This document discusses the prevention and management of early childhood caries. It covers caries risk assessment, various fluoride therapies, the effects of antimicrobials like chlorhexidine and xylitol on oral bacteria, and the classification and treatment of early childhood caries in four stages from initial to traumatic lesions. Treatment involves conservative measures in early stages and more invasive restorative treatments or extractions in later stages, along with preventive strategies and follow-up care.
New microsoft office power point 2007 presentationdeepaak thakur
Early childhood caries (ECC), also known as nursing bottle caries, is a multifactorial disease caused by the presence of cariogenic bacteria like Streptococcus mutans transmitted from mother to child combined with frequent consumption of fermentable carbohydrates, especially from prolonged bottle feeding. ECC affects primary teeth, typically beginning with maxillary anterior teeth. If left untreated, lesions can progress rapidly, leading to pulp involvement, pain, and tooth loss. Prevention focuses on reducing sugar intake, proper oral hygiene, and eliminating bottle use in bed.
Early childhood caries (ECC) is defined as the presence of one or more decayed, missing, or filled tooth surfaces in a child under 6 years old. It develops rapidly and can destroy primary teeth. Key risk factors include transmission of cariogenic bacteria from mother to child, frequent consumption of sugary foods and drinks, and prolonged bottle or breastfeeding during sleep. Diagnosis involves classifying caries severity. Prevention strategies are community education, limiting sugar intake, proper oral hygiene, and dental visits. Treatment involves non-invasive repair of early lesions but may require pulpotomy, pulp capping, or extraction of severely damaged teeth along with parental counseling.
Nursing caries, also known as early childhood caries, is a pattern of dental decay seen in young children due to prolonged and improper feeding habits. It is caused by transmission of cariogenic bacteria like Streptococcus mutans from mother to child combined with frequent consumption of fermentable carbohydrates like milk, formula, or breastmilk. Nursing caries affects primary maxillary incisors first and progresses through 4 stages from initial reversible demineralization to deep lesions and tooth fracture if left untreated. Treatment involves caries removal, restoration, parental counseling on proper feeding and oral hygiene, and topical fluoride application.
Management & Prevention of early childhood cariesSushma Mohan
This document discusses the management and prevention of early childhood caries (ECC) and rampant caries. It defines ECC as occurring in primary teeth, usually affecting maxillary incisors and molars. Rampant caries can occur at any age and affects both primary and permanent teeth. Treatment for ECC focuses on controlling the carious process, restoring teeth, and educating parents on diet and oral hygiene. Prevention strategies include community education, preventing transmission of cariogenic bacteria, and home-based approaches like fluoride varnish and sealants. Management of rampant caries depends on the extent of decay and involves provisional restorations, diet and hygiene counseling, and fluoride therapy tailored to a patient's
Rampant caries is a severe form of dental caries characterized by the sudden appearance of widespread and rapidly progressing cavities affecting many or all erupted teeth. It most commonly affects children between ages 4-8 and 11-19. Successful management requires a coordinated team approach between pediatricians, pediatric dentists, parents, and the child. Initial treatment involves provisional restorations, dietary counseling to reduce sugar intake, oral hygiene instructions, and both home and professional fluoride therapy. Long term management may also include comprehensive restorative dental work and extractions, with the goal of preventing further progression of dental caries.
This document contains the objectives and content from an interhospital case presentation on early childhood caries. The presentation includes two case studies of children with dental caries, a review of dental anatomy and development, and a discussion of early childhood caries. It emphasizes the role of pediatricians in the prevention, early diagnosis, and management of early childhood caries.
This document discusses early childhood caries (ECC), providing definitions, statistics, risk factors, prevention strategies, and recommendations. ECC is a biofilm-induced acid demineralization of enamel or dentin in young children, typically under age 3. It affects 40% of US children by kindergarten. Risk is highest in low-income children and those whose mothers have untreated dental disease. Prevention strategies include daily oral hygiene, limiting sugary drinks and snacks, dental visits by age 1, and educating caregivers. A personalized prevention plan tailored to a child's risk factors can help reduce ECC.
This document summarizes a case study of neonatal osteomyelitis that developed as an unusual complication following extraction of a natal tooth. A 52-day old infant presented with a painful swelling and abscess in the lower jaw that had been present for a month. The infant had a natal tooth extracted at 11 days of age. CT scan and bloodwork confirmed osteomyelitis caused by Staphylococcus aureus. The infant was treated with intravenous vancomycin for 3 weeks followed by 1 week of oral vancomycin, resulting in healing of the extraoral and intraoral sites. This case highlights the rare but important potential for osteomyelitis to develop after natal tooth extraction.
New microsoft office power point 2007 presentationdeepaak thakur
Early childhood caries (ECC), also known as nursing bottle caries, is a multifactorial disease caused by the presence of cariogenic bacteria like Streptococcus mutans transmitted from mother to child combined with frequent consumption of fermentable carbohydrates, especially from prolonged bottle feeding. ECC affects primary teeth, typically beginning with maxillary anterior teeth. If left untreated, lesions can progress rapidly, leading to pulp involvement, pain, and tooth loss. Prevention focuses on reducing sugar intake, proper oral hygiene, and eliminating bottle use in bed.
Early childhood caries (ECC) is defined as the presence of one or more decayed, missing, or filled tooth surfaces in a child under 6 years old. It develops rapidly and can destroy primary teeth. Key risk factors include transmission of cariogenic bacteria from mother to child, frequent consumption of sugary foods and drinks, and prolonged bottle or breastfeeding during sleep. Diagnosis involves classifying caries severity. Prevention strategies are community education, limiting sugar intake, proper oral hygiene, and dental visits. Treatment involves non-invasive repair of early lesions but may require pulpotomy, pulp capping, or extraction of severely damaged teeth along with parental counseling.
