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Table of Contents
Oral Health Risk Assessment Training for Pediatricians and Other Child Health Professionals
Introduction
Child Health Professionals’ Role in Promoting Oral Health
AAP Recommendations for an Oral Health Risk Assessment
Learning Objectives
Overview of Dental Caries and Early Childhood Caries
Prevalence of Dental Caries
Early Childhood Caries
Early Childhood Caries Can Lead to…
Consequences of Dental Caries
Pathophysiology of Caries Process
Factors Necessary for Caries
Tooth
Factors Necessary for Caries
Oral Flora
Oral Flora: Pathogenesis of Caries
Oral Flora: How Does Infection Occur?
Fluoride’s Influence on Oral Flora
Factors Necessary for Caries
Substrate: You Are What You Eat
Substrate: Environmental Influences
Not Just What You Eat, But How Often
Breastfeeding
History: Determining Caries Risk
High-Risk Groups for Caries
Children With Special Health Care Needs (CSHCN)
Common Issues Among Children With Special Health Care Needs
Socioeconomic Factors
Ethnocultural Factors
Fluoride Exposure
Physical: Oral Health Assessment
Maternal/Primary Caregiver Screening
Child Oral Health Assessment
Positioning Child for Oral Examination
Primary Teeth Eruption
What to Look For
Check for Normal Healthy Teeth
Check for Early Signs of Decay: White Spots
Check for Early Signs of Decay: Brown Spots
Check for Advanced/Severe Decay
AAPD Caries Risk Assessment Tool (CAT)
Anticipatory Guidance
Anticipatory Guidance
Minimize Risk for Infection
Xylitol for Mothers
Substrate: Contributing Dietary and Feeding Habits
Toothbrushing Recommendations
Toothpaste and Children
Toothpaste
Optimizing Oral Hygiene: Flossing
Treatment and Referral
Recommended Fluoride Supplement Schedule
Example of Fluorosis
Fluoride Varnish
Applying Fluoride Varnish
Remove Existing Dental Decay: Treating an Infection
Referral: Establishment of Dental Home
Community Systems of Care
Conclusion
You Can Make a Difference!
CME Credit/Commitment to Change
