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The Medical Provider s Role in Baby Bottle Tooth Decay Prevention

Goals - 5 years. Reduce Baby Bottle Tooth Decay by 75%Eliminate all bottle feeding by one year of ageStart children on 2x daily tooth brushingDecrease O.R. costs by 75%. Baby Bottle Tooth Decay. Nursing CariesBaby Bottle RotEarly Childhood Caries. ALSO KNOWN AS. Baby Bottle Tooth Decay. Causes

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The Medical Provider s Role in Baby Bottle Tooth Decay Prevention

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    2. Goals - 5 years Reduce Baby Bottle Tooth Decay by 75% Eliminate all bottle feeding by one year of age Start children on 2x daily tooth brushing Decrease O.R. costs by 75%

    3. Baby Bottle Tooth Decay Nursing Caries Baby Bottle Rot Early Childhood Caries

    4. Baby Bottle Tooth Decay Causes pain Causes infection Results in lower body weight Possible developmental delay High cost of treatment

    5. BBTD Definition Dental Caries of teeth prior to 3 years old Usually involves the upper incisors Can be devastating in the destruction of front and back teeth

    6. BBTD Can Look Like This

    7. It Can Get Worse Like This

    8. And Go On to Severe Destruction

    9. To Total Loss of Teeth in Children

    10. Baby Bottle Tooth Decay Cost of Treatment $75.00 - Physician history & physical $50.00 - Initial Dental Screening $1,200.00 - Average Dental Treatment $1,700.00 - Hospital O.R. charges $580.00 - Anesthesiology charges

    11. Baby Bottle Tooth Decay Average Total Cost per Case

    12. 296 cases last year in Muskegon alone Average $3605.00 per case Total: $1,067,000 Baby Bottle Tooth Decay Is Expensive to Treat

    13. BBTD Prevention Program 5-Year Goals 75% Reduction in new B.B.T.D Savings of $ 800,000 in local dental care costs Intangibles of reduction in pain, loss of function, medical implications

    14. BBTD Prevention Team Members Dentists Health Department Most Importantly - Medical Primary Care Providers

    15. Medical Primary Care Provider’s Role in Prevention of B.B.T.D. Education Handouts Reinforcement Identification of Beginning Decay

    16. Medical Provider Educational Interventions Hospital Discharge 2-Week Visit 2nd and 4th Month Visit 6th Month Visit 9th Month Visit One Year Visit

    17. Hospital Discharge Discuss B.B.T.D. with parent Provide dental handout about B.B.T.D.

    18. The Two-Week Visit Review “No Bottle” in bed policy Advise cleaning of baby’s gums with soft washcloth (can be dampened with WATER)

    19. The 6th Month Visit Reinforce “no Bottle” in bed Reinforce cleaning of gums Well water/City water at home? Fluoride supplement Rx if on well water at home

    20. The 9th Month Visit Reinforce “no Bottle” in bed Reinforce cleaning of gums/teeth Begin weaning child from bottle so bottle free at one year of age

    21. The 12th Month Visit OFF THE BOTTLE Provide 1st Toothbrush Brochure/Info on Diet Check for B.B.T.D. Refill Fluoride Rx

    22. 15, 18, 24 Month Visits Check Teeth for B.B.T.D. NO BOTTLE Reinforce diet Reinforce Brushing 2x daily New Toothbrush at 24M Refill Fluoride RX prn

    23. 36th Month Visit Check Teeth for Decay New Toothbrush Recommend first visit to the dentist Fluoride Rx Refill prn

    24. Dental Resources for Children under 3 years old with B.B.T.D.

    25. For more information:

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