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RISK GROUPS FOR DENTAL CARIES
Children with special health care needs
Children of mothers with a high caries rate
Children with demonstrable caries, plaque, demineralization, and/or staining
Children who sleep with a bottle or breastfeed throughout the night
Later-order offspring Children in families of low
socioeconomic status
EARLY INFANT ORAL HEALTH CARE
“It is EASY”
It is a win-win situation for your patients and you
PREVENTIVE rather than REACTIVEAdds a new set of patients to your
practice ($)
Allows you to retain patients for longer periods .
Physical Exam
Knee to knee exam (Clinical exam) What to look for
Plaque and inflammation Stain Decay
What to do: Prophy and fluoride ART (atraumatic restorative technique)
RISK GROUPS FOR DENTAL CARIES
Children with special health care needs
Children of mothers with a high caries rate
Children with demonstrable caries, plaque, demineralization, and/or staining
Children who sleep with a bottle or breastfeed throughout the night
Later-order offspring Children in families of low
socioeconomic status
Physical Exam
Knee to knee exam (Clinical exam) What to look for
Plaque and inflammation Stain Decay
What to do: Prophy and fluoride ART (atraumatic restorative technique)
STREPTOCOCCUS MUTANS Transmission of (S.M) can be delayed or
perhaps prevented by initiating intensive preventive program designed to reduce number Of (S.M) in the mothers as their infant begin erupt teeth.
Transmission in 2 ways
1-direct. 2-indirect.
↓Transmission of (S.M) when mother were treated with
1- Fluoride 2- Cholorohexidine
3 - Xylitol chewing gum .
4- management of active carious lesion .
XYLITOL XYLITOL CURRENTLY IS
AVAIABLE IN MANY FORMS (eg, gums , mints, chewable tablets, lozenges ,tooth pastes , mouth washes, COUGH MIXTURES ,) XYLTIOL CHEWING GUM HAS BEEN SHOWN TO BE EFFECTIVE AS PREVENTIVE AGENT THE EFFECTIVENESS OF OTHER XYLITOL PRODUCTS IS BEING STUDIED AT THE TIME
POLIC
Y
STATM
ENT
ITR MAY BE USED FOR CARIES CONTROL IN CHILDREN WITH MULTIPLE CARIOUS LESION PRIOR TO DEFINITIVE RESTROTATION OF THE TEETH
MI PAST &MI PAST PLUSMI PAST USED FOR BABY MI
PAST PLUS USED FOR HIGH RISK ,
DRY MOUTH , ONCOLOGY ,
TOOTH WITING , PORTHODONTIC ,
EROSIVE, PERIODONTAL DIEASE
FLUOR PROTECTOR GEL (CA+
PH+F) {IVOCLAR }
Zam zam waterIt is alkaline
having PH= 7.8 (more alkaline than saliva (7.2-7.4)Up to 8.38Carbonated 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 Ph contain Ph : (0.31-0.46) mg /L
( help remineralization of decayed teeth .) ( phosphate is one of protective factor in
remineralization.)
Hint : Low Ca & PH →Osteoporosis (esp.- women).
So -:Can be used systemically & locally as mouth wash.
-especially before sleeping & ↑risk group.e.g. radiation caries , rampant caries. During and after
ortho treatment.
Fluoride Varnish Fluoride varnish for preschool children with
special care need.Duraphat ( -2-5% F) Fluor protector (0.8%).Recommended in decalcified enamel secondary
to poor plaque removal or poor feeding & used for newly erupted teeth.
Arresting of early caries ,hyper sensitive area.
POLIC
Y
STATM
ENT
ITR MAY BE USED FOR CARIES CONTROL IN CHILDREN WITH MULTIPLE CARIOUS LESION PRIOR TO DEFINITIVE RESTROTATION OF THE TEETH