Infant Oral HealthProgram

Preventive action plan for infants and very

young children

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

First Step

See them early! Complete caries risk assessment Follow AAP, AGD and ADA

recommendations for first dental visit.

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)

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)

General Oral Hygiene Assessment

No Inflammation

Inflammation

No Plaque Plaque

Compliance Diet

Performance Brushing

Non-Compliance

Early Childhood Caries

Early Childhood Caries

Early Childhood Caries

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)

Early Childhood Caries

Risk Assessment

How to assess risk Mother/caregiver Infant/child

What to do: BFE (benign floral enhancement) Diet review/recommendations

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

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)

Benign Floral Enhancement(BFE): Infant

Caries removal (ART) Diet modification Optimize oral hygiene Judicious administration of fluoride

(systemic and topical)

Now What?(Reappoint status)

Referral Periodicity of recall

Clinical Scenarios