Misconceptions and Cultural Practices toward Infant Teething among Mothers Visiting a Public Dental Hospital
Sanam Faheem, Rimsha Qasim, Syed JA Zaidi, Shahida Maqsood
Hospital, Infant, Mothers, Teething
Citation Information :
Faheem S, Qasim R, Zaidi SJ, Maqsood S. Misconceptions and Cultural Practices toward Infant Teething among Mothers Visiting a Public Dental Hospital. World J Dent 2022; 13 (4):406-411.
Aim: The purpose of this study was to ascertain mothers’ awareness of the teething process in children, their associated symptoms, adopted cultural practices, and medicines given to relieve these symptoms.
Materials and methods: A total of 115 mothers participated in this study that was conducted in the Dental Outpatient Department (OPD) of Dow University of Health Sciences from July 2021 to September 2021. The prevalidated adapted questionnaire consisting of 20 items which included mothers’ sociodemographic details, mothers’ awareness regarding the teething process, and cultural practices to relieve these symptoms was administered. Chi-square tests of significance (Fisher's exact test) were used with a 95% confidence interval while the p-value was set at less than 0.05 for statistical significance.
Results: Out of 115, half of the mothers knew the completion dates of deciduous dentition, that is, approximately 3 years that was statistically significant with education. Fifty-two percent of the mothers expressed their concern when their children started teething which was correlated with education. Ninety percent of the mothers reported that teething was associated with different symptoms. Fever was the most reported symptom during teething followed by diarrhea and poor appetite. On worsening of teething symptoms, 61 (53%) mothers took their children to the hospital. Paracetamol was the most common medicament given by 59 (51.3%) mothers which was associated with their education and occupation. The majority of mothers did not associate teething symptoms with their older children and siblings and this was correlated with mothers’ education.
Conclusion: In this study, awareness of teething symptoms was directly correlated with mothers’ educational levels. Misbeliefs of teething such as the association of diarrhea and fever with teething and the use of medicines for teething was prevalent in mothers having no professional education. Half of the mothers gave paracetamol during the teething period but some from the other half were dependent on harmful unregulated homeopathic drugs.
Clinical significance: Mothers have wrongful beliefs regarding infant teething in Pakistan which endangers children's well-being. Harmful homeopathic drugs are being given for symptoms which have no relation to the teething process. Moreover, these misconceptions might delay accurate diagnosis of other ongoing diseases.
Getaneh A, Derseh F, Abreha M, et al. Misconceptions and traditional practices towards infant teething symptoms among mothers in Southwest Ethiopia. BMC Oral Health 2018;18(1):159. DOI: 10.1186/s12903-018-0619-y
Al Olah L, Al Dubaikhi K, Al Eissa N, et al. Saudi mothers knowledge regarding the teething process in their children. Ann Dent Spec 2020;8(4):69–74.
Markman L. Teething: facts and fiction. Pediatr Rev 2009;30(8): e59–e64. DOI: 10.1542/pir.30-8-e59
Bankole OO, Lawal FB, Ibiyemi O. “Owoero”: a health education tool to dispel teething myths and misconceptions—a report. Niger J Med 2018;27(4):368–373. DOI: 10.4103/1115-2613.278804
Yousif MK. Mothers’ false beliefs and myths associated with teething. Qatar Med J 2020;10(2):1–6. DOI: 10.5339/qmj.2020.32
Tagg A. Teething Trouble. Don't Forget the Bubbles; 2017. Available at: https://doi.org/10.31440/DFTB.12002
Oyapero A, Oyapero O, Iwuala M, et al. Impact of health education on maternal perception and practices about teething at a pediatric outpatient clinic in Lagos state. Edorium J Health Educ 2016;6(1):1–10. DOI: 10.5348/H02-2016-1-OA-1
Ahmed MAA, Salih KM, Al-Nafeesah A, et al. Misconceptions and traditional practices toward infant teething symptoms among mothers in eastern Sudan: a cross-sectional study. Braz J Oral Sci 2021;20:e210967. DOI: 10.20396/bjos.v20i00.8660967
Pradhan M, Joshi U, Mathema S, et al. Parents’ beliefs and practices on teething. J Nepal Dent Assoc 2020;20(31):100–106.
