Infant Oral Health Flashcards
why do babies need to see a dentist?
- ESTABLISH A DENTAL HOME
- risk assessment
- education and anticipatory guidance
- early intervention and tx
the ongoing relationship btw the dentist and the pt, inclusive of all aspects of oral health care delivered in a comprehensive continuously accessible, coordinated and family centered way
dental home
when does a dental home need to be established?
no later than 12 months of age
*includes referral to specialists when appropriate
what are 2 reasons as to why a dental home is a necessity?
- children with early preventive visits more likely to use preventive services later
- we know the age at the first preventive visit had a positive effect on dental expenditures (pay less later)
what consittues the infant oral health visit?
- talk to parents
- oral exam and preventative procedures
- talking again: determine recall interval
- anticipatory guidance
what is the goal of a risk assessment?
to PREVENT a problem
what type of exam do infants get?
knee to knee
how do you do a knee to knee exam?
- tell the parents what you need them to do
- be prepared so you can work efficiently
- try STARTING with the toothbrush
- reassure bc parents may be nervous or embarrassed
what are you looking for on a knee to knee exam?
soft and hard tissue exam (lift the lip)
what are the sizes of tooth paste for children under three? Children 3-6?
- smear or rice sized
- pea-sized
what type of F- varnish do you give to infants?
-5% NaF varnish
what is the recall for F- varnish for moderate risk? high risk?
- 6 months
- 3 months
provide practical, developmentally appropriate, and personalized health information in anticipation of significant physical, social, and psychological milestones and challenges
anticipatory guidance
what three things are used to customize anticipatory guidance?
- history
- exam
- risk assessment
*what did you see and how should they deal with it
what qualifies as early childhood caries?
the presence of one or more decayed, missing, or filled tooth surfaces in ANY primary tooth in a child under age 6
what qualifies as SEVERE childhood caries/
ANY smooth surface caries in a child under 3
what are the risk factors for early childhood caries?
- med hx
- plaque
- white spot lesions and caries hx
- bottle/sippy cup
- breastfeeding maybe? no evidence
- F- exposure
- enamel hypoplasia
- social factors
how long do kids need help brushing their teeth?
until they can tie their shoes
what is the minimum age for radiographs?
none
what is associated with teething?
-slight inc in temp, drooling, biting, irritability, poor sleep, facial rash, poor apetite
- many children experience NO discomfort!
- teething may coincide with other illnesses
are topical anesthetics recommended for use against teething?
no
how do you deal with trauma prevention?
- identify high risk children
- “baby proof the home”
- safety measures
- give them availability for emergencies
are habits normal and when do they stop?
yes! they are normal and usually resolve on their own by age 2-3
what are the potential problems with digit habits?
- ant open bite
- reduced arch width
- altered skeletal growth
