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Infant Oral Care Model

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Caries Risk Assessment. Parent Interview. Pediatric Oral Health Screening Form: Caries Risk Indicators. Mother/primary caregiver has ... Caries Risk Indicators ... – PowerPoint PPT presentation

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Title: Infant Oral Care Model


1
Infant Oral Care Model
  • Anne Gibbs, RDH, BS

2
Infant Oral Care Model
3
Infant Oral Care Model
  • Caries Risk Assessment
  • Parent Interview
  • Knee to Knee Exam
  • Results
  • Appling Fluoride Varnish
  • Education to Caregiver
  • Self Management Goal Setting

4
Caries Risk Assessment
5
Caries Risk Assessment
  • Three Parts
  • Parent Interview
  • Knee to Knee Exam
  • Results

6
Caries Risk AssessmentParent Interview
  • Does parent have any questions about childs
    teeth?
  • Use open ended questions / conversational
  • Make eye contact with the parent
  • Keep the child occupied
  • Look around! Did the child come with a bottle of
    apple juice??
  • Most of these questions you already ask at the
  • Well Child Visit ?

7
Caries Risk AssessmentParent Interview
  • Pediatric Oral Health Screening Form
  • Caries Risk Indicators
  • Mother/primary caregiver has had active dental
    decay in past 12 months
  • Older siblings with history
  • of dental decay

8
Caries Risk AssessmentParent Interview
  • Pediatric Oral Health Screening Form
  • Caries Risk Indicators
  • Continual use of bottle containing beverages
    other than plain water (nothing added). Bottle
    use gt 12 months old
  • Child sleeps with a bottle or nurses on demand
    after any teeth have erupted

9
Caries Risk AssessmentParent Interview
  • Pediatric Oral Health Screening Form
  • Caries Risk Indicators
  • Frequent (greater 3X/day total) candy
    carbohydrate snacks, soda, sugared beverages,
    fruit juice

10
Caries Risk AssessmentParent Interview
  • Pediatric Oral Health Screening Form
  • Caries Risk Indicators
  • Medical Risks
  • Saliva-reducing meds (asthma, seizure,
    hyperactivity, etc.)
  • Developmental problems
  • History of anemia or iron therapy
  • Daily liquid medications

11
Caries Risk AssessmentParent Interview
  • Pediatric Oral Health Screening Form
  • Protective Factors
  • Child lives in a fluoridated community AND drinks
    tap water daily
  • Teeth cleaned with a fluoridated toothpaste smear
    twice daily

12
Caries Risk AssessmentParent Interview
  • Pediatric Oral Health Screening Form
  • Protective Factors
  • Child has a dental home and regular dental care

13
Caries Risk Assessment Knee to Knee Exam
14
Caries Risk Assessment Knee to Knee Exam
  • Analogy Like changing a diaper
  • (but not as messy)
  • Painless
  • Necessary
  • Quick
  • Child may cry

15
Caries Risk Assessment Knee to Knee Exam
  • Materials needed
  • Parent to help
  • Cloth to cover your lap (prevent fl messes)
  • Gloves
  • Childs toothbrush
  • Tooth mirror
  • Gauze
  • Fluoride varnish

16
Caries Risk Assessment Knee to Knee Exam
17
Caries Risk Assessment Knee to Knee Exam
18
Caries Risk Assessment Knee to Knee Exam
19
Caries Risk Assessment Knee to Knee Exam
  • Using childs toothbrush, evaluate the teeth for
    obvious plaque /or bleeding gums

20
Caries Risk Assessment Knee to Knee Exam
  • Using the tooth mirror, look for
  • Obvious white spots or decay

21
Apply Fluoride Varnish
  • DONE WITH KNEE TO KNEE EXAM
  • Fluoride Varnish is easy to apply
  • No precision needed just get it on the tooth
    surface
  • Stuff is sticky!
  • Try not to get it on your clothes
  • Avoid getting in childs hair

22
Apply Fluoride Varnish
Apply thin coat to all erupted teeth
23
Caries Risk Assessment Results
  • Based on the Risk Assessment
  • Verbal Interview Visual Exam Risk
  • What is the likelihood that the child will
    develop the disease CARIES?

