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Tadin A, Dzaja K. Assessment of Pediatricians' and General Practitioners' Knowledge and Practice Regarding Oral Health, Dental Caries and Its Prevention in Children: A Cross-Sectional Study. Dent J (Basel) 2023; 11:259. [PMID: 37999023 PMCID: PMC10670318 DOI: 10.3390/dj11110259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 10/28/2023] [Accepted: 11/03/2023] [Indexed: 11/25/2023] Open
Abstract
OBJECTIVES This study aimed to evaluate and compare the knowledge and practices of family physicians (general practitioners) and pediatricians concerning children's oral health. MATERIALS AND METHODS This research involved a cross-sectional survey with 446 respondents, consisting of 77.8% women and 22.1% men, with 81.6% being general (family) practitioners and 18.4% pediatricians. The survey comprised five sections, gathering information on participants' sociodemographic characteristics, routine oral cavity examination in clinical practice, knowledge about dental caries and its prevention, teething symptoms, and alternatives to fluorides for preventing dental caries. RESULTS The findings revealed an overall poor understanding of dental caries and its prevention, with an average score of 5.1 ± 1.6 out of a possible 10 points. Notably, practitioners with fewer pediatric patients during the workday, no training on oral health, and uncertainty about physicians' active role in oral health prevention exhibited lower knowledge levels (p ˂ 0.05). Over 90% of participants conducted dental and oral mucosal examinations on their patients. About 25% had received continuing education on children's oral health, and 70.6% expressed interest in further education on the subject. CONCLUSIONS This study highlights insufficient knowledge among physicians regarding dental caries and its prevention. With most participants eager to learn and actively promote children's oral health, providing training is essential to boost their knowledge and support children's oral health.
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Affiliation(s)
- Antonija Tadin
- Department of Restorative Dental Medicine and Endodontics, Study of Dental Medicine, University of Split School of Medicine, 21000 Split, Croatia
- Department of Oral and Maxillofacial Surgery, Clinical Hospital Centre Split, 21000 Split, Croatia
| | - Karmela Dzaja
- Study of Dental Medicine, University of Split School of Medicine, 21000 Split, Croatia
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Pereira TS, da Silva CA, Quirino ECS, Xavier Junior GF, Takeshita EM, Oliveira LB, De Luca Canto G, Massignan C. Parental beliefs in and attitudes toward teething signs and symptoms: A systematic review. Int J Paediatr Dent 2023; 33:577-584. [PMID: 37017581 DOI: 10.1111/ipd.13071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 12/09/2022] [Accepted: 04/02/2023] [Indexed: 04/06/2023]
Abstract
BACKGROUND Parents believe that teething is associated with signs and symptoms, which may induce them to give medications that could harm their children. Some children may require alleviation of symptoms and overall attention. AIM To assess parents' beliefs in and attitudes toward teething. DESIGN Through electronic databases and gray literature, this systematic review identified cross-sectional studies reporting parents' beliefs in, knowledge about, and attitudes toward the signs and symptoms of primary tooth eruption in children aged between 0 and 36 months. Three reviewers independently selected the studies, collected the information, assessed methodological quality, and checked for accuracy with disagreements solved by a fourth reviewer. The Agency of Research and Quality in Health questionnaire for cross-sectional studies was used for quality assessment. Descriptive analysis with median and interquartile ranges was adopted. RESULTS Twenty-nine studies comprising 10 524 participants from all geographic regions were included. The methodological quality of the studies was moderate. Most parents have beliefs in signs and symptoms during dentition, the most reported symptom being the desire to bite. Oral rehydration was the most exposed attitude in the studies included. Only a small proportion of parents reported no attitude. CONCLUSIONS The majority of parents believed in at least one sign or symptom associated with teething, and only few of them would do nothing or just wait for the signs or symptoms to pass, with no difference among countries (Protocol doi: 10.17605/OSF.IO/S2KZ3).
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Affiliation(s)
| | | | | | | | | | - Luciana Butini Oliveira
- Department of Pediatric Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
- Brazilian Center for Evidence-Based Research, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Graziela De Luca Canto
- Brazilian Center for Evidence-Based Research, Federal University of Santa Catarina, Florianópolis, Brazil
- School of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Carla Massignan
- Department of Pediatric Dentistry, University of Brasília, Brasília, Brazil
- Brazilian Center for Evidence-Based Research, Federal University of Santa Catarina, Florianópolis, Brazil
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Aktura B, Dertli MH, Ozen EH, Onaran E, Hashimov E, Basibuyuk M, Karabayir N. Knowledge and experiences of families regarding amber necklaces. BMC Complement Med Ther 2023; 23:306. [PMID: 37660020 PMCID: PMC10474688 DOI: 10.1186/s12906-023-04130-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 08/17/2023] [Indexed: 09/04/2023] Open
Abstract
BACKGROUND Amber necklaces have been used frequently to reduce the complaints of babies during teething. In this study, the knowledge and experience of families regarding the use of amber necklaces investigated. METHODS The structured questionnaire was applied face-to-face to parents with a 4-24 month old baby who applied to the paediatric outpatient clinic. RESULTS One hundred one families participating in the study reported that they used the amber necklace most frequently for restlessness (n = 72, 71.3%). Eighty- three% of families reported that the amber necklace was beneficial. It determined that 2% of the babies had suffocation and 2% had problems dispersing the grains. CONCLUSION Although the parents think that the use of amber necklaces is effective during the teething period, they are not aware of the risks. It is important for healthcare professionals to inform their families about teething and especially the risks of using amber necklaces.
