Delivering a better oral health Flashcards
What is a strong recommendation?
That the GDG is confident that the benefits outweigh the risks based on evidence.
What is a conditional recommendation?
The GDG is less confident of the effectiveness of an intervention as the balance between risks and benefits is unclear.
What is the advice given to breastfeeding mothers in regards to caries?
Exclusively breastfeed for 6 months and thereafter introduce solids through weaning.
What advice would you give to parents in regards to bottle feeding?
Only breastmilk or infant formula and to introduce a free-flow cup from 6 months.
When should bottle feeding be discouraged?
from 1 years
When should parents brush their child’s teeth?
- As soon as they erupt till 8 years
Twice a day.
With tp containing 1000 ppm of fluoride. - using only a smear.
What recall should a child 0-3 be on?
Ranging from 3-12 months depending on health needs and disease risk.
What are the recommendations for brushing for a child aged 3-6 years?
- Parent or carer should assist with brushing.
- On all tooth surfaces.
- Twice daily.
- TP containing 1000ppm fluoride using a pea sized amount.
- Spit don’t rinse.
What professional intervention would you provide for a child aged 3-6?
NaF 2.26% application twice a year.
A Recall from 3-12 months based on oral health needs and disease risk.
What toothpaste would you recommend for a child 0-6 who is at a high caries risk?
Use a toothpaste containing 1350-1500ppm of fluoride.
What Professional intervention would you provide for a child 0-6 who is high caries risk?
- Apply NaF 2.26% varnish twice or more a year.
- Sugar free medication where possible.
-Investigate diet. - Assign short (3m) recall.
For all children above 7 what advice would you give?
Brush teeth twice daily with NaF 1350-1500 toothpaste.
Spit don’t rinse.
Minimise frequency of sugar-containing foods.
Avoid sugar before bed.
What professional intervention would you make for children above 7 years?
Apply NaF 2.26% twice a year.
Assign a recall within 3-12 months depending on risk.
What recommendations would you give to children above 7 years who are high caries risk?
Parent to supervise brushing.
0.05% Fluoride mouth wash to use at a different time to brushing.
What professional intervention would you give to a child 7 years or above who is a high caries risk?
Apply fissure sealants to teeth on eruption.
NaF varnish 2.26% twice a year or more.
0.05% mouth wash
Investigate diet.
Sugar free medication.
Short (3m) recall.
For those above 10 with high caries risk what toothpaste should be prescribed?
2,800ppm fluoride toothpaste
For those 16 and above with high caries risk what toothpaste should be prescribed?
2800-5000ppm toothpaste
What advice would you give to adults for brushing?
Brush twice daily.
Use toothpaste 1350-1500ppm fluoride.
Spit don’t rinse.
Minimise frequency of sugar.
Avoid sugar before bed.
What professional intervention would you make to adults?
Assign a recall 3-24 months dependent on disease risk.
What advice would you give to adults who are high caries risk?
Support toothbrushing where required.
0.05%nNaF MW at a different time to brushing.
What professional intervention would you provide to adults at a high caries risk?
NaF 2.26% fluoride varnish
Coronal or root caries 2,800-5,000ppm fluoride toothpaste.
Root caries 0.05% mouth wash.
Sugar free medication.
diet advice.
Short recall.
What advice do you give to all patients regarding periodontal diseases?
Twice daily brushing
Remove plaque effectively.
Brush gumline and each tooth.
What toothbrushes would you recommend in regards to periodontal disease?
Manual or electric.
Small toothbrush head, medium texture.
What professional intervention would you give regarding periodontal disease?
Advise best methods of plaque control.
Correct the factors that impede effective plaque control (overhangs)
Toothbrushing advice and ID cleaning.
For those with evidence of periodontal disease what advice would you give?
Daily Id cleaning.
What professional intervention would you provide to those with evidence of periodontal disease?
Assess preferences for plaque control and decide on appropriate aids, assess plaque removal abilities and confidence.
Set patient goals.
What recommendations would you give on tobacco use?
Ask, Advise, Act.
At every opportunity ask if they smoke and record it.
Advise on the most effective way to quit.
REfer to local stop smoking support.
With regards to diabetes and periodontal disease, what advice would you give?
Make patient aware that due to diabetes that they are at a greater risk of developing serious periodontitis.
Less likely to benefit from treatment if diabetes is not well controlled.
Why is delivering a better oral health produced?
To help professionals provide high quality preventative care which is patient centred.
how was delivering a better oral health produced?
The guidance is revised using up to date information.
What is the evidence base for breastfeeding babies?
Strong evidence base.
What is the evidence base for discouraging bottle feeding is 1 year olds?
Good practice
When is it good practice to introduce sold foods?
6 months
Avoiding sugar-containing foods and drinks at bedtime is based on what type of evidence?
Conditional - the recommendation is based on low certainty for increased risk of dental caries.
