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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
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Teething - filling in the gaps…
Sajida Mamdani1, Sadna Rajan2, Nabina Bhujel3
1Specialty Registrar in Paediatric Dentistry, The Royal London Dental Hospital, Barts Health NHS Trust, E1 1FR, UK. sajida.mamdani@nhs.net.
British Dental Journal
|August 23, 2024
Summary
Teething in infants is a normal process, but its varied symptoms can complicate diagnosis. Dentists should follow a five-step management plan to ensure proper care and avoid misdiagnosis of serious conditions.
Area of Science:
- Pediatric Dentistry
- Infant Oral Health
- Clinical Diagnosis
Background:
- Teething is a common concern for parents and dental professionals.
- The wide range of symptoms attributed to teething can present diagnostic challenges.
- Misdiagnosis can delay treatment for systemically unwell children, leading to severe consequences.
Purpose of the Study:
- To address knowledge gaps in teething diagnosis and management for dental professionals.
- To ensure accurate diagnosis and appropriate referral of infants and young children.
- To provide frontline dental professionals with preliminary information on teething.
Main Methods:
- Review of the National Institute for Health and Care Excellence (NICE) clinical knowledge summary on teething.
- Outline of a five-step management process for teething.
- Emphasis on history-taking, clinical examination, diagnosis, and referral protocols.
Main Results:
- A structured five-step approach to managing teething symptoms is presented.
- Key steps include: urgent medical review for unwell children, parental reassurance and advice, non-pharmacological strategies, pharmacological intervention, and safety-netting.
- The importance of differentiating teething from serious conditions is highlighted.
Conclusions:
- Appropriate diagnosis and management of teething are crucial for infant health.
- Dental professionals require updated knowledge to effectively manage teething and refer appropriately.
- Implementing a systematic approach can improve patient outcomes and prevent diagnostic errors.
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