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Bright Futures: Oral Health in Childcare

Bright Futures: Oral Health in Childcare. Joseli Alves-Dunkerson, DDS, MPH, MBA Peg Terp, MPH LeeAnn HoaglinCooper, BS, RDH. BRIGHT FUTURES. National Perspective.

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Bright Futures: Oral Health in Childcare

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  1. Bright Futures:Oral Health in Childcare Joseli Alves-Dunkerson, DDS, MPH, MBA Peg Terp, MPH LeeAnn HoaglinCooper, BS, RDH

  2. BRIGHT FUTURES National Perspective

  3. 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 GeneralU.S. Public Health Service

  4. Association of MCH Programs National Assembly for School-based Health Care National Association of School Nurses National Association of WIC Directors National Mental Health Association Society of Adolescent Medicine American Medical Association and many more… Bright Futures Support • American Academy of Pediatrics • Am. Academy of Pediatric Dentistry • Am. Dental Hygienists’ Association • American Dietetic Association • NAPNAP • American Public Health Association • American School Health Association • American Nurses Association • National Center for Health Education

  5. What Is Bright Futures? Bright Futures is a: • Vision • Philosophy • Set of Expert Guidelines • Practical Developmental Approach to Providing Health Supervision

  6. 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

  7. Bright Futures is a Philosophy Optimal health for all children requires: • Trusting relationships between health professionals, the family, and the child • Collaborative community partnerships

  8. Bright Futures Core Concepts • Prevention Works • Families Matter • Health is Everyone’s Business

  9. Prevention Works • Fluoridation • Sealants • Child Safety Seats • Immunization • Back to Sleep • Bicycle Helmets • Home Safety

  10. Families Matter Partnership with the Family • Families as partners • Families as caregivers • Families as teachers • Families as resources

  11. Community Partnerships • Local health jurisdictions (LHJs) • Local oral health coalitions • Dental providers • Families • Community Centers • Schools • Early Childhood Programs • Child Care

  12. Bright Futures Materials for Professionals

  13. State Perspective • Provide consistent and effective oral health messages for local programs

  14. Bright Futures Oral Health Bright Futures OH Tooth Tutor Foundation Local Coordinators Expertise MCH-related programs Customers DOH, UW, MCH programs, associations, parent groups Reviewers 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

  15. WA State BF OH – Subgroups • WIC • CSHCN • First Steps/NPF • HS/ECEAP/Childcares • Tooth Tutor/Schools • Adolescents • Child Profile

  16. Bright Futures Oral Health for Childcare Programs LeeAnn Cooper, RDH Peg Terp, MPH

  17. Why Are We Here? • We want childcare programs to promote effective, safe and healthy oral health practices at school and at home. • We want children to be Cavity Free by Kindergarten!

  18. What Are We Going To Do Today? • Review basics in causes and prevention of tooth decay • Develop an understanding of how oral health education can be integrated in childcare programs • Share our guideline and materials to promote oral health

  19. Is Tooth Decay a Problem? YES! • Preschool children (HeadStart, 2000 SMILE Survey) 41.5% have had cavities or fillings National goal: 11% 2005/HP2010 Health Objectives

  20. Key Principles

  21. Tooth decay is a bacterial Infection Plaque Germs Sugar bugs

  22. We get bacteria from our primary caregiver. Li Y, Caufield PW, J Dent Res 1995;74:681-5.

  23. Plaque is the film that grows on our teeth. • Contains different bacteria • Can be reduced by toothbrushing

  24. Nutrition • Healthy food for healthy bodies and teeth! • Amount • Texture • Frequency!

  25. Regular meals and snacks • Regular Meals • Regular Meals plus Grazing • Prolonged bottle feeding, sippy cups, etc.

  26. Breakdown and Repair Eat carbohydrate Repair Tooth begins to break down Rebuilds the tooth Fluoride is available in paste and water Fluoride combines with calcium Fluorides in caries prevention. Wright, Boston, 1991; p 295-323.

  27. Fluoride • Decreases the breakdown of teeth • Increases the repair of the teeth

  28. Fluoride works best Available in small daily amounts • drinking water • twice daily in toothpaste

  29. Visits to the Dentist • Stop decay BEFORE you see it • High strength fluoride • Preventive care, as needed • Fills holes and cavities • Reduce bacterial infection • Emergent care, if needed

  30. New things to watch for • Xylitol • Chlorhexidine • Fluoride varnish

  31. What Childcare Providers can do?

  32. Bright FuturesGuide for Oral Health in Washington State

  33. Review activities • 2. Oral Health Action Plan • Example: We will record the name/phone of every child’s dentist on our health record. • Measure your current status • 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.

  34. Ask parents about • Prevention: • What they are doing to prevent tooth decay on their children? • Access: • Do families AND children have a dental provider?

  35. Prevention: fluoride and risk assessment • Fluoride: • Do children have access to fluoridated water at home or school? • History of decay • Do parents or children have a history of tooth decay?

  36. Prevention: Toothbrushing in Childcare • Toothbrushes • Labeling • Cleaning • Replacement • Storage • Buy it or make it

  37. Prevention: Classroom Toothbrushing Management • Passing out the brushes • Toothpaste • Dispensing • Techniques Introduction Sink Method Table Method • Swishing and spitting • Rinsing and storage

  38. Prevention: Nutrition Planning • Two component snacks • Water with meals and snacks • Thirsty? Offer water first! • Sit down for meals and snacks • Fresh, frozen or canned fruits and vegetables • Others

  39. Access: Dental exams and Dental screening • Dental Homes • Mobile Dental Programs

  40. Access: insurance, dental provider • Registration • Dentist? • Insurance? • Health (DENTAL) History • Consents

  41. Access: Share Dental Resources • Dental homes • Build a relationship with local providers • Learn about available resources • CHAP • Snohomish County Dental Resources • DOH Oral Health Program website: how to find dental care

  42. Access: Track Dental Needs • 90 day enrollment • Recommended treatment • Watch for child behaviors • Recommended check ups for prevention • 1st dental checkups beginning at age one!

  43. Access: Dental emergencies • Post dental emergency procedures • Toothaches • Falls and bumps • Cuts or bites(tongue) • Knocked out permanent tooth • Celebrate growing up • Lost baby tooth

  44. Planning and Writing Your Oral Health Program A curriculum is a written plan for your program.

  45. Structure for pre-school • Circle Time • Story Time – Book List/Song List • Center Time • Room Environment • School to Home

  46. Topics/Concepts • Visiting the Dentist • Keeping Teeth Healthy • Plaque • Toothbrushing • Fluoride • Tooth decay • Importance of Baby Teeth • Nutrition and Oral Health

  47. Resources

  48. Discussion

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