Teething is a process characterized by the axial movement of teeth from a non-functional position (from the bone jaw tissue) to a functional position (on the surface of the alveolar process and gums). Most often, the formation of a temporary bite causes a lot of inconvenience, not only to the baby, but also to his worried parents. In this article from the “Pediatric Dentistry” section, we will try to figure out in what order baby teeth erupt, and what symptoms accompany the development of this process.
Teething: sequence and timing
Normally, teething in babies occurs according to the scheme below:
- central incisors: at 6 months. – in the lower dentition, at 8 months. – on the upper jaw;
- lateral incisors: at 10 months. – in the top row, at 11-13 months. – on the lower jaw;
- first molars (at one year of age);
- canines in the upper row (1 year 4 months);
- canines in the bottom row (1 year 6 months);
- second molars on both jaws (2 years).
The timing of the appearance of the first teeth can vary under the influence of many factors, including:
- toxicosis during pregnancy;
- the presence of Rh conflict;
- prematurity;
- receiving intracranial injury during childbirth;
- infectious diseases;
- congenital hypothyroidism;
- rickets;
- pathology of the pituitary gland;
- neonatal sepsis;
- refusal to breastfeed the baby;
- noticeable weakening of the immune system.
It has been proven that in first-born children, teething occurs much earlier than in infants born at a later time. Boys' first teeth appear later than in girls, while in children of old-time mothers - significantly earlier than in babies born to young parents.
The danger of redness of the throat during this period
During teething, the baby's body weakens and becomes vulnerable to pathogenic bacteria or colds.
When a baby is teething, the child endlessly puts various objects into his mouth, which are not always sterilely clean. It introduces an infection and hyperemia of the tonsils occurs (tonsillitis, pharyngitis, sore throat occur), this is a very dangerous disease for such young children.
If some symptoms intensify and last more than 2-3 days (fever, red sore throat, runny nose with yellow or green discharge, cough or wheezing in the chest), you should consult a pediatrician.
Redness in the throat of a baby may be a sign of diseases:
- mechanical, thermal damage;
- tonsillitis;
- pharyngitis;
- laryngitis;
- tonsillitis;
- allergic reaction;
- ARVI;
- acute respiratory infections;
- diseases of the stomach, esophagus;
- problems with the nasopharynx.
Teething symptoms
There is an opinion that the appearance of the first teeth is accompanied by the development of a whole complex of pathological processes (fever, the appearance of a rash, abnormal stool, vomiting, convulsions, etc.). In fact, the formation of a temporary bite is a natural process that is not characterized by the symptoms described above. Pathologies detected during the teething period are most often manifestations of infectious diseases or a consequence of changes in diet.
In particular, factors that can lead to the appearance of unpleasant symptoms include:
- introduction of artificial complementary foods;
- hypovitaminosis;
- acute viral infections;
- stomatitis;
- tonsillitis;
- runny nose;
- otitis;
- vaccination, etc.
The true symptoms of teething are:
- hyperemia and gradual swelling of the gums;
- the appearance of a small bluish hematoma on the gum tissue;
- slight bleeding from the gums;
- wet cough;
- mild itching caused by mechanical irritation of sensitive nerve fibers in the gum tissue;
- increased salivation;
- various somnological disorders;
- sharp deterioration in appetite;
- tearfulness, capriciousness.
Wisdom tooth is cutting and gums are swollen
Pain and slight swelling can be physiological and caused by the impact of sharp bumps on the soft gum tissue. They can also be a symptom of a pathological process that develops due to lack of space for the normal eruption of the eighth tooth. As a result, the G8's growth is going in the wrong direction. A hood is formed over the crown, under which microparticles of food that cannot be removed by traditional hygiene methods fall, and an inflammatory process develops.
What to do if your wisdom tooth is cutting out and your gums are swollen? If your gums or cheeks are swollen, you need to go to the clinic.
Intense pain and tumor growth on the gums can signal various pathological processes:
- pericoronitis;
- purulent inflammation, abscess, phlegmon;
- periodontitis;
- granuloma, cyst.
