Prevention (DBOH toolkit)

Question 1

Prevention for 0-3 years age low risk

Answer 1

6 months - free flow cup
1 year - discourage breast feeding
Supervised toothbrushing as soon as teeth erupt
Brush x2 day, smear F toothpaste - 1000ppm
Limit sugar
Sugar free medicines

Question 2

What age should you supervise brushing up until?

Answer 2

7 years old

Question 3

Toothpaste amount and ppm for 0-3 year old low risk

Answer 3

Smear, 1000 ppm

Question 4

Prevention for 3-6 years age low risk

Answer 4

Supervised brushing x2 a day
F toothpaste pea size >1000 ppm
Spit dont rinse
Limit sugar
Sugar free medicines
FV x2 a year

Question 5

Toothpaste amount and ppm for 3-6 years age low risk

Answer 5

Pea size, >1000 ppm

Question 6

Prevention for any high risk child under 6 years age

Answer 6

All the usual BUT:
-F toothpaste 1350 - 1500 ppm
-Sugar free medicines long term (GP)
-FV more than x2 a year (2.2% NaF-)
Reduce recall (3 or 6 months)
Diet advice through eatwell guide

Question 7

F toothpaste concentration for high risk caries child under 6 years

Answer 7

1350-1500 ppm

Question 8

Prevention for all 7 years or older ages

Answer 8

Brush x2 daily independent
F toothpaste 1350-1500ppm
Spit dont rinse
Limit sugar
FV x2 a year

Question 9

Prevention for all 7 years old or older high caries risk

Answer 9

ALL the usual PLUS

-daily fluoride rinse (0.05% NaF)
-fissure seal permanent molars
-FV more than x2 a year

Those with active caries/disease
8+years = daily fluoride rinse
10+ years = 2800 ppm duraphat toothpaste
16+ years = 2800/5000 ppm duraphat toothpaste
EATWELL DIET GUIDE

Question 10

8+ years old with active caries what do you prescribe?

Answer 10

Daily fluoride rinse (0.05%)

Question 11

10+ years with active caries what do you prescribe?

Answer 11

2800 ppm duraphat toothpaste

Question 12

16+ years active caries what do you prescribe?

Answer 12

2800/5000 ppm duraphat toothpaste