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teething syndrome

normal process of teeth breaking through the gums Clinical manifestations: - normally infants start teething when they are 6 months old - drooling - chewing on solid objects - crying - irritability - insomnia - loss of appetite - gum tenderness - gum erythema & edema Management: - gently rubbing or massaging the gums with one finger - teething rings made of firm rubber are helpful - do not use topical benzocaine [7] Notes: - homeopathic teething tablets & gels may pose a risk to cause seizures in infants & children [5] - certain homeopathic teething products found to contain belladonna [6]

General

syndrome sign/symptom

References

  1. Johnson S amd Kricik K Teething Syndrome http://www.healthline.com/health/teething#Overview
  2. WebMD: Teething - Topic Overview http://www.webmd.com/parenting/baby/tc/teething-topic-overview
  3. Wikipedia: Teething http://en.wikipedia.org/wiki/Teething
  4. Adler C, Hefner JE Fever Doesn't Seem to Be a Symptom of Teething, Meta-Analysis Finds Physician's First Watch, Feb 18, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org Pediatrics article, presumptively - Massignan C, Cardoso M, Porporatti AL Signs and Symptoms of Primary Tooth Eruption: A Meta-analysis. Pediatrics. 2016 Mar;137(3):e20153501. Epub 2016 Feb 18. Review. PMID: 26908659
  5. FDA Safety Alert. 09/30/2016 Homeopathic Teething Tablets and Gels: FDA Warning - Risk to Infants and Children. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm523435.htm - NEJM JWatch editors FDA Investigating Whether Infant Deaths Connected to Homeopathic Teething Products. Physician's First Watch, Oct 20, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
  6. FDA Safety Alert. Jan 27, 2017 Certain Homeopathic Teething Products: FDA Warning- Confirmed Elevated Levels of Belladonna. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm538687.htm
  7. FDA Safety Watch. May 23, 2018 Oral Over-the-Counter Benzocaine Products: Drug Safety Communication - Risk of Serious and Potentially Fatal Blood Disorder. https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm608612.htm
  8. Teething: 4 to 7 Months healthychildren.org https://www.healthychildren.org/English/ages-stages/baby/teething-tooth-care/pages/Teething-4-to-7-Months.aspx