Infant Oral Health Program

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Infant Oral Health.

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Presentation transcript:

Infant Oral Health Program 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 Plaque Plaque Compliance Diet No Inflammation Performance Brushing Non-Compliance Inflammation

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 What to do: 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