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Issue 56 2008

Children’s Dental Health

2 Child Care Information Center Issue 56

CCIC Staff Editor & Child Care Specialist: Lita HaddalLibrarian, Acquisitions: Glenna CarterLibrarian, Circulation: Linda BatherMail Distribution: Sonia Frank

Who We Are…The Child Care Information Center (CCIC) is a free mail-order lending library and information service for anyone in Wisconsin working in the field of child care and early childhood education. Sponsored by the State of Wisconsin, CCIC has worked since 1986 to provide quality resources to match the needs of caregivers and parents.

By Lita HaddalReference: Davenport, Tammy. 2008. National Childrens Dental Health Month. http://dentistry.about.com/od/childrensdentistry/a/kidsdental.htm

Children’s dental health is about taking care of the whole mouth! In order to educate children about how to do that you need to first know how yourself!

ORAL (MOUTH) HYGIENEClean regularly & early.

•Brush teeth twice a day.•Floss daily.•Schedule regular dental check-

ups.•Assist children until age 6-7 in

brushing properly.

PREVENTING CAVITIESKeep decay away. Brush, floss, use fluoride, apply sealant.

•The best cavity protection is good oral health.

•Use toothpaste with fluoride.•Have dentist apply dental

sealants when backteeth have emerged.

DENTAL HABITSBuild good ones; break bad ones.

•Develop good dental habits at a very early age.

•Understand and break the bad habits.

DENTAL PROBLEMSCavities hurt. Fill them!

•Take care of baby teeth; they may need fillings, too.

•Tend cavities immediately by taking child to dentist.

NUTRITIONKeep plaque away.

•Eat nutritional snacks.•Limit the amount of sugary drinks.

EDUCATING CHILDREN Make learning fun.

Teach children about good dental health with educational dental activities:•Puzzles•Games•Songs•Coloring pages•Brushing charts•Crafts•Dental experiments•Play props•Dramatic play

Six Building Blocks Of Children’s Dental Health

Issue 56 Child Care Information Center �

Big News! WMELS ExpandedThe second edition of the Wisconsin Model Early Learning Standards (WMELS) is now available on the Wiscon-sin Early Childhood Collaborating Partners web page: http://www.collaboratingpartners.com/EarlyLS_docs.htm in a PDF format and it is also available for purchase from the Wisconsin Child Care Information Center at a cost of $3.00 per book, with a minimum order of 3 copies for a to-tal cost of $9.00. This price will allow the book to continue to be printed, and to be available to the early care and education workforce. Make checks out to Department of Public Instruction and mail them to CCIC along with your request and mailing address. Shipping is free.

The WMELS include developmental domains, develop-mental sub-domains, developmental expectations, per-formance standards, and include a new developmental continuum, samples of child activities and sample adult strategies. The 2nd edition has been broadened to pro-vide standards for children birth to first grade. This new 2nd edition clearly identifies how the standards are in-tended to be used, and how they should NOT be used.

The new developmental continuum provides a predict-able but not rigid sequence of accomplishments which describes the progressive levels of performance in the order in which they emerge in most children, based on current research. The developmental continuums begin at an early developmental level and continue through developmental levels that would be typical to first grade. Observable “samples” of what children might do as they demonstrate accomplishments at each level of the devel-opmental continuum are included for each of the develop-mental continuums linked to each performance standard. Sample strategies of what adults might do to assist the child to gain knowledge or learn skills at each level of the developmental continuum are included as well.

An expanded resource section has also been included for parents and child care teachers and providers. The appendix section also now includes information on how the Wisconsin Model Early Learning Standards align with the Wisconsin Model Academic Standards, and a section on IDEA Early Childhood Outcomes.

Feedback on the new standards can be submitted via the feedback form on the Wisconsin Early Childhood Collaborating Partners (WECCP) webpage. In addition to this feedback form, other new materials housed on the WECCP webpage include the 2007 training report sum-mary, updated WMELS regional training opportunities, approved WMELS trainer listings, and updated materials for approved trainers.

The WMELS Steering Committee, and the early childhood consultants that worked tirelessly on the enhancements to the second edition of the standards believe that this tool will provide exciting opportunities for promoting dialogue across settings and can become a basis for conversation and learning opportunities. The standards can inform the development of program standards across early learning environments, and provide opportunities for local communities to develop local benchmarks, and make decisions about the curriculum and assessment tools that will be used in individual programs. Our hope is that this second edition will be useful to communities and programs to create quality early care and education environments that promote early learning.

-Jill Haglund, DPI Early Childhood Consultant

Spanish ActivitiesThe Spanish language version of birth-to-three par-ent-child activity materials are now available free to reproduce downloading on the Washington Learning Systems website.

Developed by Angela Notari-Syverson, Ph.D, and Judy Challoner, M.S., iIllustrations by Don Syverson, these infant-toddler language & early literacy materi-als include twenty home and community activities for adults and children birth to three that encourage early language and literacy development. They are appropri-ate for children with disabilities as well as children who are developing typically.

Each of the twenty activities includes an activity description, and hints for making the activity fun and developmentally appropriate. In addition to the activi-ties, you can download an activity checklist that helps parents and caregivers notice their children’s skills, and also cues adults to examine and grow their own interactions with children.

The materials are specifically designed to address the three key skills of 1) language development, 2) sounds and rhythms, and 3) general book and print awareness.

The materials are made available by the authors, and may be copied and distributed as long as they are not sold. Go to www.walearning.com, click on the purple button that says “Free Parent Education Handouts”.

