The best gels for teething in children - Pediatrics and neonatology

How to make teething easier for children.

December 15, 2022
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Content

Symptoms of teething in children
Top 7 pain-relieving gels for teething
Kamistad Baby
Dentinale
Holisal
Baby Doctor First teeth
Kalgel
Pansoral
Dentinox

A baby’s first teeth are always a great joy for parents, but often this is accompanied by a deterioration in the child’s well-being, fever, moodiness and bad mood. Only 30% of young children do not have any negative symptoms when teething. In pharmacies you can buy various drugs to improve the condition of a child during teething: both drugs for oral administration and for external use. Today we’ll talk about gels for gums.

Many parents buy such products on the advice of friends or based on reviews from moms on forums. But it is better to consult a pediatrician before purchasing a painkiller, because only a doctor can take into account all the individual characteristics of your baby’s body and choose a truly effective and safe remedy.

Read also Top 10 best hypoallergenic formulas for children 10 best infant formulas for children with allergies.

Symptoms of teething in children

Typically, when teething, the following symptoms are observed:

excessive salivation, which can cause the baby to cough, possible hoarseness, a rash around the mouth and on the chin;
soreness and swelling of the gums;
itching of the gums (the child puts various objects in his mouth to “scratch” the gums);
deterioration of appetite or its complete absence;
increased body temperature;
sleep problems;
increased excitability, tearfulness;
runny nose;
stool disorder.

It is important to note that not all children have all the symptoms on this list. These may be several symptoms of teething, or even none at all. Everything is very individual.

How children cut teeth

Pain-relieving teething gels can be hazardous to children's health.

“Children’s gels based on lidocaine are dangerous due to the classic side effects of lidocaine, which, in addition to its local analgesic effect, is also an antiarrhythmic - a drug for the treatment of certain heart rhythm disorders. In addition, when using lidocaine-containing gels in children, other undesirable effects were observed: convulsions, often leading to traumatic brain injuries, breathing problems, swallowing, and - the most serious complications - heart rhythm disturbances and death.
Strictly speaking, such gels are ineffective. The effect of local anesthetic drugs is due to their local action; in the oral cavity they are washed off with saliva and swallowed by the child, which leads to a very short-term analgesic effect.
It should be borne in mind that the form of the gel is not very convenient for use: not all parents read the instructions on the dosage of the gel in millimeters, frequency of use, etc. That is, the danger of an overdose of such gels is quite high. It is generally quite difficult to predict the proarrhythmogenic effect of a drug. Accordingly, the Food and Drug Administration (FDA), in its ban, was guided by the balance of harm and benefit of this drug. Roughly speaking, we do not expect serious complications from teething pain, so the use of a drug that can lead to the above complications and even death seems unreasonable.”
Pediatrician
Natalya Vasilyeva
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“I want to say right away: in our practice we have not used gels with lidocaine for a long time. Back in June 2014, the website for doctors medscape.com published information about their dangerous side effects. Gels with lidocaine in overdose can cause cardiac conduction disturbances, even leading to cardiac arrest in a child. Another serious side effect is seizures. There is also evidence that lidocaine gels can affect the composition of hemoglobin and the ability of blood to carry oxygen. An overdose can happen very easily. The fact is that all these gels give a very brief and insignificant effect, easing the child’s condition for just a couple of minutes. Because of this, parents have to smear the child’s gums with gel again and again, and this is very dangerous.
Pediatrician at the Fantasy Clinic,
Candidate of Medical Sciences
Ruzanna Avanesyan

Kamistad Baby

This German gel contains two main components: chamomile (disinfects, soothes and relieves inflammation) and polidocanol (a local anesthetic that is as safe as possible for the child’s body). “Kamistad Baby” has a sweetish-honey taste, so the baby will definitely not spit it out. The product is packaged in a convenient tube with a thin dispenser spout, so the gel is easy to apply to children's gums. Literally immediately after application, the drug begins to work, relieving pain, and the effect lasts for several hours. In addition to teething in babies, Kamistad Baby is prescribed for stomatitis and gingivitis in adults, for healing erosions in the oral cavity, after surgical procedures.

Kamistad Baby

STADA CIS, Russia

Kamistad® Baby is recommended at the first signs of teething in children.
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Therapeutic effects of Kalgel

According to the instructions, Kalgel is a combination product that has an antimicrobial effect on the oral mucosa and also has a local analgesic effect.

The mechanism of action is determined by the properties of the main active substances included in it.

Lidocaine hydrochloride inhibits nerve conduction by blocking sodium channels, and therefore has a local anesthetic effect.

Cetylpyridinium chloride belongs to the group of antiseptics that suppress the proliferation of pathogenic microflora in the oral cavity.

