Ppt0000009.ppt [Read-Only] - ADEA€¦ · “Anticipatory Guidance is the process of providing...
Transcript of Ppt0000009.ppt [Read-Only] - ADEA€¦ · “Anticipatory Guidance is the process of providing...
LA PREMIЀRE DENTColored lithograph by Bove
After the drawing by Louis Léopold Boilly (1761‐1845)
A young woman shows her infant’s first tooth to a friend, while two children look with interest. The obviously proud father stands behind, and a dog looks on at the scene.
Mid‐ 19thC
Courtesy of
Menzies Campbell Collection
Royal College of Surgeons, Edinburgh, Scotland
Head Start/AAPDDental Home Initiative
Nicholas G. Mosca, DDSHHS Region 4 Oral Health Consultant
2009 ADEA Annual SessionMarch 16, 2009
Office of Head Start
• Head Start: Established in 1965. Federally funded pre-school for low-income 3-5 year-old children.
• Early Head Start: Established 1995. Serves children age 0-3. ~10% of HS children are in EHS.
• Promotes school readiness through the provision of educational, health, nutritional, social and other services to enrolled children and families.
FY 2006 Head Start Program StatisticsENROLLMENT 909,201
Ages:5 year olds & older 4%4 year olds 51%3 year olds 35%Under 3 years of age 10%
Racial/Ethnic Composition:American Indian/Alaska Native 4.2%Black/African American 30.7%White 39.8%Asian 1.8%Hawaiian/Pacific Islander .9%Bi-Racial/Multi-Racial 6.4%Unspecified/Other 16.2%Hispanic / Latino 34%
# of Grantees 1,604# of Centers 18,875# of Classrooms 50,030
Avg. Cost/Child $7,209Paid Staff 218,000Volunteers 1,365,000
• 91% of Head Start children had health insurance.• 87% of those with health insurance were enrolled in Medicaid EPSDT or SCHIP programs.
• Within 90 days of enrollment:– determination that each child is up to date on a
schedule of age-appropriate preventative dental care.
– determination that each child has an “ongoing source of continuous, accessible health care”.
• For those without a Dental Home, Head Start must assist families in accessing a source of care, that includes prevention and treatment.
Conditions for Federal FundingHead Start Performance Standards
OHS/AAPD Dental Home Program
• Project leadership and organizational support– Federal Office of Head Start consultant– Oral Health Consultant in 12 federal HHS regions– Head Start Dental Home Leader in 50 States
• Head Start Mentorship Teams• Local Dental Home Networks
• Resource Development and Training
Head Start RegionsHead Start Regions
American Indian & Alaska Natives
27
states
Migrant
Head Start
40
states
Peer-to-Peer Model• Model relies on peer-to-
peer professional efforts.• Dentists have the ability to
organize services for various groups when those efforts provide mechanisms for aligning dentists’interests and skills with local community program needs.
National Level Activities• Expert Workgroup
• National Organizational Partners• Policy Analysis
• Project Evaluation
Regional Level Activities• (List goals)
State Level Activities• Organize and train
Head Start Mentorship Teams• Oversee and monitor implementation
of Dental Home Initiative activities
Local Level Activities• Build and sustain Dental Home networks
©© LMCLMCáárdenas/2008 rdenas/2008
ANTICIPATORY GUIDANCEANTICIPATORY GUIDANCE
Lina MarLina Maríía Ca Cáárdenasrdenas--Dentchev, DDS, MS, PhDDentchev, DDS, MS, PhDDiplomate American Board of Pediatric DentistryDiplomate American Board of Pediatric Dentistry
Department of Pediatric DentistryDepartment of Pediatric Dentistry
Anticipatory GuidanceAnticipatory Guidance
““Anticipatory GuidanceAnticipatory Guidance is the process of providing is the process of providing practical, developmentallypractical, developmentally--appropriate information about appropriate information about childrenchildren’’s health to prepare parents for the significant s health to prepare parents for the significant physical, emotional, and psychological milestonesphysical, emotional, and psychological milestones””
Pediatr Dent. 2008;30(7 Suppl):112-118.
Anticipatory GuidanceAnticipatory Guidance
““SHOT FDDSHOT FDD””
•• Speech Development / SmokingSpeech Development / Smoking
•• Health & HabitsHealth & Habits
•• Oral HygieneOral Hygiene
Anticipatory GuidanceAnticipatory Guidance
•• Fluoride ExposureFluoride Exposure
•• Diet / Development of the Diet / Development of the
dentitiondentition
Speech and Language Speech and Language
•• Early recognition of speech and language Early recognition of speech and language developmentdevelopment
•• Early referralEarly referral•• Coordination of ServicesCoordination of Services
©© LMCLMCáárdenas/2009 rdenas/2009
Smoking and smokeless Smoking and smokeless TobaccoTobacco
•• Very often established in adolescenceVery often established in adolescence
©© LMCLMCáárdenas/2009 rdenas/2009
HealthHealth
•• Some medical conditions affect the caries Some medical conditions affect the caries risk of the patientrisk of the patient
•• MedicationsMedications•• XerostomiaXerostomia
©© LMCLMCáárdenas/2009 rdenas/2009
HabitsHabits
•• NonNon--nutritive habitsnutritive habits–– Thumb suckingThumb sucking–– Pacifier usePacifier use
©© LMCLMCáárdenas/2009 rdenas/2009
Oral HygieneOral Hygiene
•• Cleansing of mouth prior tooth emergenceCleansing of mouth prior tooth emergence•• Tooth brushing upon emergence of the Tooth brushing upon emergence of the
first toothfirst tooth•• OHI involves parent and patientOHI involves parent and patient
©© LMCLMCáárdenas/2009 rdenas/2009
TraumaTrauma
•• AgeAge--appropriate injury preventionappropriate injury prevention•• Playing objectsPlaying objects•• Car seatCar seat•• ““child proofchild proof”” homehome•• Use of mouth guards in older childrenUse of mouth guards in older children
©© LMCLMCáárdenas/2009 rdenas/2009
Fluoride ExposureFluoride Exposure
•• Drinking waterDrinking water•• Bottled waterBottled water•• Fluoride content in nursing waterFluoride content in nursing water
©© LMCLMCáárdenas/2009 rdenas/2009
Fluoride Supplementation Fluoride Supplementation ScheduleSchedule
Pediatr Dent. 2008;30(7 Suppl):121.
DietDiet
•• Never to bed with a bottleNever to bed with a bottle•• AAP recomend eliminating bottle use by AAP recomend eliminating bottle use by
age 1age 1
DietDiet
•• High risk dietary habits are established by High risk dietary habits are established by 12 months and maintained through 12 months and maintained through childhoodchildhood
Development of the DentitionDevelopment of the Dentition
•• Sequence more important than timingSequence more important than timing•• Generalized spacingGeneralized spacing
©© LMCLMCáárdenas/2009 rdenas/2009
Relationship between Mother’s and Children’s oral health
• There is a relationship between Mother’s and child’s level of LB & MS in saliva and plaque
For more information about the WDA Dental Home, contact your state dental association executive director
orWDA Executive Director Mark Paget
414-755-4100