For questions please contact:Mary MaddoxWashington Learning Systems2212 Queen Anne Ave. No. Ste. 726Seattle, WA 98109(206) 310-7401 FAX (206) [email protected]

� Child Care Information Center Issue 56

Baby Teeth are Important

Children need healthy baby teeth to:

1. Eat properly.

2. Learn to talk properly (pronounce words and make sounds).

3. Sleep comfortably.

4. Learn without being distracted by dental pain.

5. Maintain good general health.

6. Hold space for the adult teeth to erupt in proper alignment

7. Reduce the chances of having cavities in the adult teeth.

8. Have a healthy smile!

Healthy Smile — Happy Child

Parent/Caregiver Handout

Reprinted with permission from Seal a smile: A dental portfolio for dental hygiene programs and Wisconsin com-munities - A user’s guide. Milwaukee, WI: Children’s Health Alliance of Wisconsin.http://chawisconsin.org/oralHealth/Resources.htm

.

Issue 56 Child Care Information Center 5

Dental Decay is an Infectious Disease

In order for tooth decay to occur, there must be interaction of four factors:

1. Bacteria. Infants are not born with the bacteria that cause dental decay. They are infected through saliva, usually by caregivers. Caregivers can infect the child with the bacteria by sharing eating utensils, sharing food or pre-chewing food for the baby or cleaning off a baby bottle nipple or a pacifier with their mouth.

2. A tooth. As soon as a baby gets his/her first tooth, it is important to start cleaning the baby's mouth and teeth.

3. The proper environment (foods containing sugars). All foods and drinks that contain any kind of sugar, allow the bacteria to start producing acids. Even "natural" sugars, like those found in milk and juice, can cause acid production. These acids are what cause cavities in teeth.

4. Time or Frequency. The longer foods or beverages that contain sugar are present in the mouth with bacteria, the longer the teeth are exposed to cavity-producing acid.

a bottle or trainer cup around with them because it can encourage frequent sipping.

Do not allow your child to carry



frequency.


ORAL HYGIENE1. A healthy mouth for your baby flyer. National Institute of

Dental and Craniofacial Research, 1/2008.Reprintable flyer. What you can do during the first year to make sure a baby has healthy teeth.

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2. How to care for your baby’s teeth. American Academy of Family Physicians, 2008. Available at http://familydoctor.org

Reprintable brochure in English or Spanish on how to wash a baby’s gums and more caregiving tips.

�. Your infant’s mouth: Teeth at birth? Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

Article describing babies’ mouths at birth, position for cleaning their teeth, sucking habits, and teething.

�. Cleaning your child’s mouth and teeth. Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

Preschoolers and young schoolagers need help from adults to brush and floss their teeth.

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ages

5. What causes bad breath? The Nemours Foundation. Available at www.kidshealth.org

Myths and facts about controlling bad breath.

6. Bad breath: What is it? Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

Causes of bad breath and treatments.

7. What’s spit? The Nemours Foundation. Available at www.kidshealth.org

Saliva helps break down food and clean the mouth. Text in English and Spanish.

8. Floss your children’s teeth. Parents bulletin board, Texas Child Care, Fall 1993.

Mini-poster. Steps in flossing teeth with illustrations of how to hold floss.

9. Is your toothbrush old and frayed? BrushBrushBrush. Inc., 2007. Available at http://www.toothbrushexpress.com

A new toothbrush is 30% more effective at removing plaque. Change at least every 3 months.

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10. Oral health: A window to your overall health. Mayo Foundation for Medical Education and Research. Available at www.MayoClinic.com

Important article explaining how oral health is more than caring for teeth. It involves the mouth, throat and face and impacts the heart and brain.

11. Protecting children’s oral health. American Academy of Periodontology. Available at http://www.nlm.nih.gov/medlineplus/childdentalhealth.html

Factsheet about gingivitis, the first stage of a life-long disease of the gums and jaw called periodontal disease. Keeping gums healthy is crucial.

PREVENTING CAVITIES 12. A healthy mouth for your baby. National Institute of Dental

and Craniofacial Research, 2007.Booklet highlighting the importance of using fluoride to protect teeth, cleaning baby’s teeth, preventing baby bottle tooth decay, and the first visit to the dentist.

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1�. Una boca saludable para su bebé. National Institute of Dental and Craniofacial Research, 2007.

Booklet. Spanish version of above.

1�. Most of the time sharing is a good thing. So. Dakota Dept. of Health. Available at https://apps.sd.gov/applications/ph18publications/secure

Reprintable poster about how cavity causing germs pass from adult mouths to babies’.

15. Prevent cavities: Infant and toddler tooth decay or early childhood caries (ecc). So. Dakota Dept. of Health. Available at https://apps.sd.gov/applications/ph18publications/secure

Reprintable flyer with photo of a preschooler’s decayed teeth. Loss of baby teeth to decay affects the child’s speech, permanent teeth and self-image.

16. Preventing tooth decay. Alexa Sparkman. Translated by José Saenz & Dorothy Turner. Texas Child Care Quarterly, Winter 1984.

Article in English and Spanish on how child care centers can build dental health programs. Activity ideas and meal suggestions. A

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Item # Material Detail Description Age

Keep It: Free Child Care ArticlesTo Order Items,

Phone (608) 224-5388 or 1-800-362-7353

Selected from a variety of magazines & websites for:

TimelinessRelevanceQuality

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Item # Material Detail Description Age17. Don’t wait until it hurts- Your child needs healthy

teeth to eat, talk and smile!! Michigan Dental Ass’n. 2008.Reprintable brochure. How to schedule dental appointments.

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18. Dental amalgam. Wisconsin Oral Health Program Fact Sheet. Available at http://dhfs.wisconsin.gov/health/oral_health

Filling material used by dentists has mercury in it. How dangerous is it?

