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 Inflammation Inflammation No PlaquePlaque ComplianceDiet Performance Brushing Non- Compliance

12. 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 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