Dentinale

This teething gel helps babies get through the difficult period easier. Dentinale contains only safe ingredients, no chemical painkillers. The drug contains chamomile extract, aloe vera juice and boswellia. Dentinale reduces gum sensitivity, relieves inflammation and provides excellent pain relief. After applying the gel, a protective film is formed on the gums, so the child calms down and falls asleep. The drug can be applied many times, and the effect lasts for several hours. Dentinale does not contain sugar, parabens, or lidocaine. The gel has a sweetish, pleasant taste that your baby will definitely like. Dentinale can be used even by children prone to allergies.

Holisal

This Polish gel has a wide range of dental indications. It is suitable for both adults and children. You can use "Cholisal" when teething in babies from 6 months of age. The active ingredient of the drug is choline salicylate. The product has antimicrobial, anti-inflammatory, soothing and analgesic effects. “Cholisal” instantly relieves gum irritation and also reduces their bleeding (which is important for various oral problems in adults). The drug is sold in a convenient small tube; it should be used with caution in children under one year of age. The downside is the high cost.

Holisal

Pharmaceutical plant Elfa A.O., Poland

For local use on the mucous membranes of the oral cavity as an analgesic and anti-inflammatory agent in the treatment of periodontal diseases, damage to the mucous membrane, diseases that occur with an inflammatory reaction and pain: - stomatitis of various etiologies;
- gingivitis; - periodontitis; - damage to the oral mucosa when wearing dentures; - trauma to the oral mucosa; - pain during teething in children; - cheilitis; — candidiasis of the oral mucosa; — minor surgical interventions in the oral cavity; - lichen planus when localized on the oral mucosa; — damage to the oral mucosa in Stevens-Johnson syndrome (as part of complex therapy). from 204

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INSTRUCTIONS FOR USE

If teething is not accompanied by inflammation of the oral mucosa, then both drugs can be used. They exhibit pronounced analgesic and distracting activity. After applying dental gels, their ingredients do not penetrate into the bloodstream. Therefore, the development of systemic side effects is completely excluded.

INDICATIONS AND CONTRAINDICATIONS

The drug Kalgel is aimed at use in pediatrics, therefore it contains more flavorings and flavoring additives. Cholisal is used not only for teething. It is included in therapeutic regimens for diagnosing periodontitis, gingivitis, and stomatitis. It is used for any inflammatory diseases of the oral mucosa in adults. What is better for stomatitis - Cholisal or Kalgel:

both drugs disinfect the mucous membranes of the oral cavity;
Cholisal is more active against pathogenic microorganisms.

Dental gels are good at eliminating both fungal and bacterial infections. Contraindications to their use are hypersensitivity to the ingredients.

Dentists prescribe Kalgel to children from 5 months. One of the contraindications for Cholisal is age under 12 months. It is not used in the treatment of pregnant women, since its safety has not been confirmed by clinical trials. The drug is not prescribed to patients with severe heart, liver and kidney diseases, arterial hypotension.

SIDE EFFECTS

But doctors recommend not using Cholisal in the treatment of children under 3 years of age due to the provocation of excess salivation.

When treated with dental products, a burning and tingling sensation sometimes occurs. It disappears after 3-5 minutes. In rare cases, an allergic reaction develops - swelling and a small rash.

METHOD OF APPLICATION AND DOSES

The ingredients included in dental products ensure rapid absorption of active substances. The gels are securely held on the gums and do not enter the stomach when swallowing saliva. A single dose is approximately 0.5 cm of a strip of product squeezed out of the tube.

For pain relief, it is enough to apply the drug to the gums 3-4 times a day, lightly rubbing. You should first remove the resulting plaque with a sterile cloth. The duration of treatment with Cholisal and Kalgel is determined by the doctor, taking into account the speed of teething and the number of teeth.

Baby Doctor First teeth

This Israeli teething gel contains plantain, marshmallow root, chamomile, calendula, and echinacea. This is an ideal drug for both infants and older children. “Baby Doctor First Teeth” quickly relieves inflammation of the gums, the drug is completely natural and hypoallergenic. The gel contains no anesthetics, so it is suitable for children. The product provides long-term relief from pain, itching and inflammation. It is also important that you can use “Baby Doctor First Teeth” as much as necessary per day. Many pediatricians and parents speak only positively about the drug.

Baby Doctor First teeth

Baby Doctor gel for gums First teeth is a transparent pinkish gel, tasteless and odorless.
The gel instantly soothes the gums and eliminates inflammation. With regular use of the gel, the teething period of an infant is greatly facilitated and the occurrence of complications is eliminated. from 279

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Teething by age

Kalgel

You can buy "Kalgel" only with a doctor's prescription, since this drug contains a powerful anesthetic - lidocaine, and it should be used with caution in small children, an overdose is dangerous. "Kalgel" is prescribed in difficult cases of teething in children, when weaker drugs do not have an effect. The gel also contains cetylpyridinium chloride - it disinfects and relieves inflammation due to bacterial infection. Kalgel has a powerful and long-lasting effect, but it is very important to observe the frequency of use and dosage.