Nursing caries, also known as early childhood caries, is a pattern of dental decay seen in young children due to prolonged and improper feeding habits. It is caused by transmission of cariogenic bacteria like Streptococcus mutans from mother to child combined with frequent consumption of fermentable carbohydrates like milk, formula, or breastmilk. Nursing caries affects primary maxillary incisors first and progresses through 4 stages from initial reversible demineralization to deep lesions and tooth fracture if left untreated. Treatment involves caries removal, restoration, parental counseling on proper feeding and oral hygiene, and topical fluoride application.
Management & Prevention of early childhood cariesSushma Mohan
This document discusses the management and prevention of early childhood caries (ECC) and rampant caries. It defines ECC as occurring in primary teeth, usually affecting maxillary incisors and molars. Rampant caries can occur at any age and affects both primary and permanent teeth. Treatment for ECC focuses on controlling the carious process, restoring teeth, and educating parents on diet and oral hygiene. Prevention strategies include community education, preventing transmission of cariogenic bacteria, and home-based approaches like fluoride varnish and sealants. Management of rampant caries depends on the extent of decay and involves provisional restorations, diet and hygiene counseling, and fluoride therapy tailored to a patient's
Rampant caries is a severe form of dental caries characterized by the sudden appearance of widespread and rapidly progressing cavities affecting many or all erupted teeth. It most commonly affects children between ages 4-8 and 11-19. Successful management requires a coordinated team approach between pediatricians, pediatric dentists, parents, and the child. Initial treatment involves provisional restorations, dietary counseling to reduce sugar intake, oral hygiene instructions, and both home and professional fluoride therapy. Long term management may also include comprehensive restorative dental work and extractions, with the goal of preventing further progression of dental caries.
This document contains the objectives and content from an interhospital case presentation on early childhood caries. The presentation includes two case studies of children with dental caries, a review of dental anatomy and development, and a discussion of early childhood caries. It emphasizes the role of pediatricians in the prevention, early diagnosis, and management of early childhood caries.
This document discusses early childhood caries (ECC), providing definitions, statistics, risk factors, prevention strategies, and recommendations. ECC is a biofilm-induced acid demineralization of enamel or dentin in young children, typically under age 3. It affects 40% of US children by kindergarten. Risk is highest in low-income children and those whose mothers have untreated dental disease. Prevention strategies include daily oral hygiene, limiting sugary drinks and snacks, dental visits by age 1, and educating caregivers. A personalized prevention plan tailored to a child's risk factors can help reduce ECC.
This document summarizes a case study of neonatal osteomyelitis that developed as an unusual complication following extraction of a natal tooth. A 52-day old infant presented with a painful swelling and abscess in the lower jaw that had been present for a month. The infant had a natal tooth extracted at 11 days of age. CT scan and bloodwork confirmed osteomyelitis caused by Staphylococcus aureus. The infant was treated with intravenous vancomycin for 3 weeks followed by 1 week of oral vancomycin, resulting in healing of the extraoral and intraoral sites. This case highlights the rare but important potential for osteomyelitis to develop after natal tooth extraction.
Early childhood caries (ECC) is a disease characterized by the presence of one or more decayed, missing, or filled tooth surfaces in children under 6 years old. It can range from mild to severe. The main risk factors are frequent consumption of sugary foods/drinks and prolonged bottle feeding. Streptococcus mutans bacteria transmitted from mother to child causes demineralization. Management involves treating existing caries, preventing further decay, and educating parents on diet and oral hygiene. Long term prevention emphasizes topical fluorides, sealants, and regular dental visits.
Nursing bottle caries and rampant cariesrashmisukh
Nursing bottle caries and rampant caries are types of early childhood caries that develop in young children. Nursing bottle caries is caused by prolonged nursing from bottles containing sugars or liquids at night. This allows sugars to pool around teeth and causes demineralization. Rampant caries affects multiple tooth surfaces and can progress rapidly if left untreated. It is often caused by a combination of cariogenic diet, poor oral hygiene, and colonization of teeth by cariogenic bacteria like Streptococcus mutans. Treatment involves preventive measures like oral hygiene instruction and fluoride therapy as well as restorative treatment of cavitated lesions.
This is the first and noble study on Early Childhood Caries conducted in 2015 - 2016 by Dr. Wazhma Hakimi. MD/MPH in Kabul, Afghanistan with surprising findings and results.
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.
Rampant caries is a severe form of dental caries characterized by sudden and widespread tooth decay. It most commonly affects the primary dentition of children ages 4-8. Successful management requires a team approach involving dietary counseling to reduce sugar intake, oral hygiene instruction, topical fluoride treatment, and restorative dental work. With advances in preventing and treating dental caries, rampant caries can now be controlled through early intervention, patient education, and ongoing dental care.
early child hood caries in asthmatic patient by najma alamamiNajma Alamami
This document summarizes the case presentation of a 4-year old male patient referred for construction of a space maintainer. The patient has a history of asthma and early childhood caries. Clinical examination found fair oral hygiene and a high caries risk due to poor dietary habits. Radiographs and study casts were taken. The treatment plan included behavior management, restorations, and a Nance space maintainer to maintain space for erupting teeth. Periodic follow-ups were scheduled to monitor oral health and ensure proper development.
Early childhood caries (ECC) is a major public health problem affecting young children worldwide. ECC can develop soon after teeth erupt and involves colonization of the oral cavity by cariogenic bacteria like Streptococcus mutans. Clinical features include rapid progression of decay affecting maxillary anterior teeth first in a rampant pattern. Multiple factors contribute to ECC risk including prolonged bottle feeding with sugary liquids, genetic and socioeconomic factors. Management focuses on prevention through education and early intervention to arrest non-cavitated lesions.
