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Teething

Samuel Galima, DO Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Teething is the eruption of primary or deciduous teeth from their development position within alveolar bone to break the gum toward the oral cavity. It is a natural, gradual, and pre...

DIAGNOSIS

HISTORY

  • Symptoms most often occur 4 days before eruption and resolve by 3 days after eruption.

  • Sign/symptom (percentage prevalence)

    • Gingival irritation (86.8)

    • Irritability (68.2)

    • Drooling (55.7...

TREATMENT

GENERAL MEASURES

  • Educating parents regarding common symptoms of teething and management options resulted in decreased use of pharmacologic treatment and increased use of other methods such as...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • First dentist visit should occur with 6 months after first tooth appears and no later than 12 months of age.

  • Routine well child visits with primary care provider

DIET

REFERENCES

1
Memarpour M, Soltanimehr E, Eskandarian T. Signs and symptoms associated with primary tooth eruption: a clinical trial of nonpharmacological remedies. BMC Oral Health.  2015;15:88. [V...

ADDITIONAL READING

CODES

ICD10

K00.7 Teething syndrome 

ICD9

520.7 Teething syndrome 

SNOMED

  • 8004003 teething syndrome (disorder)

  • 247349000 painful teething (finding)

CLINICAL PEARLS

  • Use a chilled or rubber teething ring or gently rub or massage the child’s gums with your finger to relieve the symptoms.

  • Avoid OTC benzocaine or lidocaine due to FDA boxed warning.

  • Teet...

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