1. Oral Health Learning Collaborative
Conference Call with Dr Bryson and Dr Patterson
Pediatric Dentist and Pediatrician Dialogue

2. First Dental Appointment
When?

3. American Academy of Pediatric Dentistry
A child should see the dentist for the first time at first tooth eruption or no later than the first birthday.

4. American Academy of Pediatrics
All children should have their first dental appointment by age 1

5. Who will see these children
Who will see these children? Establish a relationship with a pediatric dentist.
Who will see these children? Establish a relationship with a pediatric dentist \

6. Where to Start Google search AAPD find a dentist
Look for a Pediatric Specialist

7. Dialogue

8. Fluoride Varnish- Does it really work?
Fluoride varnish when added to caregiver counseling reduces early childhood caries incidence. [J Evid Based Dent Pract. 2011]
Fluoride varnish should be part of caries prevention programmes. [Evid Based Dent. 2006]
Fluoride varnish application prevents caries in preschool children. [J Evid Based Dent Pract. 2007]

9. Fluoride Reality Caries is a balance of risk and preventive factors
Fluoride can reduce caries risk and remineralize carious lesions
Fluoride is part of a bigger picture

10. Dialogue

11. Contraindications to Fluoride Varnish
Are there groups we should withhold fluoride varnish from or have increased caution?

12. When not to apply fluoride
Asthma. Anecdotal evidence that severe asthmatics who inhale varnish may be susceptible to allergic reaction? Reality: patients with severe asthmatics receive fluoride varnishes regularly at dental offices with no reported cases of adverse outcomes.
Allergy to fluoride varnish. There is no evidence of cross allergenicity to tree nuts
Given at the dentist in the last two weeks
History of nausea to fluoride varnish
Ulcerative viral lesions or obvious painful mouth sores
Primary herpetic gingiva stomatitis

13. Dialogue

14. Pre-Operative Dental Visits
What does the dentist find to be the most important factors from the provider?

15. Factors that Increase Risk Under General Anesthesia?
Unreported illness or medical complication?
If complex Mx Hx: medical consult

16. Dialogue

17. Silver Diamine Fluoride
What is it and are there any benefits or increased risks?

18. Silver Diamine Fluoride
Pros: more effective than fluoride varnish, maybe less General Anesthesia!
Cons: stains caries BLACK, less research evidence, more irritating to gingiva, stains EVERYTHING black

19. Article AAP
SilverDiamine080516

20. Same Fluoride Principle
Caries is a balance of risk and preventive factors

21. Dialogue

22. Closing Questions
Thanks