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Introduction: Teething in children starts around 6 months and lasts until the child reaches about 3 years of age. The symptoms of teething and management of teething problems constitute major challenge for mothers and their babies. A good knowledge of teething and teething problems help the mother and child get through it without much challenges.
Materials and Methods: Teething problems and the influence of microbial infections was studied between January and June, 2017. Four hundred and thirty eight mothers with teething babies were recruited for the study. Their socio - demographic data were collected using a structured questionnaire. Blood and stool samples were collected from the teething children for laboratory examinations. Out of 438 children that participated in the study, 38 (8.7%) presented with excessive salivation, 39 (8.9%) presented with vomiting, 40 (9.1%) presented with loss of appetite, 44 (10%) presented with halitosis, 61 (13.9%) presented with gingival inflammation, 71 (16.2%) presented with irritability, 81 (18.5%) presented with itching gingival, 102 (23.3%) presented with fever and 106 (24.2%) presented with diarrhea. Investigation of the practices adopted by the mothers before reporting to hospitals showed that 24 (5.5%) mothers used teething soap, 29 (6.6%) used herbal remedies, 67 (15.3%) rubbed fingers on the gums of their children, 80 (18.3%) applied teething powder, 81 (18.5%) administered analgesic drugs, 83 (18.9%) administered teething mixture and 74 (16.8%) took their children direct to hospitals. Laboratory examination of blood and stool samples collected from the teething children presenting with the different problems showed that 121 (27.6%) had malaria parasites, 10 (2.3%) were infected with Shigella dysentriae, 34 (7.8%) were infected with Salmonella species, 80 (18.3%) were infected with Escherichia coli, 60 (13.7%) were infected with intestinal helminthes and 69 (15.8%) were infected with intestinal protozoa. Relating microbial infections to teething problems presented, out of 102 teething children that had fever, 1 (0.98%) had intestinal helminthes infection, 2 (1.9%) had intestinal protozoa infections, 36 (35.3%) had bacterial infection and 89 (87.3%) had Plasmodium parasites infection. Out of 71 teething children presenting with irritability, 12 (16.9%) had bacterial infection, 12 (16.9%) had Plasmodium parasites infection, 13 (18.3%) had intestinal protozoa infection. and 16 (22.5%) had intestinal helminthes infection. Out of 100 teething children presenting with diarrhea, 7 (7%) had intestinal helminthes infection, 38 (38%) had intestinal protozoa infection and 55 (55%) had bacterial infection. Analysis of the data using ANOVA showed strong positive correlation (p < 0.05) between the teething problems presented and types of infections diagnosed.