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Infant Oral Health Program

Infant Oral Health Program

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Infant Oral Health Program

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  1. Infant Oral HealthProgram 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)

  5. 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)

  6. General Oral Hygiene Assessment No Plaque Plaque Compliance Diet No Inflammation Performance Brushing Non-Compliance Inflammation

  7. Early Childhood Caries

  8. Early Childhood Caries

  9. Early Childhood Caries

  10. 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)

  11. Early Childhood Caries

  12. Risk Assessment • How to assess risk • Mother/caregiver • Infant/child • What to do: • BFE (benign floral enhancement) • Diet review/recommendations

  13. 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

  14. 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)

  15. Benign Floral Enhancement(BFE): Infant • Caries removal (ART) • Diet modification • Optimize oral hygiene • Judicious administration of fluoride (systemic and topical)

  16. Now What?(Reappoint status) • Referral • Periodicity of recall

  17. Clinical Scenarios