- 1.PREVENTIVE PEDIATRIC DENTISTRY THE CONTINUED CARE MODEL Dr.
Charles Lekic DDM, MSc, PhD, FRCD(C) 1426 McPhillips
Street,Winnipeg, MB
2. Pediatric Preventive Dentistry
- Dental caries presents a major dental health problem in
children
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- tooth susceptibility, bacterial plaque, carbohydrates, time,
oral sugar clearance,saliva flow & pH
3. Pediatric Preventive Dentistry
- Most important factors in caries prevention are:
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- Oral Hygiene, Diet, Fluoride therapy and Fissure sealants
4. Oral Health Education
- Plaque removal & Dietare the most important factors in oral
health education
5. Oral Health Education
6. Oral Health Education
- Flossing (once posterior contacts close)
- Oral Rinsing- removes only soft debris, recommended in patients
with ortho appliances
7. Oral Health Education
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- Chemotherapeutic agents- e.g. Chlorhexidine- short term
benefits
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- Chewing gums- Trident, CDA approved
8. Oral Health Education
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- Horizontal scrub- most successful for children
9. Oral Health Education
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- - Instruct Patient/Parent to write down what he/she eats or
drinks for 3 consecutive days.
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- -Analyze with the patient/parent and makerecommendations :
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- Reduce sucrose consumption
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- Sweets are not to be eaten between meals or at bedtime
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- Emphasize foods that require chewing, stay away from
soft/sticky foods
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- Brush teeth after meals and ALWAYS at Bedtime
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- Discuss the danger of hidden sugars such as starchy foods
(bread)
10. Fluoride Therapy
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- Provided by water fluoridation and by supplemental therapy
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- Concentration of 1 ppm of fluorides in drinking water is
considered optimal in reducing caries prevalence
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- Optimal fluoride concentration reduces caries up to 50%
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- Commonly use sodium fluoride, hydrofluosilic acid and sodium
silicofluoride
11. Fluoride Therapy
- Water Fluoridation (Contd)
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- Effect of systemic fluorides is greater on smooth enamel
surfaces
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- Most effective method in caries prevention
- Supplemental Fluoride Therapy
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- Before prescribing supplemental fluoride, must know:
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- The fluoride content in childs drinking water
12. Fluoride Therapy
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- Delivered via gels, varnishes, mouthrinses, prophy pastes and
dentifrices
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- No need for topical fluoride in patients with low risk and/or
residing in optimally fluoridated areas- use of a fluoridated
toothpaste should be sufficient.
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- Fluoridated dentifrices are not recommended in small children
(12 yrs, high risk) 31. Continued Care Model
- Following the first round of preventive letters 25% of parents
responded,answering the questions.
- We expect this percentage to increase following the next rounds
of letters and more especially following the next recall
visit.
32. Continued Care Model
- At the next recall visit if the child will present with healthy
teeth he/she will earn the membership to the No Cavity Club.
No Cavity Club No Cavity Club 33. Continued Care Model
- The child will be able to use this card in Toys R Us stores and
the cash value for the first cavity free recall visit will be
$15.00
No Cavity Club No Cavity Club 34. Continued Care Model
- At the subsequent recall visits if the child continues to have
healthy teeth the cash award will increase by $5.00 and will raise
up to the full amount reduced only for the actualcost of the recall
visit.
No Cavity Club No Cavity Club 35. Continued Care Model
- No Cavity Club membership and the health promotion letters,
that are to be sent to the parents, are designed to increase the
awareness regarding oral health and to award and motivate children
and parents in achieving and maintaining health.
36. Continued Care Model
- Continued Care Model is a true investment in health and is a
unique model to North America.
- Further research will provide evidence regarding the
effectiveness of the program and the dental profession will be
given this information as soon as it becomes available
37. Continued Care Model
- At the end of the day what is more rewarding then a healthy
smile on a pediatric dental patient?
38.
- Thanks for your attention