Hadadi MH. Parental knowledge and practices on infant teething. IJMDC 2019;3(6):521–525. DOI: 10.24911/IJMDC.51-1549063149
Kakatkar G, Nagarajappa R, Bhat N, et al. Parental beliefs about children's teething in Udaipur, India: a preliminary study. Braz Oral Res 2012;26(2):151–157. DOI: 10.1590/s1806-83242012000200011
Ashley MP. It's only teething... A report of the myths and modern approaches to teething. Br Dent J 2001;191(1):4–8. DOI: 10.1038/sj.bdj.4801078
Mani SA, John J, Ping WY, et al. Early childhood caries: parent's knowledge, attitude and practice towards its prevention in Malaysia. In: Mandeep S (Ed.) Oral Health Care—Pediatric, Research, Epidemiology and Clinical Practices. InTech Publishers; 2012. p. 3–18.
Aliyu I, Adewale A, Teslim LO. Teething myths among nursing mothers in North-Western Nigeria. Med J Dr DY Patil Univ 2015;8(2):144–148. DOI: 10.4103/0975-2870.153139
Dika HI, Iddi S, Kayange N. Teething induced fever in a 9-month old child: a case report. Tanzan J Health Res 2018;20(4). DOI: 10.4314/thrb.v20i4.11
El-Gilany A-H, Abusaad FES. Mothers’ teething beliefs and treatment practices in Mansoura, Egypt. Saudi Dent J 2017;29(4):144–148. DOI: 10.1016/j.sdentj.2017.05.003
Dhull KS, Dutta B, Devraj IM, et al. Knowledge, attitude, and practice of mothers towards infant oral healthcare. Int J Clin Pediatr Dent 2018;11(5):435–439. DOI: 10.5005/jp-journals-10005-1553
Faheem S, Maqsood S, Shaikh F. Parental influence on early childhood caries. JPDA 2018;27(4):195–201. DOI: 10.25301/JPDA.274.195
Monaghan N. Teething products may be harmful to health. Br Dent J 2019;227(6):485–487. DOI: 10.1038/s41415-019-0715-7
DTB Team. Oral lidocaine for infant teething reclassified as pharmacy only. Drug Ther Bull 2019;57(2):21. DOI: 10.1136/dtb.2018.000064
Oderda GM. Utah Medicaid Dur Report. Topical Lidocaine Products. University of Utah College of Pharmacy; 2015. Available from: https://medicaid.utah.gov/pharmacy/topical-lidocaine-products/2015
Lass J. Epidemiological and Clinical Aspects of Medicines Use in Children in Estonia [Dissertation on the Internet]. Estonia: University of Tartu; 2012. Available from: https://dspace.ut.ee/bitstream
FDA. FDA Drug Safety Communication: FDA Recommends not using Lidocaine to Treat Teething Pain and Requires New Boxed Warning. USA: FDA; 2014. Available from: https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-recommends-not-using-lidocaine-treat-teething-pain-and-requires
Teoh L, Moses GM. Are teething gels safe or even necessary for our children? A review of the safety, efficacy and use of topical lidocaine teething gels. J Paediatr Child Health 2020;56(4):502–505. DOI: 10.1111/jpc.14769
FDA. Safely Soothing Teething Pain and Sensory Needs in Babies and Older Children. USA: FDA; 2018. Available from: https://www.fda.gov/consumers/consumer-updates/safely-soothing-teething-pain-and-sensory-needs-babies-and-older-children
Douglass JM, Douglass AB, Silk H. A practical guide to infant oral health. Am Fam Physician 2004;70(11):2113–2120. PMID: 15606059.
American Academy of Pediatric Dentistry. Perinatal and Infant Oral Health Care. USA: American Academy of Pediatric Dentistry; 2021. Available from: https://www.aapd.org/research/oral-health-policies--recommendations/perinatal-and-infant-oral-health-care/
FDA. FDA Warns against the Use of Homeopathic Teething Tablets and Gels. USA: FDA; 2016. Available from: https://www.fda.gov/news-events/press-announcements/fda-warns-against-use-homeopathic-teething-tablets-and-gels
National Reye's Syndrome Foundation UK. Causes of Reye's Syndrome in Children. United Kingdom: National Reye's Syndrome Foundation UK. Available from: https://reyessyndrome.rcpch.ac.uk/about-reyes-syndrome/causes/
Ip EJ, Patel PB, Chi JJ, et al. What are pharmacists recommending for infant teething treatment? J Am Pharm Assoc 2018;58(1):79–83. DOI: 10.1016/j.japh.2017.10.009