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 is a serious dental disease affecting young children that results from improper feeding practices like putting children to bed with bottles containing sugary liquids. It can cause pain, cavities, and other issues. Parents can prevent it by cleaning their child's gums after feeding, not allowing bottles in bed or prolonged daytime use, brushing teeth once they emerge, visiting the dentist regularly, and avoiding sugary foods and drinks. Signs of early childhood caries include white or dark spots on teeth.
Hi, I am Dr Komal Ghiya, pediatric dentist by profession, I am here to share some of my own presentations for educational purposes. I hope a presentation on EARLY CHILDHOOD CARIES will be useful for all the dental and medical students. Comments are welcome if you like the presentations and if not please suggest some ways I could make them better for you. All the best
Early childhood caries (ECC) is a major public health problem affecting children worldwide. It is caused by an interaction of bacteria, fermentable carbohydrates, and susceptible tooth structure. Risk factors include bottle feeding practices, lack of oral hygiene, and socioeconomic status. ECC begins as white spot lesions on maxillary incisors and can progress rapidly without treatment. Prevention involves reducing sugar intake, brushing with fluoride toothpaste, and dental care.
Baby bottle rot is severe tooth decay that can occur in young children from sugary liquids consumed from bottles. It is caused by germs and sugar combining on teeth. Signs include pain, bad breath, and discolored teeth. Untreated baby bottle rot can lead to infection of adult teeth and problems with eating, talking, and pain. Parents can prevent it by cleaning teeth after feedings, avoiding bottles with sugar, and switching to sippy cups once teeth emerge. A dentist can treat existing decay.
A respected Staten Island dental practitioner, Glenn J. Marie, DDS, offers care to pediatric patients with behavioral conditions such as autism and Down’s syndrome. Glenn J. Marie, DDS, emphasizes a personalized, preventive approach to care.
This document discusses childhood dental caries, including defining it, exploring its prevalence and distribution, examining risk and protective factors, reviewing economic impacts, and describing prevention methods. Childhood dental caries is a multi-factorial chronic disease that is the most common childhood disease in the US, affecting over half of children by second grade. It creates barriers to care, economic burdens, and ethical considerations due to children's dependence on caretakers for dental health. Future research is needed to better understand and address factors influencing caries development.
This document provides an overview of early childhood caries (ECC), including definitions, classifications, prevalence, risk factors, management, and prevention. ECC is defined as the presence of one or more decayed, missing, or filled tooth surfaces in any primary tooth in a child under 6 years old. Key risk factors include dental plaque, mutans streptococci bacteria, frequent sugar consumption, and improper feeding practices like prolonged bottle use. Prevention strategies focus on educating parents and caregivers on promoting proper oral hygiene, healthy diets, and reducing transmission of cariogenic bacteria from mother to child.
Cariology and caries risk assessment. by Dr.Kazhan O. abdulrahman.abas_lb
(1) Dental caries is a multifactorial disease caused by an imbalance between cariogenic and protective factors in the oral environment over time.
(2) Cariogenic bacteria in dental plaque metabolize sugars to produce acid, lowering plaque pH and demineralizing tooth enamel.
(3) A caries risk assessment evaluates both risk indicators and protective factors to determine a patient's caries risk level and develop an individualized prevention plan.
This document provides an overview of methods for preventing dental caries. It discusses the need for prevention due to issues like pain, compromised nutrition, and high treatment costs. The three levels of prevention - primary, secondary, and tertiary - are defined. Nutritional measures focus on diet analysis and counseling patients to reduce sugar intake and frequency of snacking. Chemical measures discuss the use of substances like fluoride, chlorhexidine, and probiotics to alter tooth surfaces or interfere with bacterial growth. Mechanical measures involve practices like toothbrushing and flossing.
Detection, diagnosis and prevention of dental cariesMasuma Ryzvee
The document discusses the diagnosis and prevention of dental caries. It covers the development and features of caries, methods for detection including examination, radiographs, and devices. It also discusses caries risk in patients, the role of plaque, diet, and fluoride in prevention. Specific fluoride modalities like toothpaste, mouthwashes, and professionally applied treatments are outlined. The use of pit and fissure sealants for caries prevention in teeth pits and grooves is also summarized, along with patient selection and the application method.
This document discusses the prevention of dental caries. It covers the three levels of prevention: primary, secondary, and tertiary. Dental caries is described as an infectious bacterial disease caused by mutans streptococci and lactobacilli. Clinical approaches for prevention include risk assessment, anticipatory guidance, and individualized treatment based on risk factors like bacteria, diet, and fluoride exposure. Professionally applied preventative agents include fluorides like varnish and sealants, which help remineralize enamel and protect tooth surfaces from decay.
This document discusses early childhood caries (ECC), providing a history of terminology used to describe it and definitions that have been proposed. ECC was first described in 1862 and various terms like "nursing bottle caries" and "baby bottle tooth decay" were used. In 1999, it was defined as presence of decay, missing, or filled tooth surfaces in a child under age 6. Risk factors and classifications of ECC are discussed. Prevention strategies are also mentioned, including establishing dental homes, anticipatory guidance, and dietary recommendations.
This document discusses CAMBRA (Caries Management By Risk Assessment), a clinical review for managing dental caries risk in children. CAMBRA integrates caries risk assessment into comprehensive oral health visits for children from birth to age 5. It involves assessing risk factors, customizing preventive care plans, and determining recall schedules based on risk. The review describes the CAMBRA process, which includes examining protective and risk factors, clinical exams, fluoride varnish application, setting self-management goals, and developing individualized care paths. Barriers to caries risk assessment and recommendations to address them are also discussed.
