Teething Problems in Babies and Solutions

teething problems in babies

What is teething

Teething is a normal physiological process involves tooth movements inside the jaw(bone) until the time they come into the oral cavity(mouth) by piercing the gum.

The first set of teeth that erupts into the oral cavity are called milk teeth or primary teeth. Teething starts from 6 months of age, while a variation of plus or minus 6 months is considered normal.

Teething begins with the lower-front tooth (central incisors) at the age of 6 months. Occasionally a lower-front tooth may even be present at birth called as natal tooth and if tooth erupts into mouth within the first month they are called as the neonatal tooth.

The first set of teeth completes their eruption by 3 years of age with a total of 20 primary teeth. The second set of teeth or permanent teeth starts erupting into the mouth from 6 years of age and continues until 12 to 13 years of age. Wisdom tooth however typically erupts during late teens to adolescence.

Teething Problems in Babies

For few babies teething can be distressful, considering pressure from erupting teeth leave the child to uncomfortable gum irritation and in some babies, teething can even be pain full; excessive saliva lead to drooling, disturbed sleep, stomach upset (vomiting, diarrhoea), loss of appetite(hunger) etc are frequently related tooth eruption.

Babies between 6-12 months are more susceptible to the above-mentioned symptoms.

The Teething window is typically an eight-day duration; four days before the eruption of tooth followed by three days after tooth eruption or tooth emergence. In the first four days, the teething associated pain is constant, dull in nature with growing intensity until the emergence of the tooth followed by a fast decrease in pain unless associated with inflammation. In the case of inflammation, it might require a little longer time to resolve.

Teething Problems and Solutions

Non Pharmacological Pharmacological
  • Chilled Teething Rings
  • Frozen fruits & Vegetables
  • Rubbing gum with chilled spoon / clean finger
  • Gum soothing gels
  • Pain killer syrups
  • Anti Inflamatory Syrups

Excess saliva production and drooling are associated with teething and cause wetting of lower lip & chin, which might further lead to the formation of rash around the lips. This should be cleaned or wiped away as and when required.

Piece of ice wrapped in a towel placed on gum over the erupting teeth for 1-2 min of time.

Teething rings: Teething rings can provide relief for some time, rings are best when they are chilled to freezing temperature. Teething rings are attached to the child’s clothes.fluid filled teething rings for infants

Solid silicone rings are preferred over fluid-filled rings as they may leak.

Massaging the child’s gum: Parents asked to massage with their clean fingertips or very soft finger toothbrushes for 1-2 min.

Frozen fruits and vegetables or even chilled spoon can also be used to relieve pain.

Topically applied gum soothing gels can be used. Around peanut-sized amount of gel should be taken over a clean finger or cotton bud and applied by gently massaging on painful gum region for about 15 – 20 min, 4-5 times a day.

Sugar-free plain paracetamol syrup is another choice for teething infants. The dose can be repeated every six-hourly intervals with a maximum of four doses a day.

Things to remember about Teething of Babies

  • Sugar-free medication should only be used, the presence of sugar might cause tooth decay.
  • Only inert teething objects are recommended.
  • Medicines should not be added to feeding bottles because it is difficult to monitor the dose.

When to Start Brushing Your Kid’s Teeth

brushing baby tooth

If you are wondering what is the correct age to start brushing your kid’s teeth, you might be surprised to know that you should start brushing you baby’s tooth as soon as the very first tooth comes out; usually starts with the lower front tooth by 6 to 9 months of age.

Benefits of Introducing Early Brushing in Kids

1st reason: Initiating brushing at early ages help the kid to get used for brushing, they never resist form brushing in their later life thereby it helps to maintain healthier teeth.
2nd reason: As soon as the tooth comes into the mouth, the tooth gets exposed to n number of things like the stuff we eat, drink, bacteria itself in mouth and saliva all together forms smear layer on the tooth which is called plaque. Plaque provides shelter for bacteria their by helps in multiplication and activity of bacteria leads to tooth decay and gum problems. So brushing helps to remove tenacious plaque on teeth their by healthier teeth.

Are there any special toothbrushes available for kids?

