86
1 Cavity Free Kids: Oral Health Education for Preschoolers and Their Families
1
Cavity Free Kids:Oral Health Education
for Preschoolers and Their Families
2
WHY ORAL HEALTH?
3
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!
4
What’s the Most Common Childhood Disease?
• Five times more common than asthma.
• Nearly 1 in 3 preschoolers already have it.
DENTAL CARIES
5
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
6
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
7
Prevention is Possible!
88
FAMILYCOMMUNITY
HEAD START
9
Oral Health is a Family Affair
To keep children’s teeth healthy, parents must
care for their own teeth too
10
PREGNANT WOMENBRUSH UP BEFORE BABY
11
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
12
Oral Care is Part of Prenatal Care
Daily Oral Health Care
NutritiousDiet
DentalExams
13
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
14
Is Dental Treatment Safe During Pregnancy?
• Yes! Tell your dentist you are pregnant
• Keeping your teeth healthy will help your baby have healthy teeth
15
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?
16
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
17
Saliva Changes
• Less flow in the first and last trimesters
• More flow during the second trimester
• Less buffering• Less minerals• More acidic
18
Pregnancy Granuloma
Univ. of Southern California
19
Pregnancy Gingivitis
Pregnancy Hormones Germ or Plaque Overgrowth
Bleeding Gums (and Tooth Decay)
20
What Can We Do?
• Floss daily
• Eat healthy foods
• Brush twice daily with fluoride toothpaste
• See your oral health professional
21
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
22
NEW DENTAL SCIENCE: Did You Know …
23
Tooth Decay is Caused by a Transmissible Disease
Dental Caries
24
Cavity causing bacteria are transmitted in saliva by sharing everyday objects …..
25
…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
26
HOW DO GERMS CAUSE CAVITIES?
27
Germs + Carbohydrates = Acid
28
Twenty Minute Acid Attacks
Acid + Tooth = Decay
29
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
30
The Most Important Message:
Baby Teeth Are Important!
31
Why are Baby Teeth Important?
• Eating• Speaking• Growing and
developing• Holding space• Keeping a healthy
place
When is the last baby tooth lost?
32
Dental Disease is Progressive:
Our goal is to prevent….or catch it early
33
Early Tooth Decay – White Spots
University of Washington
34
Early Childhood Cavities
University of Washington
35
Early Childhood Cavities
University of Washington
White spots
Cavities
36
Early Childhood Cavities
Bryan Williams, DDS
37
Severe Decay
University of Washington
38
Untreated Decay and Abscess
Bryan Williams, DDS
39
Facial Swelling From Abscess
Bryan Williams, DDS
40
Prevention is Possible!
41
The Oral Health Routine...
...begins before teeth come in
Wipe infant’s gums with a soft cloth
or gauze
42
The First Tooth
Hey Dad, when will I get my first
tooth?
~6 to 10 months
Hurray for me!
It usuallycomes in
43
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
44
• 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?
45
Fluoride strengthens teeth
Our teeth need two types of fluoride…
46
...from the inside
WaterDrops
Pills
become part of the teeth as they develop
47
...from the outside
ToothpasteRinse
Varnish
Protect from daily acid attacks
48
Fluoride Varnish
Varnish is painted on teeth
Parents brush it off the next day
Fluoride Varnish
University of Washington
University of Washington
49
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
50
Lift the Lip
At least once a month
Check for plaque, white spots or anything unusual
51
FIRST DENTAL VISIT
52
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
53
Knee to Knee Exam
54
Where to Go For Dental Care
• Dental Offices
• Community Health Centers
• Mobile Clinics
• ABCD Program
55
HEALTHY FOOD CHOICES
56
• 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
57
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
58
When Can I Brush by Myself?
• Around 8 years old• Write my name in cursive
59
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
60
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
61
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
62
Foods That are Less Likely to Promote Tooth Decay
• Milk • Fresh Fruits • Whole Grain Crackers• Whole Grain Bread
63
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
64
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
65
Teeth Need Time to Rest & Repair
Breakfast Lunch Dinner
20 Minute Acid Attacks
Courtesy of Proctor and Gamble
66
20 Minute Acid Attacks
Breakfast Snack Snack Lunch Snack Snack Snack Dinner Snack
Courtesy of Proctor and Gamble
Teeth Need Time to Rest & Repair
67
HABITS FOR A LIFETIME
68
More Teeth, Same Routine
• Brush after breakfast and before bed• Soft brush• Round and round--wiggles • Fluoride toothpaste• Follow your dentist and
program guidelines
69
How to Brush
Pediatric Oral Health Smiles for Tomorrow
70
When Can I Brush by Myself?
• Around 8 years old• Write my name in cursive
71
Flossing Children’s Teeth
Begin Flossing
When the Teeth Touch
Not a Classroom Activity
72
Teeth are Coming In & Out
73
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
74
Dental Sealants
• Plastic coatings painted on the pits or grooves of back teeth
• Help prevent decay
• Quick and easy to apply
University of Washington
75
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
76
ORAL HEALTH IN YOUR CENTERS
77
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
78
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
79
How to Brush
Pediatric Oral Health Smiles for Tomorrow
80
Tooth Brushing Routine
• At circle time• At the table• In the bathroom• Rinsing is not necessary• Teachers model behavior
81
Swish & Swallow
• Rinse vigorously with water after eating or snacking when you can’t brush
• Stops the acid attack
• NOT a substitute for brushing
82
Toothbrush Storage
83
Toothbrush Storage?
84
Prevention is Possible
Professional Care
Life-LongHealth Habits
Education For the
Entire Family
= Healthier Children
85
Our Goal: Healthy Teeth“Cavity Free Kids”Pilot ClassroomsEPIC Head Start
86
Good Oral Health!
A Start to a Lifetime of
