Pediatric Oral Health. Bob Selvester, MD LCDR MC USN Family Physician Interservice Physician Assistant Program. Prevalence of Dental Caries. 5 times more common than asthma 7 times more common than hay fever Caries Rate 18% aged 2 to 4 years 52% aged 6 to 8 years 67% aged 12 to 17 years.
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Bob Selvester, MD
LCDR MC USN
Interservice Physician Assistant Program
Prior to 2000, initial exam by Dentist was recommended at age of 3.
The American Academy of Pediatrics Oral Health Initiative
Manager Oral Health Initiative
January 25, 2008
Red disclosing tablet reveals plaque
Caries Risk Indicators
Chart based on the AAPD Caries-Risk Assessment Tool. For more information on using the tool, refer to http://www.aapd.org/foundation/pdfs/cat.pdf.
What is a dental home?
When to refer?
Xylitol gum or mints used 4 times a day may prevent
transmission of cariogenic bacteria to infants.
When to Use Floss
A small pea-sized amount of toothpaste weighs 0.4 mg to 0.6 mg fluoride, which is equal to the daily recommended intake for children younger than 2 years.
6 mo–3 yrs
3 yrs–6 yrs
6 yrs–16 yrs
NoneRecommended Fluoride Supplement Schedule
MMWR: Recommendations for Using Fluoride to Prevent and Control Dental Caries in the US: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5014a1.htm.
Special thanks to the following individuals and
organizations for contributing to this training:
AAP Breastfeeding Initiatives
American Academy of Pediatric Dentistry
American Dental Association
Suzanne Boulter, MD
George Brenneman, MD
Melinda Clark, MD
Joanna Douglass, BDS, DDS
Rani Gereige, MD
Donald Greiner, DDS, MSc
Indian Health ServiceMartha Ann Keels, DDS
Cynthia Neal, DDS
Rama Oskouian, DMD
P&G Dental ResourceNet
Michael San Filippo
Gregory Whelan, DDS
Suzanne Boulter, MD, FAAP
Paula Duncan, MD, FAAP
Kevin Hale, DDS
Martha Ann Keels, DDS, PhD
David Krol, MD, MPH, FAAP
Wendy Mouradian, MD, MS, FAAP
Wendy Nelson, ACCE
Betty Crase, IBCLC, RLC
Martin J Davis, DDS
Adriana Segura Donly, DDS, MS
Rocio B Quinonez, DMD, MS, MPH
Kathleen Marinelli, MD, IBCLC, FAAP
Special thanks to the following individuals for contributing to the development of this training: