1. Prevention of Dental Disease Maha AL-SARHEED

2. The most common dental diseases affect humans are caries, periodontal disease, tooth loss and malocclusion Most of these disease is preventable A goal of healthy mouth is full of complement teeth, supported by healthy gingiva and bone and having a balanced and stable occlusion

3. Key Elements of Dental Disease Prevention A. Parental counseling B.Fluoride administration C.Diet D.Home care

4. A. Parental counseling Oral health parental counseling programs should be: Individualized Provide parents with information Important of mother’s and child diet Recommended scheduling of dental treatment

5. Parental counseling Protocol Purpose Target high risk pregnancy congenital-developmental disabilities family history feeding disorders High level of strepto social, ethnic, cultural, environmental low parental interest

6. B. Fluoride Administration Mechanism of Action Increase tooth structure for demineralization Enhancement of remineralization Reduction of Cariogenic potential of dental plaque

7. Types of Fluoride Systemic F + Topical F + Water Fluoridation Toothpaste Dietary F + supplements Mouth rinses Gels Chewing gum Varnishes

8. Indication of F + administration Age Caries history and susceptibility Water fluoridation

9. 1. Water Fluoridation 2. Dietary Fluoride Supplements

10. Dosage depend on child age and F + conc. of their drinking water Deposited, redistributed before eruption and during minerlization Dental fluorosis aged 22-26 mos (out extremes 18-30 mos) Age F + < 0.3 ppm F Conc. In water 0.3-0.6ppm F > 0.6ppm F Birth-6mos000 6mos-3yrs0.25mg00 3yrs-6yrs0.5mg0.25mg0 6yrs up to at least 16yrs 1.00mg0.50mg0

11. Fluoride Toxicity Dental professional has a responsibility to educate patients about appropriate storage and administration of F Children less than 3 yrs should be a primary concern Knowledgeable of water fluoridation and other source of F

12. C. Diet Establish dietary habits to promote physical growth and environment to optimal oral health

13. D- Home care Parent responsibility Diet + F + removal of plaque Bacteria present since 1 st tooth, mother source 19-28 mon Infant-and young children (time, toothbrush, position)

14. Continued Medically or Physically disabled children

15. Summary and Key points The four practical methods of dental disease (caries, perio) prevention are: sugar control, fluoride plaque control and FS Diet advice in particular has to be personal, practical and positive Treatment planning takes into account age, caries risk, water fluoride level and parent-child cooperation