Citation Information :
More SG, Sankeshwari R, Ankola AV. Exploring Parental Knowledge and Indigenous Practices for Infant Teething in Indian Population: A Cross-sectional Study. Int J Clin Pediatr Dent 2019; 12 (6):479-483.
To assess the parental knowledge and practices regarding infant teething and attitude towards infant oral health among parents of infants aged 6 months to 3-years. Materials and methods: A cross-sectional study was conducted among 400 parents who met the inclusion criteria. A self-designed, validated questionnaire comprising 13 questions was used. Questionnaire comprised of sociodemographic details, knowledge and experience of teething symptoms, practices used to relieve it and overall attitude towards infant oral health. Descriptive statistics and Chi-square test was applied. Results: Parents attributed fever (87%), diarrhea (65%), gum irritation (71%) and desire to bite (78%) as common teething symptoms. Ninety-eight percent of the participants did not know that delayed tooth eruption could be an indicator for systemic disease. In case of first born child, parental knowledge was poor as compared to 2nd or 3rd born child (p = 0.023). Parents had a positive attitude regarding consulting a physician for teething problems and visiting a dentist for issues related to infant oral health. Tlismi necklaces (67%) and homeopathic tablets (25.8%) were two unique remedies identified in this population. Parents also reported over-the-counter use of systemic analgesics (58.2%). Emergence of upper teeth before lower teeth was considered as a bad omen by few parents. Conclusion: Parents wrongly attributed several systemic illnesses as teething symptoms. Though parents had a positive attitude towards infant oral care, it was not inculcated into practice. Clinical significance: Parents should be advised against self-medication and to report systemic illness in children to pediatricians and pediatric dentists for correct diagnosis and appropriate treatment. This study also highlights the need for educating parents about infant teething and oral care practices related to primary dentition for eruption of healthy permanent dentition.
Memarpour M, Soltanimehr E, Eskandarian T. Signs and symptoms associated with primary tooth eruption: a clinical trial of nonpharmacological remedies. BMC Oral Health 2015;15(1):88. DOI: 10.1186/s12903-015-0070-2.
Adimorah GN, Ubesie AC, Chinawa JM. Mothers' beliefs about infant teething in Enugu, South-east Nigeria: a cross sectional study. BMC Res Notes 2011;4(1):228. DOI: 10.1186/1756-0500-4-228.
Wake M, Hesketh K, Lucas J. Teething and tooth eruption in infants: a cohort study. Pediatrics 2000;106(6):1374–1379. DOI: 10.1542/peds.106.6.1374.
Kumar S, Tadakamadla J, Idris A, et al. Knowledge of teething and prevalence of teething myths in mothers of Saudi Arabia. J Clin Pediatr Dent 2016;40(1):44–48. DOI: 10.17796/1053-4628-40.1.44.
Kakatkar G, Nagarajappa R, Bhat N, et al. Parental beliefs about children's teething in Udaipur, India: a preliminary study. Brazilian Oral Res 2012;26(2):151–157.
Marks SC, Schroeder HE. Tooth eruption: theories and facts. The Anat Rec 1996;245(2):374–393. DOI: 10.1002/(SICI)1097-0185(199606)245:2<374::AID-AR18>3.0.CO;2-M.
Sholapurmath SM, Anand SL, Deshpande S. General disturbances and their correlation to the eruption of primary dentition in children between 5 and 30 months age group of Belgaum city: an epidemiological study. World J Dent 2011;2:39–43. DOI: 10.5005/jp-journals-10015-1051.
Macknin ML, Piedmonte M, Jacobs J, et al. Symptoms associated with infant teething: a prospective study. Pediatrics 2000;105:747–752. DOI: 10.1542/peds.105.4.747.
Jaber L, Cohen IJ, Mor A. Fever associated with teething. Arch Dis Child 1991;67:233–234. DOI: 10.1136/adc.67.2.233.
Markman L. Teething facts and fiction. Pediatr Rev 2009;30(8):59–64. DOI: 10.1542/pir.30-8-e59.
El-Gilany AH, Abusaad FE. Mothers' teething beliefs and treatment practices in Mansoura, Egypt. Saudi Dent J 2017;29(4):144–148. DOI: 10.1016/j.sdentj.2017.05.003.
Elbur AI, Yousif MA, Albarraq AA, et al. Parental knowledge and practices on infant teething, Taif, Saudi Arabia. BMC Res Notes 2015;8(1):699. DOI: 10.1186/s13104-015-1690-y.
Tsang AK. Teething, teething pain and teething remedies. Int Dent SA 2010;12:48–61.
Uti OG, Savage KO, Ekanem EE. Maternal beliefs about infant teething. J Com Med Prim Heal Care 2005;17:61–64. DOI: 10.4314/jcmphc.v17i1.32429.
Owais AI, Zawaideh F, Bataineh O. Challenging parents' myths regarding their children's teething. Int J Dent Hygiene 2010;8(1): 28–34. DOI: 10.1111/j.1601-5037.2009.00412.x.
Smitherman LC, Janisse J, Mathur A. The use of folk remedies among children in an urban black community: remedies for fever, colic, and teething. Pediatrics 2005;115(3):e297–e304. DOI: 10.1542/peds.2004-1443.
Lever Y. The efficacy of a homoeopathic complex (chamomilla, belladonna and scutellaria lateriflora) in the treatment of problema tic primary dental eruption. DUT Library; 1998. Available from: http://hdl.handle.net/10321/2107.
US Food and Drug Administration. Certain Homeopathic Teething Products: FDA Warning- Confirmed Elevated Levels of Belladonna. Internet Doc 2017. Available from: https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm538669.htm.
Suri L, Gagari E, Vastardis H. Delayed tooth eruption: pathogenesis, diagnosis, and treatment. A literature review. Am J Orthod Dentofac Orthop 2004;126(4):432–445. DOI: 10.1016/j.ajodo.2003.10.031.
Loevy HT, Aduss H, Rosenthal IM. Tooth eruption and craniofacial development in congenital hypothyroidism: report of case. J Am Dent Assoc 1987;115(3):429–431. DOI: 10.14219/jada.archive.1987.0254.