Teething disturbances; prevalence of objective manifestations in children under age 4 months to 36 months

Roshan Noor-Mohammed1, Sakeenabi Basha

  • 1Department of Pedodontics and Preventive Dentistry, College of Dental Sciences, Davangere, Karnataka, India. drroshannm@yahoo.co.in

Insights

Teething in infants and toddlers commonly causes fever, drooling, and diarrhea, particularly during the eruption of incisor teeth. These symptoms are more frequent in younger children aged 4-24 months.

Area of Science:

  • Pediatrics
  • Developmental Biology

Background:

  • Teething, the process of primary tooth eruption, is a significant developmental milestone in infants and toddlers.
  • Parental reports of teething manifestations are crucial for understanding associated symptoms and parental concerns.

Purpose of the Study:

  • To document parental-reported teething manifestations during primary tooth eruption.
  • To investigate objective symptoms and their prevalence in children aged 4 to 36 months.

Main Methods:

  • A hospital-based study involving 1100 children aged 4-36 months with erupting teeth.
  • Data collection through face-to-face questionnaires administered to parents, followed by clinical examination by researchers.
  • Chi-square analysis was used to determine statistical significance (P<.05).

Main Results:

  • Fever (16%), drooling (12%), and diarrhea (8%) were the most frequent manifestations, with combined symptoms also common.
  • Boys showed a higher incidence of diarrhea compared to girls (P<.05).
  • Teething symptoms were most pronounced during primary incisor eruption and significantly more common in children aged 4-24 months compared to those aged 25-36 months.

Conclusions:

  • A clear association exists between primary tooth eruption and common objective manifestations such as fever, drooling, and diarrhea.
  • The eruption of primary incisors is strongly linked to the highest prevalence of these teething symptoms.
Abstract

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