Infant oral health care program

1. Infant Oral Health
Program
Preventive action plan
for infants and very
young children

2. Early Infant Oral Health
 “It is EASY”
 It is a win-win situation for your
patients and you
 PREVENTIVE rather than REACTIVE
 Adds a new set of patients to your
practice ($)
 Allows you to retain patients for
longer periods

3. First Step
 See them early!
 Complete caries risk assessment
 Follow AAP, AGD and ADA
recommendations for first dental
visit.

4. Physical Exam
 Knee to knee exam (Clinical exam)
 What to look for
 Plaque and inflammation
 Stain
 Decay
 What to do:
 Prophy and fluoride
 ART (atraumatic restorative technique)

7. Physical Exam
 Knee to knee exam (Clinical exam)
 What to look for
 Plaque and inflammation
 Stain
 Decay
 What to do:
 Prophy and fluoride
 ART (atraumatic restorative technique)

8. General Oral Hygiene Assessment
No
Inflammation
Inflammation
No Plaque Plaque
Compliance Diet
Performance
Brushing
Non-
Compliance

12. Early Childhood Caries

13. Early Childhood Caries

14. Early Childhood Caries

15. Physical Exam
 Knee to knee exam (Clinical exam)
 What to look for
 Plaque and inflammation
 Stain
 Decay
 What to do:
 Prophy and fluoride
 ART (atraumatic restorative technique)

16. Early Childhood Caries

17. Risk Assessment
 How to assess risk
 Mother/caregiver
 Infant/child
 What to do:
 BFE (benign floral enhancement)
 Diet review/recommendations

18. Risk Groups For Dental Caries
 Children with special health care needs
 Children of mothers with a high caries
rate
 Children with demonstrable caries,
plaque, demineralization, and/or staining
 Children who sleep with a bottle or
breastfeed throughout the night
 Later-order offspring
 Children in families of low socioeconomic
status

19. Benign Floral Enhancement
(BFE): Maternal
 Treat decay and perio (ideally
preconception)
 Diet modification
 Optimize oral hygiene
 Judicious administration of fluoride
 Integration of xylitol gum, (4X/QD)

20. Benign Floral Enhancement
(BFE): Infant
 Caries removal (ART)
 Diet modification
 Optimize oral hygiene
 Judicious administration of fluoride
(systemic and topical)

21. Now What?
(Reappoint status)
 Referral
 Periodicity of recall

22. Clinical Scenarios