 Hello everyone welcome back to another session on dentistry and more today we have a small topic in pedodontics that is teething so teething all of us know what is teething. Teething is process by which an infant's teeth erupts or break through the gums. So that is a normal physiologic process teething is also referred to as cutting of the teeth and teething is medically termed as odentiasis this cutting or odentiasis this also known as odentiasis in most cases eruption of primary teeth causes no distress to the child or parent but sometimes the process causes local irritation which may interfere with child's sleep. The small primary incisors usually erupts without any difficulty but difficult teething is most commonly associated with larger teeth. So that is the introduction part that is a process of eruption of primary tooth through the gums and occasionally it causes distress it is between six months to three years that is a period when this teeth erupts and it mostly associated with larger teeth. So usually babies teething starts around four months to ten months that is when the first residual central incisor levels central incisor erupts some may be early and some may be late teethers will be there some babies teeth at exact teeth during six months some may be early four months some may be late at ten months so early average or late teethers other. So first central incisor then lateral canines first molar second molars it erupts during the spirit. So we have signs and symptoms of this condition the signs is divided into local and systemic signs are local it is drooling lack of sleep refusal of food keeping hands in the mouth rubbing of ear and cheek as a consequence of referred pain during the eruption of molars and there will be mild rashes around mouth due to the skin irritation secondary to excessive drooling and fuzziness that comes and goes and decreased sleeping due to the gum discomfort whereas the systemic signs are irritability and crying fever which is over 101 fahrenheit diarrhea or oninos and cough prolonged fuzziness rash over the body increased thirst and loss of appetite whereas the symptoms include eruption hematoma eruption sequestrum ectopic eruption epstein burls bonds nodules and systemic cholera and phantyle paralysis so many other so basically we provide medications analgesic preparations like paracetamol we can give 5 ml once a day and hypnotic sans sedatives we can give chloral hydrate that is 25 ml sorry 2.5 ml chloral hydrate twice a day or if it is more than 5 years like 1 to 5 years we can give up to 5 ml twice a day so this is the basic picture about teething so it is also known as urtentiasis so usually it is a common process but when it is creating problem the signs and symptoms will arise so other symptoms we have already discussed the epstein pearls and bone nodules so teething is a physiological process at times it causes distress to the baby so that's all about teething I'll come up with a new session on dentistry and more thank you