This document discusses different levels of prevention (primordial, primary, secondary, tertiary) and provides examples for oral diseases including dental caries, periodontal disease, and oral cancer. Primordial prevention aims to create supportive environments through policy. Primary prevention protects individuals against disease. Secondary prevention limits progression after disease onset. Tertiary prevention limits disability once disease has caused limitations. Examples provided include reducing taxes on fluoridated toothpaste, oral health education, dental checkups, screening, and rehabilitation after treatment.
Early childhood caries (ECC) is a disease characterized by the presence of one or more decayed, missing, or filled tooth surfaces in children under 6 years old. It can range from mild to severe. The main risk factors are frequent consumption of sugary foods/drinks and prolonged bottle feeding. Streptococcus mutans bacteria transmitted from mother to child causes demineralization. Management involves treating existing caries, preventing further decay, and educating parents on diet and oral hygiene. Long term prevention emphasizes topical fluorides, sealants, and regular dental visits.
Nursing bottle caries and rampant cariesrashmisukh
Nursing bottle caries and rampant caries are types of early childhood caries that develop in young children. Nursing bottle caries is caused by prolonged nursing from bottles containing sugars or liquids at night. This allows sugars to pool around teeth and causes demineralization. Rampant caries affects multiple tooth surfaces and can progress rapidly if left untreated. It is often caused by a combination of cariogenic diet, poor oral hygiene, and colonization of teeth by cariogenic bacteria like Streptococcus mutans. Treatment involves preventive measures like oral hygiene instruction and fluoride therapy as well as restorative treatment of cavitated lesions.
This is the first and noble study on Early Childhood Caries conducted in 2015 - 2016 by Dr. Wazhma Hakimi. MD/MPH in Kabul, Afghanistan with surprising findings and results.
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.
Rampant caries is a severe form of dental caries characterized by sudden and widespread tooth decay. It most commonly affects the primary dentition of children ages 4-8. Successful management requires a team approach involving dietary counseling to reduce sugar intake, oral hygiene instruction, topical fluoride treatment, and restorative dental work. With advances in preventing and treating dental caries, rampant caries can now be controlled through early intervention, patient education, and ongoing dental care.
early child hood caries in asthmatic patient by najma alamamiNajma Alamami
This document summarizes the case presentation of a 4-year old male patient referred for construction of a space maintainer. The patient has a history of asthma and early childhood caries. Clinical examination found fair oral hygiene and a high caries risk due to poor dietary habits. Radiographs and study casts were taken. The treatment plan included behavior management, restorations, and a Nance space maintainer to maintain space for erupting teeth. Periodic follow-ups were scheduled to monitor oral health and ensure proper development.
Early childhood caries (ECC) is a major public health problem affecting young children worldwide. ECC can develop soon after teeth erupt and involves colonization of the oral cavity by cariogenic bacteria like Streptococcus mutans. Clinical features include rapid progression of decay affecting maxillary anterior teeth first in a rampant pattern. Multiple factors contribute to ECC risk including prolonged bottle feeding with sugary liquids, genetic and socioeconomic factors. Management focuses on prevention through education and early intervention to arrest non-cavitated lesions.
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 is a serious dental disease affecting young children that results from improper feeding practices like putting children to bed with bottles containing sugary liquids. It can cause pain, cavities, and other issues. Parents can prevent it by cleaning their child's gums after feeding, not allowing bottles in bed or prolonged daytime use, brushing teeth once they emerge, visiting the dentist regularly, and avoiding sugary foods and drinks. Signs of early childhood caries include white or dark spots on teeth.
Hi, I am Dr Komal Ghiya, pediatric dentist by profession, I am here to share some of my own presentations for educational purposes. I hope a presentation on EARLY CHILDHOOD CARIES will be useful for all the dental and medical students. Comments are welcome if you like the presentations and if not please suggest some ways I could make them better for you. All the best
Early childhood caries (ECC) is a major public health problem affecting children worldwide. It is caused by an interaction of bacteria, fermentable carbohydrates, and susceptible tooth structure. Risk factors include bottle feeding practices, lack of oral hygiene, and socioeconomic status. ECC begins as white spot lesions on maxillary incisors and can progress rapidly without treatment. Prevention involves reducing sugar intake, brushing with fluoride toothpaste, and dental care.
Baby bottle rot is severe tooth decay that can occur in young children from sugary liquids consumed from bottles. It is caused by germs and sugar combining on teeth. Signs include pain, bad breath, and discolored teeth. Untreated baby bottle rot can lead to infection of adult teeth and problems with eating, talking, and pain. Parents can prevent it by cleaning teeth after feedings, avoiding bottles with sugar, and switching to sippy cups once teeth emerge. A dentist can treat existing decay.
A respected Staten Island dental practitioner, Glenn J. Marie, DDS, offers care to pediatric patients with behavioral conditions such as autism and Down’s syndrome. Glenn J. Marie, DDS, emphasizes a personalized, preventive approach to care.
This document discusses childhood dental caries, including defining it, exploring its prevalence and distribution, examining risk and protective factors, reviewing economic impacts, and describing prevention methods. Childhood dental caries is a multi-factorial chronic disease that is the most common childhood disease in the US, affecting over half of children by second grade. It creates barriers to care, economic burdens, and ethical considerations due to children's dependence on caretakers for dental health. Future research is needed to better understand and address factors influencing caries development.
