小孩牙痛FeverWhat to do

In general, toothache accompanied by fever in children may be caused by teething irritation, inadequate oral hygiene, dental caries, acute pulpitis, or acute apical periodontitis. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through daily care, medication, and other methods. The specific analysis is as follows:

1. Teething irritation: When primary or permanent teeth erupt, the gums may become swollen and painful due to pressure. During eruption, temporary decreases in resistance can lead to low-grade fever. Gently massage the child’s gums with a clean finger or a silicone teething ring to relieve discomfort. For fever, use a warm towel to wipe areas such as the forehead and armpits for physical cooling.

2. Inadequate oral hygiene: If children do not have good brushing habits, food debris accumulates in the mouth, promoting bacterial growth that irritates the gums and causes pain. As infection worsens, fever may develop. Parents should help children brush their teeth twice daily (morning and night) using a soft-bristled toothbrush designed for children, rinse with warm water after meals, and use fluoride toothpaste formulated for children to reduce bacterial buildup.

3. Dental caries: When tooth decay progresses deeply into the dentin, sensitivity to hot or cold stimuli can trigger pain. As bacterial infection intensifies, low-grade fever may occur. If pain is significant, medications such as acetaminophen suspension drops, ibuprofen suspension, or Xiao'er Chai Gui Tui Re Granules may be used according to medical advice to relieve pain and fever.

4. Acute pulpitis: Untreated dental caries can allow bacteria to invade the dental pulp, causing acute inflammation. This results in severe tooth pain that may radiate to the head, often accompanied by moderate fever. According to medical guidance, antibiotics such as amoxicillin granules, cefaclor dry suspension, or azithromycin dry suspension may be prescribed to control infection and prevent its spread.

5. Acute apical periodontitis: When pulp infection spreads to the root apex, it triggers acute inflammation. Symptoms include a sensation of tooth elevation, pain during biting, and high fever. Medications such as metronidazole buccal tablets, cefixime granules, or Xiao'er Aminophen Goldenthroat Granules may be used under medical supervision to control infection and reduce high fever. Subsequent root canal treatment is required to restore the affected tooth.

In daily life, adjust the child’s diet by limiting consumption of sweets such as candies and chocolates, and reducing intake of carbonated beverages. Regularly schedule dental check-ups for early detection and prompt management of oral issues. Maintaining proper oral care helps preserve children's oral health and reduces the occurrence of toothaches and associated fevers.