Download - Bright Futures: Oral Health in Childcare
Bright Futures:
Oral Health in Childcare
Joseli Alves-Dunkerson, DDS, MPH, MBAPeg Terp, MPH
LeeAnn HoaglinCooper, BS, RDH
National Perspective
BRIGHT FUTURES
C. Everett Koop, M.D.Former Surgeon GeneralU.S. Public Health Service
We need to do a better job of weaving a safety net of understanding, appreciation and guidance in the family, in the community and school. We need to start thinking of health and education as interlocking spheres. ”
Bright Futures Support American Academy of Pediatrics
Am. Academy of Pediatric Dentistry
Am. Dental Hygienists’ Association
American Dietetic Association
NAPNAP
American Public Health Association
American School Health Association
American Nurses Association
National Center for Health Education
Association of MCH Programs
National Assembly for School-
based Health Care
National Association of School
Nurses
National Association of WIC
Directors
National Mental Health Association
Society of Adolescent Medicine
American Medical Association
and many more…
What Is Bright Futures?
Bright Futures is a: VisionPhilosophySet of Expert GuidelinesPractical Developmental
Approach to Providing Health Supervision
Bright Futures is a Vision
Every child deserves to:
be healthy experience joy have self-esteem have caring family & friends believe s/he can succeed in life a Bright Future
Bright Futures is a Philosophy
Optimal health for all children requires: Trusting relationships between health
professionals, the family, and the child Collaborative community partnerships
Bright Futures Core Concepts
Prevention WorksFamilies MatterHealth is Everyone’s
Business
• Fluoridation • Sealants• Child Safety Seats• Immunization• Back to Sleep• Bicycle Helmets• Home Safety
Prevention Works
Families Matter
Partnership with the Family Families as partners Families as caregivers Families as teachers Families as resources
Community Partnerships
Local health jurisdictions (LHJs) Local oral health coalitions Dental providers Families Community Centers Schools Early Childhood Programs Child Care
Bright Futures Materials for Professionals
State Perspective
Provide consistent and effective oral health messages for local programs
Bright Futures Oral Health
Bright Futures OH Tooth TutorFoundation
Expertise Local Coordinators
Customers MCH-related programs
Results Families getting the same OHmessages wherever they go
Community reps on the samepage in terms of OH
OH education fact sheetsavailable online
Reviewers DOH, UW, MCH programs, associations, parent groups
Increased awareness oforal health
WA State BF OH – Subgroups
WIC CSHCN First Steps/NPF
HS/ECEAP/Childcares Tooth Tutor/Schools Adolescents Child Profile
Bright Futures
Oral Health for Childcare Programs
LeeAnn Cooper, RDH
Peg Terp, MPH
Why Are We Here?
We want childcare programs to promote effective, safe and healthy oral health practices at school and at home.
We want children to be Cavity Free by Kindergarten!
What Are We Going To Do Today?
Review basics in causes and prevention of tooth decay
Develop an understanding of how oral health education can be integrated in childcare programs
Share our guideline and materials to promote oral health
Is Tooth Decay a Problem? YES! Preschool children (HeadStart, 2000 SMILE Survey)
41.5% have had cavities or fillings
National goal: 11%
2005/HP2010 Health Objectives
Key Principles
Plaque Germs
Sugar bugs
Tooth decay is a bacterial Infection
We get bacteria from our primary caregiver.
Li Y, Caufield PW, J Dent Res 1995;74:681-5.
Plaque is the film that grows on our teeth.
Contains different bacteria
Can be reduced by toothbrushing
Nutrition
Healthy food for healthy bodies and teeth!
•Amount
•Texture
•Frequency!
Regular meals and snacks
• Regular Meals
• Regular Meals plus Grazing– Prolonged
bottle feeding, sippy cups, etc.
Breakdown and Repair
Eat carbohydrate
Tooth begins to break down
Fluoride isavailable in paste and
water
Fluoride combines with calcium
Rebuilds the tooth
Repair
Fluorides in caries prevention. Wright, Boston, 1991; p 295-323.
Fluoride
Decreases the breakdown of teeth
Increases the repair of the teeth
Fluoride works best
Available in small daily amounts
drinking water twice daily in toothpaste
Visits to the Dentist
Stop decay BEFORE you see it– High strength fluoride– Preventive care, as needed
Fills holes and cavities Reduce bacterial infection Emergent care, if needed
New things to watch for
Xylitol Chlorhexidine Fluoride varnish
What Childcare Providers can do?
Bright FuturesGuide for Oral Health in Washington State
1. Review activities
2. Oral Health Action Plan Example: We will record the name/phone of every
child’s dentist on our health record.
3. Measure your current status 1. Example: Count the number of children that have had a dental
examination at the beginning of the year
4. Oral Health Training for staff and families
5. Routine Oral Health Activities
6. Repeat measures to evaluate outcomes. Example: Count the number of dental exams at the end of the year, and also from year to year.
Ask parents about
Prevention:– What they are doing to prevent tooth decay
on their children?
Access:– Do families AND children have a dental
provider?
Prevention: fluoride and risk assessment
Fluoride:– Do children have access to fluoridated
water at home or school?
History of decay– Do parents or children have a history of
tooth decay?
Prevention: Toothbrushing in Childcare
Toothbrushes Labeling Cleaning Replacement Storage
– Buy it or make it
Prevention: Classroom Toothbrushing Management
Passing out the brushes Toothpaste
– Dispensing Techniques
IntroductionSink MethodTable Method
Swishing and spitting Rinsing and storage
Prevention: Nutrition Planning
Two component snacks Water with meals and snacks Thirsty? Offer water first! Sit down for meals and snacks Fresh, frozen or canned fruits and
vegetables Others
Access: Dental exams and Dental screening
Dental Homes Mobile Dental Programs
Access: insurance, dental provider Registration
– Dentist?– Insurance?– Health (DENTAL) History– Consents
Access: Share Dental Resources
Dental homes Build a relationship with local providers Learn about available resources
– CHAP– Snohomish County Dental Resources– DOH Oral Health Program website: how to
find dental care
Access: Track Dental Needs
90 day enrollment Recommended treatment
– Watch for child behaviors Recommended check ups for
prevention 1st dental checkups beginning at age
one!
Access: Dental emergencies
Post dental emergency procedures– Toothaches– Falls and bumps– Cuts or bites(tongue)– Knocked out permanent tooth
Celebrate growing up– Lost baby tooth
Planning and Writing Your Oral Health Program
A curriculum is a written plan for your program.
Structure for pre-school
Circle Time Story Time – Book List/Song List Center Time Room Environment School to Home
Topics/Concepts
Visiting the Dentist Keeping Teeth Healthy
– Plaque– Toothbrushing– Fluoride– Tooth decay
Importance of Baby Teeth Nutrition and Oral Health
Resources
Discussion