you can make a positive impact on a childs oral health! division of dental health virginia...
TRANSCRIPT
![Page 1: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/1.jpg)
You Can Make a Positive Impact
on a Child’s Oral Health!
Division of Dental Health Virginia
Department of Health 109 Governor Street Richmond, Virginia
23219 804-864-7775 www.vahealth.org/dental
Oral Health Care for Very Young Children and
Children with Special Health Care Needs
![Page 2: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/2.jpg)
Oral Health Care For Very Young Children and Children With
Special Health Care Needs(CSHCN)
For more information or to schedule an oral health presentation contact:
Kami A. Piscitelli, BSDH, RDH
Special Needs Oral Health Coordinator
Division of Dental Health
804-864-7804
[email protected] by Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services
![Page 3: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/3.jpg)
What can you do?
You’re already doing something! You’re here!
You can make an impact by:
Increasing your awareness of the oral health needs of children
Promoting oral health to families of young children and CSHCN
Encouraging age one dental visits
![Page 4: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/4.jpg)
Topics
Why oral health is important?
What are the two most common dental diseases?
The results of untreated dental disease
Common dental problems of CSHCN
Prevention of dental disease
Visiting the Dentist
![Page 5: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/5.jpg)
At what age should children start seeing the dentist?
![Page 6: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/6.jpg)
Background
•Tooth decay is the most common chronic childhood disease.
•Tooth decay is 5 times more common than asthma; 7 times more common than hayfever.
•Approximately 28% of children ages 2-5 years old have tooth decay.
•CSHCN are almost twice as likely to have unmet oral health needs than children without SHCN.
![Page 7: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/7.jpg)
Why is this important?
They are only teeth!
![Page 8: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/8.jpg)
The Function of Teeth
Chewing / Digestion
Speech
Facial appearance
Bone structure
Confidence
![Page 9: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/9.jpg)
Baby Teeth Are Important Too!
Guide eruption of permanent teeth
Healthy baby teeth = healthy permanent teeth
![Page 10: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/10.jpg)
Baby Teeth
![Page 11: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/11.jpg)
Oral Health Affects General Health
oral disease and infection systemic infection; can threaten life; unsuccessful organ transplant; surgery delay
periodontal disease diabetes, bacterial pneumonia, low-birth weight, heart disease, stroke
tooth decay malnutrition, failure to thrive, pain, loss of concentration, emotional/psychological stress
malocclusion difficulty speaking/chewing, infections due to difficult oral hygiene
In the Mouth Overall Health
![Page 12: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/12.jpg)
General Health Affects Oral Health
gastric reflux / vomiting erosion of teeth, sensitivity
medications reduced saliva, enlarged gums, decay
special diets (soft, high carb)
decay, periodontal disease
oral habits trauma, injury
chronic infections reduces ability to fight oral infections
antibiotic therapy oral fungal infections
physical abuse often seen as oral trauma
Health Factors Oral Health
![Page 13: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/13.jpg)
Two Most Common Dental Diseases
?
?
![Page 14: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/14.jpg)
Two Most Common Dental Diseases
Tooth Decay disease process also called Caries cavities are the result
Periodontal “Gum” Disease Gingivitis Periodontitis
![Page 15: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/15.jpg)
Early Childhood Caries (ECC)
Definition: The presence of one or more decayed, missing or filled tooth surfaces in a child younger than six
Begins soon after teeth erupt and can progress to a cavity in only 6-12 months
Very quick, destructive form of decay
Costly to treat Children have trouble cooperating because of
age/condition Often requires oral sedation or general anesthesia
![Page 16: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/16.jpg)
Factors Necessary for Tooth Decay
1. Bacteria: Streptococcus mutans 2. Food: fermentable carbohydrates (break
down quickly)3. Susceptible tooth 4. Exposure time
This child is 1 ½ - 2 years old.
