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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.
Objective:
The aim of this study was to present data as responded by parents on teething manifestation during eruption of primary teeth and the occurrence of objective manifestations in children ages 4 months to 36 months.
Settings And Design:
Hospital based face-to-face questionnaire study.
Study Design:
One thousand and one hundred children ages four to 36 months who had at least one erupting tooth were included in the study. Parents were asked to complete a short questionnaire and children were then checked by one of the authors.
Statistical Analysis Used:
Chi-square analysis was performed to analyze information obtained. Level of significance was set at P<.05.
Results:
There were 660 girls (60%) and 440 boys (40%) in the study. The most frequent clinical manifestations were: Fever (16%), drooling (12%), diarrhea (8%), fever-drooling (15%), fever-diarrhea(8%) and drooling-diarrhea (6%). In the study sample, boys demonstrated a higher prevalence of diarrhea than girls (P<.05). No statistical significance regarding other clinical manifestations and gender were observed. Teething manifestations were most prevalent during the eruption of primary incisors. Occurrence of clinical manifestations in 4-12 months and 13-24 months age was statistically significant when compared with 25-36 months age (P<0.05).
Conclusions:
An association has been shown between general objective manifestations like fever (the most prevalent), drooling and diarrhea, and the eruption of primary teeth. Most manifestations appeared during the eruption of the primary incisors.
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