Teething is a term limited by common usage to eruption of primary dentition.

Since the time of Hippocrates (460 -377 BC) teething is blamed for ailments such as fever, convulsions, bronchitis, otitis media and diarrhea for causing 12% of the death in children under four years.

Complete opposite views are also available as far as Teething is concerned. It is seen that these local and systemic factors are associated with the disease somewhere also and just as a coincidence appear with teething.

Eruption of primary dentition usually begins in the fifth or sixth month of a child’s life.

The appearance of normal teeth is eagerly awaited by the parents since it represents an important early milestone in development.

In most cases teething causes no distress to the child or parents but sometimes the process causes local irritation, which is usually minor but which maybe fewer enough to interfere with the child’s sleep.

Clinical Features of Teething

Local signs:

  • Hyperemia or swelling of the mucosa overlying the erupting teeth.
  • Patches of erythema on the cheeks
  • Flushing may also occur in the skin of the adjacent cheek.

Systemic signs:

  • General irritability and crying
  • Loss of appetite
  • Sleeplessness. restlessness
  • Increased salivation and drooling
  • InsaIlity
  • Meningitis
  • Increased thirst
  • Circumoral rash
  • Cough

Associated problems of Teething

Systemic:

  • Fever
  • Convulsions
  • Diarrhea
  • Vomiting
  • Bronchitis
  • Cholera
  • Tetanus
  • Infantile paralysis

Local:

  • Eruption hernatoma
  • Erupt sequestrum
  • Ectopic eruption
  • Transm.igration
  • Transposition