Anticipatory Guidance.pptVIP

Anticipatory Guidance February 2, 2005 Joseph McManus, DMD,MS,MHA,MBA “Using Anticipatory Guidance To Provide Early Dental Intervention”byArthur Nowak, , DMD, MAPaul Casamassimo, DMD,MSinJADA, Vol. 126, August 1995 Classic Preventive Dentistry for Children Reduce caries and periodontal disease. Driven by the infectious disease model proposed by Keyes. Tri-factorial model 1. Agent (bacteria) 2. Host (tooth) 3. Substrate (carbohydrate) POINTS OF VIEW The Old Paradigm A child’s first visit occurs at age 3. The New Paradigm The child’s first visit will occur no later than her first birthday. THE 80/20 RULE Caries among U. S. children seem to be concentrated in about 20-25 percent of the child population. 20 percent of your patients will cause 80 percent of the problems in your practice and in your professional life. FACTS There are limitations in the infectious-disease model in comprehensive preventive oral care for children. There is a need for dentists to examine children for oral conditions other than caries and periodontal disease. There is an evolving role of the dentist acting as an early interventionist. Anticipatory Guidance provides a framework for prevention that goes beyond caries to address all aspects of children’s oral health! THE MEDICAL APPROACH WHAT’S UP DOC?? CHILDREN ARE NOT BORN WITH A SET OF INSTRUCTIONS WRITTEN ON THEIR CHEST PARENT’S ARE USUALLY CLULESS MOM DAD THIS IS WHAT’S UP In pediatric health care anticipatory guidance is the process of providing practical health information to parents in anticipation of significant, physical, emotional and psychological milestone. Alerting them to impending change. Teaching them their role in maximizing their children’s development. Child’s Developmental Age Range Milestones Content Area Oral Development Fluoride Oral Hygiene/Health Habits Nutrition and Diet Injury Prevention Dentist’s Actions Child’s Developmental Age Range6-12 mon