Pain:PainfulTooth Eruption:Understanding the Discomfort & Finding

Pain:PainfulTooth Eruption:Understanding the Discomfort & Finding

Pain:PainfulTooth Eruption:Understanding the Discomfort & Finding Tooth Eruption: A Rollercoaster of Pain and Growth

Pain: Tooth eruption can begin even earlier than the age of 3 months and can continue until the third year of a child's life. Between the ages of 4-7 months, the child's first tooth will push the upper part of the gum. Typically, the bottom and front teeth, also referred to as central incisors, are the first to erupt.

They are followed at a period of 4-8 weeks by the four front, upper teeth (central and lateral incisors). About a month later, the lateral incisors (the lower part of the gum) also appear. The next teeth that will pierce the gum are the first molars and then the upper incisors. Most children have all of 20 teeth when they turn three.

Signs and Symptoms of Tooth Eruption: Navigating the Storm of Pain

Many children can show only slight discomfort during the period of tooth eruption, while other children can face major discomfort. Usually, the pain caused by teeth eruption lasts a few minutes, followed by a period of calmness. The eruption of the teeth can be accompanied by the following symptoms:

- abundant salivation

- restlessness, restless sleep

- refusal to eat due to inflammation of the gums

- temporary nervousness

- putting hands in the mouth

- mild rashes around the mouth caused by skin irritation as a result of excessive salivation

- rubbing the cheek or an area of ​​the ear as a consequence of the pain caused by the eruption of the molars.

Teething Does Not Normally Cause: Soothing the Worried Hearts

- high fever

- diarrhea, nasal secretions, and cough

- skin rashes.

Seeking Medical Assistance for Pain: Putting Your Child's Well-being First

When a person manifests fever, a prolonged state of nervousness, diarrhea, nasal congestion, or cough, it may be the manifestation of a viral infection rather than the symptoms of dental eruption.

It is important to contact the doctor in case of the presence of these symptoms, without assuming that they are triggered by the dental eruption.

Investigations

The diagnosis of tooth eruption will be established after observing the characteristic signs and symptoms.

Treatment Self-Care At Home

Often the feeling of discomfort at the level of the child's gums is relieved when light pressure is exerted on them. For this reason, many doctors recommend lightly rubbing the gums of the little ones with the adult's clean fingers or using teething toys.

If the pain also causes feeding problems, sometimes a special bottle or cup can reduce the discomfort caused by teething and facilitate the feeding process. Cold objects also help reduce inflammation.

For this purpose, you can use teething toys that can be cooled in the refrigerator. However, adults will be careful that the little ones avoid prolonged contact of the gums with very cold objects. Likewise, small objects that represent a risk of swallowing or drowning will not be placed at the child's disposal.

Medications For Pain Relief

The use of pain relievers for tooth eruptions is quite controversial. Oral medications are acetaminophen or ibuprofen. However, regarding ibuprofen, it not recommended to administer it to children younger than 6 months. Medicines will only be used when home care methods are not effective.

Great attention will paid to overdose, during the entire period of teeth eruption. Some pain relievers can mask significant symptoms. Children should not given products containing acetylsalicylic acid.

The Most Common Causes Of Dental Abscess

 A dental abscess is a dental bacterial infection, in the form of a purulent collection, which can turn into one of the most frequent emergencies treated by the dentist.

 The appearance of the pus collection can found both on the side of a tooth and at the apical level. The option of having several dental abscesses at the same time, located in different areas of the oral cavity, not excluded either.

 They can spread to nearby tissues and result in generalised illnesses if they are not treated.

Risk Factors

The causes of dental abscesses are:

- dental caries not treated in time and complicated later;

- periapical lesions;

- incomplete or incorrectly performed root canal treatments;

- cracks at the level of the dental root;

- untreated periodontitis ;

- dental traumas;

- the eruption of wisdom teeth;

- subgingival tartar ;

- poor hygiene of the oral cavity.

