Teething problems and their management.pptx

Nmmm

1. Teething problems and their management

2. Contents Introduction Time of teething Order of eruption Signs &symptoms of teething Transposition Infraocclusion Impacted teeth Natal and neonatal teeth Ankylosis References

3. What is teething? Teething is the process by which an infant teeth erupt or break through the gums. Teething is also referred as cutting of the teeth. It is medically termed as odontiasis

4. When do babies start teething? The onset of teething symptoms typically precedes the eruption of a tooth by several days. While a baby first tooth can present between 4 and 10 months of age. The first tooth usually erupts at approximately 6 months of age.

5. Signs associated with teething Systemic General irritability and crying Fever above 101F Diarrhea runny nose and cough Increased thirst Loss of appetite Rash over the body Local Increased drooling Restless or decreased sleeping Refusal of food Bringing hands to the mouth Mild rash around the mouth Rubbing the cheeks or ear region

6. Teething symptoms Symptoms of teething often occur a few days (or even weeks) before the tooth comes through the gum. Common signs and symptoms include: Red and swollen gums. Red flushed cheek or face. Rubbing their ears on the same side as the tooth which is coming through. Waking more at night and generally being more unsettled. Inconsistent feeding. Rubbing their gums, biting, chewing or sucking more.

7. Treatment for teething Many babies and children will have minimal or no symptoms when they are teething so will not need any treatment . However, the following may be useful for those who are having symptoms : General advice Gently rubbing over the affected gum with your clean finger may ease the pain. Many children find that biting on a clean and cool object is soothing (for example, a chilled teething ring or a clean, cold, wet flannel). Chewing on chilled fruit or vegetables may help. However, teething biscuits (or rusks) should be avoided as they contain sugar.

8. Medicine to help the pain If your child is in pain or discomfort with their teething, then giving a pain reliever such as paracetamol or ibuprofen may help. These should be given at the recommended doses for their age. There is no evidence that complementary treatments are of any benefit for teething - for example, herbal teething powder . Teething gels There are teething gels available which contain a local anaesthetic or mild antiseptic (for example, Bonjela ® or Calgel ®). The local anaesthetic is usually lidocaine . Experts advise against using these gels for teething pain. This is because there is not much evidence that they help for very long and there is evidence that they can cause harm