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Teething, Pediatric

Karen R. Fratantoni, MD, MPH and Anupama R. Tate, DMD, MHP Reviewed 10/2018
 


BASICS

DESCRIPTION

Teething is the normal developmental process of primary tooth eruption whereby the tooth moves from its position in the alveolar bone through the mucosa into the mouth. Parents/careg...

DIAGNOSIS

Consider the following diagnostic approach when evaluating an infant or toddler who presents with chief complaint of teething: 
  • Careful history and physical exam

  • Evaluation of signs/symptoms i...

TREATMENT

GENERAL MEASURES

  • Nonpharmacologic

    • Application of cold objects onto the gums causes vasoconstriction and reduces inflammation.

    • Biting on teething rings or other objects can offer relief by apply...

ONGOING CARE

PATIENT EDUCATION

ADDITIONAL READING

  • Kozuch M, Peacock E, D’Auria JP. Infant teething information on the world wide web: taking a byte out of the search. J Pediatr Health Care.  2015;29(1):38–45. [View Abstract on...

CODES

ICD9

520.7 Teething syndrome 

ICD10

K00.7 Teething syndrome 

SNOMED

  • 8004003 teething syndrome (disorder)

  • 247349000 painful teething (finding)

FAQ

  • Q: When does a child need to see the dentist?

  • A: Every infant should receive an oral health assessment from the primary care provider by 6 months of age to assess the patient’s risk for oral diseas...

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