dentistry

1. It IS NEVER TOO EARLY TO START

2. 2

3. Historical Development of Dentistry
 Extraction;
 Surgical approach
(“drilling and filling”)
 Medical approach
(Minimal Intervention.)

4. Minimal Intervention Dentistry
- Modern approach to the
treatment of tooth decay
- Based on
“Medical Model”
of caries management

5. The Intervention approach Minimal
 A medical model
 Caries treated as a
biological infection
 Surgical techniques are
{ minor } .

6. EARLY CHILDHOOD CARIES (E C C)
Definition: - IT IS THE PRESENCE OF 1 OR
MORE DECAYED (NONCAVITED OR CAVITED
LESIONS ), MISSING (DUE TO CARIES) OR
FILLED TOOTH SURFACES IN ANY PRIMARY
TOOTH IN A CHILD (71 ) MONTHES OF AGE
OR YOUNGER . IN CHILDERN
YOUNGER THAN 3 YEARS OF AGE ANY SIGN
OF SMOOTH –SURFACE CARIES IS INDICATIVE

8. CARIES ASSESSMENTS AT 6 MONTHS

9. CONSEQUENCES OF UNTREATED
DENTAL CARIES IN CHILDREN
 CAN QUICKLY DIMINISH THE GENERAL
HEALH & QUALITY OF LIFE FOR THE
AFFECTED INFANTS, BECOMES MORE
DIFFICULT TO TREAT > > THE COAST
INCREASE,
PAIN ,DISCOMFORT ,REDUCED GROWTH
& BODY WEIGHT,
DISTURBED SLEEP AFFECTS
GLUCOSTEROID PRODUCATION,
SUPPRESSION OF HEMOGLOBIN FROM
DEPRESSED ERYTHROCYTE
PRODUCATION >>ANAEMIA.

11. THE DENTAL HOME
THE DENTAL HOME WAS
ESTABLISHED AS “AAPD POLICY IN
2003, AND IS BASED ON THE SAME
CONCEPT AS THE AMERICAN
ACADEMY OF PEDIATRICS POLICY
STATEMENT DEFINING THE MEDICAL
HOME IN 1992 .

12. THE DENTAL HOME
 The dental home is the ‘ongoing relationship
between the dentist and the patient, inclusive
of all aspects of oral health care delivered in a
comprehensive, continuously accessible,
coordinated, and family-centered way.
Establishment of a dental home begins no
later than 12 months of age and includes
referral to dental specialists when
appropriate (AAPD def,)

14. AAPD Policy Statement
“The AAPD advocates interaction with
1- early intervention programs
2- schools
3- early childhood education and
child care program
4- members of the medical and dental
communities.
5- other public and private community
agencies (To ensure awareness of
age-specific oral health issues.)

15. The Dental Home and the
Mission of the AAPD
• The mission and strategic goal(s)
for the AAPD are:
 An oral disease-free population.
Access of appropriate oral health
care for all children and patients
with special health care needs.
To be centered around the
Dental Home

18. a. Comprehensive oral health care
including “Acute care”& Preventive
services in accordance with AAPD
periodicity schedules.
b. Comprehensive assessment for
oral diseases and conditions.
The Dental Home Provides…

19. The Dental Home Provides…
c. “Individualized “ preventive dental
teething, health program based
upon a caries-risk assessment
and a periodontal disease risk
assessment.
d. Anticipatory guidance about growth
and development issues,
(ie, digit or pacifier habits).

20. The Dental Home Provides…
e. Plan for acute dental trauma.
f. Information about proper care of the
child’s teeth and gingivae. This
would include prevention, diagnosis,
and treatment of disease of the
supporting and surrounding tissues
& the “maintenance of health,
function, and esthetics of those
structures and tissues.”

21. The Dental Home Provides…
g. Dietary counseling.
h. Referrals to dental specialists when care
cannot directly be provided with
the dental home.
i. Education regarding future referral to a
dentist knowledgeable and comfortable
with adult oral health issues for
continuing oral health care.

22. AAPD Dental Home Web
Resource Center

23. Why Brush Teeth in
”{ Day Care Centers}” ?
Develop good habits
Children may not
brush at home
Children learn basic
hygiene principals

25. Cleaning Teeth
 Brush with* a “smear’
amount of toothpaste
using a soft toothbrush
(younger than 3 YEARS
**(PEA –SIZEd FOR
3 YEARS OLD)
 *** ( USE NEW
GENERATION OF
TOOTH PAST ) ?

29. It is alkaline
having PH= 7.8
(more alkaline than saliva (7.2-7.4)
Up to 8.38
( Carbonated beverage about PH=3.2 )
Carbonated water
(280-299)mg/L bicarbonate.
Bicarbonate has the best buffering effect .
It limits the fall in PH when bacteria
metabolize sugar .
Contain fluoride (0.6-0.68 PPM).

30. Mineral
water
Contain Ca : (230-245) mg/L
Contain PH : (0.31-0.46) mg /L
( help remineralization of decayed teeth).
( phosphate is one of protective factor in remineralization).
Low Ca & PH →Osteoporosis (esp.- women)
SO ,
Can be used systemically ( drinking )
, locally as ( mouth wash.) ,
for ↑ risk group.
(radiation caries , rampant caries.)
& During and after orthodontic treatment.

31. Screening for Dental Decay
Getting Started
What you need
• Dialogue with
parent/consent
to do screening
• Good light
source to see
teeth

32. MAKKA DENTAL HOME
OUR VISION ?

33. Tips for Preventing Decay
Proper Bottle & Sip Cup Usage
– Milk and other sugary liquids can pool against
the back of the top front teeth for the several
hours the baby is sleeping
– Because of this, cavities can occur on the backs
of the top front teeth, undetectable to parents
– Note: Going to bed with bottle can also cause
liquid to pool in ear tubes, causing ear infections

36. As a Parent Educator
What’s your role?
• Educate parents about
good early childhood
oral hygiene
• Provide parents with
tips to make healthy
choice and prevent
decay in primary teeth

37. PARENTS SHOULD REMAIN
PRIMARY ORAL CAREGIVER

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