Kalgel

GlaxoSmithKline, France

- for quick relief of pain during teething and reduce the severity of gum irritation.
The drug Kalgel also has a weak antiseptic effect. from 260

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Description of the drug

Kalgel is available only in the form of a dental gel. The drug has a uniform thick consistency, without inclusions, dark yellow color and a specific odor.

1 g of gel contains 3.3 mg of lidocaine hydrochloride and 1 mg of cetylpyridinium chloride. Additionally, there is a solution of sorbitol, ethanol, glycerol, citric acid monohydrate, macrogol, xylitol, levomenthol, saccharinate and sodium citrate, flavorings and water.

The gel is packaged in 10 g aluminum tubes. Sold in cardboard boxes complete with instructions. Produced in Poland.

Pansoral

This is a French phytogel for children's gums, the quality and safety of which are confirmed by international certificates. "Pansoral" relieves inflammation and slightly numbs the baby's gums. Thanks to the rapid penetration of active substances into the mucous membrane, the pain subsides in just two minutes. The preparation contains chamomile and saffron flowers, an extract from marshmallow roots. These components are excellent antiseptics; they heal and disinfect well. Gel "Pansoral" can be used in children from 3 months of age, it is completely natural. The drug is also indicated for the healing of ulcers on the mucous membrane, stomatitis, and bacterial rashes in the oral cavity. It is advisable to consult a pediatrician before using the drug. Among the disadvantages of the product is that it is not available in all pharmacies, it can cause an allergic reaction.

Pansoral

Pierre Fabre Medicament, France

Pansoral is a natural herbal remedy that is used to ease teething in children.
The plant extracts included in the preparation have a calming and softening effect on the gum mucosa. The plant extracts included in the preparation have a calming and softening effect on the mucous membrane of the gums and help the child endure this period easier. from 280

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KALGEL OR CHOLISAL - WHAT IS MORE EFFECTIVE?

During teething in children, the likelihood of infection of the gum mucosa increases. To ease the pain and burning sensation, the baby begins to chew objects that he can reach. During the day, pathogenic bacteria and pathogenic fungi settle on toys or books. After their penetration into the oral cavity, there is a risk of an inflammatory process. The use of Cholisal or Kalgel will help prevent such negative developments. They are characterized by the following therapeutic properties:

relief of inflammation and swelling of the gums;
elimination of pain of any intensity;
preventing the spread of infection to healthy areas of the oral cavity.

Cholisal fights inflammation much more effectively due to its active ingredients. They quickly destroy pathogenic microorganisms and disinfect mucous membranes. Kalgel relieves pain, burning, cutting and itching well. But it is used more for the prevention of bacterial and fungal infections. And to eliminate it, more powerful antimycotic and antimicrobial agents are needed.

RULES FOR SELECTION OF DOSAGE FORM

Kholisal is characterized by a significantly larger number of contraindications. The likelihood of developing side effects from using Kalgel is significantly lower. The dentist assesses the stage of the inflammatory process and the number of complications that have arisen. What is better for a child - Cholisal or Kalgel:

Both gels eliminate pain within the first minutes after application to the gum mucosa;
Kalgel is less toxic to the baby’s body;
Cholisal has a wider spectrum of antimicrobial action;
drugs are quickly absorbed by mucous membranes, which reduces the likelihood of ingestion;
Cholisal better eliminates swelling, which increases pain.

When choosing a gel to relieve pain in the gums, the doctor is guided by the age of the young patient. The general state of health and the presence of diseases in the anamnesis must be taken into account.

DIFFERENCES

Dental gels differ from each other not only in composition and range of applications. What else is the difference between Kalgel and Cholisal:

Kholisal has a more multifaceted therapeutic effect;
Kids like Kalgel more in terms of taste;
Dental gels have different mechanisms of pharmacological action.

For a small child, Kalgel is a safer drug.

If dental gel is accidentally swallowed, digestive and peristalsis disorders occur in rare cases. Kholisal has one significant drawback. It contains anise oil, which determines the taste and smell of the drug. After applying the product to the gums, increased salivation occurs. Human saliva contains enzymes that have medicinal properties:

bactericidal;
antifungal;
antiseptic.

By adding anise oil, manufacturers enhanced the therapeutic effect of the dental drug. But small children do not have time to swallow saliva, they choke and are very frightened by this condition. This can negatively affect falling asleep and disrupt feeding patterns.

Dentinox

This German gel contains chamomile flowers and lidocaine. This drug should be prescribed exclusively by a pediatrician, given the presence of a strong anesthetic in the composition. Dentinox effectively relieves inflammation and pain during teething in babies. The drug is indicated for children from 4 months of age if weaker drugs do not help reduce inflammation and pain. Among the disadvantages of Dentinox are the risks of allergic reactions, fructose in the composition and a contraindication for use in case of damage to the oral mucosa.

Dentinox

Dentinox, Germany

It is used to prevent and relieve pain and inflammation during the eruption of milk and permanent teeth.
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