Parents’ and medical personnel's beliefs about infant teething

Sarrell, E. Michael; Horev, Zeev; Cohen, Zeev; Cohen, Herman Avner

doi:10.1016/j.pec.2004.05.005

Cited by 45 publications

(69 citation statements)

References 9 publications

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“…[3][4][5][6][7][8][9][10][11] Moreover, the eruption of primary teeth has been assumed among parents to be associated with behavioral and systemic changes. [12][13][14][15][16][17] The period of time that tooth eruption occurs can be very frustrating and stressful for parents, especially when it happens to their first offspring. Many parents do not know how to identify the signs of tooth eruption in their children and, therefore, do not feel confident to relieve the discomfort of the child.…”

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confidence: 99%

Signs and Symptoms of Primary Tooth Eruption: A Meta-analysis

Massignan¹,

Cardoso²,

Porporatti³

et al. 2016

Pediatrics

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CONTEXT: Symptoms associated with the primary tooth eruption have been extensively studied but it is still controversial. OBJECTIVE:To assess the occurrence of local and systemic signs and symptoms during primary tooth eruption.DATA SOURCES: Latin American and Caribbean Health Sciences, PubMed, ProQuest, Scopus, and Web of Science were searched. A partial gray literature search was taken by using Google Scholar and the reference lists of the included studies were scanned. STUDY SELECTION:Observational studies assessing the association of eruption of primary teeth with local and systemic signs and symptoms in children aged 0 to 36 months were included.DATA EXTRACTION: Two authors independently collected the information from the selected articles. Information was crosschecked and confirmed for its accuracy. RESULTS:A total of 1179 articles were identified, and after a 2-phase selection, 16 studies were included. Overall prevalence of signs and symptoms occurring during primary tooth eruption in children between 0 and 36 months was 70.5% (total sample = 3506). Gingival irritation (86.81%), irritability (68.19%), and drooling (55.72%) were the most frequent ones.LIMITATIONS: Different general symptoms were considered among studies. Some studies presented lack of confounding factors, no clear definition of the diagnostics methods, use of subjective measures and long intervals between examinations.CONCLUSIONS: There is evidence of the occurrence of signs and symptoms during primary tooth eruption. For body temperature analyses, eruption could lead to a rise in temperature, but it was not characterized as fever.

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confidence: 99%

Signs and Symptoms of Primary Tooth Eruption: A Meta-analysis

Massignan¹,

Cardoso²,

Porporatti³

et al. 2016

Pediatrics

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“…Moreover, some of these signs and symptoms may imply more serious conditions. 1 Although some studies involving parents, pediatricians, and other health care professionals have associated teething with signs and symptoms, [2][3][4][5][6][7][8][9] prospective studies have offered contradictory findings. 10,11 In a study involving 21 children aged between 6 months and 2 years institutionalized at day care centers in Melbourne, Australia, tympanic temperature readings and clinical oral examinations were conducted, and the results did not confirm any association between tooth eruption and disturbances.…”

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confidence: 99%

Prospective Longitudinal Study of Signs and Symptoms Associated With Primary Tooth Eruption

