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Infant Oral Health Care. Preventing Early Childhood Caries. Growth & Development of the Teeth. At birth the primary (baby) teeth have already formed Permanent teeth are developing or beginning to mineralize (harden). Courtesy WI Dept. of Health and Family Services. Eruption Patterns. - PowerPoint PPT Presentation
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Infant Oral Health Care
Preventing Early Childhood CariesPreventing Early Childhood Caries
Growth & Development of the Teeth
At birth the primary (baby) teeth have At birth the primary (baby) teeth have already formed already formed
Permanent teeth are developing or Permanent teeth are developing or beginning to mineralize (harden)beginning to mineralize (harden)
Courtesy WI Dept. of Health and Family Services
Eruption Patterns
Courtesy WI Dept. of Health and Family Services
Primary teeth (baby teeth) Primary teeth (baby teeth) are important for…are important for…
A. Talking and eatingA. Talking and eating
B. Saving room for permanent teethB. Saving room for permanent teeth
C. They aren’t important!C. They aren’t important!
D. Both A and BD. Both A and B
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Importance of Primary (Baby) Teeth
Smiling & self-esteemSmiling & self-esteem
Chewing and eating Chewing and eating
Speech developmentSpeech development
Aid proper jaw and face formationAid proper jaw and face formation
Guide permanent teeth into placeGuide permanent teeth into place
1 or more decayed teeth 1 or more decayed teeth
Child under age 6Child under age 6
Previously known as:Previously known as:
Baby bottle tooth decayBaby bottle tooth decay
Bottle mouthBottle mouth
Nursing decay Nursing decay
Sippy cup decaySippy cup decay
Early Childhood Caries or ECC (Tooth Decay)
Courtesy Diann Bomkamp, RDH, BSDH, Missouri
Courtesy Proctor & Gamble
ECC
Courtesy Proctor & Gamble
Severe ECC
“Early Childhood Caries” is…
AA. A cavity . A cavity BB. Caused by drinks with . Caused by drinks with sugarsugarCC. Is only caused by a bottle. Is only caused by a bottleDD. Both A and B. Both A and B
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Results of ECC
Pain and infectionPain and infection
Difficulty eating and sleepingDifficulty eating and sleeping
Affects nutrition and growthAffects nutrition and growth
Courtesy Diann Bomkamp, RDH, BSDH, Missouri
Courtesy Proctor & Gamble
Results of ECC
What is a cavity?What is a cavity?
AA. A large hole in the head . A large hole in the head
BB. A disease. A disease
CC. A hole in the tooth. A hole in the tooth
DD. Both B and C. Both B and C
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Causes of ECC
Diet
(Sugar in Food)
Bacteria
(Plaque)
Time
Tooth
All of these are needed for Tooth Decay
ECC Causes - Bacteria
Passed from Passed from caregiver to childcaregiver to child
food/drinkfood/drink
utensilsutensils
toothbrushestoothbrushes
Blowing on or Blowing on or pre- pre-chewing food chewing food
More likely if mother has decayMore likely if mother has decay
Early spread increases decay riskEarly spread increases decay risk
Courtesy Proctor & Gamble
How to Reduce Bacteria
Mothers or primary Mothers or primary care givers should care givers should have all cavities have all cavities treatedtreated
Wipe baby’s mouth Wipe baby’s mouth from birthfrom birth
Brush preschool Brush preschool child’s teeth using a child’s teeth using a smear of toothpaste smear of toothpaste
Courtesy Proctor & Gamble
ECC Causes - Diet
Food typeFood type
Starchy foodsStarchy foods
Added or natural Added or natural sugarsugar
Pacifier dipped in Pacifier dipped in sweetenersweetener
Liquid medicineLiquid medicine
How to Reduce Sugar in Diet
NO bedtime bottlesNO bedtime bottlesIf bedtime bottle is used, WATER is the If bedtime bottle is used, WATER is the only safe liquid to put in the bottleonly safe liquid to put in the bottle
