The period when babies erupt their first baby teeth is a rather difficult time for parents. But this process also brings a lot of unpleasant sensations to the baby himself. Pain, increased body temperature, profuse salivation - these are only minimal manifestations that accompany the appearance of almost every new tooth. We will try to tell you about what products can be used for gums during teething in children, as well as how you can alleviate discomfort and pain in a child.
All medications that are used to alleviate unpleasant symptoms during teething are divided into the following groups:
- topical preparations (ointments, gels, creams);
- painkillers and anti-inflammatory drugs in the form of drops for oral use;
- homeopathic medicines.
How do these medications work for teething?
The action of gels and ointments with an analgesic effect is based on the presence in their composition of an anesthetic substance (for example, lidocaine or another) that blocks pain receptors that are located on the surface of the gums. They may additionally contain plant extracts and anti-inflammatory components that help eliminate inflammatory manifestations that occur during teething.
Almost immediately after their application, the effect occurs, but the effect of such a medicine is insignificant, most often no more than half an hour.
An indication for the use of painkillers and anti-inflammatory drugs is an elevated temperature in a child during teething and severe pain.
Most often they are given to the baby orally. After taking such medications, the effect can be seen within 30-40 minutes, while their effect is quite long - up to 12 hours.
It is not advisable to get carried away with such drugs and give them to newborn children unless absolutely necessary.
Homeopathic remedies contain natural ingredients that act throughout the baby’s body. At the same time, the clinical manifestations of gum inflammation are reduced, pain is relieved and the process of teething in the baby is accelerated.
Let's take a closer look at each group of drugs.
Popular dental gels for teething
At the moment, gels for teeth and gums are presented by many companies. To make your choice easier, let's look at the most popular ones.
Dentinox
It is a transparent gel with a yellow tint and a distinct scent of mint and chamomile. Using Dentinox gel for preventive purposes allows you to achieve painless and normal formation of the first incisors, primary and subsequent molars. This drug also prevents inflammation of the oral mucosa (stomatitis), irritation of the gums and any painful sensations.
- Composition 1 g of the drug . Active ingredients - tincture based on chamomile flowers (150 mg), polidocanol 600 (3.2 mg), lidocaine hydrochloride (3.4 mg); excipients - xylitol, carbomer (974 P), sorbitol, propylene glycol, polysorbate 20, levomenthol, purified water, sodium edetate, saccharin and hydroxide.
- Side effects . The appearance of a slight burning sensation, redness and irritation. In some cases, allergies may develop, including contact allergic reactions, itching, skin rashes and angioedema. If any of the side effects occur, stop using the product and consult a doctor.
- Contraindications . Hypersensitivity to the substances of the drug, the presence of open wounds on the mucous membrane in the oral cavity. Due to the sorbitol content, Dentinox is not recommended for the treatment of children with congenital fructose hypersensitivity.
Cholisal-Gel
Compared to cooling gels based on lidocaine, Cholisal has a pathogenetic effect aimed at getting rid of the cause of pain in this process - swelling and inflammation.
After application to the surface of the gums, the active substance of the drug, choline salicylate, is absorbed by the mucous membrane and relieves local inflammation: compression and swelling of nearby tissues are reduced, due to which the pain effect disappears. The adhesive base of the gel ensures a rapid onset of the effect (after 2-3 minutes), as well as its long-term retention, which allows Cholisal to eliminate unpleasant sensations during teething in children for up to 8 hours in one application.
- Composition per 1 g of product . Cetalkonium chloride (100 mcg), choline salicylate (87.1 mcg); auxiliary components - anise seed oil (1.61 mg), methyl parahydroxybenzoate (1.5 mg), ethanol 96% (390 mg), hyaetellose (20 mg), glycerol (50 mg), propyl parahydroxybenzoate (0.8 mg), water (up to 1000 mg).
- Side effects . Allergy; A short-term burning sensation may occur in the area of application of the product, which can be eliminated independently.
- Contraindications . Hypersensitivity to salicylates, as well as other components of Cholisal. When treating a child under 1 year of age, caution should be exercised.
Kalgel
Designed to eliminate pain during teething in children aged 5 months and older. Calgelalidocaine, which is part of the product, helps block the excitability of the membranes of the most sensitive nerve endings, and cetylpyridinium chloride is responsible for suppressing harmful microorganisms.
- Compound . Cetylpyridinium chloride (10 mg), lidocaine hydrochloride (33 mg); auxiliary components - xylitol, sorbitol solution 70%, glycerin, PEG-40 castor oil, ethanol 96%, xylitol, hydroxyethylcellulose 5000, laureth-9, sodium saccharin, hydrogenated concentrate, macrogol 300, vegetable flavor, levomenthol, caramel E150, purified water .
