Bright Futures Oral Health in Childcare Joseli AlvesDunkerson
Bright Futures: Oral Health in Childcare Joseli Alves-Dunkerson, DDS, MPH, MBA Peg Terp, MPH Lee. Ann Hoaglin. Cooper, BS, RDH
BRIGHT FUTURES National Perspective
We need to do a better job of weaving a safety net of understanding, appreciation and guidance in the family, in the community and school. We need to start thinking of health and education as interlocking spheres. ” C. Everett Koop, M. D. Former Surgeon General U. S. Public Health Service
Bright Futures Support n American Academy of Pediatrics n Association of MCH Programs n Am. Academy of Pediatric n National Assembly for School- Dentistry n Am. Dental Hygienists’ based Health Care n Association National Association of School Nurses n American Dietetic Association n NAPNAP n American Public Health n National Mental Health Association n Society of Adolescent Medicine American School Health n American Medical Association n and many more… n n American Nurses Association n National Center for Health n National Association of WIC Directors
What Is Bright Futures? Bright Futures is a: n Vision n Philosophy n Set of Expert Guidelines n Practical Developmental Approach to Providing Health Supervision
Bright Futures is a Vision Every child deserves to: § § § be healthy experience joy have self-esteem have caring family & friends believe s/he can succeed in life a Bright Future
Bright Futures is a Philosophy Optimal health for all children requires: n Trusting relationships between health professionals, the family, and the child n Collaborative community partnerships
Bright Futures Core Concepts n Prevention Works n Families Matter n Health is Everyone’s Business
Prevention Works • Fluoridation • Sealants • Child Safety Seats • Immunization • Back to Sleep • Bicycle Helmets • Home Safety
Families Matter Partnership with the Family § Families as partners § Families as caregivers § Families as teachers § Families as resources
Community Partnerships § Local health jurisdictions (LHJs) § Local oral health coalitions § Dental providers § Families § Community Centers § Schools § Early Childhood Programs § Child Care
Bright Futures Materials for Professionals
State Perspective n. Provide consistent and effective oral health messages for local programs
Bright Futures Oral Health Foundation Bright Futures OH Expertise Local Coordinators Tooth Tutor Customers MCH-related programs Reviewers DOH, UW, MCH programs, associations, parent groups Results Families getting the same OH messages wherever they go Community reps on the same page in terms of OH OH education fact sheets available online Increased awareness of oral health
WA State BF OH – Subgroups n WIC n CSHCN n First Steps/NPF n. HS/ECEAP/Childcares n Tooth Tutor/Schools n Adolescents n Child Profile
Bright Futures Oral Health for Childcare Programs Lee. Ann Cooper, RDH Peg Terp, MPH
Why Are We Here? n We want childcare programs to promote effective, safe and healthy oral health practices at school and at home. n We want children to be Cavity Free by Kindergarten!
What Are We Going To Do Today? n Review basics in causes and prevention of tooth decay n Develop an understanding of how oral health education can be integrated in childcare programs n Share our guideline and materials to promote oral health
Is Tooth Decay a Problem? YES! n Preschool children (Head. Start, 2000 SMILE Survey) 41. 5% have had cavities or fillings National goal: 11% 2005/HP 2010 Health Objectives
Key Principles
Tooth decay is a bacterial Infection Plaque Germs Sugar bugs
We get bacteria from our primary caregiver. Li Y, Caufield PW, J Dent Res 1995; 74: 681 -5.
Plaque is the film that grows on our teeth. n Contains n Can different bacteria be reduced by toothbrushing
Nutrition Healthy food for healthy bodies and teeth! • Amount • Texture • Frequency!
Regular meals and snacks • Regular Meals plus Grazing – Prolonged bottle feeding, sippy cups, etc.
Breakdown and Repair Eat carbohydrate Tooth begins to break down Fluoride is available in paste and water Repair Rebuilds the tooth Fluoride combines with calcium Fluorides in caries prevention. Wright, Boston, 1991; p 295 -323.
Fluoride n Decreases n Increases the breakdown of teeth the repair of the teeth
Fluoride works best Available in small daily amounts n drinking water n twice daily in toothpaste
Visits to the Dentist n Stop decay BEFORE you see it – High strength fluoride – Preventive care, as needed n Fills holes and cavities n Reduce bacterial infection n Emergent care, if needed
New things to watch for n Xylitol n Chlorhexidine n Fluoride varnish
What Childcare Providers can do?
Bright Futures Guide for Oral Health in Washington State
1. Review activities 2. Oral Health Action Plan Example: We will record the name/phone of every child’s dentist on our health record. 3. Measure your current status 1. Example: Count the number of children that have had a dental examination at the beginning of the year 4. Oral Health Training for staff and families 5. Routine Oral Health Activities 6. Repeat measures to evaluate outcomes. Example: Count the number of dental exams at the end of the year, and also from year to year.
Ask parents about n Prevention: – What they are doing to prevent tooth decay on their children? n Access: – Do families AND children have a dental provider?
Prevention: fluoride and risk assessment § Fluoride: – Do children have access to fluoridated water at home or school? n History of decay – Do parents or children have a history of tooth decay?
Prevention: Toothbrushing in Childcare n Toothbrushes n Labeling n Cleaning n Replacement n Storage – Buy it or make it
Prevention: Classroom Toothbrushing Management Passing out the brushes n Toothpaste n – Dispensing Techniques Introduction Sink Method Table Method n Swishing and spitting n Rinsing and storage n
Prevention: Nutrition Planning n Two component snacks n Water with meals and snacks n Thirsty? Offer water first! n Sit down for meals and snacks n Fresh, frozen or canned fruits and vegetables n Others
Access: Dental exams and Dental screening n Dental Homes n Mobile Dental Programs
Access: insurance, dental provider n Registration – Dentist? – Insurance? – Health (DENTAL) History – Consents
Access: Share Dental Resources n Dental homes n Build a relationship with local providers n Learn about available resources – CHAP – Snohomish County Dental Resources – DOH Oral Health Program website: how to find dental care
Access: Track Dental Needs n 90 day enrollment n Recommended treatment – Watch for child behaviors n Recommended check ups for prevention n 1 st dental checkups beginning at age one!
Access: Dental emergencies n Post dental emergency procedures – Toothaches – Falls and bumps – Cuts or bites(tongue) – Knocked out permanent tooth n Celebrate growing up – Lost baby tooth
Planning and Writing Your Oral Health Program A curriculum is a written plan for your program.
Structure for pre-school n Circle Time n Story Time – Book List/Song List n Center Time n Room Environment n School to Home
Topics/Concepts n Visiting the Dentist n Keeping Teeth Healthy – Plaque – Toothbrushing – Fluoride – Tooth decay n Importance of Baby Teeth n Nutrition and Oral Health
Resources
Discussion
- Slides: 48