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Infant Oral Health Care

Infant Oral Health Care. Preventing Early Childhood Caries. Growth & Development of the Teeth. At birth the primary (baby) teeth have already formed Permanent teeth are developing or beginning to mineralize (harden). Courtesy WI Dept. of Health and Family Services. Eruption Patterns.

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Infant Oral Health Care

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  1. Infant Oral Health Care Preventing Early Childhood Caries

  2. Growth & Development of the Teeth • At birth the primary (baby) teeth have already formed • Permanent teeth are developing or beginning to mineralize (harden) Courtesy WI Dept. of Health and Family Services

  3. Eruption Patterns Courtesy WI Dept. of Health and Family Services

  4. Who Wants a $1,000,000 $mile? Primary teeth (baby teeth) are important for…

  5. Importance of Primary (Baby) Teeth • Smiling & self-esteem • Chewing and eating • Speech development • Aid proper jaw and face formation • Guide permanent teeth into place

  6. Early Childhood Caries or ECC (Tooth Decay) • 1 or more decayed teeth • Child under age 6 • Previously known as: • Baby bottle tooth decay • Bottle mouth • Nursing decay • Sippy cup decay Courtesy Diann Bomkamp, RDH, BSDH, Missouri

  7. ECC Courtesy Proctor & Gamble

  8. Severe ECC Courtesy Proctor & Gamble

  9. Who Wants a $1,000,000 $mile? “Early Childhood Caries” is…

  10. Results of ECC • Pain and infection • Difficulty eating and sleeping • Affects nutrition and growth Courtesy Diann Bomkamp, RDH, BSDH, Missouri

  11. Results of ECC Courtesy Proctor & Gamble

  12. Who Wants a $1,000,000 $mile? What is a cavity?

  13. Causes of ECC Diet (Sugar in Food) Bacteria (Plaque) Tooth Time All of these are needed for Tooth Decay

  14. ECC Causes - Bacteria • Passed from caregiver to child • food/drink • utensils • toothbrushes • Blowing on or pre-chewing food • More likely if mother has decay • Early spread increases decay risk Courtesy Proctor & Gamble

  15. How to Reduce Bacteria • Mothers or primary care givers should have all cavities treated • Wipe baby’s mouth from birth • Brush preschool child’s teeth using a smear of toothpaste

  16. ECC Causes - Diet • Food type • Starchy foods • Added or natural sugar • Pacifier dipped in sweetener • Liquid medicine Courtesy Proctor & Gamble

  17. How to Reduce Sugar in Diet • NO bedtime bottles • If bedtime bottle is used, WATER is the only safe liquid to put in the bottle • Limit juice to 4-6 ounces a day • Use water for an “anytime drink” • Limit sweet snacks

  18. ECC Causes - Time Courtesy Proctor & Gamble

  19. ECC Causes - Time • Frequency and length of feeding • Bedtime bottle • “At will” nighttime nursing • “Carry along” bottle or no-spill training cup • Frequent snacking Courtesy Proctor & Gamble

  20. ECC Causes - Teeth • Enamel Hypoplasia • Deformed, weak enamel • Causes: • Fever or virus • Low birth weight • Lack of fluoride • Enamel is more vulnerable to acids Courtesy Diann Bomkamp, RDH, BSDH, Missouri

  21. How to Make Teeth Stronger • Ask your physician to check teeth at each well baby/well child visit and apply fluoride varnish • Take your child to the dentist by Age 1 • Use a small amount of fluoride toothpaste daily • Smear for a preschool child • Pea size dab for older children

  22. Who Wants a $1,000,000 $mile? Which of the following can cause ECC?

  23. ECC Prevention • Diet • Reduce bacteria • Brush daily • Treat mother’s cavities • Protect the teeth with fluoride • Regular dental visits

  24. ECC Prevention – Diet & Time • Watch sugar/starch exposure • Limit night beverages • Provide healthy snacks • Avoid pacifier dipping • Wean from bottle/breast by one year • Ask for sugar-free medication

  25. ECC Prevention – Reduce Bacteria Courtesy Proctor & Gamble

  26. ECC Prevention – Reduce Bacteria Courtesy Proctor & Gamble

  27. Who Wants a $1,000,000 $mile? What does fluoride do?

  28. ECC Prevention - Dental Visits • 12 months old or 6 months after 1st tooth • Early morning appointment • Build excitement • Be calm Courtesy University of Washington School of Dentistry

  29. First Dental Visit Dentist will: • Check: • Face and Jaws • Gums, Tongue, Tissues • Teeth and Bite • Ask questions • Give information Courtesy University of Washington School of Dentistry

  30. Acknowledgements MAJ Georgia delaCruz Dental Staff Officer Directorate of Health Promotion & Wellness US Army Center for Health Promotion & Preventive Medicine • Additional graphics or information provided by the following: • University of Washington School of Dentistry • DiannBomkamp, RDH, BSDH, Missouri • Dr. Dietmar Kennel • USC School of Dentistry • Marquette University School of Dentistry • WI Dept. of Health and Family Services • Cathy Hollister, RDH, MSPH, PhD, Nashville Area Dental Support Center

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