CHDPOralHealthAssessmentandReferralTraining：一系列的口腔健康评估及转诊培训.pptVIP

Preparation: The following information is provided as background, to prepare you for questions medical staff may ask. Additional risk factors include: Active or Past Tooth Decay: Parents can transmit decay causing bacteria to their child via saliva by sharing eating utensils/straws, or cleaning the pacifier by mouth. Poor Feeding Habits: Bacteria live in sticky plaque attached to surfaces of the teeth. Any sugary food like milk, juice, cookies, and crackers feed the bacteria making acid. Acid destroys the tooth. Sleeping with bottle ~ Baby doesn’t completely swallow all the liquid. Sugary drinks, including milk, can pool around teeth. Anything other than water can cause a problem. Introduce a cup at 6 months and stop the bottle by age one. Lack of Fluoride: Whether the community water is fluoridated or not, fluoride varnish is still recommended. (See link at bottom of slide to view local fluoride concentration in drinking water.) Even if a child is taking a systemic fluoride, the use of topical fluorides including fluoride varnish, is still recommended. No Recent Dental Visit – A Dental Home should be established by age one. Poor Homecare – Parent should brush their own teeth, and child’s teeth twice a day. Children with Special Health Care Needs have many health care problems and dental needs may be overlooked, including: Inability to cooperate Lack of motor skills Lack of access to specialized dental care Medication side effects, including: reduced saliva increased caries risk due to sugar based medication tissue changes including gum overgrowth, and sensitive, red tissue The risk factors listed on this slide are found in the AAP Risk Assessment Tool, which can be used by providers when assessing risk for fluoride varnish use on their patients. (Link at bottom of slide.) Speaker Tips: Emphasis is on CHDP children needing fluoride varnish. Review the bullets for additional risk factors, including any preparation details listed above