19. Dental sealants. Wisconsin Oral Health Program Fact Sheet. Available at http://dhfs.wisconsin.gov/health/oral_health

How this method of covering teeth with a layer of clear varnish provides a long-lasting barrier to decay.

20. Seal out tooth decay. National Institute of Dental and Craniofacial Research, 2007.

Brochure for parents of children ages 6-14 about sealants and how do they protect teeth from decay. Step-by-step description with pictures of how sealants are applied to teeth.

21. Selle los dientes contra la caries dental. National Institute of Dental and Craniofacial Research, 2007.

Brochure. Spanish version of above.

22. Flouride and water what parents should know. So. Dakota Dept. of Health. Available at https://apps.sd.gov/applications/ph18publications/secure

Reprintable illustrated brochure.

DENTAL HABITS2�. Healthy baby teeth. Parents bulletin board, Texas Child Care,

Fall 1988. Mini-poster about pacifier and bottle use in 0-3 year olds.

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2�. First steps to a healthy smile. American Academy of Pediatrics. 2008. Available at http://www.aap.org

Reprintable flyer describing 3 stages of caregiving routines to practice during a child’s first 24 months.

25. The binky breakup. Marnell Jameson. Parents, 12/07. Pacifiers. What to do when a toddler “won’t pull the plug”!

26. Toothbrushing: Do it daily. Texas Child Care, Fall 1993. Toothbrushing should be a part of the daily routine of child care centers.

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27. Brushing chart. Lita Haddal, Child Care Information Center, 2008.

Reprintable chart for preschoolers and younger schoolagers to track their brushing routines.

28. Make your child’s teeth last a lifetime! Parents bulletin board, Texas Child Care, Winter 1984.

Mini-poster about regular routines for teeth care and oral health.

29. Baby teeth do matter!: Steps to healthy teeth. So. Dakota Dept. of Health.

Reprintable brochure for parents of children 0-8 years.

�0. Medida para los dientes sanos. SD Dept. of Health. Brochure. Spanish version of above.�1. Going to the dentist. The Nemours Foundation, 2007. Available

at www.kidshealth.orgWhat happens at the dentist’s office.

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ages

�2. Brush up on healthy teeth: Simple steps for kids’ smiles. Centers for Disease Control and Prevention. Available at http://www.cdc.gov/OralHealth/publications/factsheets/brushup.htm

3-page information packet: parent handout, enlargeable poster and parent quiz. List of parents’ duties in keeping their children’s teeth healthy.

��. How to brush and floss. So. Dakota Dept. of Health. 2005. Available at https://apps.sd.gov/applications/ph18publications/secure

Mini-poster.

��. Daily flossing and brushing. Saskatoon Dental Health Program,Canada. 2005.

Illustrated flyer and reprintable chart to track brushing and flossing routines.

�5. Your child’s age 1 dental visit. Simple Steps to Better Dental Health, 2006. Available at www.simplestepsdental.com

Choosing a dentist for your infant, preparing for the visit and expectations of your child’s “dental home”.

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�6. Expect the best for your child’s dental home. Paul Casamassino, D.D.S. Exceptional Parent, 9/5/07. Available at www.eparent.com

Children with special healthcare needs often require special dental care. Parents should establish this care while children are in infancy.

DENTAL PROBLEMS�7. Baby bottle tooth decay. Wisconsin Oral Health Program Fact

Sheet. Available at http://dhfs.wisconsin.gov/health/oral_healthSweet liquids given to babies by bottle leave decay-causing residue in their mouths.

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�8. Teething tots. The Nemours Foundation, 2005. Available at http://kidshealth.org

Teething can begin as early as 3 months and continue until age 3.

�9. Los bebés y la dentición. The Nemours Foundation, 2005. Available at http://kidshealth.org

Spanish version of above.

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Item # Material Detail Description Age�0. From baby bottle to cup. American Dental Association. JADA,

Vol. 135, 3/2004.Choose training cups carefully, use them temporarily. What and how often should your child drink?

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�1. Thumbsucking. American Dental Association. Available at http://www.nlm.nih.gov/medlineplus/childdentalhealth.html

Sucking is a natural reflex for babies and toddlers. At what age should this stop to avoid teeth problems? Text in English and Spanish.

�2. Rx for sound teeth - - Plaque: What it is and how to get rid of it. National Institute of Dental and Craniofacial Research. 1999. Available at http://www.nidcr.nih.gov/NR/rdonlyres/0C900F9D-C582-4609-A62C-CF4AB53E84A0/0/Plaque_brochure.pdf

Brochure. Shows how to brush and floss.

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ages

��. La placa. National Institute of Dental and Craniofacial Research. 1999. Available at http://www.nidcr.nih.gov/OralHealth/Topics/ToothDecay/LAPLACA.htm

Brochure. Spanish version of above.

��. Teen health: Gum disease. The Nemours Foundation, 2005. Available at http://kidshealth.org.

Gum disease doesn’t just happen to old people. Snacks, heredity and plaque bring it on.

�5. Mouth guards. California Dental Association, 2008. Sports equipment which protects against mouth, teeth and jaw injuries makes sense.

�6. Toothache: First aid. Mayoclinic.com. Available at http://www.mayoclini.com/health/firs-aid-toothache/FA00013

Decay is very painful when it reaches the nerve in the tooth. Some steps to help while waiting to see the dentist.

�7. Tooth injuries. The Nemours Foundation, 2007. Available at www.kidshealth.org

What to do when a tooth gets knocked out or gums are injured.

�8. Repairing children’s teeth. Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

Fillings and crowns in baby teeth? Yes and why.

�9. Calming the anxious child. American Academy of Pediatric Dentistry. Available at http://www.aapd.org

Choose a pediatric dentist, who specializes in children and has an office set up for kids.

