Table 1B: Study domains and visit content using the American
Academy of Pediatrics oral health guidelines as standard of care.
Pilot
study domains |
American
Academy of Pediatrics (AAP) guidelines |
Frequency
discussed during visits |
Screening |
Oral health screening Determine whether tooth eruption and loss
are proceeding according to schedule Assess tooth irregularities and alignment of
teeth Assess oral hygiene (e.g., plaque and debris
on the teeth). Demonstrate to the parent how to remove
plaque and debris using the appropriate size toothbrush correctly Assess for: Tooth decay (dental caries) Malocclusions (improper alignment of the
jaws and teeth) Oral injuries Other risk factors |
87% |
Diet: Liquid (bottle/milk) Liquid (juice/sippy cup) |
Dietary counseling Parents and caregivers should be counseled
on the importance of reducing exposure to sugars in foods and drinks |
Bottle and milk: 13% Juice and sippy cup: 87% |
Fluoride: Systemic Topical |
Optimal use of fluorides Community-based Professionally applied Self-administered |
Systemic: 40% Topical: 66% |
Oral Hygiene: Parent brushing/No brushing Child brushing |
Anticipatory guidance Oral hygiene instruction Counseling regarding nonnutritive oral
habits Age appropriate information regarding dental
injury prevention |
Parent brushing: 87% Child brushing: 20% |
Dental home |
Interprofessional
collaboration and establishment of a dental home Dental home established within 6 months of
eruption of first tooth but no later than 12 months of age |
33% |