2

وكانعليك عظيما

اللهفضل

The Dental HOME by /dr ALI ABDEL FATTAH

It IS NEVER TOO EARLY TO START

Historical Development of Dentistry

- Extraction;

- Surgical approach (“drilling and filling”):

after G.V. Black;- Medical approach – Minimal Intervention.

Minimal Intervention Dentistry

- Modern approach to the treatment

of tooth decay- Based on “Medical Model” of caries management

The Intervention approach Minimal

A medical model; Caries treated as a biological

infection Surgical techniques are {minor}

and stress retention of tooth tissue.

EARLY CHILDHOOD CARIES (EC 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 OF ( S-E CC )

( AAPD )

Streptococcus Transmission

USE OF XYLITOL GUM BY MOTHERS

(2-3 TIMES / DAY STARTING 3

MONTHES AFTER DELIVERY & UNTIL

THE CHILD WAS 2 YEARS OLD )

REDUCED THE MS LEVELS IN

CHILDREN UP TO 6 YEARS OF AGE

CARIES ASS. AT 6 MONTHS CHILD RECEVIE RISK ASS. AT 6 MONTHS S E C C

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 ,

Early Childhood Caries_4 (2).mp4

Early Childhood Caries_4.mp4

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.

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,)

AAPD Policy Statement

• “The AAPD advocates interaction with early intervention programs, schools, early childhood education and child care programs, members of the medical and dental communities, and other public and private community agencies to ensure awareness of age-specific oral health issues.”

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

The Dental Home Provides…

a. Comprehensive oral health care including

“acute care” and preventive services

in accordance with AAPD periodicity

schedules.

b. Comprehensive assessment for oral diseases and conditions.

The Dental Home Provides…

c. “Individualized “ preventive dental health program based upon a caries-risk assessment and a periodontal disease risk assessment.

d. Anticipatory guidance about growth

and development issues,

(ie, teething, digit or pacifier

habits).

Why Brush Teeth in”{ Day Care Centers}” ?

• Develop good habits

• Children may not brush at home

• Children learn basic hygiene principals

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 and the

“maintenance of health, function, and esthetics of those structures and tissues.”

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; referral at an age determined by patient, parent and pediatric dentist.

AAPD Dental Home Web Resource Center

Cleaning Teeth

Brush with a rice sized amount of toothpaste using a soft toothbrush

Have the child spit out the toothpaste after brushing but do not rinse with water

Ages 2 &less than 3 years

Zam zam waterIt is alkaline

having PH= 7.8 (more alkaline than saliva (7.2-7.4)Up to 8.38Carbonated 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).

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.)

Hint : Low Ca & PH →Osteoporosis (esp.- women).

So -:Can be used systemically & locally as mouth wash.

-especially before sleeping & ↑ risk group.e.g. radiation caries , rampant caries. During and after

ortho treatment.

Screening for Dental Decay Getting Started

What you need• Dialogue with

parent/consent to do screening

• Good light source to see teeth

MAKKA DENTAL HOME

OUR VISION ?

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

SUGAR FREE MEDICINE

PARENTS SHOULD REMAIN PRIMARY ORAL CAREGIVER

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

As a Parent Educator What’s your role?

• Conduct screenings to identify children at risk for dental disease

• Help parents learn to know what to look for when checking their child’s teeth for decay

• Direct parents with any concerns to dental health professionals

LECTURE QUESTION?

47