50. Early orthodontics may mean less treatment later. Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

All children should have an orthodontic screening by age 7 when problems with teeth position become apparent. Perhaps braces can be avoided later.

51. Oral conditions in children with special needs. National Institute for Dental and Craniofacial Research. 7/2008.

Photo guide of teeth and gum conditions which may occur in children with special needs.

52. Columbia Commentary: The boy who died from a toothache. Burton Edelstein, D.D.S., & David Albert, D.D.S. Simple Steps to Better Dental Health. Available at www.simplestepsdental.com.

A young boy tragically died when an untreated tooth abcess which spread to become a brain infection. How could this happen?

5�. Warning: Toothpaste from China. USFDA Consumer Update, 6/2007. Available at http://www.fda.gov/consumer

The Food & Drug Administration list of toothpaste brands that contain the poisonous chemical diethylene glycol (DEG) also used in antifreeze.

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Sheet. Available at http://dhfs.wisconsin.gov/health/oral_healthToo much flouride can cause white lines and ridges on teeth. It is important to monitor the appropriate level of flouride a child consumes.

55. Pregnant? Don’t forget to take good care of your teeth! Tennessee Dept. of Health, 2008. Available at http://health.state.tn.us/Infantmortality/PDFs/Dental.pdf

During pregnancy, hormones make the gums vulnerable. Pregnant women often get gingivitis, an inflammation that can lead to premature birth.

56. Dentists and HeadStart: What you should know and how you can help. Available at http://www.mchoralhealth.org/PDFs/HSDentists.pdf

Tipsheet with overview of HeadStart, the burden of oral health care on HeadStart participants, and opportunities for dentists to become involved.

57. Finding low-cost dental care. National Institute for Dental and Craniofacial Research. 12/2007.

Flyer about inexpensive dental care through clinical trials, dental schools, and federally-funded programs.

58. Free or reduced-fee dental services. WI Department of Health Services, 7/2008. Available at http://dhs.wisconsin.gov/guide/spec/freedental.htm

Wisconsin dental programs for low-income patients. Healthy Smiles for Wisconsin initiative for school-community partnerships to improve dental health.

59. BadgerCare Plus, Health care for all kids. Available at http://dhs.wisconsin.gov/badgercareplus/enroll.htm

All WI children can access health insurance regardless of their parents’ income level. How?


Item # Material Detail Description Age60. The Hispanic Dental Association. Available at http://www.

hdassoc.orgInformation for contacting Spanish-speaking dentists.

NUTRITION61. Good dental care: It’s never too early to start. American

Academy of Pediatric Dentistry. 2008. Available at http://www.aapd.org/foundation/pdfs/GoodHealthLabel.pdf

A reprintable flyer to congratulate new parents and guide their care of their baby’s mouth.

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62. Hazards of sippy cups. So. Dakota Dept. of Health. Available at https://apps.sd.gov/applications/ph18publications/secure

Reprintable flyer on how sippy cups can lead to tooth decay and how to use them correctly.

6�. High-sugar infancy can mean adult sugar dependancy. Oral Health Resources, Nutrition - Children, 3/30/07. Available at http://agd.org/support/articles/?ArtID=1280

Adult eating habits actually form at the time a baby is weaned from the bottle.

6�. Caution sweetened beverages. Available at https://apps.sd.gov/applications/ph18publications/secure/PublicationsInt/SweetenedBeverages.pdf

One can of pop contains all the sugar you should have in a whole day. Sweet drinks take the place of milk and lead to calcium shortage.

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65. Smile savers. Gina Roberts-Grey. Parents, 12/07. Candy leads to tooth decay but other foods actually strengthen teeth.

66. Are you feeding your kids tooth-friendly foods? Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

More on which foods build better teeth. Textures of foods also make a difference.

67. Diet and snacking. American Academy of Pediatric Dentistry. Available at http://www.aapd.org

Quick anwers to frequently asked questions about the foods and fluoride children should be getting.

68. Snack smart for healthy teeth. National Institute of Dental and Craniofacial Research, 2/2000. Available at http://www.nidcr.nih.gov

Brochure/poster. Ages 10-12. Describes the decay process, how some foods contribute to tooth decay, and a list of healthy foods from different food groups.

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69. Meriendas sanas para dientes sanos. National Institute of Dental and Craniofacial Research, 2/2000.

Brochure/poster. Spanish version of above.

70. Fluoride content of bottled, filtered and conditioned water. Wisconsin Oral Health Program Fact Sheets. Available at http://dhfs.wisconsin.gov/health/oral_health/pdf_files/pph4559.pdf

Packet of fact sheets on fluoride and how to determine whether to give children fluoride supplements or not. Bottled water does not contain fluoride. A

dults

EDUCATING CHILDREN71. How does fluoride work? The Nemours Foundation, 2005.

Available at www.kidshealth.orgHow does fluoride in toothpaste and water work to keep teeth healthy?

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72. The truth about teeth. KidsHealth, 2008. Available at www.kidshealth.org

A tour of your teeth in kids words.

7�. Tus dientes. KidsHealth, 2008. Available at www.kidshealth.org Spanish version of article above.7�. When will my teeth fall out? San Diego County SMILES

Program, 2008.Explanation in children’s terms of how teeth grow and when to expect them to fall out. Chart of teeth.

75. SMILES songbook. San Diego County SMILES Program, 2008

A child should brush 2-3 minutes, about the length of a song! Here are a few songs about teeth.

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ages76. Milk Matters with Buddy Brush coloring book. US

DHHS, 2006. Available at http://www.nichd.nih.gov/publications/pubs/upload/mm_with_buddy_brush_2006.pdf

Coloring book for children ages 4-8 from Milk Matters, a campaign dedicated to increasing calcium consumption among America’s children and teens.

