Systemic and local teething disturbances: prevalence in a clinic for infants

Robson Frederico Cunha1, Daniela Maria Carvalho Pugliesi, Leandra Dias Garcia

  • 1Department of Pediatric Dentistry, School of Dentistry, Paulista State University-UNESP, Araçatuba, São Paulo, Brazil. cunha@foa.unesp.br

Insights

Nearly all children experience symptoms during primary tooth eruption, with gingival irritation being most common. This study analyzed parent-reported data on teething in children aged 0-3 years.

Area of Science:

  • Pediatric Dentistry
  • Child Health
  • Oral Development

Background:

  • Primary tooth eruption is a significant developmental milestone in infants and toddlers.
  • Understanding associated manifestations is crucial for pediatric care.
  • Parental reporting provides valuable insights into common teething symptoms.

Purpose of the Study:

  • To document parent-reported local and systemic manifestations during primary tooth eruption.
  • To analyze the frequency of these symptoms in children aged 0-3 years.
  • To identify the most and least common manifestations associated with teething.

Main Methods:

  • Retrospective analysis of 1,165 medical records from children aged 0-3 years.
  • Data collected from the baby clinic of Araçatuba Dental School, UNESP, Brazil.
  • Focus on parent-reported symptoms during primary tooth eruption.

Main Results:

  • 95% of children studied exhibited local and/or systemic manifestations during tooth eruption.
  • Gingival irritation was the most frequently reported symptom (85%).
  • Runny nose was the least frequent symptom reported (26%).

Conclusions:

  • Primary tooth eruption is frequently accompanied by observable manifestations.
  • Gingival irritation is a near-universal symptom during teething.
  • Further research can explore the etiological factors and management of teething symptoms.

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Teeth01:15

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Tooth Anatomy01:21

Tooth Anatomy

The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
The Oral Microbiota01:27

The Oral Microbiota

The oral microbiome includes a complex ecosystem comprising over 700 microbial species, identified through genomic sequencing and culture-based analyses to date. This community includes a core microbiome, found universally among individuals, and a variable component influenced by environmental factors such as diet, lifestyle, and host genetics. Site-specific conditions, including oxygen gradients, pH levels, and nutrient availability, determine the spatial distribution of these microorganisms...