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Affiliation(s)
- Bekir Aktura
- Faculty of Medicine, Family Medicine Department, Istanbul Medipol University, Istanbul, Turkey.
| | - Mert Haci Dertli
- International School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Ege Hazal Ozen
- Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Ezgi Onaran
- Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Elnur Hashimov
- Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Mine Basibuyuk
- Faculty of Medicine, Pediatrics Department, Istanbul Medipol University, Istanbul, Turkey
| | - Nalan Karabayir
- Pediatrics Department, Istanbul Medipol University International School of Medicine, Istanbul, Turkey
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Alkhozaim DA, Al-Haj Ali SN, Farah RI. Levels and correlates of knowledge of teething among Saudi Arabian families. PeerJ 2022; 10:e13948. [PMID: 35999852 PMCID: PMC9393006 DOI: 10.7717/peerj.13948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 08/03/2022] [Indexed: 01/19/2023] Open
Abstract
Background Parental knowledge of teething has been repeatedly investigated; however, little emphasis has been made on the associated sociodemographic factors with good knowledge of the parents and whether or not good knowledge is translated into adopting proper pain-relieving practices. The present study aims to firstly assess the knowledge level and practices of Saudi parents regarding teething and then explore associated sociodemographic variables with good knowledge of teething to determine the relation between parents' knowledge of teething and their adoption of pain-relieving practices. Methods This cross-sectional study recruited parents from the social networking sites Facebook, Twitter, Instagram, and WhatsApp, and they were asked to answer a pretested three-part internationally accepted questionnaire. Data were examined using descriptive statistics, chi-square analysis, multivariate logistic regression analysis, and Spearman rank-order correlation coefficient analysis. Results One thousand four hundred ninety-nine parents responded and returned completed questionnaires. Of those, only 11.2% had good knowledge of teething. The majority of parents did not have basic knowledge of the teething period as well as believed that teething was associated with a runny nose (87.5%), diarrhea (77.9%), and sleep disturbance (72%). The results of multivariate logistic regression analysis indicated that parents with no primary school education (Odds Ratio: 0.29), or those who had an intermediate or secondary education level (OR: 0.55 and 0.78) were less likely to have good knowledge compared with parents who had a university degree. However, parents who earned intermediate monthly income (OR: 6.63) were more likely to have good knowledge of teething. With regards to practices used to relieve teething pain, inappropriate practices were observed regarding bottle feeding at night to soothe the child's pain (72%) and applying topical analgesics to rub the gum (72.4%). A significant positive correlation was found between the knowledge score and the practice score of both fathers and mothers (r = 0.22 and 0.13, p < 0.0001). Conclusion A very low percentage of Saudi parents, mainly those with the highest education level and intermediate monthly income, had good knowledge of teething, which translated into appropriate practices to soothe the child's pain regardless of the parent's gender. Saudi parents should receive anticipatory guidance related to teething from all health professionals to ensure an uneventful teething period for their children.
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Affiliation(s)
- Dina A. Alkhozaim
- College of Dentistry, Qassim University, Almulayda, Qassim, Saudi Arabia
| | - Sanaa N. Al-Haj Ali
- Department of Orthodontics and Pediatric Dentistry, College of Dentistry, Qassim University, Almulayda, Qassim, Saudi Arabia
| | - Ra’fat I. Farah
- Department of Prosthetic Dental Sciences, College of Dentistry, Qassim University, Almulayda, Qassim, Saudi Arabia
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Reeve-Brook L, Bhatia S, Al-Yaseen W, Innes N, Monaghan N. A questionnaire-based study of Paediatric Dentists' knowledge of teething signs, symptoms and management. BDJ Open 2022; 8:7. [PMID: 35279681 PMCID: PMC8918333 DOI: 10.1038/s41405-022-00099-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/30/2021] [Accepted: 12/06/2021] [Indexed: 11/09/2022] Open
Abstract
INTRODUCTION Signs and symptoms attributed to erupting primary teeth are commonly known as "teething". Its existence is controversial with concern that overusing this term might mask other illnesses and some treatments may be unnecessary or harmful. Parents/carers can access over-the-counter remedies and may seek professional advice. This survey-based investigation explored gaps in knowledge, training, perceptions and experiences of UK Paediatric Dentists (PDs) regarding teething in young children. METHOD Cross-sectional study with a convenience sample of PDs with different training levels, accessed through the British Society for Paediatric Dentistry membership lists. A 10-item questionnaire explored participants' knowledge of teething-related issues and management. Responses are presented using descriptive statistics. RESULTS Of 80 responding PDs (response rate 27%), 62-74% suggested drooling, irritability, oral fixation and flushed cheeks were attributed to primary tooth eruption. Fifty-eight (72%) participants were unaware of guidelines, yet 53 (66%) felt guidance was needed. CONCLUSION Signs and symptoms of teething might mask underlying conditions so it should be a diagnosis of exclusion. PDs attributed similar signs and symptoms to teething, as have been reported in the literature, although some commented that they did not think teething was a condition. There was a lack of awareness over guidelines.
