a project of the missouri dental foundation a charitable subsidiary of missouri dental association...
TRANSCRIPT
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A PROJECT OF THE
MISSOURI DENTAL FOUNDATION
A CHARITABLE SUBSIDIARY OF MISSOURI DENTAL
ASSOCIATION
PROJECT FUNDED BY THE MISSOURI FOUNDATION FOR HEALTH
start rightPARENTS MAKE THE DIFFERENCE
A practical guide to yourbaby’s dental health
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Presented by members of theMissouri Academy of Pediatric Dentistry
& Missouri Dental Association
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Importance of Baby Teeth
• Help a child to chew and speak
• Hold space for the adult teeth & guide teeth during eruption
• Aid in jaw and face formation
• Influence the child’s overall health
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When Teething Starts
• Baby teeth usually start to come in at 6 months
• 20 primary teeth usually present in our jaw bone at birth
• The front four teeth erupt first, followed by the first molars and then the cuspids
• The second molars are the last to erupt, usually by age 2 ½ to 3 years of age
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Primary Teeth Eruption Chart
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Comforting Your Teething Baby
• Comforting babies who are irritable because of teething – Chew on a cool washcloth or spoon – Chew on a teething ring– Massage gums with a clean finger– Give children’s Tylenol or ibuprophen
an hour before bedtime so sleep isn’t interrupted
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Avoid Numbing Medications
• High levels can be toxic
• Babies can injure their numb lips or tongue if rubbed against their teeth
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Tips for Preventing Decay What parents can do
• Proper Baby Bottle Usage
• Good Oral Home Care
• Good Nutrition Habits (Eating & Drinking)
• Checking teeth regularly
• Scheduling child’s first dental visit
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H2O X X
Tips for Preventing Decay It’s not the bottle, it’s the beverage
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Proper Baby Bottle Usage
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Tips for Preventing Decay Proper Bottle & Sip Cup Usage
• Don’t allow your baby to fall asleep with a bottle or “sip cup” filled with anything other than water
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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
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Decay on the back side of top front teeth, caused from improper bottle usage, is not always visible on the front of teeth
Decay on Teeth from Bottle
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• Have parents get into the habit of wiping the baby’s gums after feedings, even before teeth have erupted
• As teeth come in, brush them with a finger or child’s toothbrush with water or child-safe (non-fluoride) toothpaste
• Don’t use fluoride toothpaste until child can spit (can be toxic if swallowed)
Tips for Preventing Decay Good Oral Home Care
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Tips for Preventing Decay Good Oral Home Care
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Tips for Preventing Decay Creating Good Hygiene Habits
• Kids under age 6 need help brushing
• Some kids over age 6 may still need supervision
• Bedtime is the most important time to make sure the teeth are free of plaque
• Flossing should be initiated as soon as teeth begin to touch
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Tips for Preventing Decay Toothpaste & Fluoride
• Fluoride is important for fighting cavities• However, if children younger than 6 years
old swallow too much, their permanent teeth may have white spots
• Use only a small amount of toothpaste (about the size of a pea)
• At about age 3, you can teach child to spit out the toothpaste and to rinse well after brushing
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Once children reach age 3, a pea-size amount of toothpaste can be used
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Tips for Preventing Decay Toothpaste & Fluoride
• Replace worn toothbrushes– Brushes may have bent bristles,
even though “blue” indicator color isn’t gone– Infants/Toddlers
may wear out toothbrushes sooner because of chewing on bristles
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Tips for Preventing Decay Good Nutrition Habits
• Food doesn’t cause decay, but rather “eating” food in general
• Children’s dental health depends less on what they eat and more on how often they eat it
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Tips for Preventing Decay Good Nutrition Habits
• Anything that breaks down into sugars/carbohydrates can cause cavities– Candy and cookies are NOT
the only bad things for teeth!
– This includes starchy foods like potato chips and crackers
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Tips for Preventing Decay Good Nutrition Habits
• Sticky foods, like gummy fruit snacks and raisins can be worse for the teeth –Get stuck in chewing surfaces and
in between teeth
–Don’t wash off the teeth as quickly
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Tips for Preventing Decay Good Nutrition Habits
Fruit roll-ups, gummy fruit snacks and raisins
BAD FOR THE TEETH!
