08 Infant Oral Health Flashcards
What are early childhood caries
Caries in any primary tooth under age of 6
What is true about early childhood caries
Distinctive pattern
Many teeth affected
Caries progresses rapidly
What is severe early childhood caries
3-5 years old
1 or more cavitated , missing, or filled smooth surfaces in primary maxillary teeth
Or
Decayed, missing, filled score of >=4 (3), >=5 (4 yrs), >=6 (5 yrs)
4 Component of Dental Caries:
- ______
- Cariogenic ______
- _______ source
- Exposure ______
- Host
- microflora
- Carbohydrate
- time
Prevention of Early Childhood Caries
- Oral Health _____
- ______ guidance
- Oral Health _____
- Risk _______
- Dental ______
- Education
- Anticipatory
- Literacy
- Assessment
- Home
Why is oral health education important
Oral diseases are preventable
Dental caries is most common chronic childhood disease
Motivational Interviewing
- Patient centered _______
- ______ parents to practice prevention
- Ask questions encouraging individuals to talk about their ______ prior to offering advice
- Has shown promise in prevention ________ with parents of kids at ____ ____ for caries
- Interaction
- Motivate
- Goals
- Behaviors, high risk
What does anticipatory guidance do
provides a framework for prevention that goes beyond caries to address all aspects of a kid’s oral health according to dental milestones
Suggestions for Communication with Families
- Communicate at _____ level
- Avoid _____ terms
- Listen to parent and _____
- Limit new concepts to _____ per visit
- Use ________, pictures, and demos
- Ask parents to repeat in their ____ ____
- basic
- Jargon
- patient
- 3
- illustrations
- own words
Risk Factors for ECC
Frequent fermentable carbs
Putting baby to bed with bottle
Plaque
Sources of Fluoride
Toothpaste
Varnish
Water fluoridation
Why is fluoride important
Inhibits bacterial metabolism
Inhibits demineralization
Enhances remineralization
How does socioeconomic states effect risk for ECC
Kids from low SES experience caries most often
Risk factors for Enamel defects
Low birth weight
What are hypoplastic teeth
outer enamel structure has not formed correctly
Why do kids with special health care needs have a higher risk for tooth decay
Frequent feeding
Oral aversions
Motor skill delays
Effects of liquid medication
Can decrease saliva
Higher caries risk, especially in primary upper front teeth
What bacteria can put a child at risk
Strep mutans
What is dental home
relationship between dentist and patient encompassing all aspects of dentistry delivered in a coordinate, family centric way
Screening techniqe for little kids
knee to knee
lift the lip
knee to knee works up to what age
3
Why baby teeth matter
Function
Esthetics
Maintain space for permanent dentition
Symptoms of Teething
Fussy, irritable, sleepless
sore tender gums
Is there evidence that teething is associated with fever or diarrhea?
no
What must you do before attributing symptoms to teething?
rule out other possible causes so that a serious illness is not missed
What might a patient with a non-nutritive sucking habit present with
open bite
Intervention for sucking habits is not needed until when
Central incisors erupt
How much fluoride such a patient under 2 get (high risk)
Smear amount of fluorinated tooth paste
How much fluoride should a 2-5 year old get
pea sized amount of tooth paste
When should you consider systemic administration of fluoride
when kids drink fluoride deficient water
What is the mechanism of action for systemic fluoride
Improves enamel crystalinity and reduces acid solubility
What can one varnish treatment a year do
cut cavity rate in half
