The development of the teeth in the children is a natural process, and is often attended with much suffering.
In addition, when the dentition process is slow, retarded, and difficult; it involves other morbid symptoms as well.
These morbid symptoms and the actual disease exhaust the patient's strength.
The primary difficulty in such cases is in the nutrition, so retarded growth can be observed in the older children who had faced difficulty in dentition earlier. There seems to be a linkage between these two morbid conditions because it often occurs in the same children.
Therefore, both these forms of imperfect development are to be attributed to some constitutional dyscrasia, which affects the nutrition.
Dentition is a difficult process in the life of an infant.
Even when it is normal and in the easiest and most natural manner, there is usually some constitutional excitement, which may manifest itself in the form of restlessness, inflammation of gums, worrying, heat about the head, and more or less general fever.
During this period, all other constitutional disturbances may also prolong and new symptoms are added to the above-mentioned symptoms. These new symptoms include vomiting, diarrhea and nervous exhaustation. This is the point where a child needs medication so that he may not suffer much from this morbid condition.
The time of cutting teeth varies among different children; it may fluctuate among different children.
In the early months, the infant's mouth is usually dry; frequent nursing relieves this dryness. There is a dramatic change in the fourth or fifth month; the mouth is full of saliva and no other indication appears at the approach of the teeth to the surface except that the edge of the gums becomes broader than it was before.
No further changes take place for many weeks; and it is generally at the end of seventh month when the first teeth makes its appearance.
The order of dentition:
The middle incisors of the lower jaw are generally the first to appear; next in order appear the middle incisors of the upper jaw; then the lateral incisors of the lower jaw.
The first molars next succeed, and often without any very definite order as to whether those of the upper or of the lower jaw are first visible; though in the majority of the cases the lower molars are the first to appear. The four canine teeth succeed and lastly the four posterior molars make their appearance. There are, however intervals of rest between the successive irruptions of teeth; thus a period of six or eight weeks generally intervenes between the lower and the upper central incisors; the lower lateral incisors come very soon after.
However, a pause of three or four months may occur before the first molar teeth make their appearance; another of equal length may occur before the appearance of the canine teeth; and still another before the first dentition is completed by the irruption of the last molars.
Morbid conditions of the mouth at the time of dentition:
In a few cases, there is not any prominent change in the internal of mouth; more frequently, the mouth becomes hot and the gums look tumid, tense and shining. Some time the gums become prominent to mark the position of teeth and there is much heat and intense redness of the mucous membrane and an extremely copious flow of saliva. Small pathos ulcerations on the tongue, at the outer of the alveolae, or at the duplicature of the lips are seen; however, the gums themselves may not be swollen and painful.
A third morbid condition of the mouth is sometimes seen which is attended by very considerable fever and disorder of the chylopoetic viscera.
The gums become extremely hot, swollen, and tender.
We find the gum swollen up into a kind of little tumor and this painful condition is called odontitis infantum.
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