Contributing factors usually maintain the main causes and, in most situations, either aggravate or influence the occurrence of dental abscess.

These factors include:

- stress ;

- smoking;

- recent upper respiratory infections;

- diabetes mellitus.

Types of abscesses

1. Gingival abscess, which occurs due to gum damage, following minor trauma, with harder food  or even accidentally, at the dentist.

2. The pericoronary abscess is located at the level of the tissues surrounding the crown and makes its debut at the time of tooth eruption due to low immunity or lack of oral cavity hygiene.

3. The periodontal abscess is located at the level of the tissues that keep the tooth in the alveolus, and their detachment from the tooth leads to the accumulation of bacteria and the formation of a periodontal pocket.

Symptoms

The main symptoms can start very quickly, with the sudden appearance of pulsating pain initially localized, later diffuse, with radiation to the head, cheek, neck, and ears, but there are also exceptions in which the pain noticed by the patient with a little embarrassment and with the accidental discovery of the collection of pus from the level of the affected tooth.

Other signs and symptoms encountered are:

- swelling of the affected gum;

- unpleasant taste in the mouth;

- foul-smelling breath ;

- mastication difficulties;

- swelling of the cheek on the side with the abscess;

- inflamed and sensitive nodes;

- fever, chills, headache, and altered general condition in severe cases.

Remedies for pain relief until the first visit to a dental office depend primarily on the patient's tolerance to pain.

Most patients initially turn to analgesics, such as non-steroidal anti-inflammatories, and if they see that their condition improves and the pain decreases in intensity, they postpone the visit to the dentist, thinking that it will pass and thus, the healing process of the abscess delayed, as well as the dentist's intervention.

Before taking these medicines for pain relief, you must ask either the family doctor, the pharmacist, or, preferably, the dentist, and make sure that you are not allergic.

Another important aspect before you arrive at a doctor's office is not to exceed the maximum allowed dose of the self-prescribed medicine (purchased on your own initiative).

Other Recommendations:

- avoid eating hot and hard foods, so as not to damage the affected part more. As a rule, mastication must done in the healthy part of the oral cavity; 

- proper hydration recommended, but not with drinks that are too hot because it could intensify the pain; 

- brushing must done with a brush with soft silicone bristles and with fine movements;

- it recommended to use mouthwash for rinsing.

All these remedies aim to temporarily reduce discomfort and pain, but a visit to the dentist should not excluded.

Complications

If the visit to the dentist postponed and if the minimum rules of dental hygiene are not followed, then complications may appear.

Complications represented by bone destruction at the level of the affected tooth.

Treatment for Pain: Restoring Comfort and Healing

The treatment proceeds in two phases:

1. The initial, emergency phase, aims to immediately remove the pain, if it was not done with anti-algesic drugs, and to avoid the occurrence of complications, by prescribing a broad-spectrum antibiotic for a minimum period of 5 days, if this is necessary.

1.  Also in this phase, the drainage of the pus bag can done, either at the level of the swollen gum or endodontically, but the decision belongs to the dentist and depends on the position of the abscess, but also on the characteristics of the affected tooth.

1. The second phase is the one in which the definitive treatment of the affected tooth practiced and there can be 2 variants, depending on how affected the tooth is.

1. The first variant of therapeutic behavior is the endodontic treatment, with the role of eliminating the infection from the level of the dental pulp, by sealing the root canals in order not to penetrate other microbes and to save the tooth.

The second therapeutic option and the radical one is the extraction of the tooth, if it destroyed or if the infection has advanced.

Prevention

Dental prophylaxis is the golden rule of dentistry and consists of applying the rules of oral hygiene at least 2 times a day, a healthy diet to prevent cavities, but also periodic check-ups at the dentist, for the early treatment of already existing cavities, which would could cause problems if left untreated.

Professional brushing at regular intervals also recommended, as well as descaling.

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