Teething troubles?
Teething troubles?
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DOI：
10.1038/sj.bdj.4801349a
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发表时间：
2002-03-09
影响因子：
2.6
通讯作者：
McIntyre, GM
中科院分区：
文献类型：
--
作者：
McIntyre, GT;McIntyre, GM
乳牙的萌出与婴儿的一般健康之间的关系已有5,000多年的记录。历史上，各种各样的身体障碍（从轻微的不适到潜在的致命疾病）都被归因于出牙，然而最近的一些出版物暗示了出牙的一些有争议的特征。现在公认的是，出牙的局部症状因人而异，然而，“出牙”仍然是医疗保健专业人员和外行人提供的一种不适当的诊断。严重的全身性不适与出牙无关，如果出现，婴儿应立即转诊给医生，以获得准确的诊断和适当的治疗。在出牙过程中使用的治疗方式在各个时代都是不同的，通常取决于医学专业和外行人的原则，但现在主要涉及疼痛缓解。本文探讨了经常归因于出牙的体征和症状及其可能的其他原因。当代原则的管理出牙艺术的讨论，包括支持措施，各种各样的可用的局部和全身药理学制剂和“替代”整体疗法。
The relationship between the eruption of the deciduous teeth and the general health of infants has been documented for over 5,000 years. A variety of physical disturbances (anything from minor upsets to potentially fatal illnesses) have historically been attributed to teething, however a number of recent publications have alluded to a clarification of some of the disputed features of teething. It is now accepted that the localised symptoms of teething vary between individuals, however, 'teething' continues to be an inappropriate diagnosis proffered by both healthcare professionals and lay people. Severe systemic upsets are unrelated to teething and, if present, the infant should be promptly referred to a physician for an accurate diagnosis and appropriate treatment. The treatment modalities used in teething have been diverse throughout the ages, frequently depending on the tenets of the medical profession and lay people, but now principally involve pain relief. This article examines the signs and symptoms frequently attributed to teething and their possible alternative causes. The contemporary principles of the management of teething art discussed, including supportive measures, the diverse range of available topical and systemic pharmacological preparations and the 'alternative' holistic therapies.