24
Caries Risk Assessment Results
  • High Risk
  • 3 mos recare (fluoride varnish)
  • Knee to knee at every visit
  • Refer to dental home
  • Low Risk
  • 6 mos recare (fluoride varnish)
  • Refer to dental home

25
Education to Caregiver
  • Resulting from the Caries Risk Assessment, what
    are some things the parent can do to improve the
    oral health of their child?

26
Education to Caregiver
  • Regular Dental Care
  • 1st dental visit should be by age 1
  • Recommend recare visits as per results of Caries
    Risk Assessment
  • Does parent know where to find a
  • dental provider?

27
Education to Caregiver
  • Diet Foods
  • Provide healthy foods drinks for your family.
  • Eat more fruits, vegetables, milk, and cheese
  • Limit number of exposures to sugary foods
    drinks (less than 3 a day)
  • After consuming sugary food/drink, the mouth is
    in an acidic/cavity causing environment for 20
    minutes!

28
Education to Caregiver
  • Brushing
  • Clean babys teeth after feedings
  • Help your child brush until he can write in
    cursive
  • Brush at least morning before bed, using a
    fluoride toothpaste

29
Education to Caregiver
  • Fluoride
  • If the community is fluoridated, suggest drinking
    tap water
  • If family wont drink tap water, suggest Nursery
    Water, bottled water
  • that contains fluoride

30
Education to Caregiver
  • Keep Germs to Yourself
  • Avoid sharing toothbrushes drinks
  • Avoid putting things in your mouth then your
    babys mouth
  • Keeping the entire familys teeth healthy keeps
    from spreading cavity causing bacteria.

31
Education to Caregiver
  • Bottle Sippy Cup Use
  • Only water in sippy cup.
  • Water only at bedtime.
  • Clean babys teeth after feedings.
  • No bottle propping!

32
Education to Caregiver
  • Diet Drinks
  • Drink more water, less juice and soda
  • Dilute fruit juices with an equal amount of water
  • Limit number of exposures to sugary foods
    drinks (less than 3 a day)
  • After consuming sugary food/drink, the mouth is
    in an acidic/cavity causing environment for 20
    minutes!

33
Self Management GoalSetting
  • Part of Motivational Interviewing Counseling
  • Successful in change behaviors related to alcohol
    drug addiction
  • Research supports that it can help manage
    non-addictive problems ie. diabetes control

34
Self Management GoalSetting
  • Study published in JADA 2004, suggests that
  • Motivational interviewing counseling has an
    effect on childrens health that is greater than
    the effect of traditional health education.
  • JADA 2004 135 731-738

35
Self Management GoalSetting
  • Old School
  • YOU MUST FLOSS!

36
Self Management GoalSetting
New Philosophy What CAN you do to improve your
childs health?
37
Self Management GoalSetting
  • Using Self Management Goal Sheet
  • Establish a Self Management Goal
  • Be sure not to influence the goal with your own
    personal opinion!
  • Keep conversation open

38
Self Management GoalSetting
  • Asking for Self Management Goals
  • What is something you could work on to improve
    your childs dental health?
  • Here are some ideas of ways to help your child to
    have healthy teeth. What could you do better?
  • Sounds like you want to prevent Child from having
    teeth like his siblings. What could you do
    differently this time around?

39
Self Management GoalSetting
  • Using Self Management Goal Sheet
  • Document 1 or 2 Goals
  • Identify When ie. during bathtime
  • Identify how often ie. twice a day
  • Document confidence level (should be 7-9)
  • Parent Witness sign
  • Give copy to parent
  • FOLLOW UP!

40
Infant Oral Care Model
  • Caries Risk Assessment
  • Parent Interview
  • Knee to Knee Exam
  • Results
  • Appling Fluoride Varnish
  • Education to Caregiver
  • Self Management Goal Setting

41
Infant Oral Care Model
  • Take Home Message
  • CAVITIES ARE 100 PREVENTABLE!

42
GoalAvoid Bad Experiences
43
Goal Happy, Healthy Children
44
Infant Oral Care Model
  • Questions?
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