This document provides an overview of early childhood caries (ECC), including definitions, classifications, prevalence, risk factors, management, and prevention. ECC is defined as the presence of one or more decayed, missing, or filled tooth surfaces in any primary tooth in a child under 6 years old. Key risk factors include dental plaque, mutans streptococci bacteria, frequent sugar consumption, and improper feeding practices like prolonged bottle use. Prevention strategies focus on educating parents and caregivers on promoting proper oral hygiene, healthy diets, and reducing transmission of cariogenic bacteria from mother to child.
Cariology and caries risk assessment. by Dr.Kazhan O. abdulrahman.abas_lb
(1) Dental caries is a multifactorial disease caused by an imbalance between cariogenic and protective factors in the oral environment over time.
(2) Cariogenic bacteria in dental plaque metabolize sugars to produce acid, lowering plaque pH and demineralizing tooth enamel.
(3) A caries risk assessment evaluates both risk indicators and protective factors to determine a patient's caries risk level and develop an individualized prevention plan.
This document provides an overview of methods for preventing dental caries. It discusses the need for prevention due to issues like pain, compromised nutrition, and high treatment costs. The three levels of prevention - primary, secondary, and tertiary - are defined. Nutritional measures focus on diet analysis and counseling patients to reduce sugar intake and frequency of snacking. Chemical measures discuss the use of substances like fluoride, chlorhexidine, and probiotics to alter tooth surfaces or interfere with bacterial growth. Mechanical measures involve practices like toothbrushing and flossing.
Detection, diagnosis and prevention of dental cariesMasuma Ryzvee
The document discusses the diagnosis and prevention of dental caries. It covers the development and features of caries, methods for detection including examination, radiographs, and devices. It also discusses caries risk in patients, the role of plaque, diet, and fluoride in prevention. Specific fluoride modalities like toothpaste, mouthwashes, and professionally applied treatments are outlined. The use of pit and fissure sealants for caries prevention in teeth pits and grooves is also summarized, along with patient selection and the application method.
This document discusses the prevention of dental caries. It covers the three levels of prevention: primary, secondary, and tertiary. Dental caries is described as an infectious bacterial disease caused by mutans streptococci and lactobacilli. Clinical approaches for prevention include risk assessment, anticipatory guidance, and individualized treatment based on risk factors like bacteria, diet, and fluoride exposure. Professionally applied preventative agents include fluorides like varnish and sealants, which help remineralize enamel and protect tooth surfaces from decay.
This document discusses early childhood caries (ECC), providing a history of terminology used to describe it and definitions that have been proposed. ECC was first described in 1862 and various terms like "nursing bottle caries" and "baby bottle tooth decay" were used. In 1999, it was defined as presence of decay, missing, or filled tooth surfaces in a child under age 6. Risk factors and classifications of ECC are discussed. Prevention strategies are also mentioned, including establishing dental homes, anticipatory guidance, and dietary recommendations.
This document discusses CAMBRA (Caries Management By Risk Assessment), a clinical review for managing dental caries risk in children. CAMBRA integrates caries risk assessment into comprehensive oral health visits for children from birth to age 5. It involves assessing risk factors, customizing preventive care plans, and determining recall schedules based on risk. The review describes the CAMBRA process, which includes examining protective and risk factors, clinical exams, fluoride varnish application, setting self-management goals, and developing individualized care paths. Barriers to caries risk assessment and recommendations to address them are also discussed.
This document discusses different levels of prevention (primordial, primary, secondary, tertiary) and provides examples for oral diseases including dental caries, periodontal disease, and oral cancer. Primordial prevention aims to create supportive environments through policy. Primary prevention protects individuals against disease. Secondary prevention limits progression after disease onset. Tertiary prevention limits disability once disease has caused limitations. Examples provided include reducing taxes on fluoridated toothpaste, oral health education, dental checkups, screening, and rehabilitation after treatment.
This document discusses caries risk assessment in dentistry. It defines risk assessment as using factors to determine a patient's likelihood of developing dental diseases. Caries risk assessment can help predict who will develop caries, increase examination suspicion for high-risk patients, identify patients early in the disease process, and determine who will benefit from prevention. The treatment plan and decisions should be based on a careful caries diagnosis, risk assessment, and classification of the patient's treatment needs. Caries risk assessment tests saliva and plaque for bacteria levels, pH, and defense factors to predict future caries development and inform prevention.
The document discusses factors that influence dental caries, including the dental plaque biofilm, substrates like sugar exposure frequency, host factors like tooth structure and saliva, and time. It notes that the major bacteria involved are mutans streptococci like Streptococcus mutans and S. sobrinus. It also discusses caries detection methods, the caries process, preventing dental caries through approaches like improving plaque removal and diet, applying fluoride treatments and fissure sealants, and increasing recall frequencies for patients with caries activity. Early childhood caries has etiological factors like long periods of cariogenic substrate exposure, low salivary flow at night, parental caries history, and social stress.
Restorative Dentistry For Children PAEDIATRIC DENTISTRYJamil Kifayatullah
This document discusses restorative dentistry for children. It covers the importance of maintaining a dry field for clear vision and preventing contamination during restorative procedures. It describes various methods for achieving a dry field, including cotton rolls, saliva ejectors, and rubber dams. It discusses the aims and general principles of restorative dentistry in primary teeth, including cavity classification, preparation, and choices of restorative materials. It also covers the use of preformed crowns for primary teeth, including stainless steel crowns and strip crowns. Finally, it discusses early childhood caries (ECC), including definitions, prevalence, risk factors, clinical presentations, consequences, and approaches for prevention and treatment.
Preventive dentistry aims to maintain optimal oral health through various measures. It includes primordial, primary, secondary and tertiary prevention levels. Primordial prevention discourages risk factors in populations, while primary prevention removes disease possibility. Secondary prevention halts disease progression, and tertiary prevention reduces existing impairments. Diagnosis of pit and fissure caries is challenging using probes, but improved with radiographs and dyes. Sealants are applied to susceptible teeth from ages 3-13 to protect deep pits and fissures from bacteria. They range from early self-curing resins to modern fluoride-releasing versions.
