ECC can have negative health, psychological, and social consequences if left untreated. It prevalence varies globally but affects a significant portion of children worldwide, especially those from disadvantaged populations. Prevention is key, which requires awareness, education, and a multi-pronged collaborative approach among various stakeholders including pediatricians, dentists, parents, and the dental industry. Risk assessment tools can help identify at-risk children and guide prevention efforts. Establishing dental homes and promoting anticipatory guidance, appropriate infant feeding practices, oral hygiene, and fluoride use are important preventive measures.
Early childhood caries (ECC) as the presences of one or more decayed (noncavitated or cavitated), missing (as a result of caries), or filled tooth surface in any primary tooth in a child 71 months of age or younger.
Early childhood caries (ECC) as the presences of one or more decayed (noncavitated or cavitated), missing (as a result of caries), or filled tooth surface in any primary tooth in a child 71 months of age or younger.
The term serial extraction describes an orthodontic treatment procedure that involves the orderly removal of selected deciduous and permanent teeth in a predetermined sequence
Stainless steel crowns in Pediatric DentistryRajesh Bariker
A crown is a tooth shaped covering which is cemented to the tooth structure & its main function is to protect the tooth structure & retain the function
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
The term serial extraction describes an orthodontic treatment procedure that involves the orderly removal of selected deciduous and permanent teeth in a predetermined sequence
Stainless steel crowns in Pediatric DentistryRajesh Bariker
A crown is a tooth shaped covering which is cemented to the tooth structure & its main function is to protect the tooth structure & retain the function
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
here we describe about how to take care of infants during the development of his primary dentiton , his progress till 1 year
basically foundatin of
a permanent teeth
b a sound oral health
for lifetime is laid down
Anticipatory guidanceis a proactive development based counselling technique that focus on the needs of a child at each stage of life.It is a compliment to Caries Assessment tool.The aim of Anticipatory guidance is to address protective factors in effort to prevent oral health problem.Anticipatory Guidance would include discussion on oral development ,diet and nutrition , flouride adequacy, oralhabits, injury prevention and oral hygiene.
"Early Oral Health" and what parents need to know discusses some of the ways to help your children's oral health, even before they are born. Presented for the first time at Isis Maternity in Needham, MA by Dr. Femina Ali.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
24. CONSEQUENCES BEYOND THE CHILD
• ECC may add to family stress, particularly when it affects
child’s behaviour, sleeplessness, or pickiness at meals
and has been associated with increased risk of
domestic violence.
• Parents need to adjust their work and other obligations
to care for and comfort their child suffering from dental
pain which has both direct and indirect impact.
27. Place Year Investigators Sample size &
age group
% of
prevalence
Mean dmft Mean dmfs
Anganwadis of
Wardha district
2011 Abhay M Sample size of
330 children
aged between
2-5 years
31.81
Bangalore 2012 Prashanth
Prakash,
1,500 children
aged between
8 and 48
months
27.5 8.54
Prevalence of ECC in
INDIA
39. DENTAL INDUSTRY ROLE
• The most valuable role of dental industry is in its
ability to reach consumers/ parents with
important oral health messages.
• Stake holders and dental industry together helps
in shaping the important messages that will
ultimately improve access to care for children
• The most important message is the need for
early intervention.
40. • For example, teaching parents about the caries
process and not just the result of caries in the
form of cavities, can be promulgated in a
significant way by dental industry.
• As new products are created that manage
caries, the need to educate the consumers
about the dental caries progression and its
regression will be the hands of dental industry.
41. MEDIA
•Similar role as dental industry.
•Create an ultimate change in consumer behavior
than scientific lectures in improving oral health for
children
“wouldn’t you rather have a rinse than drill?”
•SOCIAL MEDIAS are important tool in spreading the
world about early childhod oral health
42. MEDICAID:
• Early and periodic screening, diagnosis and
treatment program.
• This is an ADA supported program.
• It has the potential for bringing millions of
indigent children and youth into the dental care
system.
44. ANTICIPATORY GUIDANCE
PROACTIVE COUNSELLING OF PARENTS AND PATIENTS ABOUT DEVELOPMENTAL CHANGES THAT
WILL OCCUR IN THE INTERVAL BETWEEN HEALTH SUPERVISION VISITS THAT INCLUDES
INFORMATION ABOUT DAILY CARETAKING SPECIFIC TO THAT UPCOMING INTERVAL.
45.
46. PRIMARY PREVENTION
Risk assessment
to identify
families at high
risk for their
children to
develop ECC
Timely delivery of
anticipatory
guidance
Family desire to
receive comprehend
and then implement
preventive health
care measures
47. RISK ASSESSMENT TOOLS FOR CHILDREN
AAPD CARIES RISK ASSESSMENT TOOL
• Divides risk categories into child history, clinical evaluation, and supplemental
professional assessment.
• Can be used from infancy through adolescence by dental and non-dental health
care providers.
CARIES MANAGEMENT BY RISK ASSESSMENT (CAMBRA)
• Identifies risk and protective factors via parent interview and clinical examination.