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Affiliation(s)
- Lauren Reeve-Brook
- University Dental Hospital, Heath Park, Cardiff, CF14 4XY, United Kingdom
| | - Shannu Bhatia
- School of Dentistry, College of Biological and Life Sciences, Cardiff University, Heath Park, Cardiff, CF14 4XY, United Kingdom.
| | - Waraf Al-Yaseen
- School of Dentistry, College of Biological and Life Sciences, Cardiff University, Heath Park, Cardiff, CF14 4XY, United Kingdom
| | - Nicola Innes
- School of Dentistry, College of Biological and Life Sciences, Cardiff University, Heath Park, Cardiff, CF14 4XY, United Kingdom
| | - Nigel Monaghan
- Public Health Wales, Temple of Peace and Health, Cathays Park, Cardiff, CF10 3NW, United Kingdom
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Kahan T, Adesman A. Common parenting misconceptions regarding infant care: setting the record straight for parents (and some pediatricians). Curr Opin Pediatr 2019; 31:874-880. [PMID: 31693600 DOI: 10.1097/mop.0000000000000835] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW First-time parents often turn to friends and family for advice regarding feeding, sleeping, bathing, diapering and toilet training, and childhood illnesses. Unfortunately, parents may at times be given incorrect and potentially dangerous advice as several widely embraced parenting practices are no longer deemed appropriate. In addition, young children are cared for by family and friends - many of whom are older and may still subscribe to outdated parenting practices.Parents and grandparents are not the only ones who subscribe to child care myths and misconceptions. Pediatricians also believe in the effectiveness of some outdated child care practices. Although some of these parenting myths are relatively benign, others may indeed pose a significant health risk or safety hazard to a young child. The purpose of this article is to review 10 commonly held myths or misconceptions regarding infant care. RECENT FINDINGS In this review article, we not only highlight many of the studies that document which outdated health beliefs are still endorsed by parents and/or pediatricians, but also review the specific health risks associated with these parenting myths or misconceptions. SUMMARY It is important that pediatricians educate parents and other primary caregivers about the potential risks of following outdated parenting practices.
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Affiliation(s)
- Tamara Kahan
- Developmental & Behavioral Pediatrics, Steven & Alexandra Cohen Children's Medical Center of New York, New Hyde Park
| | - Andrew Adesman
- Developmental & Behavioral Pediatrics, Steven & Alexandra Cohen Children's Medical Center of New York, New Hyde Park
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
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Strieder AP, Aguirre PEA, Lotto M, Cruvinel AFP, Cruvinel T. Digital behavior surveillance for monitoring the interests of Google users in amber necklace in different countries. Int J Paediatr Dent 2019; 29:603-614. [PMID: 30920686 DOI: 10.1111/ipd.12500] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 01/21/2019] [Accepted: 02/20/2019] [Indexed: 12/23/2022]
Abstract
AIM To determine the interests of Google users in information about amber necklace in distinct countries over time. DESIGN This longitudinal retrospective study analyzed the amber necklace-related computational data generated from the activity of Google users from17 countries, by the application of Google Trends. Four search strategies were defined in English, Spanish, Portuguese, and Italian, for retrieving the monthly variation of relative search volume (RSV) between January 2004 and September 2018, including all categories and sources of search. Trends and 12-month predictive interests of users were analyzed by forecasting autoregressive integrated moving average models, while the influences of seasonality were evaluated by generalized additive models. The most popular queries employed for Google users were determined to qualitative analysis. P values < 0.05 were considered significant. RESULTS In general, RSV curves were characterized by uptrends in most studied countries over the years, without the influence of monthly or quarterly seasonality. The queries were frequently associated with a desire for additional information, with respect to the definition, usability, and teething symptoms relief promoted by amber jewelries. CONCLUSIONS These findings indicate an increasing interest of Google users in amber necklace-related topics in different countries.
