, Â ° F (39Ã, Â ° C).
There is a risk that fever around dental age is discharged as a result of teething when it is actually caused by a disease, especially an infection by the herpes virus. "Incidentally, primary tooth eruption begins when the baby loses maternal antibody protection against herpes virus, and also reports of teething difficulties have recorded symptoms consistent with primary oral herpes infections such as fever, irritability, sleeplessness, and difficulty with eating. "" Younger babies with higher levels of antibodies will experience milder infections and this will be more likely to be unrecognized or dismissed as teething difficulties. " Herpes virus infection can take the form of primary herpes gingivostomatitis (HSV-1) or infection by human herpes virus 6 (HHV-6), which infects 90% of children by age 2. "Symptoms of temperature rise and facial rash may occur. can be explained by infection with HHV-6 agents, which are ubiquitous among teething infants. "Other viruses may also cause fever that may be misidentified to the tooth, but oral involvement that may occur with the herpes virus makes misdiagnosis a risk specifically for the infection.
Maps Teething
Treatment
Before caring for the baby for the teeth, it is important to know what causes the baby to be upset. Gently rub your fingers along the gums to look for a swollen bulge or a tooth feeling under the gums is one way to be sure. If unsure, it is recommended that the child be seen by the pediatrician before treatment is given.
Tooth rings are generally soft plastic devices that can be chewed and allow the baby to break some of the gum tissues that push the teeth out of the gums. Some of the tooth rings can be easily broken or damaged, so other types of dental devices can be made from household items. Placing a damp cloth in the freezer for several minutes and then applying it gently to the gums can be effective, but care should be taken not to expose the baby's gums to the cold for too long.
Babies chew things to help the process of teething. It can be harmful if the baby is allowed to chew things that are small enough to swallow or that can break when chewed and cause choking. Dental rings and other toys, called teethers, are often designed with textures that will appeal to the baby during teething. Draw water into the pacifier and freeze it as another way to offer child's teething help. The cold pressure on the gums gives relief without making the child's fingers cold.
Some babies get help from chewing cold objects. Some children respond well to cold food. Suggestions for cold foods that may appeal to babies include apple sauce, yogurt, and refined fruits.
Dentists recommend brushing your baby's teeth as soon as they appear. It is not advisable to wait for the teething process to finish. Dentists may recommend the use of fluoridated toothpastes during growing teeth.
Medication
In cases where the baby is in obvious pain, some doctors recommend the use of non-steroidal anti-inflammatory drugs (NSAIDs) or pain-relieving treatments containing children containing benzocaine, lidocaine, or choline salicylate. Benzocaine should be used with caution as it may cause methemoglobinemia; choline salicylate is associated with aspirin and "may cause Reye syndrome in vulnerable children, especially those with or recovering from viral infections, or when used in combination with other NSAIDs". 5% lidocaine gel produces anesthesia (numbing) within 2-5 minutes, which lasts for 10-20 minutes. However, one authors concluded that, "Overall, the risks and adverse effects of inappropriate or prolonged use of pharmacological agents outweigh their potential benefits." He pointed out that "psychological trauma involved in administering drugs or applying topical preparations to infants should be considered", and arguing that "the placebo effect should not be ignored.For example, applying a gel from benzocaine 20% in polyethylene glycol can provide only modest benefits over the application of placebo , which gives 60% efficacy compared to 90% for active preparation. "
Drugs are often applied to baby's gums to relieve swelling and pain. This gel is similar to a toothache gel used by adults for gum and toothache, but is given in a much smaller dose. Teething gel works as a numbing agent to collect nerves in the gums so that pain is less noticeable. It is important to follow the instructions on the package to ensure that the correct amount of medication is given and appropriate techniques are used to reduce the risk of infection. It is important not to let the drugs turn off the throat because it can interfere with normal vomiting reflexes and allow food to enter the lungs. Similar drugs are also available in powder form, such as "tooth powder".
Acetaminophen and ibuprofen are also recommended to treat the pain and swelling experienced by infants. It should only be used several times a day so it does not mask the symptoms that are being experienced due to other medical conditions and not due to teething. Products containing aspirin should not be given to a child unless directed by a pediatrician, because of the risk of Reye's syndrome.
Some of the traditional remedies used to treat toothache have been found to be dangerous because of high lead content, with effects including toxic encephalopathy. "Surma" or "kohl" has traditionally been used in the Middle East and Indian subcontinent as a toothpaste, just like the Middle East "saoott"/"cebagin". "Santrinj" - 98% tin oxide product used as primary paint - is also used in the Middle East as a home remedy for teeth.
History
Teething is often perceived (wrongly) as the cause of death, as many children die in the first years of life, at the same time as tooth growth occurs. "The past tendency to link serious illness with teeth was so prevalent that in 1842 the tooth was a registered cause of death in 4.8% of all infants who died in London under 1 year of age and 7.3% of those aged between 1 to 3 years according to the Registrar General report. "
Ironically, while teething is a natural process that creates little more than discomfort, some methods for relieving toothache have caused serious harm and even death. Older teething drugs include "blistering, bleeding, placing leeches on the gums, and applying cauter to the back of the head". In the sixteenth century, the French surgeon Ambroise ParÃÆ' Â © introduced lance gums using lancet, in the belief that the teeth failed to emerge from the gums due to lack of pathways, and that this failure was the cause of death. This belief and practice lasted for centuries, with few exceptions, until near the end of the nineteenth century, financing became increasingly controversial and subsequently abandoned, although by the end of 1938 an Anglo-American English medical manual suggested pleading, and explaining its procedures.. In the first half of the twentieth century, tooth powder in the English-speaking world often contained kalomel, a type of mercury. It was removed from most of the powder in 1954 when it was proven to cause "pink disease" (acrodynia), a form of mercury poisoning.
Teething tooth has a long history. In England in 17-19 centuries, coral means tooth toys made of coral, ivory, or bone, which is often mounted on silver as a toy handle. A museum curator states that these substances are used as "sympathetic magic" and that animal bones can symbolize the power of animals to help children cope with pain.
See also
- Teeth eruption
- oldest teeth
- Permanent teeth
- Dentition
References
External links
- NHS Options Born to Five Planners: Grow Teeth
- NHS Health A-Z Options: Grow Teeth
- Ashley, M P (July 14, 2001). "Personal View: It's Just Teething... Myths Reports and Modern Approaches to Grow Teeth". British Dental Journal . 191 (1): 4-8. doi: 10.1038/sj.bdj.4801078. ISSN 1476-5373.
Source of the article : Wikipedia
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