77. Just for fun - Activities from SMILES. San Diego County SMILES Program, 2008.

Packet of activity pages, puzzles and worksheets for children.

78. Life cycle of the primary & permanent teeth. WI Oral Health Program, 2001. Available at http://dhfs.wisconsin.gov/health/oral_health/pdf_files/pph4736.pdf

Factsheet including pictorial chart showing what happens below the gums at different stages, 6 months to 11 years. Teeth form 3 months after conception.

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Materials for creating an interactive bulletin board suitable for display where parents are likely to see it.

80. Oral health resource bulletin: Volume XIX. National Maternal and Child Oral Health Resource Center, 2008.

Booklet. List of free or inexpensive materials created countrywide for dental health education.

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Books 81. Bright futures in practice: Oral health

pocket guide. Holt, Katrina A. Washing-ton, D.C: National Maternal and Child Oral Health Resource Center, Georgetown Uni-versity, 2004.

Books for Kids82. Dinosaurs, dinosaurs. Byron Barton.

New York: Crowell, 1989. 36 pgs. Color illustrations. In prehistoric days there were many different kinds of dinosaurs, big and small, those with spikes and those with long, sharp teeth.

8�. Going to the dentist. Fred Rogers. New York: Putnam, 1989. 32 pgs. Color illustrations. A Mister Rogers’ First Experience book, this book prepares a child for his first visit to the dentist by describing the procedures, equipment, and staff involved in a dental examination.

8�. Gross disgusting totally cool mouth book. Theodore Croll, DDS. Doylestown, PA: Reed Drabick Publishers, 2004. 42 pgs. A collection of 40 color photos along with a story about teeth, showing children and adults how and why they need simple but complete daily care right from the beginning. Includes lessons on the need for mouthguards and caring for braces.

85. How the mouse got brown teeth: A Cree story for children. Freda Ahenakew. Saskatoon, Saskatchewan: Fifth House, 1988. 26 pgs. Color illustrations. A mouse burns it front teeth trying to free the sun from a snare.

86. Those icky sticky smelly cavity-causing but-- invisible germs. Judith Rice & Petronella J. Ytsma. St. Paul, MN: Redleaf Press, 1997. 32 pgs. Illustrated. English and Spanish text presents the importance of dental health and the care of the teeth.

Audio-Visuals 87. CARE OF CHILDREN’S TEETH. Loxley Hall.

Evanston, IL: Altschul Group Corporation, 1994. VHS, color, 10 min. This video shows parents and caregivers how to take care of children’s teeth from birth and how to prevent “baby bottle tooth decay.” Shows the proper way to brush and the right things to eat.

88. FEEDING YOUR TODDLER: LILY GETS HER MONEY’S WORTH. Evanston, IL: Altschul Group Corporation, 1991. VHS, color, 17 min. This program joins Lily, a young mother, for a speedy overview of toddler nutrition based on the four food groups of milk, protein, vegeta-bles and fruit, and cereals. Presents a variety of food options even for those on the strictest budgets. Also covers food preparation, smart grocery shopping, meal planning, preventing tooth decay, the introduction of solid foods, and getting toddlers to eat using utensils. Repeat-edly stresses the need for parental love and pa-tience. Introduction for a teen parenting class.

89. DENTAL CARE FOR THE EARLY YEARS, AGE 0-5: THE SMILE GUIDE. Evanston, IL: United Learning, 2002. VHS, color, 15 min. Provides parents and caregivers with informa-tion about the importance of dental health, em-phasizing nutrition, dental visits, cavity preven-tion, brushing and flossing skills.

90. DENTAL CARE FOR KIDS. Charleston, WV: Cambridge Educational, 1994. VHS, color, 30 min. An adult’s guide to children’s teeth; how they develop, the care they need, and the dis-eases that can spoil a child’s mouth. It gives useful information about proper dental care from the prenatal period through the development of primary teeth until permanent teeth come in. It covers proper eating habits, brushing and floss-ing techniques, and when to visit your dentist.

91. KEEPING YOUR CHILD HEALTHY: ROUTINE HEALTH CHECKS FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES. Omaha, NE: University of Nebraska Medical Center, 1990. VHS, color, 32 min. Discusses aspects of vision, hearing, dental care and immunizations for developmentally disabled children.



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92. A CATHY & MARCY COLLECTION FOR KIDS. Cathy Fink & Marcie Marxer. Cambridge, MA: Rounder Records Corp, 1994. Audiocassette, 43 min. + lyrics. Cathy and Marcy present 15 favorites from three different award-winning albums. Contents: Grandma slid down the mountain-- Grandpa’s farm-- Susie & the alligator-- Ten cats down-- A flea & a fly in a flue-- Brush your teeth-- January, February, March-- Buffalo gals-- Magic penny-- It’s a beautiful day-- Shakin’ hands-- Peanut butter & jelly-- Use your own two feet-- Mr. Rabbit-- Banjo song-- When the rain comes down-- Jump children.

9�. THE SMILE GUIDE: DENTAL CARE FOR CHILDREN, AGE �-12. Hoffman Estates, IL: Christie Entertainment Inc, 2002. VHS, color, 14 min. Introduces children to important concepts related to dental health, including the process of a cavity, the effects of sugar and nutrition, the purpose of a dentist and practical self-care dental skills.

9�. ROBERTO MEETS THE TOOTHFAIRY. Newport Beach, CA: Toothfairy Island, 2005. DVD, color, 15 min. Roberto meets the Toothfairy and learns the importance of why he should brush his teeth and wash his hands. For ages 2-6. Available in English or Spanish.

