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Historical Development of Dentistry
- Extraction;
- Surgical approach (“drilling and filling”):
after G.V. Black;- Medical approach – Minimal Intervention.
Minimal Intervention Dentistry
- Modern approach to the treatment
of tooth decay- Based on “Medical Model” of caries management
The Intervention approach Minimal
A medical model; Caries treated as a biological
infection Surgical techniques are {minor}
and stress retention of tooth tissue.
EARLY CHILDHOOD CARIES (EC C)
Definition: - IT IS THE PRESENCE OF 1 OR
MORE DECAYED (NONCAVITED OR CAVITED
LESIONS ), MISSING (DUE TO CARIES) OR
FILLED TOOTH SURFACES IN ANY PRIMARY
TOOTH IN A CHILD (71 ) MONTHES OF
AGE OR YOUNGER . IN
CHILDERN YOUNGER THAN 3 YEARS OF AGE
ANY SIGN OF SMOOTH –SURFACE CARIES IS
INDICATIVE OF ( S-E CC )
( AAPD )
USE OF XYLITOL GUM BY MOTHERS
(2-3 TIMES / DAY STARTING 3
MONTHES AFTER DELIVERY & UNTIL
THE CHILD WAS 2 YEARS OLD )
REDUCED THE MS LEVELS IN
CHILDREN UP TO 6 YEARS OF AGE
CONSEQUENCES OF UNTREATED DENTAL CARIES IN CHILDREN
CAN QUICKLY DIMINISH THE GENERAL HEALH & QUALITY OF LIFE FOR THE AFFECTED INFANTS, BECOMES MORE DIFFICULT TO TREAT, THE COAST INCREASE, PAIN , DISCOMFORT, REDUCED GROWTH & BODY WEIGHT, DISTURBED SLEEP AFFECTS GLUCOSTEROID PRODUCATION, SUPPRESSION OF HEMOGLOBIN FROM DEPRESSED ERYTHROCYTE PRODUCATION ,
THE DENTAL HOME
THE DENTAL HOME WAS
ESTABLISHED AS “AAPD POLICY
IN 2003, AND IS BASED ON
THE SAME CONCEPT AS THE
AMERICAN ACADEMY OF
PEDIATRICS POLICY STATEMENT
DEFINING THE MEDICAL HOME IN
1992.
THE DENTAL HOME The dental home is the ‘ongoing
relationship between the dentist and
the patient, inclusive of all aspects of
oral health care delivered in a
comprehensive, continuously
accessible, coordinated, and family-
centered way. Establishment of a
dental home begins no later than 12
months of age and includes referral to
dental specialists when appropriate
(AAPD def,)
AAPD Policy Statement
• “The AAPD advocates interaction with early intervention programs, schools, early childhood education and child care programs, members of the medical and dental communities, and other public and private community agencies to ensure awareness of age-specific oral health issues.”
The Dental Home and the Mission of the AAPD
• The mission and strategic goal(s) for the AAPD are:– An oral disease-free population.– Access of appropriate oral health care for
all children and patients with special health care needs.
– To be centered around the Dental Home
The Dental Home Provides…
a. Comprehensive oral health care including
“acute care” and preventive services
in accordance with AAPD periodicity
schedules.
b. Comprehensive assessment for oral diseases and conditions.
The Dental Home Provides…
c. “Individualized “ preventive dental health program based upon a caries-risk assessment and a periodontal disease risk assessment.
d. Anticipatory guidance about growth
and development issues,
(ie, teething, digit or pacifier
habits).
Why Brush Teeth in”{ Day Care Centers}” ?
• Develop good habits
• Children may not brush at home
• Children learn basic hygiene principals
The Dental Home Provides…
e. Plan for acute dental trauma.
f. Information about proper care of the child’s teeth and gingivae. This would include prevention, diagnosis, and treatment of disease of the supporting and surrounding tissues and the
“maintenance of health, function, and esthetics of those structures and tissues.”
The Dental Home Provides…
g. Dietary counseling.h. Referrals to dental specialists when care
cannot directly be provided with the dental home.
i. Education regarding future referral to a dentist knowledgeable and comfortable with adult oral health issues for continuing oral health care; referral at an age determined by patient, parent and pediatric dentist.
Cleaning Teeth
Brush with a rice sized amount of toothpaste using a soft toothbrush
Have the child spit out the toothpaste after brushing but do not rinse with water
Ages 2 &less than 3 years
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 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.
Screening for Dental Decay Getting Started
What you need• Dialogue with
parent/consent to do screening
• Good light source to see teeth
Tips for Preventing Decay Proper Bottle & Sip Cup Usage
– Milk and other sugary liquids can pool against the back of the top front teeth for the several hours the baby is sleeping
– Because of this, cavities can occur on the backs of the top front teeth, undetectable to parents
– Note: Going to bed with bottle can also cause liquid to pool in ear tubes, causing ear infections
As a Parent Educator What’s your role?
• Educate parents about good early childhood oral hygiene
• Provide parents with tips to make healthy choice and prevent decay in primary teeth
As a Parent Educator What’s your role?
• Conduct screenings to identify children at risk for dental disease
• Help parents learn to know what to look for when checking their child’s teeth for decay
• Direct parents with any concerns to dental health professionals
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