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Affiliation(s)
- Anna Paola Strieder
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Patricia Estefania Ayala Aguirre
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Matheus Lotto
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | | | - Thiago Cruvinel
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
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Getaneh A, Derseh F, Abreha M, Yirtaw T. Misconceptions and traditional practices towards infant teething symptoms among mothers in Southwest Ethiopia. BMC Oral Health 2018; 18:159. [PMID: 30241521 PMCID: PMC6151031 DOI: 10.1186/s12903-018-0619-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 09/05/2018] [Indexed: 11/23/2022] Open
Abstract
Background The assumption of a link between common symptoms such as febrile illness, diarrhea and the eruption of primary teeth has been established over many centuries. According to traditional beliefs in Ethiopia, diarrhea and fever at the time of milk teeth eruption may be due to a worm in the child’s gums. Current medical observations show little more than restlessness, drooling, and finger sucking resulting from teething. The purpose of this research was to assess mothers’ traditional beliefs and practices towards teething symptoms. Methods A cross-sectional descriptive study design was used with the convenience sampling technique. Mothers were approached at the pediatric Out Patient Department (OPD) of Jimma University Specialized Hospital, southwest Ethiopia. A structured questionnaire was used for data collection. The data were analyzed by SPSS (version 20). Results A total of 107 mothers were interviewed. Ninety-eight (91.6%) claimed that teething was associated with various symptoms. Ninety-seven (90.7%) attributed diarrhea to teething. Only one mother said she would give her child Paracetamol to relieve the teething symptoms. Five (4.7%) mothers said they would allow their children to bite on a pacifier. Ten mothers (9.3%) said that they would prefer the child’s milk tooth to be extracted. Some of the practices by mothers to relieve the symptoms include rubbing the gum of the child with garlic (12.1%) or rubbing the gum with herbs (6.5%). Conclusions Most of the mothers had misconceptions about the symptoms that usually appear during teething. Health education should be provided by dentists and professionals concerned with child care in correcting these misconceptions and cultural beliefs about teething symptoms. Electronic supplementary material The online version of this article (10.1186/s12903-018-0619-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Addis Getaneh
- Department of Dental and Maxillofacial, St.Paul Hospital's Millennium Medical College, Addis Ababa, Ethiopia.
| | - Fikirte Derseh
- Department of Dentistry, Jimma University, Jimma, Ethiopia
| | - Michael Abreha
- Department of Dentistry, Jimma University, Jimma, Ethiopia
| | - Tewodros Yirtaw
- Department of Public Health, St. Paul Hospital's Millennium Medical College, Addis Ababa, Ethiopia
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Malkiel S, Eisenstadt M, Pollak U. Say a prayer for the safe cutting of a child's teeth: The folklore of teething. J Paediatr Child Health 2017; 53:1145-1148. [PMID: 28776851 DOI: 10.1111/jpc.13636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Revised: 05/15/2017] [Accepted: 05/23/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Sarah Malkiel
- Department of Pediatrics B, The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Michal Eisenstadt
- Department of Pediatrics B, The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Uri Pollak
- Pediatric Cardiac Intensive Care Unit, The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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10
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Abstract
Misconceptions about the teething process has led to high infant morbidity and mortality, which was recently experienced in Nigeria due to consumption of an adulterated drug used in the prevention and treatment of teething-related illnesses in infants. It is however, unknown if these misconceptions still persist in a rural town in Nigeria despite oral health awareness campaigns targeted at this. The aim of this study is to assess the beliefs and practices of residents in Igbo Ora, a rural township in Nigeria, regarding the teething process. A descriptive cross-sectional study was conducted among 393 adults in Igbo Ora using a 33-item, semistructured questionnaire. Symptoms such as diarrhea (80.7%), fever (69.2%), and boils (64.4%) were still considered as a must to accompany teething. Teething powder, teething syrup, and traditional concoctions were commonly recommended by (42.0%), (31.6%), and (48.1%) of the respondents, respectively, to treat and prevent teething symptoms. This study revealed that misconceptions about teething are still highly prevalent among the populace in Igbo Ora, and a structured oral health education intervention at the community level is urgently needed.
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Affiliation(s)
| | - Folake Barakat Lawal
- 2 Department of Periodontology and Community Dentistry, University of Ibadan, Nigeria
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Haznedaroglu E, Mentes A. The Internet versus pediatricians as a source of infant teething information for parents in Turkey. Clinics (Sao Paulo) 2016; 71:430-4. [PMID: 27626472 PMCID: PMC4975784 DOI: 10.6061/clinics/2016(08)04] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Accepted: 04/19/2016] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES Parents are increasingly searching the Internet to gather information about their children's health care. This study compared infant teething information obtained from publically employed pediatricians in Istanbul with that obtained from different Turkish websites (parenting, health, professional, news and commercial). METHODS This study had two parts. The first part used a descriptive design, with two checklists to assess the quality and comprehensiveness of the teething-specific content on 62 parenting or health websites. The second part was a cross-sectional study of 75 pediatricians at public hospitals who completed a structured self-administered questionnaire. RESULTS In total, 54 websites (87.1%) described infant teething as a normal developmental process. The lists that were found on the websites identified the most frequent signs of infant teething as fever and drooling/perioral rash. The most frequent management strategies were chewing non-chilled and chilled objects. For teething problems, some pediatricians recommended teething rings and oral benzocaine, while 23 pediatricians recommended nothing. CONCLUSIONS Parents should be informed by health professionals, especially regarding specific treatment strategies.
