Collaborate with the medical, community health, Early Head Start, and dental providers to assure that all pregnant women visit the dental clinic during the early months of pregnancy.
EDUCATE!
Educate the mother about the transmissibility
of dental caries and ways to
prevent ECC.
Provide education and support to promote
breastfeeding.
COUNSEL!
Provide nutrition counseling to reinforce
the importance of a healthy diet
during the perinatal period.
MAKE RECOMMENDATIONS!
Recommend that pregnant women stop
using tobacco.
SET AN APPOINTMENT!
The dental staff can provide an oral
exam, periodontal disease screening,
prophylaxis, recommendations for
completing any needed dental treatment,
caries control, and appropriate
recall.
The dental staff can assess the
mother’s caries risk and prescribe
anti-bacterials like chlorhexidine or
xylitol for high-risk mothers during the
perinatal period.
COLLABORATE!
Collaborate with the medical, community
health, and dental providers to assure that
children receive the following oral health
services.
ASSESS!
Provide an oral health assessment soon
after the first tooth erupts or by 12 months
of age. Consider caries stabilization with
glass ionomer as appropriate.
PREVENT!
Provide topical fluoride varnish treatments
4 or more times during the period from 9-24
months of age.
EDUCATE FAMILIES!
Educate families about the importance of
never putting baby in bed with a bottle,
using a cup by 6 months, and weaning off
the bottle at 12-14 months of age.
Educate families about the protective qualities
of fluoride. Ideally, every child should
be drinking fluoridated water and have
their teeth cleaned twice daily with a small
smear of fluoride toothpaste.
Teach families to lift the lip and look for
chalky white or brown spots, and if they see
any signs of dental decay, they should see
the dentist.
ENCOURAGE!
Encourage healthy snacks and limited exposure
to sweets, refined starches like chips
and crackers, and sweetened drinks. Reinforce
to families that pop does not belong in a preschooler's diet.
COLLABORATE!
Collaborate with the medical, community
health, Head Start, and dental providers
to assure that every child has a
dental home.
Consider caries stabilization with glass
ionomer as appropriate. Consider dental
sealants for the primary molars of any
children who are at high risk for dental
caries.
PREVENT!
Provide topical fluoride varnish treatments
3-4 times a year for children at
high risk for dental caries.
EDUCATE FAMILIES!
Educate families about the protective
qualities of fluoride. Ideally, every child
should be drinking fluoridated water and
have their teeth brushed twice daily
with a pea-sized amount of fluoride
toothpaste.
Encourage healthy snacks and limited
exposure to sweets, refined starches
like chips and crackers, and sweetened
drinks. Reinforce to families that pop
does not belong in a preschooler’s diet.
HEAD START!
Daily supervised brushing with a peasized
amount of fluoride toothpaste.
Through Head Start, consider implementing
a fluoride varnish and xylitol
program for 3-5 year olds.
Other preventive measures such as chlorhexidine, iodine, and calcium phosphate products may be viable
chemotherapeutics along with fluoride varnish and the other strategies outlined in the ECC Collaborative, but at
this time, these measures have insufficient clinical evidence to be considered best practices. We are
encouraging pilot-testing of these and other chemotherapeutics.