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Bright Futures: Oral Health in Childcare

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Visits to the Dentist. Stop decay BEFORE you see it. High strength fluoride ... Example: We will record the name/phone of every child's dentist on our health record. ... – PowerPoint PPT presentation

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Title: Bright Futures: Oral Health in Childcare


1
Bright Futures Oral Health in Childcare
  • Joseli Alves-Dunkerson, DDS, MPH, MBA
  • Peg Terp, MPH
  • LeeAnn HoaglinCooper, BS, RDH

2
BRIGHT FUTURES
  • National Perspective

3
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.
  • C. Everett Koop, M.D.Former Surgeon GeneralU.S.
    Public Health Service

4
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

5
What Is Bright Futures?
  • Bright Futures is a
  • Vision
  • Philosophy
  • Set of Expert Guidelines
  • Practical Developmental Approach to Providing
    Health Supervision

6
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

7
Bright Futures is a Philosophy
  • Optimal health for all children requires
  • Trusting relationships between health
    professionals, the family, and the child
  • Collaborative community partnerships

8
Bright Futures Core Concepts
  • Prevention Works
  • Families Matter
  • Health is Everyones
  • Business

9
Prevention Works
  • Fluoridation
  • Sealants
  • Child Safety Seats
  • Immunization
  • Back to Sleep
  • Bicycle Helmets
  • Home Safety

10
Families Matter
  • Partnership with the Family
  • Families as partners
  • Families as caregivers
  • Families as teachers
  • Families as resources

11
Community Partnerships
  • Local health jurisdictions (LHJs)
  • Local oral health coalitions
  • Dental providers
  • Families
  • Community Centers
  • Schools
  • Early Childhood Programs
  • Child Care

12
Bright Futures Materials for Professionals
13
State Perspective
  • Provide consistent and effective oral health
    messages for local programs

14
Bright Futures Oral Health
Bright Futures OH
Tooth Tutor
Foundation
Local Coordinators
Expertise
MCH-related programs
Customers
DOH, UW, MCH programs, associations, parent groups
Reviewers
Results
Families getting the same OH messages wherever
they go
Community reps on the same page in terms of OH
OH education fact sheets available online
Increased awareness of oral health
15
WA State BF OH Subgroups
  • WIC
  • CSHCN
  • First Steps/NPF
  • HS/ECEAP/Childcares
  • Tooth Tutor/Schools
  • Adolescents
  • Child Profile

16
Bright Futures
  • Oral Health for Childcare Programs
  • LeeAnn Cooper, RDH
  • Peg Terp, MPH

17
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!

18
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

19
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

20
Key Principles
21
Tooth decay is a bacterial Infection
  • Plaque Germs
  • Sugar bugs

22
We get bacteria from our primary caregiver.
Li Y, Caufield PW, J Dent Res 199574681-5.
23
Plaque is the film that grows on our teeth.
  • Contains different bacteria
  • Can be reduced by toothbrushing

24
Nutrition
  • Healthy food for healthy bodies and teeth!
  • Amount
  • Texture
  • Frequency!

25
Regular meals and snacks
  • Regular Meals
  • Regular Meals plus Grazing
  • Prolonged bottle feeding, sippy cups, etc.

26
Breakdown and Repair
Eat carbohydrate
Repair
Tooth begins to break down
Rebuilds the tooth
Fluoride is available in paste and water
Fluoride combines with calcium
Fluorides in caries prevention. Wright, Boston,
1991 p 295-323.
27
Fluoride
  • Decreases the breakdown of teeth
  • Increases the repair of the teeth

28
Fluoride works best
  • Available in small daily amounts
  • drinking water
  • twice daily in toothpaste

29
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

30
New things to watch for
  • Xylitol
  • Chlorhexidine
  • Fluoride varnish

31
What Childcare Providers can do?
32
Bright FuturesGuide for Oral Health in
Washington State
33
  • Review activities
  • 2. Oral Health Action Plan
  • Example We will record the name/phone of every
    childs dentist on our health record.
  • Measure your current status
  • 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.

34
Ask parents about
  • Prevention
  • What they are doing to prevent tooth decay on
    their children?
  • Access
  • Do families AND children have a dental provider?

35
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?

36
Prevention Toothbrushing in Childcare
  • Toothbrushes
  • Labeling
  • Cleaning
  • Replacement
  • Storage
  • Buy it or make it

37
Prevention Classroom Toothbrushing Management
  • Passing out the brushes
  • Toothpaste
  • Dispensing
  • Techniques
  • Introduction
  • Sink Method
  • Table Method
  • Swishing and spitting
  • Rinsing and storage

38
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

39
Access Dental exams and Dental screening
  • Dental Homes
  • Mobile Dental Programs

40
Access insurance, dental provider
  • Registration
  • Dentist?
  • Insurance?
  • Health (DENTAL) History
  • Consents

41
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

42
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!

43
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

44
Planning and Writing Your Oral Health Program
A curriculum is a written plan for your program.
45
Structure for pre-school
  • Circle Time
  • Story Time Book List/Song List
  • Center Time
  • Room Environment
  • School to Home

46
Topics/Concepts
  • Visiting the Dentist
  • Keeping Teeth Healthy
  • Plaque
  • Toothbrushing
  • Fluoride
  • Tooth decay
  • Importance of Baby Teeth
  • Nutrition and Oral Health

47
Resources
48
Discussion
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