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Teething in children

Dr. Charminder Kaur

Babies are born with an almost completely developed set of teeth hidden under their tiny gums. When teething, the teeth begin to erupt from under their gums. Proper care of teeth of your children is a hygienic essential and must be given due importance.

Dentition is a purely physiological process and should run a normal, uneventful course. Unfortunately, this is not always the case, and there is no doubt that many infants are unnaturally peevish and uncomfortable and have derangements of digestion when they are teething.

Babies are born with an almost completely developed set of teeth hidden underneath their tiny gums. "Teething" refers to the point at which baby teeth begin to erupt from the surface of the gumline and parents can actually begin to "see" the teeth

The teeth, which are erupted in infancy, are known as the milk teeth. These teeth are 20 in number and are gradually replaced by permanent teeth, which number 32.

The eruption of the teeth begins at about the sixth month although some children begin dentition later. It is usually finished by the second year. Any condition, which interferes with nutrition, or any constitutional disease, which disturbs calcium metabolism, results in delayed dentition and eruptions of imperfectly developed perishable teeth.

As a tooth erupts an eruption cyst may develop. The tooth will eventually rupture this watery sac as it pushes through the gums. Eruption cysts are usually harmless and should be left alone.

Proper care of the teeth is a hygienic essential as carious teeth are a serious menace to health. The milk teeth should be preserved as long as possible for premature loss interferes with the growth and development of the jaw.

Some Teething Symptoms May Include

  • Increased fussiness; nighttime crying and excessive possessiveness for mother.
  • Excessive drooling.
  • Red cheeks.
  • Chewing on fingers, teething rings, and other objects.
  • Swollen, red (or bluish-purple), inflamed gums.
  • Increased demand in nursing or bottle-feeding.
  • Rejection of br**st or bottle because sucking hurts gums.
  • Poor appetite.
  • Slight fever.
  • Runny nose.
  • Diarrhea.
  • Interrupted sleep.

Comfort Your Child with

  • Gently rubbing your child’s gum with a clean finger, a small, cool spoon or a wet gauze pad can be soothing.
  • A clean teething ring for your child to chew on may also help
  • When the teeth begin to erupt, brush them with a soft-bristled toothbrush and a little bit of water to prevent tooth decay. Toothpaste is not recommended until a child reaches age two. At that time, supervise brushing to ensure that your child does not swallow the toothpaste.
  • Clove Oil: clove is a numbing agent. It should be diluted with water before being smeared on the gums.
  • Smear amla powder mixed with honey on gums
  • Shankh bhasm, a good source of calcium, should be administered orally in dosage of 50mg once a day with water.

The usual order of eruption of permanent teeth is as follows:

  • The eruption of the permanent teeth begins about the sixth year, when molars being the first to appear.
  • At seven to eight years the incisors erupt
  • At nine to ten years the premolars
  • At 12 years the canines
  • Between the twelfth and fifteenth year the second molars
  • Between the seventeenth and twenty-first year the third molars or wisdom teeth.

The usual order of eruption of milk teeth is as follows:

  • At six to eight months, the two lower central incisors
  • One month later by the upper central incisors
  • Within the next three months upper lateral incisors
  • At the end of one year anterior molars
  • At 14 months the lower lateral incisors come through the gums
  • And then the lower anterior molars.
  • Between 16 and 18 months the canine teeth eruptions
  • At the end of two years the posterior molars appear.
  • Ordinarily at the end of one year there are six teeth; at 18 months there are 12 teeth; at two years 16 teeth; and at two and one-half years, the 20 milk teeth should all have erupted.

 

 

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