![Page 17: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/17.jpg)
1. Bacteria
Transmitted from parent to child, not born with it
Infectious disease processWindow of infectivity: highest in the first two
years Early exposure to S. mutans is one of the major
risk factors for future cavities
Plaque: sticky film
![Page 18: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/18.jpg)
Transmission of Bacteria
Sharing of forks, spoons, strawsTesting food temperatures“Cleaning” pacifierPre-chewing food
![Page 19: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/19.jpg)
2. Food: Fermentable Carbohydrates
Simple or complex carbs: sugars, starchesBacteria uses the food to produce an acidAcid ‘demineralizes’ or eats away at the
surface enamel, starting the disease process‘White spot’ appears, normally at gumline
![Page 20: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/20.jpg)
Snacks
• Foods low in sugar: Cheese Fruits Vegetables Cheerios, Rice Chex, Life, Kix, Corn Flakes
• Foods high in sugar: Candy Cookies Sodas Fruit drinks Sugar Smacks, Sugar Pops
• Approximately 4 Grams of sugar are in one teaspoon
![Page 21: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/21.jpg)
3. Susceptible Tooth
Susceptibility of the tooth is directly related to fluoride exposure
What is Fluoride? a natural mineral found in ground water (wells) and surface
water (lakes, ponds) fluoride is added to most community water
supplies in Virginia for dental benefits tooth enamel ‘absorbs’ fluoride before and
after eruption enamel is then more resistant to decay
process
![Page 22: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/22.jpg)
Fluoride
Fluoride has several preventive effects Increases tooth’s resistance to cavities Encourages healing of new small cavities Prevents bacteria from making acid
2 categories of fluoride exposure Systemic (swallowed) – benefits teeth before
and after they come in Topical – benefits teeth after they come in
![Page 23: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/23.jpg)
Topical vs. Systemic
Systemic: through bloodstream
Topical: outside the tooth / enamel
![Page 24: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/24.jpg)
Systemic (Swallowed) Fluoride Sources
Water with fluoride (fluoridated water) Community water supplies Naturally occurring in well water Bottled water normally not fluoridated Water filters
Fluoride prescription Prescribed based on results of water testing and
other fluoride sources Drops, liquids, tablets (also topical benefits)
![Page 25: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/25.jpg)
Topical Fluoride Sources
Fluoridated water
Fluoride toothpastes (ADA seal)
Over the counter fluoride rinses
Prescription supplements When chewed or liquid
Professionally applied fluoride Gels, foams, rinses Varnish
![Page 26: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/26.jpg)
Fluoride Varnish
Safe and effective, 40-60% decrease in tooth decay
Easy to applyApplied by nurses, doctors, dentists, and
dental hygienists
![Page 27: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/27.jpg)
4. Time (Acid Attacks)
The more time teeth are exposed to the acids produced by the combination of bacteria and food, the more likely tooth decay will occur! (20-40 min acid attacks)
![Page 28: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/28.jpg)
Results of Untreated Tooth Decay
Unnecessary pain and discomfort
Unfavorable treatment experiences
Systemic (whole body) infections
Premature loss of primary teeth
Increased risk for permanent tooth decay
Loss of school/work time
Increased treatment expense
![Page 29: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/29.jpg)
![Page 30: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/30.jpg)
Periodontal (Gum) Disease Process
1. Plaque (bacteria) left on teeth and around gums
2. Gingivitis
3. Periodontal Disease
![Page 31: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/31.jpg)
Gingivitis
Irritation and inflammation of the gums
Puffy, red gums that bleed easily
Bleeding is not normal Signal to brush better
Can be completely reversed and controlled with good oral hygiene
![Page 32: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/32.jpg)
Periodontal (Gum) Disease
Causes irreversible bone loss in the bone surrounding the teeth
Leads to tooth loss
Often completely painless, only a dentist or hygienist can detect the beginning stages
Early stage treatment can stop or control the disease
Later stages of the disease are much more difficult to treat
![Page 33: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/33.jpg)
Periodontal Disease
![Page 34: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/34.jpg)
Conditions Linked to Gum Disease
Heart disease
Stroke
Diabetes
Pre-term low birth weight babies
Lung infections
![Page 35: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/35.jpg)
CSHCN Common Dental Problems
Bruxism: grinding/gritting teeth o Wear/damage of teeth, TMJ disorderso Older children may need a night guard
Excessive drool o Skin chaffing/rash, cracked/bleeding lipso Use lotion, creams, lip balm
Reflux/vomiting o Erosion of teeth, increased cavitieso Use baking soda rinses
¼ - ½ tsp soda to 1 cup water
![Page 36: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/36.jpg)
CSHCN Common Dental Problems
Pouching: holding food in the folds of the cheeks Increased decay, periodontal disease, bad
breath Frequent oral hygiene care
Picking or poking at gums/teeth (source?) Trauma to teeth and gums Oral exam and behavior modification
Xerostomia (Dry Mouth) Increased decay and mouth sores Saliva substitutes, sugar-free candy/gum – age?
