Dental Home & Infant Oral Health Flashcards
What is the dental home?
The ongoing relationship between the dentist and the patient, inclusive of all aspects of oral healthcare delivered in a comprehensive, continuously accessible, coordinated and family centered way
Establishment of a dental home begins no later than:
12 months of age or within 6 months of eruption of the first tooth
AAPD:
American Academy of Pediatric Dentistry
A resource guide for pediatric and general dentist to successfully establish an infant oral health referral infrastructure in your community and state:
Points of light (AAPD)
List some contributing members of the dental home:
-dentists
-nurses & PAs
-physicians
-dental hygienists
-public health
The dental home and mission of the AAPD: (3)
- an oral disease-free population
- access of appropriate oral healthcare for all children and patients with special health care needs
- to be centered around the dental home
T/F: The AAPD that the Childs first visit be no later than age one, but preferably when the first tooth erupts
True
What is accomplished at the age line visits?
The dental home can be established, and anticipatory guidance of the Childs total health care experience
When does the AAPD recommend the Childs first dental visit?
No later than age one but preferably when the first tooth erupts
What is the rationale for the early visit (Age one visit)?
- health supervision & disease treatment
- early intervention to avoid dental caries
- early intervention is more cost effective
T/F: Dental caries is not an infectious disease
False
Infectious disease is mitigated by:
diet
Dental caries has a biphasic tendency meaning:
demineralization & remineralization
What is the obvious clinical sign that dental caries disease manifests through?
Cavities
Dental caries is ______ & _____ meaning if a child has a cavity on L (lower left side) it is likely they will also have one on S (lower right side)
site specific & symmetrical
What pathologic factors lead to demineralization?
- frequent consumption of dietary sugars
- inadequate fluoride
- poor oral hygiene
- salivary dysfunction
Demineralization may lead to disease and lesion progression creating:
high caries risk
What protective factors lead to remineralization?
- healthy diet
- brushing with fluoride toothpaste twice daily
- professional topical fluoride
- preventive and therapeutic sealants
- normal salivary function
Remineralization may lead to lesion arrest or progression creating:
low caries risk
Four signs of success in managing the caries process:
- low bacterial counts of S. mutans
- no gingival inflammation
- caries excavation is completed and lesion is arrested
- parents are managing child’s disease
A program taught bye the dental professionals in an office to caregivers and is tailored to each specific child:
Anticipatory guidance
Anticipatory guidance is a time-intensive procedure that includes, but is not limited to:
- examinations
- prophylaxis
- diet analysis
- home care instructions
- supplemental fluoride (topical & systemic)
- general feeding instructions
CAT:
Caries risk assessment tool
Provides a means of classifying dental caries risk at a POINT IN TIME:
CAT
T/F: CAT may only be used to initially assess an individuals caries risk status
False- CAT may be used to periodically assess change in an individuals risk status
What factors does CAT use to determine risk?
- Biological
- Protective
- Clinical findings
T/F: Strep mutans has been discovered in the oral cavity only after teeth have erupted
False- Strep mutans has been found in the oral cavity even before teeth have erupted making it a big player in dental caries
What categories are found on the axium form for oral evaluation for a patient less than three years of age?
- Prenatal history
- Developmental history
- Medical history
- Dental history
- Oral habits
What questions are asked in the pens clinic regarding fluoride and water?
- Where does drinking and cooking water come from?
- Does drinking water have fluoride in it?
- Is the child currently taking fluoride drops, fluoride tablets, or vitamins with fluoride?
- Does child spend time anywhere other than home?
- Does that place have fluoride in the water?
Baby bottle tooth decay/nightime feeding habits really occur when there is:
beverages other than milk and water given frequently
T/F: Even milk can cause tooth decay with nighttime feeding
True
List some beverages that are considered cariogenic:
- juice
- soda
- sweetened tea
- coffee
Is milk cariogenic?
Not cariogenic itself, but feeding habits with milk may lead to cariogenicity
What ingredient in formulas may be responsible for tooth decay?
Sucrose
T/F: Nothing should go to bed with a child unless its water in a sippy cup or a bottle
True
A psychopedagogic tool developed in recent decades with the primary objective of providing patients with intrinsic motivation to achieve and retain behavioral changes:
Motivational interviewing
What are some factors that contribute to the success of motivational interviewing:
- person-centered
- communication (OARS)
- Open-ended questions
- Affirmations
- Reflective listening
OARS:
Open-ended questions, affirmations and reflective listening
In addition to motivational interviewing what else might we implement to gather information?
Ask Ask Tell Ask Approach
Give an example of the Ask Ask Tell Ask approach method:
- Ask- What do you already know about…?
- Ask- Can I tell you something else?
- Tell- I wanted to let you know that…
- Ask- What do you make of that?
