EARLY CHILDHOOD CARIES

RISK GROUPS FOR DENTAL CARIES

Children with special health care needs

Children of mothers with a high caries rate

Children with demonstrable caries, plaque, demineralization, and/or staining

Children who sleep with a bottle or breastfeed throughout the night

Later-order offspring Children in families of low

socioeconomic status

Streptococcus Mutans Transmission

8

CARIES ASS. AT 6 MONTHS

CHILD RECEVIE RISK ASS. AT 6 MONTHS S E C C

ORAL HEALT

H RIS

K

ASSEMENT

BY 6 M

ONTH O

F

AGE BY

PEDIA

TRIA

N ,PED

IATR

IC

NURSES

THE DENTAL HOME

IT IS

NEVER T

OO

EARLY T

O S

TART

CLINICAL HINT

E - D F - F - F

DENTAL HOME

F- first visit F- first time F – first birthday

CARIES ASS. AT 6 MONTHS

CHILD RECEVIE RISK ASS. AT 6 MONTHS S E C C

ORAL HEALT

H RIS

K

ASSEMENT

BY 6 M

ONTH O

F

AGE BY

PEDIA

TRIA

N ,PED

IATR

IC

NURSES

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EARLY INFANT ORAL HEALTH CARE

“It is EASY”

It is a win-win situation for your patients and you

PREVENTIVE rather than REACTIVEAdds a new set of patients to your

practice ($)

Allows you to retain patients for longer periods .

Physical Exam

Knee to knee exam (Clinical exam) What to look for

Plaque and inflammation Stain Decay

What to do: Prophy and fluoride ART (atraumatic restorative technique)

CARIES –RISK ASSESSMENT FOR INFANTS

CLINCAL HINT

RISK GROUPS FOR DENTAL CARIES

Children with special health care needs

Children of mothers with a high caries rate

Children with demonstrable caries, plaque, demineralization, and/or staining

Children who sleep with a bottle or breastfeed throughout the night

Later-order offspring Children in families of low

socioeconomic status

EARLY FIRST VISIT ESTABLISH DENTAL HOME

Physical Exam

Knee to knee exam (Clinical exam) What to look for

Plaque and inflammation Stain Decay

What to do: Prophy and fluoride ART (atraumatic restorative technique)

EARLY FIRST VISIT ESTABLISH DENTAL HOME

Click icon to add picture

STREPTOCOCCUS MUTANS Transmission of (S.M) can be delayed or

perhaps prevented by initiating intensive preventive program designed to reduce number Of (S.M) in the mothers as their infant begin erupt teeth.

Transmission in 2 ways

1-direct. 2-indirect.

↓Transmission of (S.M) when mother were treated with

1- Fluoride 2- Cholorohexidine

3 - Xylitol chewing gum .

4- management of active carious lesion .

PAST

XYLITOL XYLITOL CURRENTLY IS

AVAIABLE IN MANY FORMS (eg, gums , mints, chewable tablets, lozenges ,tooth pastes , mouth washes, COUGH MIXTURES ,) XYLTIOL CHEWING GUM HAS BEEN SHOWN TO BE EFFECTIVE AS PREVENTIVE AGENT THE EFFECTIVENESS OF OTHER XYLITOL PRODUCTS IS BEING STUDIED AT THE TIME

POLIC

Y

STATM

ENT

ITR MAY BE USED FOR CARIES CONTROL IN CHILDREN WITH MULTIPLE CARIOUS LESION PRIOR TO DEFINITIVE RESTROTATION OF THE TEETH

XYLIT

OL

29$ price

MI PAST &MI PAST PLUSMI PAST USED FOR BABY MI

PAST PLUS USED FOR HIGH RISK ,

DRY MOUTH , ONCOLOGY ,

TOOTH WITING , PORTHODONTIC ,

EROSIVE, PERIODONTAL DIEASE

FLUOR PROTECTOR GEL (CA+

PH+F) {IVOCLAR }

BIOTENE (GSK)

(DRY MOUTH TREATMENT)

MOUTH WASH TOOTH PASTE

ORAL GEL MOUTH SPRAY &

Zam zam water

Zam zam waterIt is alkaline

having PH= 7.8 (more alkaline than saliva (7.2-7.4)Up to 8.38Carbonated beverage about PH=3.2.

Carbonated water

(280-299)mg/L bicarbonate.Bicarbonate has the best buffering effect . It limits the fall in PH when bacteria metabolize

sugar . contain fluoride (0.6-0.68 PPM).

Mineral water :

Contain Ca : (230-245) mg/L Ph contain Ph : (0.31-0.46) mg /L

( help remineralization of decayed teeth .) ( phosphate is one of protective factor in

remineralization.)

Hint : Low Ca & PH →Osteoporosis (esp.- women).

So -:Can be used systemically & locally as mouth wash.

-especially before sleeping & ↑risk group.e.g. radiation caries , rampant caries. During and after

ortho treatment.

29$ price

Fluoride Varnish Fluoride varnish for preschool children with

special care need.Duraphat ( -2-5% F) Fluor protector (0.8%).Recommended in decalcified enamel secondary

to poor plaque removal or poor feeding & used for newly erupted teeth.

Arresting of early caries ,hyper sensitive area.

EARLY CHILDHOOD CARIES

INTE

RIM

THERAPE

UTIC

RESTORAT

ION

(ITR)

POLIC

Y

STATM

ENT

ITR MAY BE USED FOR CARIES CONTROL IN CHILDREN WITH MULTIPLE CARIOUS LESION PRIOR TO DEFINITIVE RESTROTATION OF THE TEETH

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