{"id":201,"date":"2019-05-15T15:16:15","date_gmt":"2019-05-15T15:16:15","guid":{"rendered":"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/?p=201"},"modified":"2019-05-15T17:46:16","modified_gmt":"2019-05-15T17:46:16","slug":"can-my-baby-use-orajel-for-teething-pain","status":"publish","type":"post","link":"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/can-my-baby-use-orajel-for-teething-pain\/","title":{"rendered":"Can My Baby Use Orajel for Teething Pain?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Orajel is a topical numbing agent that\u2019s uses range from\nrelieving pain from canker sores, tooth and gum pain, as well as for cold\nsores.&nbsp; The active ingredient in Orajel\nis 20% Benzocaine which is a topical local anesthetic (pain reliever).&nbsp; Some formulations also contain Menthol which\nis obtained from mint oils.&nbsp; Menthol\nincreases blood flow to the area and provides at cooling sensation.&nbsp; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Benzocaine has been used for decades to relieve oral pain\ntemporarily.&nbsp; Dentists most commonly use\nit to place on their patient\u2019s oral tissue prior to an injection of numbing\nmedicine.&nbsp; How does it work?&nbsp; Pain is caused by stimulation of specific\ntypes of nerve endings.&nbsp; Benzocaine stops\nthe nerve from being stimulated temporarily by blocking the uptake of the\nmolecule that stimulates the nerve.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Like any drug, we must be aware of its potential side\neffects, especially when we are talking about young children.&nbsp; It is generally safe and non-toxic when\napplied topically.&nbsp; So, what\u2019s the\nproblem?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Benzocaine has been associated with an uncommon, but serious condition called Methemoglobinemia (pronounced Met\u2013hemo\u2013 globe-in-emia).\u00a0 I found out it was one of my husband\u2019s pet peeves when it is called METH-hemoglobinemia.\u00a0 To avoid a lengthy and yawn-inducing discussion over its chemical formula, and why it is called METhemoglobinemia, I am stressing its pronunciation.\u00a0 Please!\u00a0 Not again!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I will try to keep my \u201csciency stuff\u201d to a minimum.&nbsp; Bear with me.&nbsp; Let me start with explaining what hemoglobin is.&nbsp; Hemoglobin is the oxygen carrying molecule in red blood cells.&nbsp; It delivers oxygen to the tissues in the body.&nbsp; The oxygen bond with hemoglobin is not strong.&nbsp; Some may say, it\u2019s down-right weak!&nbsp; It sounds terrible, but it is actually a great thing.&nbsp; The weak bond of hemoglobin is what allows oxygen to be released to the oxygen-depleted tissues.&nbsp; Methemoglobin is a different chemical formula of a hemoglobin molecule that binds strongly to oxygen, thus not allowing for its release to the body.&nbsp; When this occurs, the body is unable to function well due to the decreased oxygen availability.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is methemoglobinemia?<\/strong>&nbsp; When benzocaine is applied to the tissue and\nis absorbed into the blood stream, it can convert normal hemoglobin to methemoglobin\nand cause an oxygen depletion.&nbsp; It has\nbeen found to be severe, especially in children ages 2 and younger.&nbsp; Unfortunately, this age group most often\nsuffers from teething discomfort.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What are the symptoms\nof methemoglobinemia?<\/strong>&nbsp; Pale, gray, or\nblue skin color, shortness of breath, fatigue, headache or lightheadedness, and\nrapid heart rate.&nbsp; These symptoms can\noccur in minutes to hours after Benzocaine\u2019s application.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is the treatment\nto reverse methemoglobinemia?<\/strong> The child would be placed on oxygen and given\na substance called methylene blue through an IV.&nbsp; The improvement is typically rapid.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Methemoglobinemia is well known by the Orajel company, so\nthey have come out with a children\u2019s version without Benzocaine.&nbsp; In fact, they have two kinds: daytime and\nnighttime teething gel.&nbsp; It is called\nOrajel Non-medicated Cooling gels for Teething.&nbsp;\nThe active ingredient in the daytime gel is Simethicone.&nbsp; It is commonly used to relieve colic in\nbabies.&nbsp; Simethicone drops allows for\nsmaller gas bubbles to come together in the stomach and become one big bubble\nto aid in the baby burping.&nbsp; I have been\nunable to find how it aids in relieving teething pain.&nbsp; The nighttime active ingredient is chamomile\nin addition to the simethicone. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I love a good cup of tea and chamomile is one of my favorites, but I also have the unfortunate quality of being a skeptic when it comes to homeopathic remedies.&nbsp; Some research out of the University of Michigan supports the use of crushed chamomile tablets mixed with water and given in a dropper to your child can relieve diarrhea associated with teething.&nbsp; Many herbalists suggest that chamomile has anti-inflammatory and calming properties to alleviate teething pain, but currently there is not enough research I have found to prove or disprove this theory.&nbsp; The bottom line is, chamomile has not been found to be harmful for children.&nbsp; One way that it can be used is by making a cup of chamomile tea, dipping a corner of a washcloth in the tea then freezing it for your child to chew on.&nbsp; The rule of thumb with anything is \u201cEverything in Moderation.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">References:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-drug-safety-communication-reports-rare-serious-and-potentially-fatal-adverse-effect-use-over\">https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-drug-safety-communication-reports-rare-serious-and-potentially-fatal-adverse-effect-use-over<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.med.umich.edu\/yourchild\/topics\/paininf.htm\">http:\/\/www.med.umich.edu\/yourchild\/topics\/paininf.htm<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Orajel is a topical numbing agent that\u2019s uses range from relieving pain from canker sores, tooth and gum pain, as well as for cold sores.&nbsp; The active ingredient in Orajel is 20% Benzocaine which is a topical local anesthetic (pain&#8230;<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/www.simmonsyoung.com\/PediatricDentalBlog\/can-my-baby-use-orajel-for-teething-pain\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[5],"tags":[],"class_list":["post-201","post","type-post","status-publish","format-standard","category-infant-oral-health","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Can My Baby Use Orajel for Teething Pain? - Milling Pediatric Dentistry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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