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Oral Health in Early Education and Care

Oral Health in Early Education and Care. Implementing 606 CMR 7.11(11)(d). This presentation was informed by materials provided by the:. BEST Oral Health (Bringing early Education, Screening, Treatment), a Program of Partners For A Healthier Community

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Oral Health in Early Education and Care

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  1. Oral Health in Early Education and Care Implementing 606 CMR 7.11(11)(d)

  2. This presentation was informed by materials provided by the: • BEST Oral Health (Bringing early Education, Screening, Treatment), a Program of Partners For A Healthier Community • Cavity Free Kids: Oral Health for Children in Child Care (the Washington Dental Service Foundation)

  3. Tooth Brushing in Child Care …is not new for many programs! Head Start programs and many others have been successfully brushing teeth for years without an increase in childhood illness or infection. For some children, this has been their first exposure to tooth brushing; and it has led some families to adopt new and better oral health routines at home.

  4. 606 CMR 7.11(11)(d) • Educators must assist children in brushing their teeth when children: • are in care for more than four hours, or • consume a meal

  5. Why Tooth Brushing in Child Care? • Dental Caries (tooth decay) is the most common chronic disease of childhood • Causes pain, sickness and mortality • Inhibits learning, speech and eating • Is almost entirely preventable!

  6. Massachusetts Children Suffer! • 25% of kindergarten children • 40% of 3rd graders • 30% of 6th graders • 1/3 to 1/2 goes untreated!

  7. Very Young Children Sufferfrom dental decay • 6% of 1 year olds • 22% OF 2 YEAR OLDS • 35% OF 3 YEAR OLDS • 48% OF 4 YEAR OLDS

  8. Low Income Children Suffer Most:nearly 12 times more lost school days than children from higher income families  

  9. Early Childhood Caries (ECC) Bacteria Sugar

  10. INTERVENTIONS • Improve diet • Limit the frequency of sugar intake • Remove dental plaque bacteria with tooth brushing • Provide added fluoride • Seek preventive care

  11. Fruit Flavored? Rinse? No Fluoride! Tooth Paste? Fluoride? There are many different opinions… Spit? Don’t Spit! Don’t Rinse! Mint Flavored?

  12. Experts Agree: Tooth Brushing Reduces Dental Caries.

  13. Tooth Brushing Techniques Wipe an infant’s gums with a clean, damp cloth after feeding.

  14. Proper Labeling • Child’s name • Date of issue Colin 2/2/09 Aliyah 3/7/09 Elijah 3/3/09 Mike J. 2/2/09

  15. Tooth Brushing Techniques:begin brushing once the first tooth erupts

  16. Tooth Brushing Techniques Children over 2 years old need only a small dab of tooth paste.

  17. Distributing Tooth Paste without spreading germs

  18. Provide Water to Rinse the Brush …and a paper towel for clean-up.

  19. Brush Teeth and Tongue! Spend about 2 minutes brushing.

  20. Rinse the Brush …and rinse your mouth & spit into cup if you wish.

  21. Cleaning Up Dry off the brush…

  22. Almost done… Put the paper towel in the cup….

  23. Done! Throw away the cup and the paper towel.

  24. Proper Storage • Educators put tooth • brushes away • Open to the air • Not touching each other • No disinfectant cleaners

  25. Proper Maintenance Recommendation: replace after illness and when worn, at least every three months.

  26. Proper Supplies • Recommended: mint flavored, ADA approved, sodium fluoride (over 2 years)

  27. Safety First Proper supervision is always required!

  28. Sanitizing and Disinfecting After brushing, clean and sanitize tables and/or sinks.

  29. For additional information, see other resources posted on the EEC regulations support page at: http://www.eec.state.ma.us/licensingRegulations.aspx. 29

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