The document discusses the importance of preventive and interceptive orthodontics, which aims to recognize and address potential orthodontic issues early on through procedures like parent education on oral hygiene and diet, caries control methods, management of conditions affecting tooth eruption, and early treatment of oral habits that could interfere with proper occlusion development. It emphasizes starting orthodontic prevention from the prenatal period through childhood by examining the dentition regularly and addressing any emerging problems to minimize the need for future comprehensive treatment.
1 - ECC, Nursing Caries and Rampant Caries.pptxEUROUNDISA
This document discusses early childhood caries, nursing caries, and rampant caries. It defines each condition and describes their etiology, clinical features, diagnosis, and management. Early childhood caries is defined as having one or more decayed, missing, or filled tooth surfaces in a child under 6 years old. Nursing caries is caused by prolonged bottle feeding and is characterized by lesions on the maxillary anterior teeth. Rampant caries occurs rapidly and affects surfaces usually resistant to decay. Diagnosis involves visual-tactile-radiographic examination. Management focuses on emergency relief, preventing further decay, and restoring carious lesions.
This document provides information on caries risk assessment tools and models. It discusses the CAMBRA (Caries Management By Risk Assessment) model, which takes an individualized approach to caries risk assessment and management based on a patient's risk factors, protective factors, and disease indicators. The Cariogram is introduced as another caries risk assessment tool that provides a graphical representation of a patient's caries risk based on entered data on factors like diet, bacteria levels, fluoride exposure, and past caries experience. It calculates the patient's "chance to avoid new cavities" to help determine their risk level and guide preventive recommendations.
dental management of chemotherapy patients Eman Hassona
This document summarizes the oral manifestations and dental management of patients undergoing chemotherapy and radiation therapy. It discusses complications such as mucositis, infection, bleeding and xerostomia that can arise from these treatments. It provides guidance on pre-treatment dental evaluation and treatment, oral hygiene instructions during and after treatment, and palliative measures to manage issues like pain, infection and dry mouth. Close monitoring of patients is recommended both during and after cancer therapy due to the risk of long-term oral health issues.
oral management of chemotherapy and radiation Eman Hassona
This document summarizes the oral manifestations and dental management of patients undergoing chemotherapy and radiation therapy. It discusses complications such as mucositis, infection, bleeding and xerostomia that can arise from these treatments. It provides guidance on pre-treatment dental evaluation and treatment, oral hygiene instructions during and after treatment, and palliative measures to manage issues like pain, infection and dry mouth. Close monitoring of patients is recommended both during and after cancer therapy due to the risk of long-term oral health issues.
Prevention of dental disease and pit and fissureMohamed Alkeshan
This document discusses prevention of dental diseases in children ages 6 to 12. It focuses on two main diseases: dental caries and periodontal disease. During this transitional age, children experience oral changes as primary teeth are replaced by permanent teeth. Their diet and snacking habits are also challenged. The document recommends fluoride administration through water, supplements, toothpastes, and mouth rinses to prevent cavities in developing permanent teeth. It also discusses the importance of home oral care and provides guidance on diet and care for children with developmental disabilities. Pit and fissure sealants are recommended due to their effectiveness in reducing dental caries by over 75% through micromechanical retention in the tooth enamel.
This document discusses dental disease prevention and prophylaxis at different levels. Primary prevention aims to maintain good oral health through education, fluoride, sealants, nutrition and plaque control. Secondary prevention treats early signs of disease to prevent progression through education, fluoride and removing plaque and tartar. Tertiary prevention focuses on recovery, preventing advanced disease, and decreasing disability through specialist treatment. The overall goals are to reduce the prevalence and severity of dental caries and periodontal disease.
This document discusses infant oral health and anticipatory guidance. It provides definitions of terms like risk assessment and anticipatory guidance. It outlines the goals and steps of early infant oral health care visits, including examination, counseling, risk assessment, and establishing anticipatory guidance. The document discusses counseling topics at different developmental stages from infancy to adolescence. It emphasizes the importance of early intervention, prevention of oral diseases, and establishing good oral hygiene habits from an early age through anticipatory guidance.
The document provides anticipatory guidance for dental care from prenatal counseling through adolescence. It discusses oral development milestones, nutrition and diet, oral hygiene, fluoride use, habits, injury prevention, and other topics. Guidelines are provided for different age groups, outlining what parents and dentists should discuss and assess. The goal is to educate parents and prevent oral health issues by addressing risk factors at each stage of a child's development.
This document discusses caries risk assessment and management. It defines risk assessment as procedures used to quantify a person's disease susceptibility and allow preventive measures. Caries risk is determined by factors like diet, fluoride exposure, oral flora, and social factors. Children should receive oral health risk assessments starting at 6 months of age. Risk levels are low, moderate, and high based on environmental, clinical, and other factors. Management protocols vary according to risk level and may include recall intervals, radiographs, preventive treatments, education, and restorative care. The goal is early identification and customized prevention strategies to maintain oral health.
This document discusses early childhood caries and nursing caries. It begins with definitions of dental caries and classifications based on anatomic site, severity, progression, and chronology. It then focuses on nursing caries, describing the etiological agents, clinical features, progression, implications, management, and prevention. Nursing caries is distinguished from rampant caries, with nursing caries being a specific form that occurs in infants/toddlers due to improper bottle feeding habits, while rampant caries can occur at any age from multiple factors. The document provides details on diagnosing, treating, and preventing nursing caries.
