WHAT YOU SHOULD KNOW ABOUT INFANT AND CHILDREN’S ORAL HEALTH
Infant Oral Health Program
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Transcript of Infant Oral Health Program
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Infant Oral HealthProgram
Preventive action plan for infants and very
young children
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Early Infant Oral Health
“It is EASY” It is a win-win situation for your
patients and you PREVENTIVE rather than REACTIVE Adds a new set of patients to your
practice ($) Allows you to retain patients for
longer periods
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First Step
See them early! Complete caries risk assessment Follow AAP, AGD and ADA
recommendations for first dental visit.
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Physical Exam
Knee to knee exam (Clinical exam) What to look for
Plaque and inflammation Stain Decay
What to do: Prophy and fluoride ART (atraumatic restorative technique)
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Physical Exam
Knee to knee exam (Clinical exam) What to look for
Plaque and inflammation Stain Decay
What to do: Prophy and fluoride ART (atraumatic restorative technique)
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General Oral Hygiene Assessment
No Inflammation
Inflammation
No Plaque Plaque
Compliance Diet
Performance Brushing
Non-Compliance
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Early Childhood Caries
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Early Childhood Caries
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Early Childhood Caries
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Physical Exam
Knee to knee exam (Clinical exam) What to look for
Plaque and inflammation Stain Decay
What to do: Prophy and fluoride ART (atraumatic restorative technique)
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Early Childhood Caries
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Risk Assessment
How to assess risk Mother/caregiver Infant/child
What to do: BFE (benign floral enhancement) Diet review/recommendations
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Risk Groups For Dental Caries
Children with special health care needs Children of mothers with a high caries
rate Children with demonstrable caries,
plaque, demineralization, and/or staining Children who sleep with a bottle or
breastfeed throughout the night Later-order offspring Children in families of low socioeconomic
status
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Benign Floral Enhancement(BFE): Maternal
Treat decay and perio (ideally preconception)
Diet modification Optimize oral hygiene Judicious administration of fluoride Integration of xylitol gum, (4X/QD)
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Benign Floral Enhancement(BFE): Infant
Caries removal (ART) Diet modification Optimize oral hygiene Judicious administration of fluoride
(systemic and topical)
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Now What?(Reappoint status)
Referral Periodicity of recall
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Clinical Scenarios