1. PREVENTIVE TREATMENT FOR INFANTS AND THE VERY YOUNG CHILD Knee-to-Knee Dental Exam

2. Early Infant Oral Health It is a win-win situation for your patients and you PREVENTIVE rather than REACTIVE

3. First Step See them early! Complete caries risk assessment Follow AAP, AGD and ADA recommendations for first dental visit. Taken fromwww.aapd.org/dentalhome/infantoralhealth.ppt

4. Physical Exam Knee to knee exam (Clinical exam) What to look for  Plaque and inflammation  Stain  Decay What to do:  Prophy and fluoride  Silver Nitrate and Fluoride Varnish  ART (atraumatic restorative technique)

5. Taken from www.aapd.org/dentalhome/infantoralhealth.ppt

6. How to Complete a Knee-to-Knee exam Explain procedure with caregiver  inform caregiver that crying is common and is good! Have patient sit on caregivers lap facing them with legs wrapped around caregivers waist Provider will sit knee-to-knee with caregiver Caregiver will lay patient back into providers lap Caregiver is in control of legs, arms, and shoulders Provider can control head and neck Complete exam and apply fluoride varnish

7. Bright Smiles from Birth Training Video http://illinoisaap.org/2010/08/bright-smiles-from- birth-training-video/ http://illinoisaap.org/2010/08/bright-smiles-from- birth-training-video/