- Side effects . Allergy, as well as local irritant effect with prolonged use.
- Contraindications . The presence of hypersensitivity to the main and auxiliary substances of the drug, liver or kidney failure, bradycardia, heart failure of the II or III degree, arterial hypotension, intraventricular conduction disturbance.
Pansoral “First teeth”
The most popular herbal gels to ease teething without anesthetics. At the same time, the plant extracts included in the composition have a softening and soothing effect on the gum mucosa.
- Compound . Extracts of marshmallow root (49.75 mg), saffron flowers (1 mg) and Roman chamomile (49.75 mg); excipients: sodium methylparaben, glycerol, sodium propylparaben, purified water, sodium saccharin, carbomer, sodium benzoate, Irish moss and triethanolamine.
- Side effects. Not identified.
- Contraindications . Newborns up to 4 months, hypersensitivity to the components of the drug.
Kamistad
Refers to the number of dental gels for small children, used at 3 months and later. Kamistad has a quick pain-relieving effect and allows you to temporarily normalize the child’s general well-being. Due to the high content of lidocaine, treatment of children under 12 years of age should be carried out only as prescribed by a pediatrician.
- Compound . Active ingredients: tincture of chamomile flowers (protects against inflammation), lidocaine hydrochloride (anesthetic for pain relief); excipients: purified water, sodium saccharin dihydrate, benzalkonium chloride, trometamol, carbomers.
- Side effects . If you follow the recommended dosage of the gel, there are no side effects. In rare cases, a burning sensation may occur in the area where the gel is applied, as well as transient hyperemia.
- Contraindications . Hypersensitivity. Not recommended for treating infants under 3 months.
Dentol
Indicated for quick relief of pain in children from 4 months during teething. After application, Dentol begins to act after 1 minute and provides an analgesic effect for 20 minutes.
- Gel composition .7.5%: per 1 g: benzocaine (75 mg); excipients - sodium saccharin, polyethylene glycol 8 and 75, glycerin, red dye, cherry flavor, ascorbic acid, purified water.
- Side effects . If the dosage is observed, no negative effects have been identified. There is a possibility of side effects due to individual intolerance. If swelling, itching, or hyperemia occurs in the area where the drug is applied, its further use should be discontinued.
- Contraindications . The presence of infection or multiple wounds at the site of application of the gel. Hypersensitivity to benzocaine.
Baby Doctor "First Teeth"
The product has a pinkish tint and is odorless and tasteless. Instantly eliminates inflammation and soothes gums. Regular use can significantly facilitate the process of teething without any complications, making it recommended for infants and older children.
- Compound . Calendula (5.8%), chamomile (5%), water (70%), echinacea (5%), methylparaben (0.2%), marshmallow root (5%), plantain (5%), methylcellulose (4 %).
- Side effects . When using the drug in recommended doses and according to indications, there are no side effects.
- Contraindications . Hypersensitivity to herbal components of the medicinal product.
Local preparations
Kamistad Baby
Kamistad Baby is a combined dental gel for children that has local anesthetic, antibacterial and anti-inflammatory effects. It contains lidocaine and chamomile tincture, which ensure rapid penetration of the drug to the affected area, as well as complete elimination or weakening of pain for a while. This group includes various pain-relieving creams, gels and ointments for gums - the most popular products that used for teething in babies. They can easily be applied to a swollen or inflamed area on the gum, thereby relieving unpleasant symptoms. Often, it is possible to determine which particular remedy will work better only after personal experience of using them, since each child has individual sensitivity to various components of the drug.
Kalgel
It is a dental gel consisting of a combination of the local anesthetic lidicaine and the antiseptic cytilperidine, which is active against many fungi and bacteria.
Kalgel begins to act after 1-2 minutes from the moment of application, the effect lasts for 10-15 minutes. The gel can be reused for severe pain, but it is advisable not to use it more than 6 times a day. The gel can be used not only to alleviate the baby’s condition during teething, but also for thrush in the oral cavity.
Dentinox gel
Dentinox is a gel that helps relieve painful teething. The anesthetic effect can be achieved due to the presence of lidocaine in its composition. In addition, due to the presence of polidocanol and chamomile tincture in the composition, it has an anti-inflammatory effect, due to which the growth of pathogenic microflora is suppressed.
This gel can be used several times a day, its effect lasts approximately 15 minutes. There is no sugar in the preparation, so there is no possibility of any negative effect on the teeth.
