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Historical Development of Dentistry
Extraction;
Surgical approach
(“drilling and filling”)
Medical approach
(Minimal Intervention.)
Minimal Intervention Dentistry
- Modern approach to the treatment of tooth decay
- Based on “Medical Model” of caries management
The Intervention approach Minimal
A medical model Caries treated as a
biological infection Surgical techniques are
{ minor } .
EARLY CHILDHOOD CARIES (E C C)
Definition: - IT IS THE PRESENCE OF 1 OR
MORE DECAYED (NONCAVITED OR CAVITED
LESIONS ), MISSING (DUE TO CARIES) OR
FILLED TOOTH SURFACES IN ANY PRIMARY
TOOTH IN A CHILD (71 ) MONTHES OF
AGE OR YOUNGER . IN
CHILDERN YOUNGER THAN 3 YEARS OF AGE
ANY SIGN OF SMOOTH –SURFACE CARIES IS
INDICATIVE OF ( S-E CC ) ( AAPD )
CONSEQUENCES OF UNTREATED DENTAL CARIES IN CHILDREN
CAN QUICKLY DIMINISH THE GENERAL HEALH & QUALITY OF LIFE FOR THE AFFECTED INFANTS, BECOMES MORE DIFFICULT TO TREAT > > THE COAST INCREASE, PAIN ,DISCOMFORT ,REDUCED GROWTH & BODY WEIGHT, DISTURBED SLEEP AFFECTS GLUCOSTEROID PRODUCATION, SUPPRESSION OF HEMOGLOBIN FROM DEPRESSED ERYTHROCYTE PRODUCATION >>ANAEMIA.
THE DENTAL HOME
THE DENTAL HOME WAS
ESTABLISHED AS “AAPD POLICY
IN 2003, AND IS BASED ON
THE SAME CONCEPT AS THE
AMERICAN ACADEMY OF
PEDIATRICS POLICY STATEMENT
DEFINING THE MEDICAL HOME IN
1992 .
THE DENTAL HOME The dental home is the ‘ongoing
relationship between the dentist and
the patient, inclusive of all aspects of
oral health care delivered in a
comprehensive, continuously
accessible, coordinated, and family-
centered way. Establishment of a
dental home begins no later than 12
months of age and includes referral to
dental specialists when appropriate
(AAPD def,)
AAPD Policy Statement“The AAPD advocates interaction with
1- early intervention programs 2- schools 3- early childhood education and child care program 4- members of the medical and dental communities. 5- other public and private community agencies (To ensure awareness of age-specific oral health issues.)
The Dental Home and the Mission of the AAPD
• The mission and strategic goal(s) for the AAPD are: An oral disease-free population.Access of appropriate oral health
care for all children and patients with special health care needs.
To be centered around the Dental Home
a. Comprehensive oral health care
including “Acute care”& Preventive
services in accordance with AAPD
periodicity schedules.
b. Comprehensive assessment for oral diseases and conditions.
The Dental Home Provides…
The Dental Home Provides…
c. “Individualized “ preventive dental teething, health program based upon a caries-risk assessment and a periodontal disease risk assessment.
d. Anticipatory guidance about growth
and development issues,
(ie, digit or pacifier habits).
The Dental Home Provides…
e. Plan for acute dental trauma.
f. Information about proper care of the child’s teeth and gingivae. This would include prevention, diagnosis, and treatment of disease of the supporting and surrounding tissues & the “maintenance of health, function, and esthetics of those structures and tissues.”
The Dental Home Provides…
g. Dietary counseling.
h. Referrals to dental specialists when care
cannot directly be provided with
the dental home.
i. Education regarding future referral to a
dentist knowledgeable and comfortable
with adult oral health issues for
continuing oral health care.
Why Brush Teeth in ”{ Day Care Centers}” ?
Develop good habits
Children may not brush at home
Children learn basic hygiene principals
Cleaning Teeth Brush with* a “smear’
amount of toothpaste
using a soft toothbrush
(younger than 3 YEARS
**(PEA –SIZEd FOR
3 YEARS OLD) *** ( USE NEW
GENERATION OF TOOTH
PAST ) ?
Zam zam waterIt is alkaline
having PH= 7.8 (more alkaline than saliva (7.2-7.4)Up to 8.38( Carbonated beverage about PH=3.2 )
Carbonated water (280-299)mg/L bicarbonate.Bicarbonate has the best buffering effect .It limits the fall in PH when bacteria metabolize sugar . Contain fluoride (0.6-0.68 PPM).
Mineral water
Contain Ca : (230-245) mg/L Contain PH : (0.31-0.46) mg /L
( help remineralization of decayed teeth .) ( phosphate is one of protective factor in
remineralization .)Low Ca & PH →Osteoporosis (esp.- women)
SO , Can be used systemically ( drinking ) ,
locally as ( mouth wash.) , for ↑ risk group .
(radiation caries , rampant caries ). & During and after orthodontic treatment.
Screening for Dental Decay Getting Started
What you need• Dialogue with
parent/consent to do screening
• Good light source to see teeth
Tips for Preventing Decay Proper Bottle & Sip Cup Usage
– Milk and other sugary liquids can pool against the back of the top front teeth for the several hours the baby is sleeping
– Because of this, cavities can occur on the backs of the top front teeth, undetectable to parents
– Note: Going to bed with bottle can also cause
liquid to pool in ear tubes, causing ear infections
As a Parent Educator What’s your role?
• Educate parents about good early childhood oral hygiene
• Provide parents with tips to make healthy choice and prevent decay in primary teeth