If you have a problem similar to that described in this article, be sure to contact our specialists. Don't diagnose yourself!
Why you should call us now:
- We will answer all your questions in 3 minutes
- Free consultation
- The average work experience of doctors is 12 years
- Convenient location of clinics
Single contact phone number: +7
Make an appointment
There are often situations when a wisdom tooth is cut and the cheek is swollen. This usually happens if the inflammatory process begins to spread to soft tissue. A swollen cheek is a sign of the progress of purulent inflammation, and it is dangerous to further delay contacting a periodontist. In most such cases, the “eight” will have to be removed.
First aid for teething
When baby teeth appear, the baby may require not only parental care, but also medical attention. The dentist may recommend that parents use anesthetic dental gels and treat the affected areas of the gums with decoctions of sage, oak bark or soda solution. If the pain is severe, the baby may be prescribed paracetamol, ibuprofen and other systemic painkillers.
To ease the discomfort that a child experiences when teething, it is necessary to use teethers - specialized devices made of rubber or plastic that the baby can bite and gnaw on without risking damage to the soft gum tissue. In addition, it is advisable to regularly massage the child’s gums with a finger wrapped in a clean, damp bandage.
The order of changing baby teeth in children by age
After the age of 3 years, parents can take a little break from the changes. And then, at about 5 years of age, the baby teeth are replaced by permanent teeth. The process begins with the lower incisors. Then, after about a year, chewing “sixes” are cut, which parents may mistakenly mistake for milk ones. After another year, the upper incisors are replaced.
To go through this journey with your child without problems and pain, visit the dentist regularly. Children may experience pain simply from jaw expansion. Your doctor can easily tell you the cause of the discomfort. The age of 6–7 years shows the prospect of bite formation. Here you can quickly correct problems that arise so that by adolescence your child has a smooth, beautiful smile.
Next, the procedure for replacing baby teeth continues with the upper lateral incisors by the age of 8 years. At the age of 9–10 years, the molar first premolars appear, followed by the second premolars a year later. 12–13 years is the age when canines appear, and at 14 years the last second molars are cut.
The procedure for replacing baby teeth ends with the complete formation of a bite of 24 teeth.
Caring for emerging teeth
Teething is an absolute reason for making the first visit to the pediatric dentist. During the consultation, the doctor identifies all deviations in the structure of the child’s dental apparatus, assesses the condition of the frenulum of his lips and tongue, draws up a dental care plan and a plan for preventive visits to the dental clinic.
It is advisable to brush emerging teeth twice a day. Initially, you should use a baby silicone brush or a small piece of gauze without toothpaste for cleaning. A regular toothbrush can be used when the child is one year old, and toothpaste when he reaches two years of age. In addition, it is important to pay attention to the process of enamel mineralization. In particular, it is necessary to limit the consumption of sweets and include foods enriched with calcium, phosphorus and ascorbic acid in the baby’s diet.
What causes fever to rise during teething?
Contrary to the popular belief of parents, an increase in temperature on the teeth is not the norm and does not always accompany teething. In this way, the baby’s fragile body responds to the occurrence of an inflammatory reaction in the gum, through which the first tooth makes its way. In this place, immune defense is reduced, microorganisms living on the mucous membranes are activated - this also provokes temperature surges.
This process is most difficult after a year, when fangs or molars are being cut, since the chewing teeth have several tubercles that cannot appear simultaneously and the process sometimes drags on for up to several weeks. The “eye” teeth are located slightly deeper than the others and must travel a longer path to the gum surface. Therefore, children usually experience quite severe discomfort and prolonged rises in temperature when they appear.
Sometimes fever during this period of life is a sign of an acute infection, which is due to reduced immunity. In this case, the body tries to protect itself from the invasion of viruses or bacteria and increases the temperature, which is destructive for pathogens.
Symptoms
Gingivitis has a main symptom by which it is easily identified - inflammation affecting the child’s gums. The process begins with a slight redness that quickly gains strength. This signal often goes unnoticed by parents, and children go to the dentist with an active inflammatory process, bright red swollen gums, burning, and pain. These signs indicate that the disease has entered an acute phase.
