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The American Academy of Pediatrics published a policy statement recommending oral health risk assessments in the pediatric office. |
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In keeping with AAP policy, a caries risk assessment and clinical evaluation should be performed at every well-child visit, beginning at 6 months of age. |
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The purpose of the risk assessment is to determine if an infant would benefit from early, aggressive dental intervention. |
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A complete oral examination should be part of every routine visit, starting at 6 months of age. |
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The most important tools include a good light source and a tongue depressor. |
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The knee-to-knee exam is often best for young children. |
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It is important to examine the gum line for plaque and all stages of dental caries, as caries usually begin along the gum line. |
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It is important to document all findings and refer any abnormalities to a dental provider. |
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The AAPD Caries Risk Assessment Tool categorizes indicators as low, moderate, and high-risk. |
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A child's risk for developing decay is based on the highest level risk indicator. |
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High or moderate risk factors should be addressed through anticipatory guidance and education. |
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Children determined to be at high risk should be referred to a dentist. |
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According to AAP policy, high-risk patients should be directed to establish a dental home by 12 months of age. |
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Children who sleep with a bottle or breastfeed during the night are considered high risk for early childhood caries. |
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A list of high-risk groups is provided in the AAP policy statement. |
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Pediatric dentists are capable of treating children of all ages, and are ideal for children age 3 and younger. |
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Referrals to a dentist should be treated like those to any other health professional. |
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Ideally, dental referrals will involve a pre-existing pediatrician-dentist relationship. |
