Module 4 Flashcards
what should oral health promotion strategies include
○ Facilitate daily toothbrushing with fluoride toothpaste
○ Be based on recognised oral health behaviour theory and models such as motivational interviewing
○ Be specific to individuals, and tailored to their particular needs and circumstances
what does the social history give an understanding of
The social history gathered during the assessment gives an understanding of the child’s current oral health practice, the parent / carer’s ability and attitude towards maintaining oral health and their motivation to take responsibility for it
what is the route map of health behaviour change using motivational interviewing
step 1: explore current practice and attitudes using a motivational interviewing approach - gain empathy > Seek permission > Open questions > Affirmations > Reflective listening > Summarising - develop discrepancy, roll with resistance - elicit change talk [the situation as it is now]
step 2:
educational intervention
- improve knowledge and skills
[the situation we would like it to be]
step 3:
action planning
- set time, date and place to start
[making it happen]
step 4:
encouraging habit formation
- achieve sufficient repetititon
[keeping it that way]
step 5:
repeat at each recall visit
what is SOARS
> Seek permission > Open questions > Affirmations > Reflective listening > Summarising
How would you develop an individualised action plan to encourage the child’s habit formation
• Identify a convenient time and place for the preventive behaviour to occur
○ Eg toothbrushing after breakfast and last thing at night
○ A date for when the task is to be started (ideally from the day of the appointment) and who is to carry it out
○ If difficulties are reported, alternatives may be necessary
○ For example, if the child is often too tired for toothbrushing last thing at night, agree an earlier time
• Identify a trigger as a reminder for the child or parent / carer to carry out the preventive behaviour (eg when the child gets ready for bed)
• Agree a date to review progress
○ Eg assess oral hygiene at the next visit
- Agree the action plan with the child and parent / carer and write this down for them if necessary, possibly on a copy of a food and drink diary or toothbrushing chart
- Record the action plan in the child’s notes so that it can be referenced at subsequent visits
- At subsequent visits, encourage, give further support and review the action plan and revise it, if necessary
• While discussing the action plan, assess the parent / carer or child’s ability and motivation to comply and if there is doubt about this, discuss collaboration with other healthcare professionals as a source of community / home support for the child and include this in the action plan
○ Eg health visitor, school nurse, Childsmile dental health support worker
what is one of the most effective methods for preventing caries
toothbrushing with fluoride toothpaste
what should be recommended to encourage and support all children to brush their teeth or have their guardian brush their teeth twice every day
○ The use of both an amount of toothpaste and a fluoride concentration appropriate for the child’s age and caries risk level;
○ Supervised brushing until the child can brush his / her teeth effectively
○ That children do not rinse their mouths after toothbrushing (‘spit, don’t rinse’)
what amount of toothpaste should a child under the age of 3 have
smear
what amount of toothpaste should a child over the age of 3 have
pea sized amount
what concentration of toothpaste should a child at standard risk use
1000-1500ppmF
what concentration of toothpaste should a child at enhanced risk use
under 10: 1350-1500ppmF
over 10: 2800ppmF
for standard prevention for all children: what brushing advice should be given to the child and their parents and how often
at least once a year, advise or remind them
- to brush thoroughly twice daily, including last thing at night
- brushing is best done in the morning and last thing at night before bed with nothing to eat or drink after brushing at night, apart from water
- brushing last thing at night is particularly effective due to retention of fluoride in the mouth
for standard prevention for all children: how often should brushing be demonstrated on the child
demonstrate brushing on the child for around 3 minutes annually
by modelling the desired behaviour, facilitating practice of the desired behaviour and giving reassurance that the behaviour is being done correctly, you can increase the child or parent’s confidence and so the likelihood that the toothbrushing behaviour will be done at home
for standard prevention for all children: what should be done to encourage tooth brushing
use action planning to encourage tooth brushing
- ask what routine habits exist each day (eg getting changed in the morning or at night) to be used as a reminder to brush teeth
- being very specific about when, what and where something is done
- best way to establish a new habit is to add it to something that is already a habit
for standard prevention for all children: when should you advise the parent to start brushing the child’s teeth
as soon as the first primary tooth erupts
for enhanced prevention for children at an increased caries risk: when should standard prevention toothbrushing advice be provide
at each recall visit