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Affiliation(s)
- Eda Haznedaroglu
- Marmara University, Department of Pediatric Dentistry, Basibuyuk Campus, 9/3 34854 Basibuyuk, Maltepe/Istanbul/Turkey
- E-mail:
| | - Ali Mentes
- Marmara University, Department of Pediatric Dentistry, Basibuyuk Campus, 9/3 34854 Basibuyuk, Maltepe/Istanbul/Turkey
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Garve R, Garve M, Link K, Türp JC, Meyer CG. Infant oral mutilation in East Africa - therapeutic and ritual grounds. Trop Med Int Health 2016; 21:1099-105. [PMID: 27314558 DOI: 10.1111/tmi.12740] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This paper reviews the practice and ritual traditions of infant oral mutilation, drawing on a literature search in PubMed and Google Scholar, historical reports, relevant textbooks, NGO materials and personal observations of the authors.
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Affiliation(s)
- Roland Garve
- Center for Natural and Cultural History of Man, Danube Private University, Krems, Austria
| | - Miriam Garve
- Department of Quality Management and Accreditation, Leuphana University, Lüneburg, Germany
| | - Katharina Link
- Center for Natural and Cultural History of Man, Danube Private University, Krems, Austria
| | - Jens C Türp
- Center for Natural and Cultural History of Man, Danube Private University, Krems, Austria.,Clinic for Reconstructive Dentistry and Temporomandibular Disorders, University Center of Dental Medicine Basel, School of Dental Medicine, Basel, Switzerland
| | - Christian G Meyer
- Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.,Vietnamese-German Center for Medical Research, Hanoi, Vietnam
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Massignan C, Cardoso M, Porporatti AL, Aydinoz S, Canto GDL, Mezzomo LAM, Bolan M. Signs and Symptoms of Primary Tooth Eruption: A Meta-analysis. Pediatrics 2016; 137:e20153501. [PMID: 26908659 DOI: 10.1542/peds.2015-3501] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/23/2015] [Indexed: 11/24/2022] Open
Abstract
CONTEXT Symptoms associated with the primary tooth eruption have been extensively studied but it is still controversial. OBJECTIVE To assess the occurrence of local and systemic signs and symptoms during primary tooth eruption. DATA SOURCES Latin American and Caribbean Health Sciences, PubMed, ProQuest, Scopus, and Web of Science were searched. A partial gray literature search was taken by using Google Scholar and the reference lists of the included studies were scanned. STUDY SELECTION Observational studies assessing the association of eruption of primary teeth with local and systemic signs and symptoms in children aged 0 to 36 months were included. DATA EXTRACTION Two authors independently collected the information from the selected articles. Information was crosschecked and confirmed for its accuracy. RESULTS A total of 1179 articles were identified, and after a 2-phase selection, 16 studies were included. Overall prevalence of signs and symptoms occurring during primary tooth eruption in children between 0 and 36 months was 70.5% (total sample = 3506). Gingival irritation (86.81%), irritability (68.19%), and drooling (55.72%) were the most frequent ones. LIMITATIONS Different general symptoms were considered among studies. Some studies presented lack of confounding factors, no clear definition of the diagnostics methods, use of subjective measures and long intervals between examinations. CONCLUSIONS There is evidence of the occurrence of signs and symptoms during primary tooth eruption. For body temperature analyses, eruption could lead to a rise in temperature, but it was not characterized as fever.
