Perception of parents of children with and without disabilities about teething disturbances and practices adopted

Abstract

AIM: To evaluate and compare the perception of parents of children with and without disabilities about the occurrence of local and systemic manifestations during the eruption of primary teeth and to investigate the parents' practices used to alleviate teething disturbances. METHODS: A cross-sectional study was conducted in a sample of parents of children without disabilities (GI) and parents of children with disabilities (GII) treated at a University Pediatric Dentistry Clinic. Data from GI and GII were collected using a structured questionnaire applied during an interview with the parents, and were analyzed using descriptive statistics. Mann-Whitney and Wilcoxon tests were employed and the level of significance was set at p<0.05. RESULTS: The questionnaires were filled out by 86 parents, being 45 in GI and 41 in GII. For GI, the most frequent local manifestations were edema around the tooth (84.44%) and increased suction (75.56%); and for GII were edema and erythema around the tooth (78.05% and 70.73%, respectively). The most frequent systemic manifestations, according to parents of both groups, were irritability and fever. There was no statistically significant difference between groups (p<0.05). It was observed that 46.66% and 68.3% of parents of GI and GII, respectively, adopted different practices to alleviate teething disturbances. CONCLUSIONS: During primary teeth eruption, local and systemic manifestations may occur and different practices were adopted by the Interviewed parents, mainly those with children with disabilities.

teething; primary teeth; eruption

• ¹
  Hulland SA, Lucas OJ, Wake MA, Hesketh KD. Eruption of the primary dentition in human infants: a prospective descriptive study. Pediat Dent. 2000; 22: 415-21.
• ²
  Mota-Costa R, Medeiros-Júnior A, Aciolly-Júnior H, Araújo-Souza GC, Clara-Costa IC. Mothers' perception of dental eruption syndrome and its clinical manifestation during childhood. Rev Salud Publica. 2010; 12: 82-92.
• ³
  Rezende CFM, Kuhn, E. Perception of mothers and pediatricians from Ponta Grossa/PR about alterations occurred in infants during the eruption of the primary dentition. Pesq Bras Odontoped Clin Integr. 2010; 10: 163-7.
• ⁴
  Ferreira FV, Machado MVS, Ardenghi TM, Praetzel, JR. Systemic and/or localized manifestations associated with primary tooth eruption: a retrospective study. Pesq Bras Odontoped Clin Integr. 2009; 9: 235-9.
• ⁵
  Peretz B, Ram D, Hermida L, Otero MM. Systemic manifestations during eruption of primary teeth in infants. J Dent Child. 2003; 70: 70-3.
• ⁶
  Jones M. Teething in children and the alleviation of symptoms. J Fam Health Care. 2002; 12: 12-3.
• ⁷
  Silva FWGP, Santos BM, Stuani AS, Mellara TS, Queiroz AM. Dental eruption: symptomatology and treatment. Pediatria. 2008; 30: 243-8.
• ⁸
  Noor-Mohammed R, Basha S. Teething disturbances: prevalence of objective manifestations in children under age 4 months to 36 months. Med Oral Patol Oral Cir Bucal. 2012; 17: 491-4.
• ⁹
  Feldens CA, Faraco IM, Otoni AB, Feldens EG, Vitolo MR. Teething symptoms in the first year of life and associated factors: a cohort study. J Clin Pediatr Dent. 2010; 34: 201-6.
• ¹⁰
  Wake M, Heskeyh K, Allen MA. Parent beliefs about infant teething: a survey of Australian parents. J Paediatr Child Health. 1999; 35: 446-9.
• ¹¹
  Diniz MB, Bolini PDA, Gaspar AMM. Local and systemic symptoms related to deciduous tooth eruption. Rev Paul Pediatr. 2006; 24: 71-7.
• ¹²
  Pinheiro GA, Casado LEM, Assunção VA. Tooth eruption - physiological or pathological phenomenon? Odontol Mod. 1993; 20: 28-33.
• ¹³
  Suri L, Gagari E, Vastardis H. Delayed tooth eruption: pathogenesis, diagnosis, and treatment: a literature review. Am J Orthod Dentofacial Orthop. 2004; 126: 432-45.
• ¹⁴
  Shore S, Lightfoot T, Ansell P. Oral disease in children with Down syndrome: causes and prevention. Community Pract. 2010; 83: 18-21.
• ¹⁵
  Sarrell EM, Horev Z, Cohen Z, Cohen HA. Parents' and medical personnel's beliefs about infant teething. Patient Educ Couns. 2005; 57: 122-5.
• ¹⁶
  Andrade DR, Silva C, Paiva SM. Local and general reactions occurred in children facing the process of eruption of deciduous teeth. RGO. 1999; 47: 219-24.
• ¹⁷
  Lovato M, Pithan SA. Perception of pediatrics, pediatric dentistry and parents about the clinical manifestations attributed to the eruption of deciduous teeth. Stomatos. 2004; 10: 15-20.
• ¹⁸
  Owais Al, Zawaideh F, Bataineh O. Challenging parents' myths regarding their children's teething. Int J Dent Hyg. 2010; 8: 28-34.
• ¹⁹
  Kiran K, Swati T, Kamala BK, Jaiswal D. Prevalence of systemic and local disturbances in infants during primary teeth eruption: a clinical study. Eur J Paediatr Dent. 2011; 12: 249-52.
• ²⁰
  Oziegbe EO, Esan TA, Adekoya-Sofowora CA, Folayan MO. A survey of teething beliefs and related practices among child healthcare workers in Ile-Ife, Nigeria. Oral Health Prev Dent. 2011; 9: 107-13.
• ²¹
  Adimorah GN, Ubesie AC, Chinawa JM. Mothers' beliefs about infant teething in Enugu,South-east Nigeria: a cross sectional study. BMC Research Notes. 2011; 4: 228.
• ²²
  Kakatkar G, Nagarajappa R, Bhat N, Prasad V, Sharda A, Asawa K. Parental beliefs about children's teething in Udaipur, India: a preliminary study. Braz Oral Res. 2012; 26: 151-7.
• ²³
  Ramos-Jorge J, Pordeus IA, Jorge MLR, Paiva SM. Prospective longitudinal study of signs and symptoms associated with primary tooth eruption. Pediatrics. 2011; 128: 471-7.
• ²⁴
  24 Vasques EFL, Vasques EFL, Carvalho MGF, Oliveira PT, Granville-Garcia AF, Costa EMMB. Clinical manifestations attributed to the eruption of deciduous teeth - perception and attitude of parents. RFO-UPF. 2010; 15: 124-8.
• ²⁵
  Ginani F, Vasconcelos RG, Barboza CAG. Local and systemic symptoms associated to tooth eruption. Rev Bras Sci Saude. 2011; 15: 81-6.
• ²⁶
  Aragão AKR, Veloso DJ, Melo AUC. Pediatricians and pediatric dentists from João Pessoa opinions' about deciduous tooth eruption and infantile symptomatology. Com Cienc Saude. 2007; 18: 45-50.

Publication Dates

• Publication in this collection
  19 July 2013
• Date of issue
  June 2013

History

• Received
  21 Dec 2012
• Accepted
  22 Mar 2013