Cavity Free Kids: Oral Health Education for Preschoolers ...

transcript

Cavity Free Kids:Oral Health Education

for Preschoolers and Their Families

WHY ORAL HEALTH?

Surgeon General’s Report

“In the past half-century, we have come to recognize that the mouth is a mirror of the body……it is critical to overall health and well-being.”

You can’t be healthy without

a healthy mouth!

What’s the Most Common Childhood Disease?

• Five times more common than asthma.

• Nearly 1 in 3 preschoolers already have it.

DENTAL CARIES

Isn’t tooth decay a thing of the past?

No! Dental Disease is a Silent National Epidemic!

• Disease rates for children are increasing

• Tooth problems cause loss of school time

• Kids are distracted by pain

• Nutrition suffers

• Complications last into adolescence and adulthood

Oral Health Disparities

The most vulnerable children are:

• Low income.

• Members of racial and ethnic minorities

• Those with disabilities and complex health conditions

25% of children experience 80% of the decay

Prevention is Possible!

FAMILYCOMMUNITY

HEAD START

Oral Health is a Family Affair

To keep children’s teeth healthy, parents must

care for their own teeth too

PREGNANT WOMENBRUSH UP BEFORE BABY

Baby’s Mouth Begins Forming During Pregnancy

• At 4-5 weeks – little baby tooth buds • At 4-7 weeks – lips• At 8-12 weeks – palate or roof of mouth• At 12 weeks – baby buds begin to harden

into baby teeth• At 6 months – permanent teeth buds

Oral Care is Part of Prenatal Care

Daily Oral Health Care

NutritiousDiet

DentalExams

Can I Get Dental Treatment WhileI Am Pregnant?

Yes! Any time:• Check-ups and

cleanings• Emergencies• X –rays

Yes! Middle Trimester:(between 14 & 20 weeks)

• Anesthesia• Medication• Time in the chair

Is Dental Treatment Safe During Pregnancy?

• Yes! Tell your dentist you are pregnant

• Keeping your teeth healthy will help your baby have healthy teeth

No!Pregnancy and hormones cause changes:

• Vomiting and Heartburn– Extra Acid on Teeth

• Irritated gums• Change in Saliva• Extra Bacteria

Will l lose a tooth with each pregnancy?

To help when there is extra acid:

• Do NOT brush immediately after vomiting• Rinse

– Water with baking soda– Liquid antacid– Fluoride rinse– Plain water

• Eat some cheese• Ask your oral health professional about fluoride

Saliva Changes

• Less flow in the first and last trimesters

• More flow during the second trimester

• Less buffering• Less minerals• More acidic

Pregnancy Granuloma

Univ. of Southern California

Pregnancy Gingivitis

Pregnancy Hormones Germ or Plaque Overgrowth

Bleeding Gums (and Tooth Decay)

What Can We Do?

• Floss daily

• Eat healthy foods

• Brush twice daily with fluoride toothpaste

• See your oral health professional

A Nutritious Diet Includes...

• Whole Fruits and Vegetables

• Meats and Cheese• Drink water or milk

instead of soda or juice• Eat less refined carbs

(i.e. crackers & chips)• Eat less sweets

NEW DENTAL SCIENCE: Did You Know …

Tooth Decay is Caused by a Transmissible Disease

Dental Caries

Cavity causing bacteria are transmitted in saliva by sharing everyday objects …..

…and direct contact Reduce the cavity-germs in your mouth:

• Get dental treatment for yourself.

• Brush 2 times a day• Continue to floss daily• Eat less sugar and

refined carbs. • Chew xylitol gum

HOW DO GERMS CAUSE CAVITIES?

Germs + Carbohydrates = Acid

Twenty Minute Acid Attacks

Acid + Tooth = Decay

Infant – Toddler Tooth Decay

Bottles in Bed Filled Bottles in Bed Filled With Anything With Anything

but Waterbut Water

Sipping on Sweet Sipping on Sweet Liquids in Bottles orLiquids in Bottles or

Sippy CupsSippy Cups

Frequent Sugary, Frequent Sugary, Sticky, Starchy SnacksSticky, Starchy Snacks

The Most Important Message:

Baby Teeth Are Important!

Why are Baby Teeth Important?

• Eating• Speaking• Growing and

developing• Holding space• Keeping a healthy

When is the last baby tooth lost?

Dental Disease is Progressive:

Our goal is to prevent….or catch it early

Early Tooth Decay – White Spots

University of Washington

Early Childhood Cavities

White spots

Cavities

Bryan Williams, DDS

Severe Decay

Untreated Decay and Abscess

Bryan Williams, DDS

Facial Swelling From Abscess

Bryan Williams, DDS

Prevention is Possible!

The Oral Health Routine...

...begins before teeth come in

Wipe infant’s gums with a soft cloth

or gauze

The First Tooth

Hey Dad, when will I get my first

tooth?

~6 to 10 months

Hurray for me!

It usuallycomes in

Begin Brushing with First Tooth

1. Gently stabilize baby’s head

2. Lift or lightly press the lips away from the teeth

3. Use a small soft brush twice a day

• Depends on AGE and RISK FACTORS

• General Guidelines:– A smear when they appear– Smear at a year– At two…pea-sized will do!

• Follow your dentist and program guidelines

Toothpaste or Not?

