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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

11. 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

12. 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

13. Oral hygiene techniques

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

15. Dietary Fluoride Supplement Schedule
Age
Fluoride Supplement
Fluoride ion level in drinking water (ppm)1
< 0.3 ppm – 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

16. 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

17. 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

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

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

20. 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