1. Infant Oral Health Program
Preventive action plan
for infants and very
young children

2. 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

3. First Step See them early! Complete caries risk assessment
Follow AAP, AGD and ADA recommendations for first dental visit.

4. 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)

7. 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)

8. General Oral Hygiene Assessment
No Plaque
Plaque
Compliance
Diet
No Inflammation
Performance Brushing
Non-Compliance
Inflammation

12. Early Childhood Caries

13. Early Childhood Caries

14. Early Childhood Caries

15. 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)

16. Early Childhood Caries

17. Risk Assessment How to assess risk What to do: Mother/caregiver
Infant/child
What to do:
BFE (benign floral enhancement)
Diet review/recommendations

18. 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

19. 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)

20. Benign Floral Enhancement (BFE): Infant
Caries removal (ART)
Diet modification
Optimize oral hygiene
Judicious administration of fluoride (systemic and topical)

21. Now What? (Reappoint status)
Referral
Periodicity of recall

22. Clinical Scenarios