Yes, till baby turns one and half years of age use baby toothbrushes they are good enough to remove plaque from teeth other than baby brushes finger toothbrushes and silicon tips are available but they are not as effective as baby toothbrushes in removing plaque.

From 18 months of age shift from baby brush to junior brush with little bigger head & soft bristles.

Battery operated brushes are as good as manual brushes and they are recommended from 6 years of age.

How to do brushing in kids

While performing brushing on a baby who is under 2 years of age take a knee to knee position flip the lip up processed on upper teeth for lower teeth flip the lower lip out, for back teeth use the index finger to pouch inside the cheek pull it little outwards.

Position for brushing toddler 2 to 3 years take the baby on lap, rest their head on your upper body, secure their body with one hand then start brushing your toddler’s teeth.

From what age kids can brush by their own

Till 6 years of age parents or primary caregivers should brush for their kids. From the age of 6 to 10 brushing should happen in the supervision of parents or caregivers.

Toothpaste recommendations for kids

Fluoride is one main ingredient in toothpaste to look for its presence as it helps in preventing loss of calcium from the tooth.

Based on fluoride toothpaste are of 3 types:

  • No Fluoride: Contains 0 fluoride, used in under 1 year of age
  • Less Fluoride: Contains 500 ppm fluoride. Recommended in 1 to 3 years age, provided baby has good oral health. Presence of any cavitated tooth indicates baby at high risk of dental caries, advised to use regular toothpaste.
  • Regular Fluoride: Contains 1000 ppm fluoride. Recommended from 3 of age onwards

Amount of Toothpaste to use for brushing

1 to 3 years of age use smear of toothpaste which is pressed into the bristles. From 3 to 6 years of age peanut-sized amount of toothpaste is used.

When to Brush

Tooth brushing should happen twice daily. Once in the morning and once at nights.

Brushing at nights before going to bed helps to remove the plaque from teeth and prevents dental caries and gum problems. Brushing in the morning helps to provide fresh feel or fresh breath as we all know at nights body reflexes are relaxed that’s where even our saliva production gets little reduced that helps the bacteria to active in mouth whole night leads to bad breath once we get up in the morning.

When it comes to brushing your kid’s teeth, remember –

  • Introduce early brushing as soon as the first tooth comes in mouth
  • Perform twice daily brushing
  • Less intake of sugars in diet followed by regular dental visits will help your kid to maintain good oral health entire their life.

8 Ways to Prevent and Relieve Tooth Sensitivity

tooth sensitivity treatment

If you pass on hot or cold drinks because you know they’ll make your teeth hurt, it may be time to talk to your dentist about the possibility that you have sensitive teeth. Sometimes other things can aggravate them, too, like sweet and sour foods or even cold air.

Why does tooth sensitivity occur?

Tooth sensitivity occurs when the layer of a tooth underneath the enamel (called the dentin) or the layer covering the root (called cementum) is exposed along the gum line causing receding gums.

The dentin contains microscopic channels called tubules, which are pathways to the nerve. When dentinal tubules are exposed, due to receding gum tissue or enamel loss, nerves are more easily triggered by heat, cold, sweet or sour foods and cause sharp shooting pain in your teeth.

Causes of Tooth Sensitivity

Sensitive teeth can be caused by the following dental issues:

  • Worn tooth enamel from using a hard toothbrush and using a hard grip while brushing aggressively.
  • Tooth erosion due to highly acidic foods and beverages.
  • Tooth decay, worn leaky fillings and broken teeth that expose the dentin of your tooth.
  • Gum recession that leaves your root surface exposed.
  • Grinding your teeth at night.
  • Post dental treatment sensitivity – common, but temporary, especially with procedures such as crowns, fillings and tooth bleaching.

Treatment for Tooth Sensitivity

We at The Dental Specialists will evaluate your teeth thoroughly and assess your-grade of sensitivity.
Treatment may be as simple as fixing a cavity or replacing a worn filling. However, if your discomfort comes from gum loss exposing root surfaces, our periodontist may suggest a gum graft to protect the root surface and support of the tooth.