95. TOOTHTOWN U.S.A. William Watson & Michael S. Haro. Filmstrips, 158 frames, color, 35 mm. + audiocassette, 18 min. + teacher/leader guide, wall chart, posters, and booklets. Shows young people how to take good care of their teeth through proper cleaning, eating, and preventive dental care. Presents four units which highlight values associated with good dental care, dietary habits and oral health, personal dental care, and professional dental care. For elementary grades.

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Early Childhood Cavities Prevention Parent/Caregiver Contract

Early Childhood Cavities is a very serious disease that is preventable with your help. Left untreated it can cause your child pain, low self-esteem, difficulty eating and learning. As the parent/caregiver, you are the most important person to manage your child’s oral health. The following goals will help you gain and maintain a healthy smile for your child.

Please choose goals you are willing to work on to Yes NO insure your child’s oral health

Goal 1: I will clean my child’s teeth at least once a day.

Goal 2: I will use a pea size amount of fluoride toothpaste once my child turns two years old.

Goal 3: I will “Lift the Lip” weekly and check for white spot lesions. If I notice white spots I will contact my dental or medical provider. Goal 4: I will not put my child to bed with a bottle, unless it only contains water. Goal 5: I will limit my child’s intake of juice to between 4-6 ounces a day consumed at meal time only.Goal 6: I will have fluoride varnish placed on my child’s teeth three times a year. Goal 7: I will feed my child foods low in sugar and limit sugary snacks.

Goal 8: I will have dental and medical providers check my child’s teeth by age one.

Goal 9: I will introduce the trainer cup by 6 months and wean my infant from the bottle by the age of one.Signature and Date: R

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Issue 56 Child Care Information Center 1�

How to Brush Your Child's Teeth

Brush the insides of the front

the brush.

Brush the outsides and the insides of the upper and lower teeth. Angle the soft bristles 45 degrees, along the gums and teeth.

teeth with the front part or toe of

Brush the chewing surfaces (top of teeth) last, with a firm back and

causing germs. forth movement to remove cavity-



How To Brush Your Child’s Teeth

Gently brush 1-2 teeth at a time using a vibrating or circular motion moving in an established pattern (left to right, inside to outside, top to bottom.) Brush the insides of the front teeth with the front part or toe of the brush using up and down movements.

Wash your hands first. Place a pea-size dab of fluoridated toothpaste (if child is over age 2) on a soft-bristled toothbrush. Place the bristles along gum line at a �5-degree angle. Bristles should contact both the tooth and the gum line. Brush his/her teeth and gums.

Brush chewing surfaces (top of teeth) last, with a firm back and forth motion to remove cavity-causing germs. Do not forget to brush the child’s tongue. Cleanse it with either his/her toothbrush or a commercially available tongue scraper.

Replace the toothbrush every 2-� months or when the bristles begin to flare. Do not share toothbrushes with anyone.

1� Child Care Information Center Issue 56

Doing Fun StuffCheryl DeWelt Robinson, Early Childhood Advisor at the Madison Children’s Museum, shares the next four pages of activity ideas with our newsletter readers. To contact her, phone: (608) 268-1231, ext.36, or email: [email protected]

Visit the Children’s Museum in your area for inspiration in planning your own activities. Give your children a new environment to explore by making a field trip to the museum. Call ahead and book a special group rate and tour. The following are children’s museums located in Wisconsin:

Appleton: The Building for Kids - Fox Cities Children’s Museum, 100 W. College Ave., Appleton, WI 54911. Phone: (920) 734-3226. Fax: (920) 734-0677. Email: [email protected] Web: http://www.kidmuseum.org

Eagle River: Northwoods Children’s Museum, 346 W Division Street, PO Box 216, Eagle River, WI 54521. Phone (715) 479-4623. Fax (715) 479-3289. Web: http://www.northwoodschildrensmuseum.com

(Continued on page 17)


Dental Hygiene

Dramatic Play Area: Going to the Dentist

Materials:Clothes pins and white square cloth piecesFlashlightsDoctor toolsHand mirrorsDentist Books (from bibliography)MagazinesChairsPretend prize box (made from existing small toys in play environment)GogglesLab coats, scrubs or jackets

Activity:Set up the dramatic play area. Model play and invite children to visit the dentist. Use clothes pins to attach a bib to the children’s chests, have them open wide, count their teeth, give them a prize. Let other children take the lead and be the dentist. Children can sit in the waiting room and look at books and magazines. Have individual tooth brushes available for children in the bathroom and encourage them to brush their teeth throughout the day.

Goal: Children will increase their ability to initiate and sustain interactions with peers and adults. They will develop an awareness of health and hygiene while learning to play cooperatively and share materials.

Art Project: Tooth Brush Painting

Materials:PaperWashable tempera paintOld toothbrushes

Activity: Set out art supplies to provide open-ended opportunities for self-expression using toothbrushes and paint.

Goal: Children will gain fine muscle control and express themselves by using a variety of art media.

www.madisonchildrensmuseum.org


Science Activity: Breaking Down Calcium

Materials:EggPlastic peanut butter jar or other unbreakable transparent vesselVinegar

Activity: Talk to children about bones and teeth. Discuss calcium and its contribution to creating healthy bones and teeth. Discuss calcium rich foods. Use inquiry–based learning as you ask children if they can name foods or drinks they eat that contain calcium. The outer shell of an egg is hard because it has calcium. Ask children what will happen if they put an egg in a glass of vinegar and leave it overnight? Document their predictions and leave the document by the experiment. Check the egg later that day and again in the morning.

Conclusion: Vinegar breaks down mineral deposits like lime and calcium. The egg shell will have disintegrated leaving only the lining of the egg intact.

Goal: Children will learn to hypothesize, investigate, observe and draw conclusions from their discoveries.