Cholisal gel
The main components of this dental gel are cetalkonium chloride and choline salicylate, which are characterized by a pronounced analgesic, antibacterial and anti-inflammatory effect. To relieve pain, just apply a little gel to the area of gum inflammation. Due to the special structure of the drug, it is retained on the surface of the mucous membrane, which ensures a fairly long-lasting effect (about 2-3 hours).
If your child has a fever
In cases where the eruption syndrome is accompanied by fever, chills and elevated temperature, topical remedies will not be enough to alleviate the child’s condition and systemic medications will be required. A slight increase in temperature during teething is considered normal, so parents should know in what cases it is recommended to bring it down.
Teething is often accompanied by high fever.
It is necessary to give your child antipyretic and painkillers if there are the following indications:
- temperature rise above 38°C;
- lack of positive dynamics for three days;
- severe pain syndrome affecting the child’s general well-being, appetite and sleep.
Paracetamol-based products are the safest for infants. They are available in the form of syrup and rectal suppositories and are suitable for use from three months of age. Before using the syrup, it is necessary to accurately calculate the dosage of the drug, since it depends on the weight of the baby. Preparations based on paracetamol: Panadol, Cefekon D, Paracetamol.
"Cefekon D"
More effective medications are those that contain ibuprofen (“Ibufen”, “Nurofen”, “Ibuklin”, “Ibuprofen”). If necessary, they are prescribed to children from 1 month. It is impossible to take medications of this group for a long time, as they negatively affect the condition of the liver and heart function.
"Ibuklin"
Medicines with antipyretic and analgesic effects also include the homeopathic drug “Viburkol”. These are rectal suppositories consisting of a solid fat base and a mixture of plant extracts that help reduce the severity of pain and eliminate painful symptoms during teething. The drug also has anti-inflammatory properties, therefore it is often prescribed as part of combined treatment regimens for respiratory diseases.
"Viburkol"
The dosage of the drug and the regimen depend on the age of the child and the clinical picture:
- children under 6 months – 1 suppository 2 times a day;
- children under 6 months at a temperature above 38°C - 1 suppository 3 times a day;
- children over 6 months – 1 suppository 2-4 times a day;
- children over 6 months at a temperature above 38°C - 1 suppository 4-6 times a day.
Note! In very rare cases, while using Viburkol, a child may develop non-infectious diarrhea. If such symptoms appear, you should stop using the drug further.
Description, indications for use
All of the listed drugs are considered safe for infants, but before using them it is recommended to consult a specialist, since even products based on herbal raw materials can cause serious side effects in the form of skin rashes and other signs of allergies. You need to be especially careful when using products that contain lidocaine, as this anesthetic can cause breathing difficulties and impaired swallowing function.
- Signs of teething in a baby
Teething
In case of uncomplicated teething, you can cope with pain using folk remedies - many of them are not inferior in effectiveness to homeopathic ointments and gels and can be easily prepared at home. If no methods help, it is advisable to use medication methods, but it is better to choose any medications with the doctor who is observing the child. You can find out the pain-relieving gel for teeth at the link.
Drops for oral administration
Preparations in the form of drops for internal use are antihistamines that help relieve swelling from the mucous membranes, thereby eliminating all unpleasant symptoms.
Fenistil drops
Fenistil drops help relieve swelling of the oral and nasal mucosa, which helps relieve unpleasant symptoms such as pain and difficulty breathing through the nose when teething in babies. The drug can be used up to three times a day.
Parlazin
Another antiallergic drug that can be used in case of difficulties with the appearance of baby teeth. The drug Parlazin is available in drops. Due to its long-lasting action, it can only be used once a day. After taking this remedy, swelling of the mucous membranes decreases and nasal breathing improves.
Cooling agents with anesthetics
This is the largest group of drugs that are used to relieve pain in children during the eruption of baby teeth. Most contain lidocaine, a local anesthetic that begins to work within five minutes of application. Lidocaine has the same properties as novocaine, but the effect of its use occurs faster, so this anesthetic is considered the drug of choice in the production of pain-relieving gels for infants.
Teething pattern
Experts include the following disadvantages of lidocaine-based products:
- short period of pain relief (in infants with a low pain threshold and increased sensitivity, painful sensations may return within 20-30 minutes after applying the drug);
- high probability of allergic reactions;
- a large list of side effects, including breathing difficulties, neurological disorders, seizures and other serious consequences;
- numbness of the mouth, which can cause additional anxiety for the baby.
Baby is cutting teeth
One of the most popular products that contain lidocaine is the Kalgel dental gel. It also contains cetylpyridinium (in the form of chloride), an antiseptic drug that disinfects the oral cavity and destroys pathogenic bacteria and microbes. It can be used from the age of five months no more than 5-6 times a day.