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Affiliation(s)
| | | | | | - Secil Aydinoz
- Gulhane Military Medical Academy, Istanbul, Turkey; and
| | - Graziela De Luca Canto
- Department of Dentistry, and Brazilian Centre for Evidence-based Research, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil; Department of Dentistry, University of Alberta, Edmonton, Canada
| | - Luis Andre Mendonça Mezzomo
- Department of Dentistry, and Brazilian Centre for Evidence-based Research, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
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Elbur AI, Yousif MA, Albarraq AA, Abdallah MA. Parental knowledge and practices on infant teething, Taif, Saudi Arabia. BMC Res Notes 2015; 8:699. [PMID: 26592913 PMCID: PMC4655493 DOI: 10.1186/s13104-015-1690-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Accepted: 11/11/2015] [Indexed: 11/16/2022] Open
Abstract
Background Parents’ false beliefs about signs and symptoms associated with teething have been documented in many studies around the world. This study was conducted to assess parental knowledge on infant teething process and to investigate parents’ practices used to alleviate teething disturbances. Methods A cross-sectional survey was conducted among parents of children of 6 months–5 years old in Taif, Saudi Arabia during April 2013. Convenience method of sampling was adopted and the data was collected by mean of a structured-questionnaire. Data was processed by SPPS. Logistic regression analysis was performed. P value <0.05 was considered statistically significant. Results Overall, of 493 participants were included in the final analysis with mean age 35 years. Females constituted more than two-third. All the parents attributed one or more of the listed signs and symptoms to teething process. Desire to bite, fever, gum irritation, increased salivation and diarrhea were the most reported signs and symptoms of teething by 459 (93.1 %), 429 (87 %), 415 (84.2 %), 414 (84 %) and 409 (83 %) of the parents respectively. The only predictor of ascribing fever as a sign of infant teething was female gender (P = 0.001). However, female gender (P < 0.001), residence (P = 0.039) and educational level (P = 0.006) were found to be significantly associated with ascribing diarrhea as one of the teething symptoms. Only 91 (18.5 %) of the parents responded correctly to all questions designed to assess their knowledge on teething process. Conclusions Wide gaps in parents’ knowledge and practices related infant teething was identified. Educational interventions are needed to upgrade parents’ knowledge and improve their practices regarding infant teething process.
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Affiliation(s)
- Abubaker Ibrahim Elbur
- Pharmacy Practice Research Unit, College of Pharmacy, Taif University, Kingdom of Saudi Arabia Al-Haweeiah, P. O. Box 888, Taif, 21974, Kingdom of Saudi Arabia.
| | - M A Yousif
- Pharmacy Practice Research Unit, College of Pharmacy, Taif University, Kingdom of Saudi Arabia Al-Haweeiah, P. O. Box 888, Taif, 21974, Kingdom of Saudi Arabia.
| | - Ahmed Abdulrahman Albarraq
- Pharmacy Practice Research Unit, College of Pharmacy, Taif University, Kingdom of Saudi Arabia Al-Haweeiah, P. O. Box 888, Taif, 21974, Kingdom of Saudi Arabia.
| | - Mustafa A Abdallah
- PTRC, Academic Affairs and Training, Armed Forces Hospitals, Taif Region, Taif, Kingdom of Saudi Arabia.
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15
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Memarpour M, Soltanimehr E, Eskandarian T. Signs and symptoms associated with primary tooth eruption: a clinical trial of nonpharmacological remedies. BMC Oral Health 2015. [PMID: 26215351 PMCID: PMC4517507 DOI: 10.1186/s12903-015-0070-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Background To evaluate disturbances in primary tooth eruption and their management with nonpharmacological remedies. Methods In this nonrandomized clinical trial, 270 children aged between 8 and 36 months were selected and divided into 5 groups with 54 children initially enrolled in each group. The children were seen during an 8-day period during tooth eruption. At each appointment data were recorded from oral examination, tympanic temperature measurement and a questionnaire. The five methods used as remedies to reduce teething symptoms were: 1) cuddle therapy, 2) ice, 3) rubbing the gums, 4) teething rings and 5) food for chewing. Teething symptoms, the type of erupted tooth, symptoms of recovery and the mother’s satisfaction with treatment were evaluated. Results Two hundred and fifty four children (mean age 16 ± 7.2 months) completed the study. The most frequent teething symptoms were drooling (92 %), sleep disturbances (82.3 %) and irritability (75.6 %). These symptoms were more pronounced in low birth weight children (p > 0.05). Canine eruption led to more loss of appetite than incisor (p = 0.033) or molars eruption (p = 0.014). Low grade increases in body temperature were observed only on the day of eruption (36.70 ± 0.39 °C), when body temperature was significantly different compared to the day before and the day after eruption (both p < 0.001). There was no significant correlation between fever as reported by mothers and temperature readings obtained by the investigators. The most favorable results for time to recovery and the mother’s satisfaction were seen when teething rings were used, followed by cuddle therapy and rubbing the gums. Conclusions There was no association between teething and symptoms such as fever or diarrhea. Low birth weight children may have more teething symptoms. Teething rings, cuddle therapy and rubbing the gums were the most effective methods to reduce symptoms. Trial registration Iranian Registry of Clinical Trials: code IRCT201211127402N3
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Affiliation(s)
- Mahtab Memarpour
- Prevention of Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Elham Soltanimehr
- Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Taherh Eskandarian
- Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
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16
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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; 29:38-45. [PMID: 25088276 DOI: 10.1016/j.pedhc.2014.06.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Revised: 06/20/2014] [Accepted: 06/21/2014] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The purpose of this study was to describe and evaluate the quality of infant teething information on selected popular parenting Web sites. METHODS Two checklists were used to evaluate the quality of the 16 parenting sites and infant teething-specific content included on each site. FINDINGS Three of the 16 parenting sites did not contain teething-specific articles. Teething-specific content found on 13 of the 16 sites supported a connection between the process of teething and nonspecific symptoms with a perception that management is required. Popular management strategies included chewing on chilled objects, gingival massage, and the use of over-the-counter medications. Information about possible adverse effects of administering medications for infant teething was not found on the majority of sites. Eleven of the 16 sites advised parents to contact their primary care provider if they were uncertain about management for infant teething or whether the symptoms were related to illness. IMPLICATIONS Although infant teething has an evidence base from which parents and professionals can make safe decisions about symptoms and treatment, translating the evidence into professional practice and health-related information on the Internet remains a challenge. Parents and pediatric health providers would benefit greatly from the development of clinical practice guidelines summarizing our present-day understanding of teething symptoms and the limited evidence supporting the use of over-the-counter medications.
