The first set of teeth, or milk-teeth as they are called, are twenty in number; they generally appear in sets, and those of the lower jaw typically precede the matching ones of the upper. The first of the milk-teeth is usually cut about the 6th or seventh month, and the last of the set at numerous durations from the twentieth to the thirtieth months. Thus the entire duration occupied by the first dentition might be estimated at from a year and a half to two years. The process varies, nevertheless, in various people, both as to its entire period, and as to the periods and order in which the teeth make their appearance. It is unneeded, nevertheless, to include more upon this point.Their developement is a natural procedure. It is too often, nevertheless, rendered a painful and challenging one, by errors in the management of the program and health of the baby, previously to the coming of the teeth, and throughout the procedure itself.Thus, chiefly in consequence of injudicious management, it is made the most crucial duration of youth. Not that I believe the degree of mortality fairly traceable to it, is by any methods so fantastic as has been stated; for it is rated as high as one sixth of all the kids who undergo it. Still, nobody questions that first dentition is often a period of great danger to the infant. It therefore becomes an extremely crucial concern to a distressed and affectionate mom, how the dangers and difficulties of teething can in any degree be lessened, or, if possible, altogether prevented. A couple of tips upon this topic, then, may work. I will think about, initially, the management of the baby, when teething is accomplished without problem; and, secondly, the management of the baby when it is attended with difficulty.Management of the infant when teething lacks problem.

———————————————————— In the child of a healthy constitution, which has been correctly, that is, naturally, fed, upon the milk of its mother alone, the signs attending teething will be of the mildest kind, and the management of the baby most simple and easy.Symptoms:- The symptoms of natural dentition (which this may be fairly called)are, an increased circulation of saliva,

with swelling and heat of the gums, and periodically flushing of the cheeks. The child regularly thrusts its fingers, or any thing within its grasp, into its mouth. Its thirst is increased, and it takes the breast more regularly, though, from the tender state of the gums, for much shorter durations than usual. It is complaining and uneasy; and sudden fits of crying and periodic beginning with sleep, with a small propensity to throwing up, and even looseness of the bowels, are not uncommon. A lot of these signs typically precede the appearance of the tooth by numerous weeks, and show that what is called”reproducing the teeth”is going on. In such cases, the symptoms vanish in a few days, to recur once again when the tooth approaches the surface area of the gum.Treatment:- The management of the infant in this case is really simple, and hardly ever requires the disturbance of the medical attendant. The child should be much in the open air, and well worked out: the bowels ought to be kept freely open with castor oil; and be always gently relaxed at this time. Cold sponging utilized daily, and the surface area of the body rubbed dry with as rough a flannel as the fragile skin of the kid will bear; friction being extremely helpful. The breast must be provided often, however not for long at a time; the thirst will therefore be eased, the gums kept wet and unwinded, and their irritation soothed, without the stomach being overloaded. The mother needs to also carefully participate in, at this time, to her own health and diet, and avoid all stimulant food or drinks.From the minute dentition begins, pressure on the gums will be discovered to be acceptable to the child, by numbing the perceptiveness and dulling the discomfort. For this purpose coral is usually used, or a piece of orris-root, or scraped liquorice root; a flat ivory ring, nevertheless, is far safer and much better, for there is no risk of its being thrust into the eyes or nose. Gentle friction of the gums, likewise, by the finger of the nurse, is pleasing to the infant; and, as it seems to have some result in easing inflammation, might be regularly turned to. In France, it is extremely much the practice to dip the liquorice-root, and other compounds, into honey, or powdered sugar-candy; and in Germany, a little bag, consisting of a mixture of sugar and spices, is offered to the infant to draw, whenever it is fretful and anxious during teething. The constant usage, however, of sweet and stimulating components must do injury to the stomach, and renders their employment very objectionable.

It is too often, however, rendered an uncomfortable and tough one, by mistakes in the management of the routine and health of the baby, formerly to the coming of the teeth, and throughout the process itself.Thus, chiefly in consequence of injudicious management, it is made the most vital duration of childhood. Still, no one doubts that first dentition is frequently a duration of fantastic danger to the baby. In such cases, the signs vanish in a few days, to repeat once again when the tooth approaches the surface of the gum.Treatment:- The management of the infant in this case is really easy, and rarely calls for the disturbance of the medical attendant. Gentle friction of the gums, also, by the finger of the nurse, is pleasing to the infant; and, as it seems to have some result in easing irritation, might be regularly resorted to.

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