Children suffer most from the catarrhal form of this disease, which can be chronic or acute. In the first case, the symptoms are not pronounced, pain occurs only when brushing, there is slight swelling, redness, and cyanosis of the gums.
A sign of an acute form of the disease is intoxication of the child’s body. It manifests itself as headache, nausea, lethargy, and fever.
The most complex type of disease, ulcerative gingivitis, manifests itself as follows:
- the inflammatory process progresses;
- their structure changes;
- there is an unpleasant odor from the mouth;
- lymph nodes in the neck enlarge;
- saliva is produced profusely;
- the skin turns pale.
If these signs are left unattended, an ulcerative-necrotic form of the disease may occur, when necrotic areas with a gray-green coating and a putrid odor appear on the gums, saliva becomes viscous, body temperature rises and the general condition significantly worsens.. All this indicates severe intoxication in organism.
During puberty in a teenager or if he has problems with hormones, hypertrophic gingivitis occurs. It occurs due to improper orthodontic treatment of dental anomalies. The inflammatory process is accompanied by increased growth of gingival tissue, which leads to partial closure of dental crowns. This form of the disease is usually localized. One or two gums are affected, sometimes the affected area expands. The most common location is the lower anterior incisors and canines.
Atrophic gingivitis does not have a pronounced inflammatory process and occurs without pain, although over time it can be complicated by periodontal disease.
What to do when the temperature rises
Often parents, even with a slight fever, begin to actively treat the child with antiviral, antipyretic and antibacterial drugs. Even if this symptom is due to the appearance of the first teeth. Most pediatricians (including Dr. Komarovsky) are against such radical methods. Why shouldn't you do this?
A temperature of 37 degrees and above is a kind of protective reaction of the body and helps it more actively produce antibodies against viruses and bacteria. Low body temperature does not allow you to effectively fight infection. Therefore, sometimes it is worth not interfering with natural processes and immediately suppressing even minor signs of fever.
But you shouldn’t fall into inaction either. If the fever reaches significant numbers (38 degrees or higher) and is accompanied by a change in the general condition of the child, then prescribing antipyretic drugs for high fever is a primary measure.
If the rise in temperature is not controlled by conventional medications, then it is possible to scrub the child with cool water or an vinegar-alcohol mixture.
If the fever does not subside within 3 days, then you must definitely visit your treating pediatrician to decide on further examination and the possibility of prescribing antibiotics or other medications.
Some parents prefer homeopathy in such cases. Such drugs do not effectively reduce the temperature, but they can alleviate the baby’s general condition and speed up the recovery process. A prerequisite before taking homeopathic medicines is to consult a specialist.
Methods for reducing temperature
To reduce fever in young children, you can only use drugs based on paracetomol or ibuprofen in the form of syrups and suppositories. Tablets are not given to children under 3 years of age, as it is difficult to correctly calculate the dosage of the medicine.
When the temperature is high, the child needs to be given water often. Warm water, fruit drinks and compotes without sugar, and children's tea with rose hips are suitable. If the child is breastfeeding, continue breastfeeding as required and supplement between feedings.
The room of a sick child must be regularly ventilated and the air humidity in it must be at least 40%. To do this, you can use humidifiers or at least hang wet towels. The room temperature should not be higher than 18-20 ℃.
Thus:
- Temperature during teething in babies of the first year of life, one year and older is normal if other reasons for its increase are excluded.
- During teething, the temperature lasts an average of 1-3 days.
- Temperatures above 38.5 ℃ should be alarming, since during teething it increases by only half a degree.
- Temperatures above 38.5 ℃ should be brought down. If the child is capricious and does not feel well, then an antipyretic can be given at a lower temperature.
- The temperature of young children is brought down with paracetamol and ibuprofen in the form of syrups and suppositories. The room where the child is located must be regularly ventilated, wet cleaned, and ensure normal humidity and temperature. A sick child should be provided with rest and plenty of warm drinks.
(0 ratings; article rating 0)
Share Share Share