![Page 37: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/37.jpg)
Prevention Facts
Preventing decay in primary teeth reduces risk in permanent teeth
Preventing decay until age 4 reduces risk of decay through age 18
![Page 38: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/38.jpg)
How can you prevent dental diseases?
Positioning
Lift the lip/ identify disease
Oral hygiene Brush/floss Modifications Fluoride
Nutrition
Injury prevention
Dental visits
![Page 39: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/39.jpg)
Positioning at Home
Positioning depends on each individual family and child Head in your lap Standing with you behind supporting head Bean bag or pillows Child sitting on floor and you sit in chair right
behind Knee to knee when two adults available
Be careful of tilting head too far back if there is difficulty swallowing or gagging or neck injury concern
![Page 40: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/40.jpg)
Lift the Lip
Get to know your child’s mouth
•Early decay is most commonly found on the lingual (back) surfaces of the front teeth.
•Abscesses (infections) can hide from you
![Page 41: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/41.jpg)
Disease Identification
Identify “White Spot” Pre-decay and active decay
![Page 42: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/42.jpg)
Disease Identification
![Page 43: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/43.jpg)
Disease Identification
![Page 44: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/44.jpg)
Disease Identification
![Page 45: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/45.jpg)
Disease Identification
![Page 46: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/46.jpg)
Disease Identification
![Page 47: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/47.jpg)
Disease Identification
Fungal/Viral Infection
Gingival overgrowth
Periodontal (Gum) Disease
![Page 48: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/48.jpg)
Brushing the Teeth
Infants (less than 2 years old) Gums should be wiped twice daily When teeth erupt, brushed twice daily Use a rice grain sized amount of fluoride
toothpasteToddlers and Preschool (older than 2 years)
Brush teeth at least twice daily Use pea sized (or a kernel of corn sized)
amount of fluoride toothpasteParent supervision and help with brushing until age
7-10 years Depends on skill level of the individual child
![Page 49: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/49.jpg)
How To Brush
Use clean handsUse a soft bristled brushBrush the front, back, & biting surfaces of
each toothUse same pattern each time so you don’t miss
teethAngle the brush toward the gums and brush
with a circular motionInclude gumline and tongue
![Page 50: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/50.jpg)
Brushing Tips
If unable to spit, wipe with damp or dry clean cloth
Change toothbrush every 3 months or when bristles look out of shape
If child doesn’t tolerate toothpaste, try dipping brush in an over-the-counter fluoride mouth rinse (like ACT) then brush
Let the child be as independent as possible, use the toothbrush themselves, then you brush as well
![Page 51: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/51.jpg)
How To Floss
Flossing begins as soon as the sides of two teeth are touching
Most children cannot floss on their own until 8-10 years, some CSHCN may need flossing done for them
Work the floss back and forth gently between teeth
Curve floss around the side of each tooth sliding up and down, just under the gums
Floss both sides of every toothAsk a dentist or hygienist for help
![Page 52: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/52.jpg)
Flossing
![Page 53: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/53.jpg)
Oral Hygiene Modifications
Toothbrushes and floss may need modification for CSHCN Battery operated toothbrushes Modified toothbrush handles
Tennis ball or bicycle grip Taped handles Lengthen by taping to ruler Bend toothbrush handle by heating handle under hot water Secure toothbrush to the hand with Velcro strip Use bigger or textured grips Three sided toothbrush heads
