Infant Oral Health Program

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Infant Oral HealthProgram

• Preventive action plan
• for infants and very
• young children

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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

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First Step

• See them early!
• Complete caries risk assessment
• Follow AAP, AGD and ADA recommendations for first
  dental visit.

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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)

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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)

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General Oral Hygiene Assessment
No Plaque
Plaque
Compliance
Diet
No Inflammation
Performance Brushing
Non-Compliance
Inflammation
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Early Childhood Caries
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Early Childhood Caries
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Early Childhood Caries
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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)

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Early Childhood Caries
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Risk Assessment

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

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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

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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)

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Benign Floral Enhancement(BFE) Infant

• Caries removal (ART)
• Diet modification
• Optimize oral hygiene
• Judicious administration of fluoride (systemic
  and topical)

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Now What?(Reappoint status)

• Referral
• Periodicity of recall

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Clinical Scenarios