  • Desensitizing toothpaste: This contains compounds that help block transmission of sensation from the tooth surface to the nerve, and usually requires several applications before the sensitivity is reduced.
  • Laser treatments to fuse (close) the tunnels.
  • Fluoride gel:An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
  • A crown, inlay or bonding: These may be used to correct a flaw or decay that results in sensitivity.
  • Surgical gum graft: If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
  • Root canal: If sensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend this treatment to eliminate the problem.

8 ways to relieve and prevent tooth sensitivity

  • Use a soft-bristled brush and brush with gentle strokes
  • Consider using desensitising paste
  • Cut down on acidic foods and soft drinks
  • Do not rush to brush after having citrus juices
  • Avoid grinding your teeth ( ask your dentist about mouth guard)
  • Take a break from teeth whitening a.k.a bleaching
  • Warm saline mouth rinses could relieve your sensitivity
  • See your dentist and talk about your sensitivity

How to Prevent Mouth Ulcers – Dr. Ruheena Explains

Mouth ulcers are a common and painful problem that most of us face. Dr.Ruheena, in this video, explains how to prevent mouth ulcers. The video is in Telugu.

Myths About Dental Implants That Are Not Actually True

dental implant myths

Tooth loss has become a very common problem and therefore replacement of the lost tooth with dental implants has become a most widely accepted and successful option. Even though it is the most appropriate solution, many people have myths and misconceptions about dental implants. However, not all misconceptions are true and therefore making an informed decision when going for dental implants is very crucial.

Dental Implants is a Painful Procedure

dental implant for tooth replacement

At “The Dental Specialists” we perform the implant procedure with a simplified technique using minimally invasive flapless keyhole technique, which hardly takes 10 minutes. The procedure is performed with modern technology with no incisions, no cuts and with minimal anaesthesia. Hence, there will be minimal bleeding with minimal postoperative pain and discomfort.

Dental Implants are Costly

There are multiple options available for replacement of teeth like Dental Implants, Fixed Partial Denture (FPD) and Removable Partial Denture (RPD). However, Dental Implant procedure is a lifetime solution for the replacement of your missing tooth and it does not involve taking the support of your adjacent teeth. As a result, there is no need to prepare your adjacent teeth. Now with the widely accepted modality all over the world, the cost of dental implant is reduced. We at The Dental Specialists practice Immediate Implantology with Immediate Loading protocol which gives back your natural-looking teeth in less TIME. And as it is rightly attributed by Benjamin Franklin (1748) “TIME IS MONEY”, so we should be as expeditious as possible and last but not the least it is the best investment for your overall health.

Dental Implants Are Not for Everyone

A newer technique Tall and Tilted Pin Hole Immediately Loaded Implants (TTPHIL)TM can be performed even in elderly persons, diabetics and smokers as it is done by following advanced surgical protocol which involves engaging basal cortical bone. Therefore, it can be done even in patients who have reduced bone height, reduced bone volume.

Dental Implants Are Not Natural Looking

TTPHIL Sinus Lift Alternative
After TTPHIL Implants – an alternative to Sinus Lift

At “The Dental Specialists” we give a personalized smile designing solution to our patients using CAD-CAM technology. We use this technology to design the anatomical features of prosthesis on a computer. CAD-CAM computer screen displays a 3D custom image of the teeth and gums which helps in drawing the precise design of the crowns which helps in delivering a highly esthetic crown with high translucency which is similar to your natural teeth.

Dental Implants Require Extensive Care

Dental implants are sealed into your bone under the retrievable screw-retained crown. Thus, you have to take care of the implant the same way as you take care of your teeth which include regular cleaning. A visit to your dentist every 6-12 months will help in avoiding any infections in the mouth and in and around Dental Implant which will help in avoiding peri mucositis and peri-implantitis.

Number of Missing Teeth Equal to Number of Implants

For full mouth rehabilitation, ALL TILTTM protocol involves placing 6 implants per jaw which has been proved to be the most optimal and with evidence-based successful results. They have better biomechanics with no cantilever effect and better anteroposterior spread with Tall and Tilted 2 piece cortical implants. Therefore, you can get a complete set of 14 teeth within a few days.

Dental Implant Metal is Unsafe to be in the Body

Dental implants are made of Titanium metal which is totally biocompatible with the body and it is the same metal used in Orthopedic and cardiac stents. Therefore, Dental Implants are absolutely safe to be in the body.