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17
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Abstract
Background: Many symptoms had been associated with teething in children with the possibility of overlooking potentially fatal condition. Symptoms that had been associated with teething include diarrhoea, fever, vomiting and cough. The possibility that any of these symptoms could have been due to other causes call for thorough investigation of the child before concluding that it is only “teething”. Objectives: The study was carried out to assess the beliefs of nursing mothers concerning symptoms that are associated with teething among children and to identify those that would seek medical treatments in case of their children having such symptoms during teething. Materials and Methods: Two hundred and ninety nursing mothers whose children had erupted at least a tooth were interviewed in the immunisation clinics of the University College Hospital and Adeoyo Maternity Teaching Hospital, both in Ibadan, Nigeria, on their beliefs and practice concerning teething in children. Results: One hundred and eighty-eight (64.8%) of the mothers associated symptoms such as fever, cough, catarrh and diarrhoea with eruption of teeth in their children. Over half of the women agreed that a child having either fever (51.0%), ear infection (57.6%) or cough (50.3%) should be promptly taken for medical consultation and not be tagged “teething”, while for other symptoms such as gum pain (74.5%), sleepless night (56.6%), vomiting (51.4%) and diarrhoea (51.7%), over half of the mothers believed that the symptoms will resolve following the eruption of the teeth. Conclusion: The study demonstrated that mothers in the study attributes several symptoms to teething, which could be detrimental to the survival of their children as the symptom could have been due to other causes. There is, therefore, need for public enlightenment to create awareness on the possible effect of presumptuous belief that childhood diseases are due to teething process.
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Affiliation(s)
- Opeodu Olanrewaju Ige
- Department of Periodontology and Community Dentistry, University of Ibadan, Child Oral Health University College Hospital, Ibadan, Oyo State, Nigeria
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18
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Plutzer K, Spencer AJ, Keirse MJNC. How first-time mothers perceive and deal with teething symptoms: a randomized controlled trial. Child Care Health Dev 2012; 38:292-9. [PMID: 21375564 DOI: 10.1111/j.1365-2214.2011.01215.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Teething, especially in their first child, continues to be a daunting problem for parents. OBJECTIVE The objective of this paper was to assess the effects of providing first-time mothers with information about symptoms commonly associated with teething and ways to manage these. METHODS In a randomized controlled trial to decrease the incidence of early childhood caries, we included information on teething as another issue in a child's oral health. Mothers in the intervention group received three rounds of printed information: at enrolment during pregnancy and when the child was 6 and 12 months old. Information on teething arrived when a child reached 6 months of age. Outcome assessment was at 20 ± 2.5 months of age. Data were complemented with a systematic search for evidence on teething symptoms and how to alleviate them in other populations. RESULTS Of 649 expectant mothers enrolled in the study, 441 completed the 'Child's oral health' questionnaire. There were no significant differences in teething symptoms reported by mothers in the intervention (n = 232) and control (n = 209) groups. However, mothers in the intervention group were less likely to use topical and oral medications to manage teething problems (P < 0.03) and relied more on rubbing the gums to ease discomfort (P < 0.005) than mothers in the control group. CONCLUSIONS Providing mothers with information on how to address teething symptoms markedly reduced the use of medications for symptom relief. There is still need for better evidence, first, on what symptoms can or cannot be attributed to teething and, second, on what is effective in alleviating them.
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Affiliation(s)
- K Plutzer
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, Adelaide, SA, Australia.