48. ORAL HEALTH LITERACY
• The degree to which individuals have the capacity to obtain
process and understand basic oral health information and
services needed to make appropriate decisions.
• It is important to identify the families with low oral health
literacy skills as these children are most likely at risk for
future decay and these parents are more likely to experience
barriers to adequate education.
Risk assessment to identify families at high risk for their children to
develop ECC
49. FIRST LEVEL OF PREVENTION:
* Maternal overall health not only affects infants future oral health but also overall
health.
* The purpose of prenatal education is to provide the family with information regarding
their babies dental development, infectious nature of dental caries, diet and nutrition,
oral hygiene and recommended preventive measures.
50. MOTIVATIONAL INTERVIEW
BRIEF COUNSELLING APPROACH THAT FOCUSSES ON THE SKILLS NEEDED TO MOTIVATE
OTHERS AND PROVIDES STRATEGIES TO MOVE PATIENTS FROM INACTION TO ACTION
51. RISK DETERMINANTS
CLINICAL
DENTAL HISTORY- Children
with dental extractions or
restorations in the past 1 year
should be considered as high
risk.
DECALCIFIED AREAS- White
spot lesions
ENAMEL DEFECTS- Hypoplasia
BACTERIA-Vertical
transmission
BEHAVIOURAL
ORAL HYGIENE AND DIET
GENERAL HEALTH
SYSTEMIC HEALTH STATUS:
children with CP,
gastroesophageal reflux has
increased risk for caries.
THERAPIES AND
MEDICATIONS: radiation and
chemotherapy
SOCIOCULTURAL AND PHYSICAL
ENVIORNMENT
Poverty, caregivers education level,
single parents , more children inn the
family
52. • Counsel parents and mothers of infants and
children at high risk for dental caries.
• Goals of MI counselling section is to establish
rapport with parents or mothers and then
provide and discuss a menu of options for
infant oral health and caries preventive
behaviour
53. AAPD has given recommendations on anticipatory guidance, bottle-feeding
habits to prevent ECC, and infant/toddler oral hygiene care.
Avoiding caries-promoting feeding behaviors
Infants should not be put to sleep with a bottle containing fermentable
carbohydrates.
Ad libitum breastfeeding should be avoided after the first primary tooth
begins to erupt and other dietary carbohydrates are introduced.
Parents should be encouraged to have infants drink from a cup as they approach their
first birthday. Infants should be weaned from the bottle at 12-14 months of age.
Repetitive consumption of any liquid containing fermentable carbohydrates
from a bottle or no-spill training cup should be avoided.
Between-meal snacks and prolonged exposures to foods and juice or other
beverages containing fermentable carbohydrates should be avoided.
58. PARENTS LEVEL-
Should be advised the earlier their child’s teeth erupts the more risk for the child
for early dental caries.
ECC first presents as white spots or lines on maxillary incisors and can
progress to cavities .
• INCIPIENT LESION
62. INFANT FORMULA
FLUORIDE CONTENT RANGES FROM 0.1mg TO 0.3mg /L
Non milk based formulas have higher fluoride content because the calcium that is added to
formulas contains fluorides
63. • Baby cups should be used from 6 months of age .
• It reduces the amount of sugar inside the mouth
67. • Parents should clean infants gums with moistened cloth or finger sponge.
• Tooth brushing should commence with the eruption of first tooth
• Instructions on oral hygiene for child should be devoted to parents
68. Supervise tooth brushing at all times and brush child's teeth
themselves at least once a day until 8 yrs of age
69. FLUORIDE USE
CHILDREN UNDER THE AGE OF THREE, A ‘SMEAR’ OR
‘RICE-SIZE’ AMOUNT OF FLUORIDATED TOOTHPASTE.
ALL CHILDREN AGES THREE TO SIX, A ‘PEA-SIZE’
AMOUNT OF FLUORIDATED TOOTHPASTE.
UNDER THE AGE OF THREE, A ‘SMEAR’ OR
‘RICE-SIZE’ AMOUNT OF FLUORIDATED
TOOTHPASTE.
AGES THREE TO SIX, A ‘PEA-SIZE’ AMOUNT
OF FLUORIDATED TOOTHPASTE.
70.
71. Parents readiness for behavioral changes has 4 stages
PRECONTEMPLATION: Unaware or in denial of the condition or
the risk of ECC
CONTEMPLATIVE STAGE: Acknowledge the presence of ECC
but are ambivalent or may be considering the steps they want to take
part in addressing ECC.
PREPARATION /ACTION: Parent may take action by seeking
treatment or preventive oral health practices
MAINTENANCE: Parents are then concerned about maintaining
their child’s oral health and avoidance recurrence
PARENTAL ATTITUDES OF INFANT ORAL HEALTH
72. RISK ASSESSMENT TOOLS FOR CHILDREN
DUNDEE CARIES RISK ASSESSMENT MODEL
• Includes previous carious experience, socioeconomic status, health care
workers opinion, oral MS counts.
CARIOGRAM
• Uses pie chart to show individuals overall caries risk and relative contributors
to overall risk.
• Provides individualized strategies for management of dental caries
• Accessible online via 13 different languages
