Maine Smiles Matter ECC Prevention and Intervention Program for Non-Dental Providers: A Training

Introduction This training for trainers will: provide an overview of the ECC Prevention and Intervention Program identify key aspects of each chapter review other resources provided answer any questions trainers may have regarding the content or curriculum Maine Smiles Matter 9/18/2018

Agenda Review the sections contained in each lesson 1. Overview 2. Goals 3. Key Terms 4. Oral Health Education and Intervention Strategies Maine Smiles Matter 9/18/2018

Agenda Review major focus of each lesson: 1: Prenatal Care 2: Dental Decay 3: Early Childhood Caries 4: Risk Factors for Dental Decay 5: Prevention 6: What to Do and How to Do It 7: Children With Special Health Needs Maine Smiles Matter 9/18/2018

Overview The plan is to train non-dental health providers as trainers regarding ECC and it’s effects so that they can then train their peers Working together we can decrease the occurrence of ECC in Maine children MD RN Parent RDH DDSDMD DO Maine Smiles Matter 9/18/2018

Goal for network of trainers Educate, build awareness and integrate oral health into existing health systems Enable non-dental providers to better recognize and understand oral diseases and conditions Enable non-dental providers to better engage in anticipatory guidance, prevention interventions, and appropriate referral for improved oral health and oral health care access Make a positive impact on the overall health and well-being of targeted populations in Maine Maine Smiles Matter 9/18/2018

Sections Overview Goals Key Terms with definitions The health care provider will be able to: Key Terms with definitions Term in italics the 1st time it is used Oral Health Education and Intervention Strategies Description of issue and strategies Maine Smiles Matter 9/18/2018

Lesson One: Prenatal Care Prenatal counseling Decrease mutans streptococci levels of primary caregiver to reduce child’s risk of developing ECC Recommend an OH evaluation early in pregnancy Gestational development Embryonic development Maine Smiles Matter 9/18/2018

Lesson Two: Dental Decay Process of dental decay Carbos + plaque = acid + tooth = decay Where Decay Begins Along gumline, pits and fissures Early Treatment is Most Effective Preventive Dental Care Transmission of Bacteria Discourage poor habits Maine Smiles Matter 9/18/2018

Lesson Three: ECC Development of ECC Who is at Risk Decalcification, brown spots, decay Who is at Risk Eating Habits that Affect Risk Quality, frequency Inconsistent Oral Health Care Complication from ECC Prevention Reduces Risk 1 yrs olds : 6% 2 yr olds: 22% 3 yr olds: 35% 4 yr olds: about 50% Maine Smiles Matter 9/18/2018

Lesson Four: Risk Factors Feeding Practices Snacking Unacceptable Practices Cup Use Oral Hygiene and Other Preventive Measures Other Risk Factors Maine Smiles Matter 9/18/2018

Oral hygiene techniques

Lesson Five: Prevention 1st dental visit Oral hygiene techniques Fluoride Who needs it How much Is it harmful Maine Smiles Matter 9/18/2018

Dietary Fluoride Supplement Schedule   Age Fluoride Supplement Fluoride ion level in drinking water (ppm)1 < 0.3 ppm 0.3 – 0.6 ppm > 0.6 ppm Birth – 6 months None 6 months – 3 years 0.25 mg/day2 3 – 6 years 0.50 mg/day 0.25 mg/day 6 – 16 years 1.0 mg/day

Lesson Five: Prevention Dental Sealants Thin, plastic coating applied to pits and fissures of molars Other Decay Preventive Measures Fluoride varnish, chlorhexidine, healthy diet Injury Prevention and Response Maine Smiles Matter 9/18/2018

Lesson Six: What to Do and How to Do It Raise awareness, educate and promote Do a risk assessment for dental disease Check the mouth How to do an oral screening What to look for Appropriate Interventions Anticipatory guidance Treatment interventions Document findings and follow-up Maine Smiles Matter 9/18/2018

Lesson Seven: Children with Special Health Needs Increased risk factors General oral health recommendations Specific oral health information Maine Smiles Matter 9/18/2018

Review resources Curriculum CD Flipchart Video Record documentation forms Maine Smiles Matter 9/18/2018

Summary Gear training to the audience Define problem of ECC and how providers can help Encourage questions Give pre and post test and follow-up Request feedback of training session Maine Smiles Matter 9/18/2018