Teething and Tooth Eruption in Infants: A Cohort Study

Wake, Melissa; Hesketh, Kylie; Lucas, James O

doi:10.1542/peds.106.6.1374

Cited by 113 publications

(133 citation statements)

References 15 publications

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“…However, the study conducted in Australia found no associations between teething in institutionalized infants and signs and symptoms. 11 The conclusion of all prospective studies is that no specific symptoms can reliably predict the emergence of a tooth. Furthermore, signs and symptoms that can be attributed to teething are not serious; thus, the presence of fever (Ͼ38.5°C) or other clinically important symptoms is very unlikely to be caused by tooth eruption.…”

Section: Discussionmentioning

confidence: 99%

“…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. 11 However, such an association was found in a study conducted in Cleveland, Ohio, involving 111 infants between 3 and 5.6 months of age at the beginning of the data-collection period.…”

mentioning

confidence: 99%

“…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. 11 However, such an association was found in a study conducted in Cleveland, Ohio, involving 111 infants between 3 and 5.6 months of age at the beginning of the data-collection period. 10 The parents read the tympanic temperature and observed the presence or absence of 18 symptoms on a daily basis until the infants reached 12 months of age.…”

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confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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

et al. 2011

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“…Other studies have failed to identify daytime restlessness, diarrhoea, bronchitis, an increase in finger sucking, gum rubbing, drooling and a loss of appetite in teething children, 9,13 whilst Wake et al (2000) 11 could not confirm a strong association between a range of teething symptoms and tooth eruption. Although Macknin et al (2000) 1 identified several symptoms (see above) to be associated with teething, congestion, sleep disturbance, stool looseness, increased stool number, decreased liquid appetite, cough, non-facial rashes, fever and vomiting were not significantly associated with tooth emergence.…”

Section: Symptomsmentioning

confidence: 96%

Teething troubles?

McIntyre¹,

McIntyre²

2002

Br Dent J

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The relationship between the eruption of the deciduous teeth and the general health of infants has been documented for over 5,000 years. A variety of physical disturbances (anything from minor upsets to potentially fatal illnesses) have historically been attributed to teething, however a number of recent publications have alluded to a clarification of some of the disputed features of teething. It is now accepted that the localised symptoms of teething vary between individuals, however, 'teething' continues to be an inappropriate diagnosis proffered by both healthcare professionals and lay people. Severe systemic upsets are unrelated to teething and, if present, the infant should be promptly referred to a physician for an accurate diagnosis and appropriate treatment. The treatment modalities used in teething have been diverse throughout the ages, frequently depending on the tenets of the medical profession and lay people, but now principally involve pain relief. This article examines the signs and symptoms frequently attributed to teething and their possible alternative causes. The contemporary principles of the management of teething are discussed, including supportive measures, the diverse range of available topical and systemic pharmacological preparations and the 'alternative' holistic therapies.

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“…However, some studies found no associations with teeth eruption and health problems such as infections, fever, and diarrhea. [19,20] In this study, 1.3% mothers had taken no action in response to the health problems of children. One fourth of mothers had treated their children at home; majority of them bought medicines from prescriptions or experience of previous illness followed by home remedies.…”

Section: Discussionmentioning

confidence: 67%