Bibliography: Books for Children

Goal: Children will continue to develop speaking, listening, reading and writing skills through active engagement with these literacy materials. They will learn letter recognition and develop an increasingly complex vocabulary.

At the Dentist. Greene, Carol. Child’s World; 1998. ISBN#1-56766-468-7

Going to the Dentist. Frost, Helen. Pebble Books; 1999. ISBN#0-7368-0114-6

Just Going to the Dentist. Mayer, Mercer. Western Pub. Co.; 1990. ISBN#0-307-62583-4

My Dentist. Rockwell, Harlow. Greenwillow Books; 1975. ISBN#0-688-80004-1

First Visit to the Dentist. Hughes, Monica. Raintree; 2004. ISBN#141090645-0

Throw Your Tooth on the Roof: Tooth Traditions From Around the World. Beeler, Selby B. Houghton Mifflin Co.; 1998. ISBN#0-395-89108-6

Books in Spanish

Mi Dentista no es un Monstruo. Moffatt, Julia. Gingham Dog Press; 2005, 2004. ISBN#0-7696-4070-2

*Goals are from the WI Model Early Learning Standards. Books can be found at your local public library. Use WISCAT online, www.wiscat.net to order books to be delivered to the library nearest you.

www.madisonchildrensmuseum.org


(Children’s Museums continued from page 14)

Eau Claire: Children’s Museum of Eau Claire, 220 S. Barstow Street, Eau Claire, WI 54701. Phone: (715) 832-KIDS. Email: [email protected] Web: http://www.cmec.cc

Fond du Lac: Children’s Museum of Fond du Lac, 51 Sheboygan St., Fond du Lac, WI 54935. Phone: (920) 929-0707. Web: http://www.childrensmuseumfdl.org

LaCrosse: Gertrude Salzer Gordon Children’s Museum of LaCrosse, Inc., 207 Fifth Avenue South, La Crosse, WI. Phone: 608.784.2652. Fax: 608.784.6988. Email: [email protected] Web: http://www.childmuseumlax.org

Madison: Madison Children’s Museum, 100 State Street, Madison, WI 53703. Phone: (608) 256-6445. Web: http://www.madisonchildrensmuseum.org

Milwaukee: Betty Brinn Children’s Museum, 929 E. Wisconsin Ave., Milwaukee, WI 53202. Phone: (414) 390-KIDS (5437). Fax: (414) 291-0906. Email: [email protected] Web: http://www.bbcmkids.org

Sheboygan: Above & Beyond Children’s Museum, 902 N. 8th Street Sheboygan, WI 53081. Phone: (920) 458-4263. Fax: (920) 458-3402. Web: http://www.abkids.org/index.php

Stevens Point: Central Wisconsin Children’s Museum, CenterPoint MarketPlace ~ Downtown (between Main Street and CenterPoint Drive/Hwy10), Stevens Point, WI 54481. Phone: (715) 344-2003. Email: [email protected] Web: http://www.cwchildrensmuseum.org

To find children’s museums in other states and countries, go to: www.childrensmuseums.org


Cleaning Babies’ TeethWhen should teeth cleaning and mouth hygiene begin? Early! Even babies’ teeth can decay!

Most children have a full set of baby teeth by age 3. How these first teeth are tended will impact how the permanent -teeth-to-come will be maintained when they replace the baby teeth.

Infants’ teeth and gums should be wiped with a clean, damp cloth after feeding and meals. Babies may squawk about this as they often do about having their hands wiped clean after a meal. Try introducing a song to sing while carefully and respectfully wiping their mouths.

Wipe, Wipe, Wipe Your Teeth(to the tune of Row, Row, Row Your Boat)

Young children:Wipe, wipe, wipe your teeth.Clean them every day.Wipe the roof and wipe the floor,Then rinse the dirt away.

Older children:Brush, brush, brush your teeth.Clean them every day.Rub your gums, and wipe your tongue,Then rinse the dirt away.

This Is the Way We Clean Our Teeth(to the tune of This Is The Way We Wash Our Clothes)

This is the way we clean our teeth, Clean our teeth, clean our teeth.This is the way we clean our teeth,After every meal.

This is the way we smile awhile, Smile awhile, smile awhile.This is the way we smile awhile,When our teeth are clean.

Babies will respond to the cheerful musical cue associating the actions to the words. The ritual will be the first step in learning life-long dental hygiene habits. Older children will respond to the humor and indirect instruction in the song, showing you their clean teeth by smiling broadly.

Tip: A thick-handle toothbrush may be easier for a small child to hold & use.

References:American Dental Association, www.ada.com Body Bulletin, February 1999.Texas Child Care, Spring 2001.

Group Toothbrush HolderMaterials Needed:

ToothbrushesEyescrewsWood plankYoghurt cupsNon-toxic enamel craft paint

1. Take one of the toothbrushes your group will be using with you to the hardware store. You will be looking for eyescrews. The size will be determined by how the toothbrush fits through the eye. The eyescrew should fit about halfway up the toothbrush handle. You will need as many screws as you have children in your group.

2. The length of the wood plank will be determined by the number of children in your group. If you have 6 children, you will need a board at least 18 inches long. Distribute the eyescrews along the board allowing at least 3 inches between each eyescrew. Use a yoghurt cup or one of the cups the children will be using for rinsing after brushing to measure a comfortable distance between each eyescrew. Adjust the eyescrews so the openings are up-and-down.

3. Screw the board to the wall near the sink where children will brush their teeth after meals.

4. Have each child decorate a yoghurt cup with enamel paint. Paint the name of each child on the bottom of their cups. Alternatives: Use disposable paper cups or small plastic cups.

5. Paint each child’s name on their toothbrush.

6. Thread the toothbrushes through the eyescrews straightening them so that the brush points upward. Tip the cups over the correlating toothbrushes.

