If you imagine a toddler, what do you see? Irritable tooth with fever, pain and general malaise?
Teething is a normal process of development that people have long been associated with. However, the evidence says otherwise.
How Strong Is This Evidence? Is there anything you can do to help the child grow up? How about gels and teeth?
The medical myth on Monday: tooth teeth cause fever
Tooth extraction is when new teeth appear through the gums and usually begin at about six months of age.
A review of 1
Although body temperature may slightly increase , the review found bad evidence that teeth cause fever. Many tooth related symptoms, such as irritability, sleep disturbance, and saliva, are difficult to measure objectively, and are based on what the parents are reporting, which is subjective and may be inaccurate.
And as it comes in and out, and weather is relatively unpredictable, even measuring measurable symptoms such as temperature changes in a reproducible and reliable way is virtually impossible.
So low tooth problems seem to be overly reported in the types of research that rely on people who remember what happened.
What else can cause the symptoms?
Other biological triggers can actually explain the symptoms traditionally associated with teething. The performance of teeth coincides with normal changes in the immunity of children; maternal antibodies are transferred to babies during pregnancy and help protect the baby during the first 6-12 months of life, but begin to decrease at approximately the same time as tooth teeth
. their surroundings, increases the chances of catching viral infections with symptoms like those reported for teeth. Irritative anxiety and normal sleep changes can also explain irritability and sleep disturbances that can mistakenly be attributed to the teeth. Since dental symptoms are usually mild and focused on the mouth, parents are advised not to suggest that signs of disease in other parts of the body are due to teeth. This is because it may delay the detection of potentially serious infections that may require medical attention. He may also delay parents to get help with their child's sleeping accommodation.
How about gels on teeth?
Finding solutions to the perceived problem of escaping can make parents turn their hopes to gels, toys and other products. of which are scientifically evaluated to alleviate the symptoms of the teeth. However, tooth gels usually contain different ingredients that help alleviate the alleged tooth related symptoms. Some of them, like the recently discontinued Adelaide female and children's hospital tooth gel, contain the anesthetic lidocaine. Very little lidocaine is absorbed into the body when applied to the gums, and in Australia only minor complications such as vomiting have been reported. However, accidental ingestion and application of too much can lead to poisoning, leading to convulsions, brain injuries and heart problems.
The gel discontinuation decision follows a US Food and Drug Administration's 2014 warning against the use of tooth gels with topical anesthetics following reports of hospitalization and death of babies and children
We asked five experts: is it good to give children painkillers?
There are also warnings about gels containing benzocaine. This is another anesthetic applied to the gums that can lead to a dangerous and fatal state of blood called methaemoglobinaemia that affects the ability of the blood to carry oxygen.
Another common ingredient in popular tooth gels is choline salicylate, similar to aspirin. This increases the risk of liver disease and brain damage if the child eats too much. This may also be a risk of Reye's syndrome, a rare but serious condition that can lead to seizures, loss of consciousness and death. Reye's syndrome is associated with the use of aspirin in children, especially during viral infections. The case of suspected tooth-induced Reye syndrome in 2008 has led to contraindications (warnings against) children's products in the UK. A large number of young Australian children who have used too much salicylate tooth gel have been reported to have been hospitalized with side effects.
But the products are still available in Australia.
How about "natural" products?
Although a number of "natural" and homeopathic tooth solutions are sold to parents of young children, they also have risks.
A manufacturer recently recalled a number of natural tooth gels after incidence of reported poisoning. US regulatory authorities have found that the same range contains higher than the described levels of Belladonna, a poisonous plant that, despite the dangers, is used as a homeopathic painkiller and sedative remedy. When searching for "natural" therapies, parents also turn to amber teeth that supposedly alleviate the symptoms of teeth. Amber is a fossil resin from a tree that has been previously believed to have anti-inflammatory properties.
several widely reported cases of strangulation
have led to warnings from US and Australian regulators. There is currently no scientific evidence that these necklaces work.
The Australian Competition and Consumer Commission (ACCC) says amber and other "pruning" necklaces, even when mothers wear them, are:
… colorful and playful in design and can be confused with toys. toys for children over 36 months of age, including toothpicks, are strictly regulated by Australian standards. As AACC warns, it is hardly possible to fill these necklaces.
What to do?
So, what are the best options to relieve symptoms? With the lack of any qualitative evidence to recommend any specific therapy, experts suggest that the best remedy is attachment and attention. , a clean towel or a tooth ring can provide some relief. Although it is difficult to know exactly how they work, they are unlikely to cause serious problems.
The completion of the teeth can be a tough time, but it will eventually pass. In the meantime, it is important for parents to avoid becoming victims of alleged treatments that are not only unproven but also potentially dangerous.
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