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%