A Critical Analysis of Dantodbhed andDantodbhedjanya Vyadhi in Ayurveda: AReview

Abstract

Teething (dentition) is a physiological milestone marked by the eruption of primary teeth. Although normal,
this period is frequently associated with several local and systemic symptoms in infants. Ayurveda identifies
these manifestations as Dantodbhedjanya Vyadhi, a distinct pathological entity described extensively in classical
texts.[1,2] To critically review Ayurvedic and contemporary scientific literature on Dantodbhed (teething) and
Dantodbhedjanya Vyadhi, and to reinterpret classical concepts in the context of modern pediatric understanding.
A narrative review was undertaken using major Ayurvedic classical texts, including Charaka Samhita, Sushruta
Samhita, Ashtanga Hridaya, Ashtanga Sangraha, Kashyapa Samhita, and Sharangadhara Samhita, along with
contemporary pediatric literature retrieved from Google Scholar and PubMed. The historical, conceptual, and
clinical aspects were systematically compared and analyzed. Classical Ayurvedic literature describes Dantodbheda
as a process governed by Rakta, Asthi, and Majja Dhatu[1,3] and influenced by the state of Dosha equilibrium.
Symptomatic disturbances such as fever, diarrhea, irritability, cough, and ocular problems correlate with the modern
understanding of teething-related discomfort. Ayurvedic management emphasizes Deepana, Pachana, Sangrahana,
immune modulation, and hygiene maintenance to minimize systemic disturbances, particularly diarrhea. Several
traditional formulations and procedures documented by Acharya Vagbhata and others show potential clinical
applicability.[4,5] The Ayurvedic concept of Dantodbheda presents significantly detailed observations comparable
to modern pediatrics. Classical descriptions of eruption timing, symptomatology, complications, and management
demonstrate strong scientific relevance. Further research and clinical validation of Ayurvedic interventions are
needed to develop evidence-based guidelines for managing teething-related disorders.