Presentation on theme: "start right PARENTS MAKE THE DIFFERENCE"— Presentation transcript:
1 start right PARENTS MAKE THE DIFFERENCE A practical guide to your baby’s dental healthA PROJECT OF THEMISSOURI DENTAL FOUNDATIONA CHARITABLE SUBSIDIARY OFMISSOURI DENTAL ASSOCIATIONPROJECT FUNDED BY THEMISSOURI FOUNDATION FOR HEALTH
2 Presented by members of the Missouri Academy of Pediatric Dentistry & Missouri Dental Association
3 Importance of Baby Teeth Help a child to chew and speakHold space for the adult teeth & guide teeth during eruptionAid in jaw and face formationInfluence the child’s overall healthThe early childhood dental visit can help educate the parent as well as categorize the potential dental disease risk of the child.
4 When Teething Starts Baby teeth usually start to come in at 6 months 20 primary teeth usually present in our jaw bone at birthThe front four teeth erupt first, followed by the first molars and then the cuspidsThe second molars are the last to erupt, usually by age 2 ½ to 3 years of age
6 Comforting Your Teething Baby Comforting babies who are irritable because of teethingChew on a cool washcloth or spoonChew on a teething ringMassage gums with a clean fingerGive children’s Tylenol or ibuprophen an hour before bedtime so sleep isn’t interrupted
7 Avoid Numbing Medications High levels can be toxicBabies can injure their numb lips or tongue if rubbed against their teeth
8 Tips for Preventing Decay What parents can do Proper Baby Bottle UsageGood Oral Home CareGood Nutrition Habits (Eating & Drinking)Checking teeth regularlyScheduling child’s first dental visit
9 Tips for Preventing Decay It’s not the bottle, it’s the beverage H2OXX
11 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
12 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 sleepingBecause of this, cavities can occur on the backs of the top front teeth, undetectable to parentsNote: Going to bed with bottle can also cause liquid to pool in ear tubes, causing ear infections
13 Decay on Teeth from Bottle Decay on the back side of top front teeth, caused from improper bottle usage, is not always visible on the front of teethThis is a mirror shot shows which shows the front of the upper front teeth at the bottom of the slide. Dental caries due to prolonged bottle feeding usually begins on the backside of the upper front teeth. It is not visible from the front and therefore difficult to detect without a dental mirror. This child is less than two years of age because the right second molar has not even erupted yet.
14 Tips for Preventing Decay Good Oral Home Care Have parents get into the habit of wiping the baby’s gums after feedings, even before teeth have eruptedAs teeth come in, brush them with a finger or child’s toothbrush with water or child-safe (non-fluoride) toothpasteDon’t use fluoride toothpaste until child can spit (can be toxic if swallowed)Parents need to be the ones in charge of oral hygiene. Kids who are independent can brush first, but the care giver should still give a once over afterwards.
15 Gauze or a burp rag can wipe an infant's mouth before there are teeth Gauze or a burp rag can wipe an infant's mouth before there are teeth. The Finger toothbrush finger cot is good to gently wipe the anterior teeth and massage the gums. Children under the age of three can't spit sufficiently and should use only water or a non-fluoride tooth cleanser on the toothbrush.
16 Tips for Preventing Decay Good Oral Home Care Parents need to be the ones in charge of oral hygiene. Kids who are independent can brush first, but the care giver should still give a once over afterwards.
17 Tips for Preventing Decay Creating Good Hygiene Habits Kids under age 6 need help brushingSome kids over age 6 may still need supervisionBedtime is the most important time to make sure the teeth are free of plaqueFlossing should be initiated as soon as teeth begin to touchAny plaque left on the teeth at night has several hours to become cariogenic since there is decreased saliva flow during sleep. The plaque can also mineralize into calculus and be more difficult to brush away in the morning.
18 Tips for Preventing Decay Toothpaste & Fluoride Fluoride is important for fighting cavitiesHowever, if children younger than 6 years old swallow too much, their permanent teeth may have white spotsUse 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
19 Once children reach age 3, a pea-size amount of toothpaste can be used A pea-size amount of toothpaste is recommended to decrease the amount that can be potentially swallowed. The blue bristles can show the parent where to place the toothpaste.
20 Tips for Preventing Decay Toothpaste & Fluoride Replace worn toothbrushesBrushes may have bent bristles, even though “blue” indicator color isn’t goneInfants/Toddlers may wear out toothbrushes sooner because of chewing on bristlesThe middle blue bristles on these Oral-B toothbrushes are supposed to fade away after 4-6 months indicating time to get a new toothbrush. Toothbrushes have very soft bristles and may need to be replaced before the indicator dye disappears.
21 Tips for Preventing Decay Good Nutrition Habits Food doesn’t cause decay, but rather “eating” food in generalChildren’s dental health depends less on what they eat and more on how often they eat itSugary snacks should be consumed within a short period of time as opposed to "grazing" throughout the day. This will give the mouth a chance to clear away the sugary foods from the teeth.
