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Factors affecting the timing of teething in healthy Turkish infants: a prospective cohort study
Figen Sahin1, Aysu Duyan Camurdan, M Orhun Camurdan
1Department of Social Pediatrics, Faculty of Medicine, Gazi University, Ankara, Turkey. figens2001@yahoo.com
Insights
Infant feeding patterns and growth metrics significantly influence teething timelines. Lower growth percentiles and early cow's milk or formula feeding can delay the eruption of the first tooth.
Area of Science:
- Pediatrics
- Human Growth and Development
Background:
- Teething is a natural developmental milestone in infants.
- The timing of teething varies considerably among healthy infants.
Purpose of the Study:
- To investigate the impact of infant feeding patterns and growth parameters on the timing of tooth eruption.
- To identify factors influencing the age at which the first tooth appears.
Main Methods:
- A cohort of 1200 healthy term infants was monitored in a well-child clinic.
- Data collected included infant growth parameters, feeding patterns (breast milk, cow's milk, formula), and the timing of first tooth eruption.
- Logistic regression analysis was used to determine factors affecting teething time.
Main Results:
- First tooth eruption occurred between 4 and 13 months of age.
- By 6 months, 24.3% of infants had erupted teeth; by 9 months, 84.5% had at least one tooth.
- Lower height-adjusted weight/height percentiles and early introduction of cow's milk or formula were associated with delayed teething by 6 and 9 months.
Conclusions:
- Infant growth parameters and feeding practices are significant determinants of teething timing.
- These factors may influence the developmental process of tooth eruption in healthy infants.
Background:
Teething is a developmental process and occurs over a broad chronological age range.
Objective:
The objective of this study was to evaluate the effects of feeding pattern and growth parameters on teething time of healthy infants.
Methods:
A total of 1200 term newborn infants followed up in Gazi University well-child clinic infants were evaluated, and their growth parameters, feeding patterns, and timing of the eruption of the first tooth were noted. The routine visit times of the clinic were chosen as the cut-off values for teeth eruption for logistic regression analysis for investigating factors that determine the timing of teeth eruption.
Results:
Timing of the eruption of the first tooth ranged from 4 to 13 months. On the sixth month visit, 24.3%, and on the ninth month visit 84.5% of all infants had at least one tooth. Height-adjusted weight and height percentiles being less than 50, being fed by cow's milk or by formula in the first year, were independent factors negatively influencing teeth eruption by the sixth month, while all but height-adjusted weight percentiles being less than 50 had negative impact on tooth eruption by the ninth month.
Conclusion:
Growth parameters and feeding pattern may be determinants of the timing of teeth eruption in healthy infants.
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