infant oral health program preventive action plan for infants and very young children
TRANSCRIPT
Infant Oral HealthProgram
Preventive action plan for infants and very
young children
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
First Step
See them early! Complete caries risk assessment Follow AAP, AGD and ADA
recommendations for first dental visit.
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)
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)
General Oral Hygiene Assessment
No Inflammation
Inflammation
No Plaque Plaque
Compliance Diet
Performance Brushing
Non-Compliance
Early Childhood Caries
Early Childhood Caries
Early Childhood Caries
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)
Early Childhood Caries
Risk Assessment
How to assess risk Mother/caregiver Infant/child
What to do: BFE (benign floral enhancement) Diet review/recommendations
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
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)
Benign Floral Enhancement(BFE): Infant
Caries removal (ART) Diet modification Optimize oral hygiene Judicious administration of fluoride
(systemic and topical)
Now What?(Reappoint status)
Referral Periodicity of recall
Clinical Scenarios