Floss holders Mouth Props
![Page 54: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/54.jpg)
Fluoride Recommendations
Use fluoride toothpaste for all ages
Talk to the dentist about increasing topical fluoride Fluoride mouth rinse – brushed on or swished if
they can spit out the excess Prescription fluoride gel brushed on Professional fluoride treatments more often
![Page 55: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/55.jpg)
Feeding / Nutrition
Begin use of training cup by six months if developmentally able
Use training cups carefully and temporarily Mealtime only if milk, juice, or sweet drink Not walking around with cup Between meals – offer water only
Talk to physician or pharmacist about sugar free medicines
Well balanced diet
![Page 56: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/56.jpg)
Dental Injury Prevention
Things to avoid: Sharp edges on furniture – cover if possible Walking or running with hard or sharp
objects in mouth (sippy cup, toothbrush, crayons, etc.)
Chewing on electrical cords Chewing on ice, hard candy, any hard objects Riding in the car without a car seat
Mouth guards and helmets as needed
![Page 57: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/57.jpg)
Dental Visits: “Home by One!”
Dental appointment by the first birthdayCSHCN may need to visit dentist every 2-6
monthsTell dentist what works and doesn’t work at
homeBring a favorite blanket, toy, music, etc.Encourage a consultation between your
physician and dentist
![Page 58: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/58.jpg)
Finding A Dentist
DentaQuest (formerly DORAL): Smiles for Childrenwww.dmas.virginia.gov/dental-home.htmSome listings will specify special needs:
yes/no
Phone book, word of mouth, parent organizationsWhen you call, ask if the dentist will see
children with the particular condition the child has
![Page 59: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/59.jpg)
Finding A Dentist
VA Department of Health, Division of Dental Healthwww.vahealth.org/dental/ Virginia dentist directory – click on
“Find A Dentist”
![Page 60: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/60.jpg)
Click here to find a
dentist
Click here to find more oral health information on CSHCN
![Page 61: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/61.jpg)
Click Advanced Search for the most options
![Page 62: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/62.jpg)
![Page 63: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/63.jpg)
Click here when you have made your selections
![Page 64: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/64.jpg)
Click on the dentist’s name for more information then call the dentist’s office to describe your needs and ask questions
![Page 65: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/65.jpg)
Resources for More Information
American Academy of Pediatric Dentistry www.aapd.org
American Academy of Pediatrics www.healthychildren.org – type in ‘oral health’
American Dental Associationwww.ada.org
The Center for CSHCN, Washington State www.cshcn.org – type in ‘oral health’
![Page 66: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/66.jpg)
Additional Resource
http://hfgrotto.org/ Financial assistance for dental care for children
with disabilities under age 18 with Cerebral Palsy, Muscular Dystrophy (and related neuromuscular disorders), mental retardation, and organ transplant recipients.
![Page 67: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/67.jpg)
Key Points
Oral health is directly related to overall health
Preventing decay in primary teeth reduces risk in permanent teeth
The more time teeth are exposed to acids the more likely tooth decay will occur!
Dental home by age one
Fluoride is important for all ages
![Page 68: You Can Make a Positive Impact on a Childs Oral Health! Division of Dental Health Virginia Department of Health 109 Governor Street Richmond, Virginia](https://reader035.vdocuments.site/reader035/viewer/2022062620/551a21e1550346a4248b4fe0/html5/thumbnails/68.jpg)
Questions???????