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These snacks look nutritious, but are they?
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3 of the Top Ingredients are Sugars!
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Tips for Preventing Decay Good Nutrition Habits
• Don’t allow children to "graze" throughout the day on snacks/drinks (except water)
• Encourage balanced meals at “mealtimes”
• Sugary snacks/drinks should be consumed within a short period of time– This will give the mouth a chance to clear
away the sugary foods from the teeth
• Have kids brush after meals
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Tips for Preventing Decay Good Nutrition Habits
• Provide better choices– Healthy snacks like
fresh fruit and cheese are better not only for the teeth, but for the overall health of the baby
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Tips for Preventing Decay Good Nutrition Habits
• Stop the Pop!
• Soda should never be encouraged
• Diet soda can also cause cavities due to the acid in the carbonation
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Tips for Preventing Decay The First Dental Visit
• It is recommended the first dental visit be within 6 months of the first tooth eruption
• This is usually around the child’s first birthday
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Tips for Preventing Decay The First Dental Visit
• Pediatric dentists are specially trained and may feel more comfortable examining young children than general dentists
• A child’s pediatrician should be able to assess if a child is at high risk for dental decay
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Tips for Preventing Decay The First Dental Visit
• This 3-year-old is at the dentist for the first time
• Unfortunately, one of his teeth is already infected and an abscess is present
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About Dental Decay Did you know?
• Dental caries is the most common chronic disease in children, 5 times more common than asthma
• More than 40% of children have tooth decay by the time they reach kindergarten
• More than 51 million school hours (85,000 school days) are lost each year due to dental related illness
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About Dental Decay Did you know?
• 80% of dental cavities are found in 20% to 25% of children
• 18% of children between the ages of 2 to 4 have visible cavities
• Infants of low socioeconomic status, whose mothers have a low education level, and who consume sugary foods are 32 times more likely to have caries at age 3 than children in whom those risk factors are not present
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About Dental Decay Did you know?
• Tooth decay is a disease that is, by and large, preventable
• The ultimate goal of early assessment is the timely delivery of educational information to prevent decay
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Screening for Dental Decay Getting Started
• Following are guidelines only
• Goal is to help parent educators feel comfortable educating parents
• Empower parents to do screenings on their child and know what to look for
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Screening for Dental Decay Getting Started
What you need• Dialogue with
parent/consent to do screening
• Good light source to see teeth
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Screening for Dental Decay Getting Started
• The knee-to-knee lap exam allows the parent to help hold child’s hands while the examiner is able to look at the teeth
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Screening for Dental Decay What do cavities need to start
TEETH
No CariesNo Caries
No Caries
No Caries
DECAY
TIME PLAQUE IS ON TEETH
PLAQUE
(BACTERIA)
REFINED
CARBOHYDRATES
(FOOD)
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Screening for Dental Decay What do cavities need to start
What to look for:
• Plaque along the gumlines
• White chalky lines along the gumlines
• Brown spots or discolorations on the fronts of teeth
• Holes in the chewing surfaces of the teeth
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Plaque is an invisible film that is noticeable when scraped off the teeth
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White or chalky areas can turn into brown spots (cavities)
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Lift the lip to see gumlines better
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Large cavities can damage the nerves of the teeth, leading to abscesses
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Primary molars do not fall out until age 10-12. Cavities in these teeth need
to be treated right away.
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Screening for Dental Decay
• Large cavities can be repaired, but it’s expensive and the child is always more cavity prone…
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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
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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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The Dental CommunityThanks you for your interest
in helping the children of Missouri obtain good oral
hygiene and healthy brushing and eating habits to prevent
early childhood decay
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Starting Right Means a Lifetime of Smiles
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Contact Information
Missouri Dental Association
• www.modental.org
• 573-634-3436
Program Coordinator
• Melissa Albertson
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Start Right: Parents Make the DifferenceA project of the Missouri Dental Foundation
The charitable subsidiary of the Missouri Dental Association
The Start Right project is funded through a grant provided by the Missouri Foundation
for Health. The Missouri Foundation for Health is a philanthropic organization whose vision is to improve the health of the people
in the communities it serves.
All “Start Right” materials and presentation © Missouri Dental Foundation & Missouri Dental Association