This document discusses supportive periodontal treatment (SPT). It outlines the goals and phases of periodontal treatment, including preliminary, non-surgical, surgical, restorative, and maintenance phases. SPT, also called periodontal maintenance therapy, involves procedures performed at regular intervals to help patients maintain oral health after initial periodontal treatment. The document emphasizes that SPT is important to prevent recurrence of periodontal disease by supporting patients' efforts to control infections through regular professional cleanings and monitoring. Compliance with the SPT recall system and maintaining good oral hygiene are also highlighted as important factors that influence disease progression risk.
This document discusses preventive pedodontics and infant oral health care. It covers levels of prevention including primary, secondary, and tertiary prevention. It defines infant oral health care and discusses the goals of infant oral health programs which include educating parents on risks of dental disease and establishing dental services as part of infant healthcare. The document provides guidance on prenatal counseling, perinatal oral health, colonization of the infant oral cavity, and anticipatory guidance for different age ranges from 6-12 months to 2-6 years.
The document summarizes the launch of the Smile4Life program, which aims to improve children's oral health in Lancashire, UK. It provides an agenda for the launch event, including presentations from local officials and dental experts on topics like the program background, implementation, and evaluation. The launch event aims to share information on the program and gain support for its goal of reducing tooth decay in children through focus on diet, brushing habits, and accessing dental care.
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1. PREVENTION AND MANAGEMENT OF
EARLY CHILDHOOD CARIES
Presented By:
Dr. Louis Solaman Simon
1st year PGT
2. CONTENTS
• ANTICIPATORY GUIDANCE
• PRENATAL COUNSELLING
• PERINATAL COUNSELLING
• INFANT ORAL HEALTH CARE
• DENTAL HOME
• CARIES-RISK ASSESSMENT
• FLUORIDE THERAPY
• EFFECT OF ANTIMICROBIALS ON ORAL MICROBIOTA AND ECC
• CLASSIFICATION OF ECC AND IT’S MANAGEMENT
• BARRIERS TO CHILDHOOD CARIES TREATMENT
3. Caries-risk Assessment
(AAPD 2014)
• Caries risk assessment is the determination of the likelihood of the incidence
of caries during a certain time period or the likelihood that there will be a
change in the size or activity of lesions already present.
• Risk assessment:
1. Fosters the treatment of the disease process instead of treating the outcome of
the disease.
2. Gives an understanding of the disease factors for a specific patient and aids in
individualizing preventive discussions.
3. Individualizes, selects, and determines frequency of preventive and restorative
treatment for a patient.
4. Anticipates caries progression or stabilization.
4.
5.
6.
7. Oral Health Risk Assessment Tool
The American Academy of Pediatrics (AAP)
8.
9.
10. Fluoride Therapy
• Fluoride has several caries-protective mechanisms of action.
– inhibit the demineralization
– enhance the re-mineralization
– affects the metabolic activity of cariogenic bacteria
• Water fluoridation at the level of 0.7-1.2 mg fluoride ion/L (ppm F) but
the Department of Health and Human Services recently has proposed to
not have a fluoride range, but rather to limit the recommendation to the
lower limit of 0.7 ppm F.
• The rationale is to balance the benefits of preventing dental caries while
reducing the chance of fluorosis.
11. • Fluoride supplements also are effective in reducing prevalence of dental
caries and should be considered for children at high caries risk who drink
fluoride deficient (less than 0.6 ppm F) water.
The optimal F intake from both & dietary sources should be 0.05mg/kg/day
12. .
• Using no more than a smear or rice-size amount of fluoridated toothpaste
for children less than 3 years of age.
• Using no more than a pea-size amount of fluoridated toothpaste is
appropriate for children aged three to six
• To maximize the beneficial effect of fluoride in the toothpaste, teeth
should be brushed twice a day, and rinsing after brushing should be kept
to a minimum
13. • Professionally-applied topical fluoride treatments
• 5% sodium fluoride varnish (NaF V; 22,500 ppm F) and
• 1.23 percent acidulated phosphate fluoride (APF; 12,300 ppm F).
• used at least twice a year
• Children at increased caries risk should receive a professional fluoride
treatment at least every six months.
• Other topical fluoride products
– 0.2 percent sodium fluoride (NaF) mouthrinse (900 ppm F)
– brush-on gels/pastes (eg, 1.1 percent NaF; 5,000 ppm F)
• AAPD 2014
14. Effect of antimicrobials on oral
microbiota and ECC.
Chlorhexidine (CHX):
• Some reports show a significant reduction in mutans streptococci (MS) at
an early stage of the intervention; however, after three months, the
reduction was diminished.
• Results from the systematic reviews presented show insufficient evidence
to conclude that the daily use of CHX alone or in combination with
fluoride application for an extensive period reduces the levels of MS or
lactobacillus (LB) or incident caries in young children.
(PEDIATRIC DENTISTRY V 37 / NO 3 MAY / JUN 15)
Povidone-iodine (PVP-I) :
• PVP-I has been explored as a topical antimicrobial therapy in the
prevention of dental caries in clinical studies.
15.
16. Effect of xylitol on oral microbiota
and ECC.
• A meta analysis by Li and Tannner (2015) demonstrated that xylitol-based
interventions have resulted in a significant reduction of MS colonization
and caries in young children.
• Additionally, xylitol interventions in mothers aimed at affecting MS levels
and caries in their offspring show a marginal caries-protective effect
compared with non-xylitol intervention.
PEDIATRIC DENTISTRY V 37 / NO 3 MAY / JUN 15
17.
18. Effect of silver compounds on oral
microbiota and ECC.
• For centuries, silver has been known to exhibit antimicrobial effects due to its
properties as a heavy metal.
