Teething may cause local discomfort, with drooling, biting/mouthing, gum rubbing, irritability and a low grade fever possible. However symptoms such as loss of appetite, sleeping problems, cough, rash, high fevers, vomiting and seizures are not thought to be associated with teething.
✔️ cold and textured teething rings are useful to decrease inflammation and apply pressure to the gums
✔️ strictly following instructions for conservative use of Paracetamol or Ibuprofen is reasonable for management for discomfort. Be careful not to give to your baby for more than 3 days, maximum daily doses are not exceeded, and dose is compared to weight and age.
✖️ teething remedies such as Bonjela and SM33 gel are thought to not be effective and may be harmful
✖️ ABOUT BONJELA
Bonjela is choline salycilate - some infants have been hospitalised for salicylate toxicity in published case reports, due to excessive use. It has also been associated with Reye's syndrome (a rare and serious condition that causes swelling in the liver and brain in children, with symptoms including vomiting, confusion, seizures and loss of consciousness). In the UK, salicylate has been removed from teething preparations and replaced with lignocaine, an anaesthetic. Gels with salicylate are labelled as not to be used on children younger than 16, in the UK, however no warnings are required in Australia.
✖️ ABOUT SM33
SM33 is salicylic acid and lignocaine. At home use of local anaesthetics is dangerous because it is difficult to determine how much a baby is swallowing. It could numb the throat and increase the risk of choking by impairing the gag reflex. Significant amounts of Lignocaine can also cause heart disturbances and seizures.
✖️ ABOUT BENZOCAINE
Some teething gels are imported and have Benzocaine of up to 20%. There is an uncommon risk of methemoglobinaemia (a red blood cell disorder which can be fatal) within minutes of use, with infants at increased risk, and an alert was released to health care professionals in 2011 to warn against using these products.
✖️ ABOUT LIGNOCAINE | XYLOCAINE
A warning alert was released in 2014 as to not using any local anaesthetic gels (Viscous Lignocaine, Viscous Xylocaine or Benzocaine) to treat children or infants with teeth pain. This is following an investigation into 22 case reports of serious adverse reactions including deaths, in infants and children, aged 5 months to 3.5 years, for the treatment of mouth pain.
✖️ HOMEOPATHIC TABLETS AND GELS
Homeopathy is not actually the same as natural or home-made. One teething brand was recalled due to toxic levels of belladonna (the root and leaf of a plant that can be poisonous). As well as that they were teething tablets which were little lumps of lactose with the liquid poured on top, which were known to have a tooth decay risk as well as pose a choking hazard. According to experts, true homeopathic products are based on poisons which are greatly diluted.
✖️ ABOUT AMBER BEADS
University testing indicates that succinic acid, which is supposed to be in a Amber beads and convey an analgesic effect, could not be detected. Also they could be a choking hazard.
ADA NEWS BULLETIN JULY 2015 PHARMACEUTICAL ADVICE