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Published on: March 29, 2018
Teething symptoms in the first year of life and associated factors: a cohort study
Carlos Alberto Feldens1, Italo Medeiros Júnior Faraco, Andréia Bertani Ottoni
1Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil. cafeldens@terra.com.br
Insights
Teething symptoms are common in infants, affecting 73% of babies. Irritability, fever, and diarrhea were the most frequent symptoms, often managed with self-medication.
Area of Science:
- Pediatric Dentistry
- Infant Health
Background:
- Teething is a normal developmental process in infants.
- Understanding the prevalence and management of teething symptoms is crucial for infant care.
Purpose of the Study:
- To investigate the occurrence and management of teething symptoms in the first year of life.
- To identify factors associated with teething symptoms.
Main Methods:
- Longitudinal study of 500 children from birth to one year.
- Data collection through interviews, anthropometric measurements, and dental examinations.
- Primary outcome: mother-reported teething symptoms within the first year.
Main Results:
- Teething symptoms reported in 73% of analyzed children.
- Most common symptoms: irritability (40.5%), fever (38.9%), diarrhea (36.0%), itching (33.6%).
- Higher risk of symptoms in children from nuclear families and higher-income families.
Conclusions:
- Teething symptoms are highly prevalent in infants.
- Pediatric dentists should be accessible for guidance on symptom management.
- Distinguishing teething from more serious conditions is essential.
Objective:
To investigate the occurrence and management of teething symptoms during the first year of life and associated factors.
Study Design:
500 children were recruited at birth. Research assessments including structured interviews, anthropometric measurements and dental examination were carried out after birth, at 6 months and at one-year of age. The primary outcome of this study was defined as the occurrence of one or more teething symptoms within the first year of life, as reported by the mother.
Results:
Teething symptoms were reported in 73% of the children analyzed (273/375). The symptoms most frequently reported were irritability (40.5%), fever (38.9%), diarrhoea (36.0%) and itching (33.6%). Dentists had little influence on the management of symptoms and self-medication to relieve them was a common practice. The risk of reporting teething symptoms was higher for children from nuclear families (p = 0.040) and for children from families with higher income (p = 0.040).
Conclusions:
Teething symptoms were highly reported in this population. Pediatric dentists should be accessible and provide adequate orientation when symptoms can be managed at home or immediate referral to health services when more serious diseases are suspected.
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