22 Tips for Preventing Decay Good Nutrition Habits Anything that breaks down into sugars/carbohydrates can cause cavitiesCandy and cookies are NOT the only bad things for teeth!This includes starchy foods like potato chips and crackers
23 Tips for Preventing Decay Good Nutrition Habits Sticky foods, like gummy fruit snacks and raisins can be worse for the teethGet stuck in chewing surfaces and in between teethDon’t wash off the teeth as quickly
24 Tips for Preventing Decay Good Nutrition Habits Fruit roll-ups, gummy fruit snacks and raisinsBAD FOR THE TEETH!Everyone knows that candy is bad for you. Sticky snacks like fruit rollups, fruit snacks and raisins, once touted as "nature's candy" can be just as destructive to teeth.
27 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 timeThis will give the mouth a chance to clear away the sugary foods from the teethHave kids brush after mealsSugary snacks should be consumed within a short period of time as opposed to "grazing" throughout the day. This will give the mouth a chance to clear away the sugary foods from the teeth.
28 Tips for Preventing Decay Good Nutrition Habits Provide better choicesHealthy snacks like fresh fruit and cheese are better not only for the teeth, but for the overall health of the baby
29 Tips for Preventing Decay Good Nutrition Habits Stop the Pop!Soda should never be encouragedDiet soda can also cause cavities due to the acid in the carbonation
30 Tips for Preventing Decay The First Dental Visit It is recommended the first dental visit be within 6 months of the first tooth eruptionThis is usually around the child’s first birthday
31 Tips for Preventing Decay The First Dental Visit Pediatric dentists are specially trained and may feel more comfortable examining young children than general dentistsA child’s pediatrician should be able to assess if a child is at high risk for dental decay
32 Tips for Preventing Decay The First Dental Visit This 3-year-old is at the dentist for the first timeUnfortunately, one of his teeth is already infected and an abscess is present
33 About Dental Decay Did you know? Dental caries is the most common chronic disease in children, 5 times more common than asthmaMore than 40% of children have tooth decay by the time they reach kindergartenMore than 51 million school hours (85,000 school days) are lost each year due to dental related illness
34 About Dental Decay Did you know? 80% of dental cavities are found in 20% to 25% of children18% of children between the ages of 2 to 4 have visible cavitiesInfants 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
35 About Dental Decay Did you know? Tooth decay is a disease that is, by and large, preventableThe ultimate goal of early assessment is the timely delivery of educational information to prevent decay
36 Screening for Dental Decay Getting Started Following are guidelines onlyGoal is to help parent educators feel comfortable educating parentsEmpower parents to do screenings on their child and know what to look for
37 Screening for Dental Decay Getting Started What you needDialogue with parent/consent to do screeningGood light source to see teeth
38 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
39 Screening for Dental Decay What do cavities need to start TEETHNo CariesNo CariesPLAQUE(BACTERIA)REFINEDCARBOHYDRATES(FOOD)DECAYDental caries cannot exist without the Strep Mutans flora, plaque (carbohydrates) on teeth, and enough time for the plaque to create changes in the enamel structure.No CariesNo CariesTIME PLAQUE IS ON TEETH
40 Screening for Dental Decay What do cavities need to start What to look for:Plaque along the gumlinesWhite chalky lines along the gumlinesBrown spots or discolorations on the fronts of teethHoles in the chewing surfaces of the teeth
41 Plaque is an invisible film that is noticeable when scraped off the teeth
42 White or chalky areas can turn into brown spots (cavities) Once the decalcifications are present, continued exposure to plaque can break them down into full-fledged cavities.
43 Lift the lip to see gumlines better This dental decay is due to plaque that has rested up against the gum lines for a long period of time. These cavities began as white lines on the enamel which, if detected early could have been reversed with fluoride applications.
44 Large cavities can damage the nerves of the teeth, leading to abscesses Early childhood caries can get larger if not treated. They can grow to the other tooth surfaces, and even damage the nerve of the tooth, causing abscesses to occur.
45 Primary molars do not fall out until age 10-12 Primary molars do not fall out until age Cavities in these teeth need to be treated right away.
46 Screening for Dental Decay Large cavities can be repaired, but it’s expensive and the child is always more cavity prone…
47 As a Parent Educator What’s your role? Educate parents about good early childhood oral hygieneProvide parents with tips to make healthy choice and prevent decay in primary teeth
48 As a Parent Educator What’s your role? Conduct screenings to identify children at risk for dental diseaseHelp parents learn to know what to look for when checking their child’s teeth for decayDirect parents with any concerns to dental health professionals
49 Thanks you for your interest The Dental CommunityThanks you for your interestin helping the children of Missouri obtain good oral hygiene and healthy brushing and eating habits to prevent early childhood decay