Limit juice to 4-6 ounces a dayLimit juice to 4-6 ounces a day
Use water for an “anytime drink”Use water for an “anytime drink”
Limit sweet snacksLimit sweet snacks
Courtesy Proctor & GambleCourtesy Proctor & Gamble
ECC Causes - Time
ECC Causes - Time
Frequency and Frequency and length of feedinglength of feeding
Bedtime bottleBedtime bottle
““At will” nighttime At will” nighttime nursingnursing
““Carry along” Carry along” bottle or no-spill bottle or no-spill training cuptraining cup
Frequent snackingFrequent snacking
Courtesy Proctor & GambleCourtesy Proctor & Gamble
ECC Causes - Teeth
Enamel HypoplasiaEnamel HypoplasiaDeformed, weak Deformed, weak enamelenamel
Causes:Causes:• Fever or virusFever or virus• Low birth weightLow birth weight
Lack of fluorideLack of fluorideEnamel is more vulnerable to acidsEnamel is more vulnerable to acids
Courtesy Diann Bomkamp, RDH, BSDH, Missouri
How to Make Teeth Stronger
Ask your physician to check teeth at Ask your physician to check teeth at each well baby/well child visit and each well baby/well child visit and apply fluoride varnishapply fluoride varnish
Take your child to the dentist by Age 1Take your child to the dentist by Age 1
Use a small amount of fluoride Use a small amount of fluoride toothpaste dailytoothpaste daily
Smear for a preschool childSmear for a preschool child
Pea size dab for older childrenPea size dab for older children
Which of the Which of the following can cause following can cause ECC?ECC?
A. Pepsi A. Pepsi
B. 100% fruit juice (example: Juicy-Juice)B. 100% fruit juice (example: Juicy-Juice)
C. MilkC. Milk
D. All of the aboveD. All of the above
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ECC Prevention
DietDiet
Reduce bacteriaReduce bacteria
Brush dailyBrush daily
Treat mother’s cavitiesTreat mother’s cavities
Protect the teeth with fluorideProtect the teeth with fluoride
Regular dental visitsRegular dental visits
ECC Prevention – Diet & Time
Watch sugar/starch exposureWatch sugar/starch exposure
Limit night beveragesLimit night beverages
Provide healthy snacksProvide healthy snacks
Avoid pacifier dippingAvoid pacifier dipping
Wean from bottle/breast by one yearWean from bottle/breast by one year
Ask for sugar-free medicationAsk for sugar-free medication
Courtesy Proctor & Gamble
ECC Prevention – Reduce Bacteria
Courtesy Proctor & Gamble
ECC Prevention – Reduce Bacteria
What does fluoride do?What does fluoride do?
A. Is what causes the flu A. Is what causes the flu
B. Protects the teethB. Protects the teeth
C. Helps repair early stages of decayC. Helps repair early stages of decay
D. Both B and CD. Both B and C
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ECC Prevention - Dental Visits
12 months old or 6 months after12 months old or 6 months after 11stst tooth tooth
Early morning Early morning appointmentappointment
Build excitementBuild excitement
Be calmBe calm
Courtesy University of Washington School of Dentistry
First Dental Visit
Dentist will:Dentist will:
Check:Check:Face and JawsFace and Jaws
Gums, Tongue, Gums, Tongue, TissuesTissues
Teeth and BiteTeeth and Bite
Ask questionsAsk questions
Give informationGive information
Courtesy University of Washington School of Dentistry
Acknowledgements
MAJ Georgia delaCruzMAJ Georgia delaCruzDental Staff OfficerDental Staff Officer
Directorate of Health Promotion & WellnessDirectorate of Health Promotion & Wellness
US Army Center for Health Promotion & Preventive MedicineUS Army Center for Health Promotion & Preventive Medicine
Additional graphics or information provided by the Additional graphics or information provided by the following:following:
University of Washington School of Dentistry
Diann Bomkamp, RDH, BSDH, Missouri
Dr. Dietmar Kennel
USC School of Dentistry
Marquette University School of Dentistry
WI Dept. of Health and Family Services
Cathy Hollister, RDH, MSPH, PhD, Nashville Area Dental Support Center