Fluoride strengthens teeth

Our teeth need two types of fluoride…

...from the inside

WaterDrops

become part of the teeth as they develop

...from the outside

ToothpasteRinse

Varnish

Protect from daily acid attacks

Fluoride Varnish

Varnish is painted on teeth

Parents brush it off the next day

Fluoride Varnish

Teething

• Symptoms are fussiness and drooling – try cold teething rings or wet cloth– avoid teething biscuits

• Teething does not cause fever,ear infection, or diarrhea

• An “eruption hematoma” is normal

Lift the Lip

At least once a month

Check for plaque, white spots or anything unusual

FIRST DENTAL VISIT

First Visit by First Birthday

It might be at...

a medical officeor a dental office

The Sun, Carolyn J. Yaschur

It just takes a minuteto check

Knee to Knee Exam

Where to Go For Dental Care

• Dental Offices

• Community Health Centers

• Mobile Clinics

• ABCD Program

HEALTHY FOOD CHOICES

• Offer cup at 6 months• Hold the bottle for baby• Finish bottle while still awake• At night - water only• Wean from bottle by

12-14 months

It’s the contents, not the container!

First Foods for Baby

First molars arrive ~ 13 to 19 months

The canine teeth ~ 16 to 23 monthsAll of the primary teeth should be in by ~ 2 ½ to 3 yrs

When Can I Brush by Myself?

• Around 8 years old• Write my name in cursive

Foods for Toddlers

Limit sweet, Limit sweet, sticky,sticky,starchy starchy snackssnacks

Move to a Move to a regular cupregular cup

3 Meals3 Meals22--3 snacks3 snacks

Serve water Serve water notnot

juice or pop juice or pop

Wean Wean from from bottlebottle

by 12by 12--14 14 monthsmonths

Foods that Promote Tooth Decay

• Juice • Soda Pop • Breakfast and

Granola Bars • Dried Fruit• Fruit Rolls • Crackers

• Chips• Pretzels • Sugared Cereals • Cookies • Candy • Cake • Kool-Aid • Tang

4 grams sugar =1 teaspoon

To calculate:• Find # grams of sugar

listed on label• Divide by 4• = # teaspoons of sugar

per serving

Nutrition FactsChocolate Milk 16 oz.Serving Size 8 oz.Servings per Package 2

Amount Per ServingCalories 180Sugars 28 g = 7 tsp

Sugar per Package = 14 tsp.

Food Labels

Foods That are Less Likely to Promote Tooth Decay

• Milk • Fresh Fruits • Whole Grain Crackers• Whole Grain Bread

Foods That Don’t Promote Tooth Decay

• Protein: meats, tuna, chicken, eggs, cheese, cottage cheese, beans

• Vegetables• Low carbohydrate yogurt• Nuts: nuts, seeds, popcorn for older

kids/adults

Healthy Food Choices For Preschool Children

• 3 meals & 2 snacks a day• Eat sweets with meals, not as snacks• Avoid grazing• Avoid sipping on sweet liquids• Drink water instead of juice or pop

Teeth Need Time to Rest & Repair

Breakfast Lunch Dinner

20 Minute Acid Attacks

Courtesy of Proctor and Gamble

20 Minute Acid Attacks

Breakfast Snack Snack Lunch Snack Snack Snack Dinner Snack

Courtesy of Proctor and Gamble

Teeth Need Time to Rest & Repair

HABITS FOR A LIFETIME

More Teeth, Same Routine

• Brush after breakfast and before bed• Soft brush• Round and round--wiggles • Fluoride toothpaste• Follow your dentist and

program guidelines

How to Brush

Pediatric Oral Health Smiles for Tomorrow

When Can I Brush by Myself?

• Around 8 years old• Write my name in cursive

Flossing Children’s Teeth

Begin Flossing

When the Teeth Touch

Not a Classroom Activity

Teeth are Coming In & Out

First Adult Teeth

I’m 5 or 7-- help me brush these!

Look for my first adult tooth (molar) BEHIND the

baby teeth – top and bottom

Dental Sealants

• Plastic coatings painted on the pits or grooves of back teeth

• Help prevent decay

• Quick and easy to apply

Tip the Scale for Our Kids

Clean teeth

Healthy Diet

Fluoride

Teeth are Protected!

Teeth not clean

Unhealthy Diet

No Fluoride

Teeth Decay!

Protection Risk

Caries BalanceFeatherstone Scale

ORAL HEALTH IN YOUR CENTERS

Infant – Toddler Centers• Serve tooth-healthy

meals and snacks

• Wipe infants’ gums and tongues after feeding

• When teeth appear, brush with a smear of fluoride toothpaste

• Brush toddlers’ teeth after meals or snacks

• ____ ___ ________ ____ ______ ________

• ____ ________ __ ______ _________

• Watch for children with dental problems

• Refer families to dental providers

Classroom Brushing

• Brush after first meal • Soft brushes • “Smear or pea-sized dab” of fluoride toothpaste• Tiny circles or short scrubs• Two minutes• Brush the tongue!• Replace brushes often

How to Brush

Pediatric Oral Health Smiles for Tomorrow

Tooth Brushing Routine

• At circle time• At the table• In the bathroom• Rinsing is not necessary• Teachers model behavior

Swish & Swallow

• Rinse vigorously with water after eating or snacking when you can’t brush

• Stops the acid attack

• NOT a substitute for brushing

Toothbrush Storage

Toothbrush Storage?

Prevention is Possible

Professional Care

Life-LongHealth Habits

Education For the

Entire Family

= Healthier Children

Our Goal: Healthy Teeth“Cavity Free Kids”Pilot ClassroomsEPIC Head Start

Good Oral Health!

A Start to a Lifetime of

Cavity Free Kids: Oral Health Education for Preschoolers ...

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