7. Hang a mirror just above the sink behind the faucets so children can see themselves while they brush.

Make toothbrushing part of the after-mealtime ritual along with pottying and handwashing before rest-time and outdoor play.

- Ideas by Lita Haddal, CCIC


Celebrate Children’s Dental Health Month Each and Every Year in FebruaryAmerican Dental Associationhttp://www.ada.org/prof/events/featured/ncdhm.aspWisconsin Oral Health Programh t tp : / /dh fs .w iscons in .gov /hea l th /Ora l_hea l th /HealthySmiles.htmHealth linkshttp://www.dhfs.wisconsin.gov/health/Oral_Health/Links.htmGames, cartoons, and morehttp://www.mouthpower.org Dental products and play propswww.practicon.com, 1-800-959-9505www.plaksmacker.com,1-800-55-TOOTH

Simple Steps to Better Dental Health: Parents’ Guideh t t p : / /www.s imp les tepsden ta l . com/SS / i h tSS /r.WSIHWOOO/st.31840/t.31840/pr.3/htmlA consumer information website, reviewed by the Columbia School of Dental Medicine, with information about oral health for infants, children, and adolescents. Free streaming video entitled: Brushing Children’s Teeth.

Bright Smile, Bright Futureswww.colgatebsbf.com Free curriculum materials for PreK-3rd grade to promote oral health and literacy: teacher’s guides, activities, take-home pages, mini posters of brushing how-to’s, and family materials. Download a Free DVD and a CD of music .At same site:Healthy Bedtime Habits for a LifetimeReading is Fundamental (RIF)/Colgate-Palmolive’s “Healthy Bedtime Habits” campaign resources encourage healthy reading, brushing, and handwashing habits. Kids and families can read an online interactive storybook, enter a library sweepstakes, and use an online tool for tracking children’s progress in building good health habits.

Special Smiles. Dental Help For The Disabled http://www.specialolympics.org/Special+Olympics+Public+Website/English/Initiatives/Healthy_Ahtlietes/Special_Smiles/default.htmSpecial Olympics Special Smiles® helps Special Olympics athletes and people with intellectual disabilities access dental care. Dental screenings are used to increase awareness of athletes’ oral health for the athletes themselves, as well as their parents and/or caregivers. A screening includes: hygiene education to help ensure they are doing an adequate job of brushing and flossing,"Goody bag" with toothbrush, toothpaste and floss, nutritional education on how diet affects total health, a list of dentists/clinics in their area who will treat patients with special needs (should they have difficulty finding a dentist), free mouth guards (at most locations) for athletes competing in contact or high-risk sports.

Toothfairy Islandwww.toothfairyisland.comInteractive website for kids in English and Spanish.

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ePediatric Dental Factshttp://youtube.com/watch?v=l8WcjniIhkE&feature=relatedOnline video opens with the alert that the video host is an educated black woman. Nikko, a young dental hygienist, chats engagingly about a range of dental issues, including braces, baby teeth, ridges on teeth, bad breath and more.

National Maternal & Child Oral Health Resource Centerhttp://www.mchoralhealth.org/materials/action.lasso?-database=Biblio&-layout=Web&-response=results.lasso&-MaxRecords=all&-DoScript=lang_OHRC_VI&-searchThe National Maternal and Child Oral Health Resource Center collects materials for health professionals and consumers.

Non-English Materials On Children’s Oral Healthhttp://www.mchoralhealth.org/materials/nonenglish.htmlDental health materials in languages other than English, including the following languages: Armenian, Bosnian, Cambodian, Chinese, Hmong, Korean, Laotian, Persian,(Iranian, Farsi), Pilipino (Tagalog, Filipino), Russian, Somali, Spanish, Thai (Siamese), Vietnamese.

Free Potty Chartshttp://www.ablebaby.com/ptychrt.htmlFree printable colorful potty sticker charts for motivating toddlers to use the potty. Use them with your own stickers, or order free or inexpensive kids stickers at: http://www.freestuffchannel.com/sticker.html or http://www.stickergiant.com/Merchant2/merchant.my?Screen=CTGY&Store_Code=sg&Category_Code=c&AID=5656331&PID=1530579

Interactive Website About The Mouth &Teethh t t p : / / k i dshea l t h . o rg /m i sc .mov ie /bodybas i cs /mouthandteeth.htmRoll the mouse over the opening illustration to activate pop-up information and additional illustrations, i.e., make the tongue stick out of the mouth.

A Parents’ Guide To Tooth Eruptionh t t p : / / w w w. s i m p l e s t e p s d e n t a l . c o m / S S / i h t S S /r.WSIHW000/st.31840/t.31880/pr.3.html An online interactive illustration and guide to how children’s teeth look above and below the gumline at 8 different ages during development. By clicking on the specific ages, the illustration switches and appropriate tips are listed for dental hygiene at that age.

Two Pet Health Websiteswww.merckvetmanual.comwww.peteducation.comA good way to reinforce children’s interest and knowledge of dental hygiene is to engage them in the dental care of a pet. Type in “dental” in the search window at the above websites for photos and information regarding animal mouth and teeth care.

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To Order Resources: Phone,fax Mail or Email.Identify the newsletter issue number and the item number.Give your name, center name, address, and phone number. Tell us the date you intend to use the materials.

Books & Videos Are Library Items.

Loan periods are: 2 weeks for books

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Articles Are Yours To Keep.

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Call 1-800-362-7353. Our services are free and confidential.

Wisconsin Child Care Information CenterStatewide toll free phone: (800) 362-7353Local phone: (608) 224-5388Fax: (608) 224-6178 Email: [email protected]: http://dpi.wi.gov/ccic

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