Prevent decay! Niagara collaborative assessing the feasibility of applying

fluoride varnish during well baby/well child visits

Andrea Feller

MD MS FAAP FACPM for

Niagara Region Public Health

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Early Childhood Caries (ECC)

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Impacts of ECC

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BETTER GETTING NOT

SO

VERY

FRUSTRATING

Decay Rates in Preschoolers

Toothbrushing is non-negotiable

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This is a social disease, not simply a disease of behaviour,” Carlos Quinonez, Director of Dental Public Health, University of Toronto

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When should kids go to the dentist? 40 per cent haven’t been by age 4. Global News May 5, 2014 (TargetKids Toronto study)

“VITAMIN for the teeth”

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US Preventive Services Task Force

The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption. (B recommendation) May 2014

WHY me?

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WHY primary care?

Time for a completely random, unknown volunteer from the

audience that I’ve never met before and don’t

know at all 12

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In praise of the team

• Niagara Region Public Health: – Tara Wincott – Sandy Dupuis

• Niagara College: – Carolyn Triemstra – Sandra Moorehouse

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In collaboration with the following dentists and doctors:

• U of T Dental public health: Carlos Quinonez • McMaster, Niagara campus: Karl Stobbe • Thought Leaders group:

– Leslie Rourke – Peter Cooney – Karl Stobbe – Joseph Telch – David Price

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