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT:Currently, there is not enough scientific evidence to indicate that the eruption of primary teeth causes systemic manifestations in infants. Signs and symptoms such as fever, diarrhea, irritability, and sleep disturbance may indicate more serious conditions. WHAT THIS STUDY ADDS:Results of this study contribute toward supporting the concept that teething is not associated with severe signs and symptoms. Thus, health professionals involved in the care of infants should seek other causes before attributing severe signs and symptoms to teething. abstract OBJECTIVE: To assess the association between primary tooth eruption and the manifestation of signs and symptoms of teething in infants. METHODS:An 8-month, longitudinal study was conducted with 47 noninstitutionalized infants (ie, receiving care at home) between 5 and 15 months of age in the city of Diamantina, Brazil. The nonrandomized convenience sample was based on the registry of infants in this age range provided by the Diamantina Secretary of Health. Eligible participants were infants with up to 7 erupted incisors and no history of chronic disease or disorders that could cause an increase in the signs and symptoms assessed in the study. Tympanic and axillary temperature readings and clinical oral examinations were performed daily. A daily interview with the mothers was conducted to investigate the occurrence of 13 signs and symptoms associated with teething presented by the infants in the previous 24 hours. RESULTS:Teething was associated with a rise in tympanic temperature on the day of the eruption (P ϭ .004) and with the occurrence of other signs and symptoms. Readings of maximal tympanic and axillary temperatures were 36.8°C and 36.6°C, respectively. The most frequent signs and symptoms associated with teething were irritability (median: 0.60; P Ͻ .001), increased salivation (median: 0.50; P Ͻ .001), runny nose (median: 0.50; P Ͻ .001), and loss of appetite (median: 0.50; P Ͻ .001).CONCLUSIONS: Irritability, increased salivation, runny nose, loss of appetite, diarrhea, rash, and sleep disturbance were associated with primary tooth eruption. Results of this study support the concept that the occurrence of severe signs and symptoms, such as fever, could not be attributed to teething. Pediatrics 2011;128:471-476

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“…1,4,[10][11][12] The fever response is considered an integral part of the acute inflammatory reaction and is produced by interleukin-1 (IL-1), which is an endogenous pyrogen that activates specialized receptors located in the hypothalamus. 13 IL-1 is produced by different cells, including macrophages, monocytes, osteoclasts, A cells, neutrophils, fibroblasts and epithelial cells [14][15][16][17] and is secreted in the extracellular fluid in two molecular forms, alpha and beta, both of which have proinflammatory effects.…”

Section: -9mentioning

confidence: 99%

“…Teething requires care from those who deal directly with the health of these children, such as parents, dentists and pediatricians 1,2 due to the possible effects on the health of the child. However, this association has been the object of debate in recent years 3,4 and studies addressing this issue have involved different methodologies and populations, with insufficient samples for scientific validation and generalization to the larger population.…”

Section: Introductionmentioning

confidence: 99%

“…However, this association has been the object of debate in recent years 3,4 and studies addressing this issue have involved different methodologies and populations, with insufficient samples for scientific validation and generalization to the larger population. 1 A number of studies consider systemic signs merely coincident with period of teething.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Gingival Mucosa of Infant Rats during Teething

Carvalho

et al. 2013

JCDP

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Aim:The aim of the present study was to perform a histological analysis of the gingival mucosa in infant rats undergoing the teething process. Materials and methods:Eighteen Wistar rats between 8 and 15 days of life were distributed among three groups: group A-without teething; group B-eruption of incisors; and group C-eruption of incisors and molars. The samples included teeth and periodontal tissue from the region of the incisors and molars of each animal. Fragments were processed for histological analysis and submitted to immunohistochemical analysis. Results:In the 8-day-old rats, mild inflammatory infiltrate predominated with mononuclear cells in the pericoronal follicles of the incisors and molars. At 12 days of age, all animals exhibited moderate inflammation in the pericoronal follicles and epithelium of the incisors and mild inflammatory infiltrate with predominantly mononuclear cells in the molars. At 15 days of age, moderate neutrophilic exudate was found in the pericoronal follicles and epithelium of the incisors and molars. Immunohistochemical analysis revealed positivity for interleukin1b in the pericoronal follicles in the pre-eruption phase. Conclusion:An inflammatory reaction with progressive intensity occurs during the teething process, the response of which is preceded by the release of interleukin-1b.Clinical significance: Morphological proof of events that occur during teething that can affect the dynamics of the physiologic process manifesting as clinical symptoms.

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Parents’ and medical personnel's beliefs about infant teething

Cited by 45 publications

References 9 publications

Signs and Symptoms of Primary Tooth Eruption: A Meta-analysis

Signs and Symptoms of Primary Tooth Eruption: A Meta-analysis

Prospective Longitudinal Study of Signs and Symptoms Associated With Primary Tooth Eruption

Assessment of Gingival Mucosa of Infant Rats during Teething

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