• Renewed interest in the therapeutic application of silver diamine fluoride, silver
fluoride, nano-silver fluoride, and silver nitrate to arrest and prevent dental caries.
• There are several reports of silver compounds used at very high concentrations (30
to 38 percent) to affect ECC progression, but published studies to date have a high
risk of bias.
• Evidence from high quality randomized clinical trials is necessary before the use of
silver compounds become a recommended management approach for ECC.
• PEDIATRIC DENTISTRY V 37 / NO 3 MAY / JUN 15
19.
20. Casein Phosphopeptide-Amorphous
Calcium Phosphate (CPP-ACP).
• CPP-ACP has been shown to reduce demineralization and promote
remineralization of carious lesions both in vitro and in situ.
• CPP-ACP cream, which is effective in remineralizing early enamel lesions of
primary teeth, was a little more effective than 500 ppm NaF .
• Moreover, additive effects were obtained when CPP-ACP was used in
conjunction with fluoride, CPP-ACP is better used as a self-applied topical
coating after the teeth have been brushed with a fluoridated toothpaste
by children who have a high risk of dental caries
• International Journal of Dentistry Volume 2011, Article ID 725320
21.
22.
23. Proposed by Veerkamp and Weerheijm [1995]
• This classification system assumes that dental caries occurs in
successive stages starting late in the first year (10 months) and ending
in the fourth year of life (48 months).
• Initial reversible stage age 10-20 months
• Damaged carious stage age 16-24 months
• Stage of deep lesions age 20-36 months
• Traumatic stage age 30-48 months
24. The initial stage (stage I)
• It is characterized by the appearance of chalky, opaque
demineralization lesions on the smooth surfaces of the maxillary
primary incisors when the child is between the ages of 10 and 20
months, or sometimes even younger
• At this stage, the lesions are reversible
• Lesions can be diagnosed only after the affected teeth have been
thoroughly dried
25. The second stage/damaged (carious): 16-24 mo
• The dentin is exposed and appears soft and yellow. The maxillary primary
molars present initial lesions in the cervical, proximal and occlusal regions
26. Deep lesion/stage 3 : 20-36 mo
• Pulpal involvement in maxillary incisors
• Molars are also affected.
• Frequent complaint of pain.
• Depending on the time of eruption, the cariogenicity of the sweetened
comforter and frequency of its use, this stage can be reached in 10-14
months also.
27. Traumatic stage/4th stage : 30-48 mo
Neglecting all the previous symptoms, the teeth (starting with maxillary
incisors) can become so weakened by caries that relatively small forces
suffice to fracture them.
Parents may report a history of trauma.
Molars are now associated with pulpal problems.
Maxilary incisors become non vital
28. A. Treatment of Stage I & II. Early
Childhood Caries.
• Conservative Phase:
• In stage I ECC, the child may be symptomless and the carious is
reversible. In such cases, no curative treatment is required.
• However, routine preventive measures like
– Diet counseling
– topical fluoride application,
– professional application of fluoride varnishes
– sugar free chewing gum, and
– Oral health education are employed.
• The caries should be monitored to ascertain that it remains in the
non- progressive stage until exfoliation.
29. .
• Restorative Phase:
• In stage II ECC the principal role of restorative treatment is to eliminate
active caries lesions to inhibit caries extension.
• Restorative treatment should always be used in conjunction with
preventive therapy, based on the child’s risk factors and age.
• The choices of restorative materials depend on:
– Site and extent of caries
– Level of child’s cooperation
– Whether permanent or temporary restoration.
– type of anesthesia to be used
30. • Stabilization:
• Materials of Choice for restoration & stabilization:
– Zinc-oxide Eugenol cements as temporary filling.
– Glassionomer cement in ART procedure
• Final Treatment
– Restoration of teeth using Glass ionomer cement or composite resins
– Pulpal therapy if indicated
– Stainless steel crowns for extensively damaged teeth. In young
children with high risk of caries, stainless steel crowns have been
shown to function better than multi-surface intra-oral restorations.
– Routine preventive Strategy.
• Follow up: Every 6 months
31. B. Treatment of Stage III & IV. Severe ECC
• Immediate treatment
• Children with acute S-ECC in stage III & IV often present with pain,
discomfort and infection, and may require medication including use of
antibiotics and analgesics.
• Systemic infection resulting from a local focus of dental infection should
be treated with antibiotics.
• Very Severe cases may require hospitalization prior to definitive
treatment.
32. .
• Stabilization Phase
• Identification and extraction without delay of teeth that are not indicated
for restoration or pulpal therapy.
• Palliative treatment of teeth that are to be preserved by endodontic
therapy to avoid further progress of the carious process
33. .
• Treatment Phase:
• Extraction of primary teeth and/or complete/partial pulpectomy and
restoration with stainless-steel crown.
• Clinical procedures in case of non-cooperative or medically compromised
patients may require the use of general anesthetics.
34. .
• Follow–up
• Routine preventive strategy.
• children with obvious signs of active oral disease or its predisposing factors
should be reviewed at 4- monthly intervals until well controlled
• Medically Compromised and other high-risk children should be reviewed
depending on the severity of their medical condition and oral findings.
• Reinforcement of appropriate preventive strategies for remineralization and
arrest of carious lesions should be carried out
• review should be carried out by the same clinician, where possible.
• International Journal of Health Sciences & Research 158 Vol.1; Issue: 2; Jan. 2012
35.
36. Barriers to childhood caries treatment
Child
Not able to cope very well with dental treatment
Parents
Parents cannot control frequency of between meal
sugary foods and drinks
Dentist
General dentist requires further training in pediatric dentistry
Health care systems
payment, insurance