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19
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Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Paiva SM. Prospective longitudinal study of signs and symptoms associated with primary tooth eruption. Pediatrics 2011; 128:471-6. [PMID: 21824888 DOI: 10.1542/peds.2010-2697] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To assess the association between primary tooth eruption and the manifestation of signs and symptoms of teething in infants. METHODS An 8-month, longitudinal study was conducted with 47 noninstitutionalized infants (ie, receiving care at home) between 5 and 15 months of age in the city of Diamantina, Brazil. The nonrandomized convenience sample was based on the registry of infants in this age range provided by the Diamantina Secretary of Health. Eligible participants were infants with up to 7 erupted incisors and no history of chronic disease or disorders that could cause an increase in the signs and symptoms assessed in the study. Tympanic and axillary temperature readings and clinical oral examinations were performed daily. A daily interview with the mothers was conducted to investigate the occurrence of 13 signs and symptoms associated with teething presented by the infants in the previous 24 hours. RESULTS Teething was associated with a rise in tympanic temperature on the day of the eruption (P = .004) and with the occurrence of other signs and symptoms. Readings of maximal tympanic and axillary temperatures were 36.8°C and 36.6°C, respectively. The most frequent signs and symptoms associated with teething were irritability (median: 0.60; P < .001), increased salivation (median: 0.50; P < .001), runny nose (median: 0.50; P < .001), and loss of appetite (median: 0.50; P < .001). CONCLUSIONS Irritability, increased salivation, runny nose, loss of appetite, diarrhea, rash, and sleep disturbance were associated with primary tooth eruption. Results of this study support the concept that the occurrence of severe signs and symptoms, such as fever, could not be attributed to teething.
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Affiliation(s)
- Joana Ramos-Jorge
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
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20
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Hallas D, Fernandez J, Lim L, Carobene M. Nursing strategies to reduce the incidence of early childhood caries in culturally diverse populations. J Pediatr Nurs 2011; 26:248-56. [PMID: 21601149 DOI: 10.1016/j.pedn.2009.07.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2009] [Accepted: 07/27/2009] [Indexed: 11/15/2022]
Abstract
In the United States, early childhood caries (ECC) is a major unmet health care need adversely affecting the overall health of young children from diverse ethnic populations. Nurses who work in the newborn nursery, pediatrics, public, and community health centers have a unique opportunity to positively influence a change in this epidemic of ECC. Guided by Leininger's theory of cultural care, these authors describe ways to implement a comprehensive culturally sensitive oral health education program for parents of newborns and infants. Interventions based on the best available evidence for oral health education, a culturally sensitive caries risk assessment, recommendations for fluoride varnish treatments, and ways for parents to establish a dental home for the infant by 12 months old are presented.
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Affiliation(s)
- Donna Hallas
- New York University College of Nursing at the College of Dentistry, New York, NY, USA.
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21
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Halvorson SJ, Williams AL, Ba S, Dunkel FV. Water quality and waterborne disease in the Niger River Inland Delta, Mali: A study of local knowledge and response. Health Place 2011; 17:449-57. [DOI: 10.1016/j.healthplace.2010.10.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2010] [Revised: 09/24/2010] [Accepted: 10/01/2010] [Indexed: 10/18/2022]
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22
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Mohamed Kawia H, Kokulengya Kahabuka F. Symptoms associated with teething in Tanzania. PEDIATRIC DENTAL JOURNAL 2009. [DOI: 10.1016/s0917-2394(09)70147-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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23
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Faraco Junior IM, Del Duca FF, Rosa FMD, Poletto VC. Conhecimentos e condutas de médicos pediatras com relação à erupção dentária. REVISTA PAULISTA DE PEDIATRIA 2008. [DOI: 10.1590/s0103-05822008000300010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJETIVO: Verificar o conhecimento e a conduta de médicos pediatras frente a possíveis manifestações locais e sistêmicas ocorridas durante a erupção dentária, uma vez que a relação desta com o aparecimento de manifestações orgânicas na criança tem constituído, ao longo da história das ciências médico-odontológicas, um assunto controverso. MÉTODOS: Estudo observacional no qual o instrumento de coleta de dados foi um questionário dirigido a todos os médicos pediatras (n=21) da cidade de Bagé, Rio Grande do Sul. Este questionário foi constituído por perguntas sobre a opinião dos médicos se a erupção dentária seria a causadora de alterações que surgem durante o irrompimento dos dentes e quais são as condutas por eles tomadas. Após a confecção do banco de dados, foram realizadas as freqüências simples e percentuais das variáveis avaliadas no estudo. RESULTADOS: Dos médicos pediatras entrevistados, 76% acreditam que o processo de erupção dentária pode estar associado a manifestações sistêmicas e/ou locais; 94% dos entrevistados observaram como manifestações ansiedade/irritabilidade e coceira/sucção de dedos ou objetos. A conduta clínica mais adotada pelos médicos pediatras foi a orientação aos pais/responsáveis (37%). CONCLUSÕES: A maioria dos médicos pediatras entrevistados acredita que possam ocorrer manifestações sistêmicas e/ou locais devida à erupção dentária e que a conduta clínica de eleição é a orientação familiar.
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Affiliation(s)
- M Tighe
- St Mary's Hospital, Portsmouth, UK.
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