pediatric dentistry

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)

9. Early Childhood Caries

10. Early Childhood Caries

11. Early Childhood Caries

12. Early Childhood Caries

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

14. Streptococcus Mutans
Transmission
14

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

16. 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

17. 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)

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

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

20. Clinical Scenarios