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Teething: Krishna Chauhan 55 3 Year

Teething is a time at which deciduous or permanent teeth errupts. This ppt explains u all the complications and problems related to it.

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krishna
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111 views

Teething: Krishna Chauhan 55 3 Year

Teething is a time at which deciduous or permanent teeth errupts. This ppt explains u all the complications and problems related to it.

Uploaded by

krishna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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TEETHING

KRISHNA CHAUHAN
55
3RD YEAR
DEFINATION
 Teething is emergence of the primary(babay)
teeth through baby or child’s gums. Teething
usually begins between four and seven months
of age. While the lower central bottom
teeth(central incisor) are normally first primary
teeth to erupt, the teething process can be vary
among individual babies.
 Normally all 20 of the primary by the time a child
reaches age three. Teething can be associated with
the mild pain and other symptom including excessive
drooling, fussiness, disrupted sleep, and slightly
elevated body temperature.
WE WILL BE DISCUSSING ABOUT:
 1. Sign and symptom of teething.
 2. Management of teething.
 3. Teething problems.
SIGNS AND SYMPTOMS OF TEETHING
Macknin et al identified several symptom to be associated with
teething like:
 general irritability,
 disrupted sleep,
 gum inflammation,
 drooling
 loss of appetite
 diarrhea
 circumoral rash
 intraoral ulcers
 increase biting
 gum-rubbing
 sucking
 wakefulness and ear rubbing, to be temporally related to
teething.
MANAGEMENT OF TEETHING
 There are following types of teething
management:
1.Nonpharmacological management
2. Pharmacological management.
3. Alternative holistic medicine.
4. General advice.
NONPHARMACOLOGICAL MANAGEMENT
 Teething ring.
 Gnaw
 Solid silicon based teething ring and liquid filled
teething ring.
 Temporary pain relief by chewing the teething
ring.(chilled first)
 Should be attached on infants clothing not tied on
neck.
 Rusks.
 Peeled cucumber to frozen bananas.
 Pacifiers.
 Reassurance.
PHARMACOLOGICAL MANAGEMENT
 Its not preferred by the parents,
however a wide range of effective
topical agents and systemic
preparations are available when local
measures fail to provide relief:-
 Topical agents.
 Lignocaine based products.
 Choline salicylate based products.
 Systemic analgesics.
ALTERNATIVE HOLISTIC MEDICINE

1. Acupressure
2. Aromatherapy
3. Massage
4. Homeopathy
GENERAL ADVICE
 Outdated practices are harmful.
 Dipping sugar, honey pr jam on the feeding
bottle has no pain relieving effect.
 Teething remedies to be kept away from the
reach of children.
 Repeated application of alcohol on oral mucosa
as local anesthetic agent should not be applied
as it may lead to hypoglycemia.
 Teething remedies should not be added in food.
TEETHING PROBLEMS

 ERUPTION HEMATOMA(ERUPTION CYST)


 A bluish purple, elevated area of tissue, commonly
called eruption hematoma, occasionally develops
few weeks before few weeks before the eruption
of primary or permanent tooth.
 Blood filled cyst is common frequently seen in the
primary 2nd molar and 1st premolar regions. Its
result of trauma of the soft tissues during
functioning and within few day the tooth breaks
through tissue and trauma subsides.
 Eruption sequestrum.
• Occasionally in children at times of the
eruption of 1st premolar.
• It composed of cementum like material
formed in the dental follicle.
• Hard tissue fragment is gen overlaying the
central fossa of the associated tooth
embedded and contoured within the soft
tissues.
• No clinical significance.
• In case eruption sequestrum is causing
local irritation and have surface through the
mucosa it can be easily removed.
 Ectopic eruption
 Arch length inadequacy or a variety of
local factors causing the eruption of
tooth in a position other than normal.
NATAL AND NEONATAL TEETH
 Teeth present at the time of birth is
known as natal teeth. Its also known
as “congenital teeth”, “fetal teeth”&
“dentition praecox”.
 If the teeth erupts within 30 days of
birth is called neonatal teeth.
 Neonatal teeth are present with hypoplastic
enamel and underdeveloped roots with
resultant mobility however much teeth also
should be further classified degree of
maturity :-
 1. Mature natal or neonatal tooth is one that exhibits
normal development hence has a relatively good
prognosis.
 2. the term immature natal and neonatal
tooth implies defective development and
poor prognosis for retention.
 Prevalence
 The reported prevalence of natal and
neonatal teeth has varied considerable
e in every 11.25 to 30000 birth.
 More prediction in females.

 Teeth Affected
• The teeth most often affected are lower
primary Central Incisor
 Etiology
 It is thought to be due to
hypovitaminosis, hormonal stimulation,
trauma febrile states and syphilis but a
cause and effect relationship has not
yet been established.
 Superficial positioning of developing
tooth germ.
 Hereditary factors.
 Associated with multisystem syndrome
and development abnormal providing
the evidence of genetic contribution.
 Clinical appearance
 May resemble normal primary teeth in some
instances they are poorly developed small conical
with white hypoplastic enamel and dentin and with
poor or total failure of development of roots.
 The appearance of each natal tooth can be classified
in one of the following categories by Hebling(1997):-
 Category 1 A shell like crown structure loosely
attached to the alveolus by Rim of oral mucosa; no
roots
.
 Category 2 A solid crown loosely
attached to the alveolus by oral
mucosa; Little or no root.
 Category 3 The incisal edge of the
crown just erupted through the oral
mucosa.
 Category 4 Mucosal swelling with the
root unerupted but palpabel.
 Histology
• Hypoplastic enamel.
• Absence of root formation.
• lack of cementum formation.
• Alteration of epithelium of the normal
columnar enamel to a stratified
squamous configuration.
 Management

 Radiograph should be made to determine the amount


of root developed and the relationship of prematurely
erupted tooth to its adjacent teeth.
 To control inflammation of the gingiva around the
teeth chlorhexidine gluconate gel to be applied 3
times a day.
 Most prematurely erupted tooth are hyper mobile
because of the Limited root development. Some
teeth are mobile to extent that there is danger of
aspiration in which case the removal of tooth is
indicated.
 After removal of tooth careful curettage of the socket
is indicated in an attempt to remove any orthodontic
cellular remnant that my otherwise be left in the
extraction site.
 Eruption of neonatal teeth may cause difficulty
for mother who wishes to breastfeed her
infant. if breastfeeding is too painful for
mother initially the use of breast pump and
bottling the milk are recommended.
 The preferred approach is however to leave
the tooth in place and to explain the parent
the desirability of maintaining this tooth in the
mouth because of its importance in growth.
 Complications
 Traumatic ulcerations on the ventral surface of
the tongue, frenulum or lip is the most commonly
associated application of natal teeth.
 Ulceration of the sublingual area in infants was
first described in 1857 by Cardarelli.
 Rega and fede in 1881 and 1890 described this
lesion as "Riga-Fede disease. Although a more
appropriate descriptive term is neonatal
"sublingual traumatic ulceration".
 Non eruption of teeth
 In case of non eruption it is advisable to give
minor incision to facilitate their eruption if they
are not associated with impaction or pathologies.
  
UNDERSTOOD ABOUT MY TEETHING?
ANY DOUBT?
THANKYOU! I HOPE U ENJOYED!

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