Summary

This document provides guidelines for oral hygiene, focusing on brushing techniques for children of different age groups. It covers various aspects, including the selection of toothbrushes and toothpaste, and recommended brushing frequencies. It also touches upon parental involvement and counselling.

Full Transcript

Intended Learning Skills: Be able to Demonstrate age-specific oral hygiene instructions, including brushing techniques for children, and advise appropriate toothbrushes and toothpaste for different age groups, considering the unique needs and developmental stage...

Intended Learning Skills: Be able to Demonstrate age-specific oral hygiene instructions, including brushing techniques for children, and advise appropriate toothbrushes and toothpaste for different age groups, considering the unique needs and developmental stages of each age group. Evaluate the effectiveness of age-specific oral hygiene education programs, including the impact on oral health knowledge, attitudes, and practices, and propose strategies for improving these programs based on the latest research findings and best practices. Do you think that we can stop all of the dental diseases ? What will happen to the dentists if all dental disease are stopped? Family oral health education is a crucial and continuous component of a plan to prevent dental caries in early childhood (1) Oral development (2) Dental disease process (3) Home care and oral hygiene training (4) Diet advice (5) Fluoride applications (6) Sealants (7) Recall Prenatal Counselling / Education Prenatal education is to provide the family with information regarding their baby’s dental development, the infectious nature of dental caries, diet and nutrition, oral hygiene, and recommended preventive measures such as fluoride, the timing of the first dental visit, and the importance of regular dental visits. Oral hygiene instructions Oral hygiene instructions Brushing Flossing Mouth rinses Gum massaging Tongue cleaning Soft tissue cleaning Parts of tooth brush the bristle material; length, diameter, and total number of fibers; length of brush head; trim design of brush head; number and arrangement of bristle tufts; angulation of brush head to handle; and handle design. In addition, many features, such as the use of neon colors or familiar cartoon caricatures, are designed to attract the attention of potential purchasers length of most bristles is 11 mm. Brushes are classified as soft, medium, or hard based on the diameter of these bristles. The diameter ranges for these classifications are 0.16 to 0.22 mm for soft, 0.23 to 0.29 mm for medium, and 0.30 mm and higher for hard. The round end is the bristle type of choice soft brush Brushing Brush – manual and POWERED Requirements – Age specific tooth brush -- manual and POWERED – Including toothbrushing/mouth cleaning with other bathing activities may assist in the development of a life long habit. – Parent / care taker. – Toothpaste – DISCLOSING AGENTS Brushing Objective The removal of plaque and debris from teeth and surrounding tissues is an essential hygiene activity that must be performed daily. Difficulties – parent / care taker – the three-dimensional nature of the oral cavity and tooth surfaces or accomplish the act safely with the stage of developed motor coordination. – Un cooperative Parent counseling and motivation Brushing Prenatal counselling Pre dentate Deciduous dentition Mixed dentition Permanent dentition Pre dentate wrapping a moistened gauze square or washcloth around the finger and gently massaging the teeth and gingival tissues. Deciduous dentition the appropriate brush is one with a long handle easy for an adult to grasp and a small head to fit comfortably in the mouth An appropriate location – bathroom in conjunction with other hygiene activity child will “fuss” with brushing -- Parents need to be creative and innovative to create a“fun”time.This may include distraction with music, singing, or an egg timer watched by the child. Face mirror to explore Flossing is generally not recommended for the pre-three child until the interdental contacts have been established and even then it will be the parent’s responsibility Use a small smear or rice-sized amount of fluoridated toothpaste for children under three-years-old. For those aged 3 to 6 years, use no more than a pea sized amount of fluoridated toothpaste when helping your children brush. Smear vs Pea Pea sized Demonstration for parents – it is important to demonstrate application of dentifrice, a full “round” of tooth cleaning, and positioning. – Do not assume that a parent can effect plaque removal without some instruction. – Critical to a successful home hygiene program is its integration into the lifestyle of the family. – Considerations must include location, timing, selection of devices and their expense, positioning, and problem solving relative to other needs of the child. PICTURE PERFECT – Decorate the bathroom mirror to frame your children’s views as they stand in front of the sink. Or, place a mirror at their level so they can watch themselves in. PERSONALIZE – decorate toothbrushes, rinse cups or hand towels COUNT DOWN – two-minute timer when your child begins brushing and launch a countdown to healthy teeth TASTY FLAVORS LAST LAUGH AWARD REWARDS! COPY CAT – Kids are born imitators. When they’re perfecting their oral hygiene skills, suggest they “watch and do as you do.” Demonstrate proper brushing, flossing and swishing techniques for them to do themselves BULLS EYE – It’s important that kids don’t swallow excess toothpaste or fluoride rinse. So, create a cool target in the bathroom sink and have your children aim for that target when spitting MESS AROUND – during play that most of a child’s learning occurs, so go ahead and enjoy the little moments – everyone will reap the benefits! DISCLOSING AGENTS increase the patient’s ability to remove plaque, several agents have been developed to allow for patient visualization of plaque teaching children toothbrushing techniques and educating them on the rationale for oral hygiene Chronological guidance for toothbrushing a child at risk for ECC 6 years – Brush with fluoridated toothpaste 2×/day – Caregiver performs or supervises Demonstration of tooth brushing Appropriate tooth brush Appropriate tooth paste Location Position of the child Technique of the brushing Systematic method of brushing Behaviour management Demonstration Care plan OHI – Ask few questions?? – Brushing method demonstration – Brushing frequency – Brushing performed / supervision – Brush type – Toothpaste recommended – Amount of toothpaste – Flossing if required – Rinses if required – Disclosing agents – Behavioural tips for improving brushing Children should participate in the brushing routine at an early age, but parents should supervise tooth brushing at all times and brush the child’s teeth themselves at least once a day (preferably twice a day) until the child is approximately 8 years of age. Parents No knowledge knowledge Action maintenance

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