"Kalgel"
The Kamistad dental gel has a similar effect. To eliminate pain during teething, you can use the children's form of the drug - “Kamistad Baby”. It does not contain lidocaine, so it is considered a safer dosage form and is suitable for use from three months of age. The analgesic effect is achieved by adding a cooling flavoring additive. Chamomile extract soothes the gums, reduces the intensity of itching, reduces the severity of inflammation and disinfects the oral cavity, preventing the development of pathogenic flora.
You can use Kamistad Baby 2-3 times a day. It is better to do this after feeding or in between meals. The last application is recommended before bedtime.
"Kamistad Baby"
An analogue of Kamistad is the dental drug Dentinox, which is available in the form of a solution or dental gel. It contains lidocaine and chamomile extracts and helps eliminate pain, reduce inflammation and reduce the intensity of itching. The product should be used up to three times a day. If the product is used in the form of a solution, a single dosage is 2-3 drops. They must be gently rubbed into the gums at the site of tooth eruption using a finger or a cotton swab.
"Dentinox"
Important! All products that contain lidocaine have contraindications and side effects. These medications should not be used if the child has low blood pressure. Contraindications for use are also heart failure, liver or kidney dysfunction, and bradycardia. After applying products with lidocaine, it is necessary to monitor the child’s condition, since one of the side effects is impaired swallowing function.
Homeopathic medicines
For children, a small amount of homeopathic remedies is used. They contain exclusively natural components that have a pronounced analgesic and anti-inflammatory effect.
Ointment Traumeel S
Traumeel S is one of the most popular homeopathic remedies with anti-inflammatory effects in the form of an ointment. Used for teething. Herbal components help relieve swelling and inflammation of the gums and relieve pain. To achieve maximum effect, it is enough to apply a thin layer of ointment to the oral mucosa; repeat the procedure 2-3 times a day.
Dentinorm Baby drops
Homeopathic drops that are used for teething in babies are Dentinorm Baby, produced by Boiron (France). This is a multicomponent drug that has a combined effect. The ingredients included in the composition help eliminate the discomfort that accompanies the appearance of the first baby teeth. Drops are produced in convenient containers that contain one dose of the drug, thereby minimizing the risk of a possible overdose. Duration of administration: 3 days, no more than 2-3 times a day.
Although all medications are used to relieve teething symptoms, they should not be used without first consulting your pediatrician. Like other drugs, they have side effects and contraindications that should not be forgotten.
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Herbal preparations - will they help or not?
Most parents prefer to use homeopathic products that contain only herbal ingredients. Such drugs are safe for the child (provided there is no allergy to the components of the drug), are well tolerated, have virtually no side effects and can be used from 3-4 months.
Baby's molars are coming through
Despite this, pediatricians and dentists prescribe traditional medications to infants with the addition of anesthetics, since products with natural composition have low analgesic properties and a cumulative effect and cannot eliminate pain after the first use.
- Snot during teething
"Dantinorm Baby"
One of the most effective herbal preparations is the multicomponent homeopathic remedy “Dantinorm Baby”. The drug is available in the form of drops and consists of specially purified water and extracts of three medicinal plants. The medicine is intended for internal use in between feedings.
"Dantinorm Baby"
The homeopathic solution is packaged in special sachets containing one dose of the drug. To give your child medicine, you need to open the package and pour the contents into the mouth. You can use a bottle with a nipple for these purposes - in this case, the required amount of solution must be diluted with 30 ml of boiled water (the product must not be mixed with breast milk or formula).
"Dentokind"
Another effective dental preparation based on plant extracts is Dentokind. The product has a completely natural composition, helps relieve acute pain, rarely causes side effects and has excellent tolerability. The drug is approved for use in infants over 4 months of age. The main disadvantages of the product are the high cost and release form - Dentokind is available in the form of lozenges.
"Dentokind"
To give the drug to an infant, you must:
- Grind one tablet to a powder;
- mix the mixture with a teaspoon of boiled water;
- Give your child medicine from a spoon or bottle.
During the acute period of teething, Dentokind should be given 6 times a day every hour (1 tablet). After the intensity of the painful symptoms has decreased, it is necessary to continue taking the medication for three days (1 tablet per day).
Dentokind for teething
A distinctive feature of the tablets is their complex effect on the baby’s body. The product helps not only eliminate pain, but also cope with diarrhea, fever and gum inflammation. The plant extracts included in the tablets have a moderate sedative effect and eliminate increased anxiety in the baby, helping to normalize the psycho-emotional state.
Note! The tablets contain milk sugar, therefore they are contraindicated for children with various forms of lactase deficiency (lactase deficiency, which is responsible for the breakdown of milk sugar).
