Teething is a natural process that usually occurs at about 6 months of age. However, some infants exhibit signs of systemic distress such as crying, increased drooling, high fever, diarrhea, facial rash, sleep difficulty and mild pain. There is a tendency for the child to bite, chew and place their fingers in the mouth. One theory as to the etiology of the symptoms is the timing coincides with the loss of maternal antibodies and the symptoms are reflective of a systemic infection. Treatment is palliative; increased fluid consumption, non-aspirin analgesics, teething rings to apply cold and pressure to the gums. Topical analgesics containing benzocaine should be avoided because of the possibility of methemoglobinemia developing especially in children under 2 years of age. Children with high fevers should be evaluated by their pediatricians.
Early Childhood Caries (ECC) - Nursing Caries, Baby Bottle Caries
Early childhood caries is due to consumption of fermentable carbohydrate liquids (juices, sodas, infant formula, cow and mothers milk) during excessive bottle feedings and/or prolonged breast feedings. It affects 1-12% of the pediatric population in developed countries and up to 70% in underdeveloped countries.
Treatment of ECC includes: