Teething - Neonatal Disorders

What is Teething?

Teething is a normal physiological process where an infant's first set of teeth, also known as primary teeth or deciduous teeth, begin to emerge through the gums. This typically starts around six months of age but can vary widely from one child to another.

What are the Signs and Symptoms of Teething?

Common symptoms of teething include increased drooling, gum swelling and sensitivity, irritability or fussiness, biting or chewing on objects, and sometimes a slight increase in body temperature. While many parents associate teething with fever, diarrhea, or severe irritability, these symptoms are usually not directly related to teething and may indicate another underlying issue.

When Does Teething Start?

Teething typically begins around six months of age, but it can start as early as three months or as late as 12 months. The first teeth to appear are usually the lower central incisors, followed by the upper central incisors. By the age of three, most children have a full set of 20 primary teeth.

How Can Parents Alleviate Teething Discomfort?

Parents can help alleviate teething discomfort by offering their child a teething ring or a cold washcloth to chew on. Over-the-counter pain relievers like acetaminophen or ibuprofen can also be used, but it's essential to consult a pediatrician before administering any medication. Massaging the gums with a clean finger can also provide relief.

Are Teething Gels and Tablets Safe?

While teething gels and tablets are available, they are often not recommended due to potential side effects. Some teething gels contain benzocaine, which can cause a rare but serious condition called methemoglobinemia. Homeopathic teething tablets have also been linked to adverse effects. It's crucial to consult with a healthcare provider before using any teething products.

Can Teething Affect Feeding and Sleep?

Teething can sometimes disrupt a child's feeding and sleep patterns. The discomfort may make them fussier during feeding times and cause them to wake up more frequently at night. Parents should try to maintain a consistent sleep and feeding schedule to help manage these disruptions.

When Should I Consult a Pediatrician?

If your child exhibits severe symptoms such as a high fever, persistent diarrhea, or inconsolable crying, it is essential to consult a pediatrician. These symptoms are not typical of teething and may indicate another condition that requires medical attention.

What are the Long-Term Effects of Teething?

Teething is a natural part of development and usually does not have any long-term adverse effects. However, good oral hygiene should be maintained to prevent dental issues. Parents should start brushing their child's teeth as soon as they appear and schedule their first dental visit by their first birthday.

Conclusion

Teething is a significant milestone in an infant's development that can cause discomfort but is generally manageable with proper care. Understanding the signs and symptoms, and knowing when to seek medical advice, can help parents navigate this challenging phase more effectively.

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