1. The Oral Health Crisis In Your Classroom

2. Maryland Dental Society

3. Thank you to State Superintendent Dr. Lillian M. Lowery and the Maryland 24 – State System Superintendents for affording us the opportunity. We look forward to providing classroom teachers, student teachers and school nurses this vital material and information.

4. Who Really is “Off to School and Still No Cavities?”

5. In classrooms everywhere there are children with healthy teeth…

6. Normal Oral Structures 1 st Grader

7. Normal Oral Structures 3 rd Grader

8. Normal Oral Structures 5 th Grader

9. And, then there are children with painful, untreated tooth decay.

10. Baby Bottle Tooth Decay (Nursing Caries) Mild

11. Baby Bottle Tooth Decay (Nursing Caries) Moderate

12. Severe Baby Bottle Tooth Decay (Nursing Caries)

13. Pit and Fissure Caries

14. Smooth Surface Caries

15. 8 year old male patient with generalized tooth decay

16. 15 year old female patient w/ decayed teeth

17. Facial Cellulitis Due to untreated dental abscess

18. Facial Cellulitis Due to untreated dental abscess

19. Facial Cellulitis Due to untreated dental abscess

20. Facial Cellulitis Due to untreated dental abscess

21. Facial Cellulitis Due to untreated dental abscess

22. National surveys indicate calcium intake of children (teens in particular) are below recommended levels (may lead to increased risk for osteoporosis) Association with poor diet and obesity –Obesity has been suggested as possible origins of several diseases of adulthood: osteoporosis, heart disease, diabetes, and cancer (Jacobson, 1999; Brody, 1999) Health and Nutritional Impact

23. Intake during Teenage Years 10% of total caloric intake comes from soft drinks! Find pic

24. A 12-ounce Can of Soda Contains 10-15 teaspoons (40 grams) of sugar 35-45 milligrams of caffeine A 5-ounce cup of coffee – 110-150 mg Children that have increased caffeine consumption may experience:  Restlessness  Hyperactivity  Difficulty concentrating  Lack of sleeping

25. Health and Nutritional Impact National surveys indicate calcium intake of children (teens in particular) are below recommended levels (may lead to increased risk for osteoporosis) Association with poor diet and obesity –Obesity has been suggested as possible origins of several diseases of adulthood: osteoporosis, heart disease, diabetes, and cancer (Jacobson, 1999; Brody, 1999)

26. Supersize Me!

27. What challenges may arise when there is a child suffering from painful tooth decay in the classroom?

28. Behavior Problems

29. Low Student Achievement

30. Self conscious about the appearance of their teeth Child may be shy Child may not smile or laugh with mouth closed Child may not engage in conversation Poor Social Relationships

31. High School Drop Out

32. Underage Drinking Smoking Teen Sex/Pregnancy Stealing Drug Use Diseases Other Negative Factors

33. Unemployment

34. The Cycle of Pain

36. Symptoms elevated temperature foul smelling breath drooling detached clenched teeth chapped lips teeth with brown stains teeth with black holes mouth sores swollen lip swollen eye swollen cheek swollen neck dehydrated frequent earaches frequent headaches impaired speech hyperactive Signs frequently absent does not sing seldom laughs frowned face hand over the mouth unbalanced gait head on the desk rocks back & forth tearful wailing refuses to eat moans & groans withdrawn paces the floor angry outbursts often irritable hands over eyes low test scores inability to concentrate low self esteem Signs and Symptoms of Oral Health Neglect

37. Dental Deaths

38. What can teachers do?

39. Lessons K-12: Get Kids Excited to Learn About Oral Health Care

40. Brushing Song (Sung to Old MacDonald Had a Farm) In my mouth I have some teeth, E-I-E-I-O And in my mouth I put my brush, E-I-E-I-O With a brush, brush here And a brush, brush there Here a brush There a brush Everywhere a brush, brush In my mouth I’ll keep my teeth! E-I-E-I-O!!!! Music

41. My Tooth My tooth fell out and left a space So big my tongue can touch my face. And every time I smile I show The place where something used to grow. I miss my tooth as you can guess But now I have to brush one less! Poetry

42. Math

43. Reading

44. Science

45. Physical Education Mouth Guards

46. History In 1790, when George Washington was elected as the first President of the United States he only had 1 natural tooth. He had false teeth made from gold, hippopotamus and walrus tusks. Contrary to popular belief he did not have teeth made from wood.

47. Greek Mythology St. Apollonia is the Patron Saint of Dentists, and people suffering from toothache and other dental diseases often ask her intercession. She is pictured with a pair of pincers holding a tooth or with a golden tooth suspended from her necklace. St. Appolonia was persecuted for her religious views and her persecutors knocked out all of her teeth out and burned her.

48. Puzzles

49. Figure 3 highlights the willingness on the part of educators to teach across the curriculum, by incorporating oral health education within existing health, reading, math, science and other disciplines. Incorporating oral health education into the public school curricula could mean the difference between sub-par academic achievement and measurable intellectual gains for many children in Title One Schools. The author of the November 1, 2012 Journal of the American Dental Association article, Dental Disease, Poor Academic Performance Linked, Researchers Report wrote, “ Children who reported experiencing recent tooth pain were almost four times more likely than those without tooth pain to have a grade point average lower than the median grade point average of 2.8.” The impact of oral health neglect cannot be understated.

50. Resources

51. Corporate Dentistry Colgate Sunstar Butler Crest Oral-B Dr. Fresh Brushtime Products, Inc.

52. Organized Dentistry American Dental Association (ADA) American Dental Hygienists’ Association (ADHA) National Dentist Association (NDA) Hispanic Dental Association (HDA) American Association of Pediatric Dentistry (AAPD) American Association of Public Health Dentistry (AAPHD) Society of American Indian Dentist (SAID)

53. Non-Profit Organizations Oral Health America The Children’s Oral Health Institute National Museum of Dentistry Dental Trade Alliance

54. Code Red: The Oral Health Crisis In Your Classroom© Empowering the Teacher To Teach Oral Health Education-A Curriculum Reference Resource

55. Project Clean Toothbrush: Important Tips To Help Prevent The Spread of Flu Germs

56. Lessons In A Lunch Box: Healthy Teeth Essentials & Facts About Snacks®

57. V. Conclusion

59. Q&A

60. THANK YOU