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Infant Oral Health Care : Infant Oral Health Care


Oral Conditions of Infancy : Oral Conditions of Infancy Candidiasis (thrush) Herpes Cysts Eruption cysts Natal or Neonatal teeth Early Childhood Caries (tooth decay)


Candidiasis (thrush) : Candidiasis (thrush) Courtesy Marquette University School of Dentistry – photographer unknown


Herpes : Herpes Courtesy USC School of Dentistry


Cysts : Cysts Courtesy Marquette University School of Dentistry – photographer unknown


Growth & Development of the Teeth : Growth & Development of the Teeth At birth the primary (baby) teeth have already formed Permanent teeth are developing or beginning to mineralize (harden) Courtesy WI Dept. of Health and Family Services


Eruption Patterns : Eruption Patterns Courtesy WI Dept. of Health and Family Services


Natal or Neonatal teeth : Natal or Neonatal teeth Courtesy Dr. Dietmar Kennel


Eruption Cysts : Eruption Cysts Courtesy University of Washington School of Dentistry


Who Wants a $1,000,000 $mile? : Primary teeth (baby teeth) are important for… Who Wants a $1,000,000 $mile?


Importance of Primary (Baby) Teeth : Importance of Primary (Baby) Teeth Smiling & self-esteem Chewing and eating Speech development Aid proper jaw and face formation Guide permanent teeth into place


Early Childhood Caries or ECC (Tooth Decay) : 1 or more decayed teeth Child under age 6 Previously known as: Baby bottle tooth decay Bottle mouth Nursing decay Sippy cup decay Early Childhood Caries or ECC (Tooth Decay) Courtesy Diann Bomkamp, RDH, BSDH, Missouri


ECC : Courtesy Proctor & Gamble ECC


Severe ECC : Courtesy Proctor & Gamble Severe ECC


Who Wants a $1,000,000 $mile? : “Early Childhood Caries” is… Who Wants a $1,000,000 $mile?


Results of ECC : Results of ECC Pain and infection Difficulty eating and sleeping Affects nutrition and growth Courtesy Diann Bomkamp, RDH, BSDH, Missouri


Results of ECC : Courtesy Proctor & Gamble Results of ECC


Who Wants a $1,000,000 $mile? : What is a cavity? Who Wants a $1,000,000 $mile?


Causes of ECC : Causes of ECC Diann Bomkamp, RDH, BSDH, Missouri


ECC Causes - Bacteria : ECC Causes - Bacteria Passed from caregiver to child food/drink utensils toothbrushes Blowing on or pre-chewing food More likely if mother has decay Early spread increases decay risk Courtesy Proctor & Gamble


ECC Causes - Diet : Courtesy Proctor & Gamble ECC Causes - Diet Food type Starchy foods Added or natural sugar Pacifier dipped in sweetener Liquid medicine


ECC Causes - Time : Courtesy Proctor & Gamble ECC Causes - Time


ECC Causes - Time : ECC Causes - Time Frequency and length of feeding Bedtime bottle “At will” nighttime nursing “Carry along” bottle or no-spill training cup Frequent snacking Courtesy Proctor & Gamble


ECC Causes - Teeth : ECC Causes - Teeth Enamel Hypoplasia Deformed, weak enamel Causes: Fever or virus Low birth weight Lack of fluoride Enamel is more vulnerable to acids Courtesy Diann Bomkamp, RDH, BSDH, Missouri


Who Wants a $1,000,000 $mile? : Which of the following can cause ECC? Who Wants a $1,000,000 $mile?


ECC Prevention : ECC Prevention Diet Reduce bacteria Oral hygiene Treat mother Protect the teeth Regular dental visits


ECC Prevention – Diet & Time : ECC Prevention – Diet & Time Watch sugar/starch exposure Limit night beverages Provide healthy snacks Avoid pacifier dipping Wean from bottle/breast by one year Ask for sugar-free medication


ECC Prevention – Reduce Bacteria : ECC Prevention – Reduce Bacteria Check mother’s (or primary caregiver’s) oral health Treat decay Xylitol gum or mints No saliva-sharing activities


ECC Prevention – Reduce Bacteria : Courtesy Proctor & Gamble ECC Prevention – Reduce Bacteria


ECC Prevention – Reduce Bacteria : Courtesy Proctor & Gamble ECC Prevention – Reduce Bacteria


ECC Prevention – Protect Tooth : ECC Prevention – Protect Tooth Fluoridated water Fluoride drops? Fluoride toothpaste Only use before age 2 if no fluoride in water, or baby has ECC Only use a tiny smear across width of brush Repair hypoplasias (enamel defects)


Who Wants a $1,000,000 $mile? : What does fluoride do? Who Wants a $1,000,000 $mile?


ECC Prevention - Dental Visits : ECC Prevention - Dental Visits 12 months old or 6 months after 1st tooth Early morning appointment Build excitement Be calm Courtesy University of Washington School of Dentistry


First Dental Visit : First Dental Visit Dentist will: Check: Face and Jaws Gums, Tongue, Tissues Teeth and Bite Ask questions Give information Courtesy University of Washington School of Dentistry


Acknowledgements : Acknowledgements MAJ Georgia delaCruz Dental Staff Officer Directorate of Health Promotion & Wellness US Army Center for Health Promotion & Preventive Medicine Additional graphics or information provided by the following: University of Washington School of Dentistry Diann Bomkamp, RDH, BSDH, Missouri Dr. Dietmar Kennel USC School of Dentistry Marquette University School of Dentistry WI Dept. of Health and Family Services