Cha lle ng e s with K e y Me ssa g e s Bre a stfe e ding & b o ttle -fe e ding › Ba b y te e th ma tte r › Be ne fits o f fluo ride to o ra l he a lth › Ac c e ss to De nta l Ca re Re g iste ring a c hild fo r no n-insure d he a lth b e ne fits (NI HB) › Whe re to g o in Winnipe g › Whe re to g o in rura l re g io ns – MDA we b site ›
Co mmunic a tio n › Mo tiva tio na l inte rvie wing › Re la ying info rma tio n › Ma nito b a Po ve rty T o o l
› Bre a stfe e ding & b o ttle -fe e ding › Ba b y te e th ma tte r › Be ne fits o f fluo ride to o ra l he a lth
Cha lle ng e : “I thoug ht bre a st milk did not • c a use tooth de c a y… isn’t it he a lthy?” Bre a st milk is b e st • Ho we ve r it a lso c o nta ins sug a rs whic h c a n • inc re a se the risk o f e a rly c hildho o d c a rie s (E CC) I t is NOT the a c t o f b re a stfe e ding itse lf tha t • inc re a se s the risk fo r E CC I t IS b re a stfe e ding o n de ma nd witho ut a ny ho me o ra l hyg ie ne ro utine • tha t inc re a se s the risk o f E CC T o o th de c a y ha ppe ns whe n te e th a re e xpo se d to sug a rs fo r lo ng • pe rio ds o f time
Re mo ve b a b y fro m • b re a st a fte r fe e ding to e nsure the y swa llo w the la st mo uthful o f milk Wipe a lo ng the g um line • o nc e da ily with a wa rm c lo th (fo r b o th b re a stfe e ding a nd b o ttle -fe e ding ) Optima l time to wipe • g ums is be d time OR ba th time ! Be ne fits o f wiping the • g ums inc lude a g re a te r c ha nc e o f a po sitive e xpe rie nc e whe n the c hild se e s the de ntist Br e astfe e ding r e sour c e available on our we bsite !
• Challe nge : “I c an’t se e m to ge t my two ye ar old to stop using the bottle … ” Re c o mme nde d a g e to we a n o ff o f the b o ttle is • b y a g e 1 Childre n who c o ntinue to use a b o ttle a fte r • o ne ye a r ma y inc re a se the risk o f da ma g ing the ir smile s la te r in life Pro pping b o ttle s a lso inc re a se the risk fo r E CC • a s it ke e ps the drink a ro und b a b y’ s te e th whe re b a c te ria will g e t a t the m • Challe nge : “My c hild will only go to sle e p with a milk bottle !” I f a b e dtime / na ptime b o ttle is ne c e ssa ry, • g ive pla in wa te r o nly. E ve n fo rmula a nd o the r he a lthy drinks le a d to • E CC if the y a re put in b e dtime / na ptime b o ttle s
T ho se ha ving tro ub le we a ning a c hild o ff o f a b o ttle b y a g e 1o r if • the c hild is use d to fa lling a sle e p with a b o ttle o f milk c a n try g ra dua lly intro duc ing wa te r into the b o ttle a nd inc re a sing tha t a mo unt slig htly a ro und a 4-6 we e k pe rio d By we e k 4-6, the c hild will e ithe r c o ntinue ta king the wa te r b o ttle • o r will a vo id the b o ttle e ntire ly re duc ing the risk fo r E CC Milk Milk Milk Milk Wa te r Wa te r Wa te r Wa te r We e k 1 We e k 2 We e k 3 We e k 4
• Alo ng with wiping milk o ff o f the g um line , o ptima l time to c he c k fo r sig ns o f to o th de c a y is a t be d time OR bath time ! • Curre nt re c o mme nda tio n is to lift the lip o nc e a mo nth
He althy te e th Visit de ntist b y 1 st b irthda y Whitish line s T o o th de c a y c o uld b e sta rting – se e de ntist a s so o n a s po ssib le Br own ar e as De c a ye d spo ts a re pre se nt – se e de ntist rig ht a wa y Se ve r e De c ay Visit de ntist rig ht a wa y
• Challe nge : “I don’t ne e d to take c ar e of my baby’s te e th… don’t the y just fall out anyway?” Ba b y te e th a re ve r y impo rta nt to c hildre n fo r ma ny re a so ns: • L e a rning ho w to e a t • L e a rning ho w to spe a k • He lp sha pe the fa c e • Guide the a dult te e th to the rig ht pla c e in the mo uth •
E ar ly c hildhood c ar ie s (E CC) on baby te e th gr e atly • affe c ts a c hild’s he alth and we llne ss! Gr owth & De ve lopme nt Spe e c h de ve lo pme nt • He ig ht • We ig ht a nd Bo dy Ma ss I nde x (BMI ) • Common Pe diatr ic Illne sse s & Conditions Otitis me dia • Re spira to ry tra c t infe c tio ns • I ro n de fic ie nc y & nutritio na l de fic ie nc ie s • Quality of L ife E a ting pa tte rns • Pa in • Sle e p • Be ha vio ur •
Pre ve nt E CC b y b rushing b a b y te e th with fluo ride to o thpa ste ! F luo ride to o thpa ste is sa fe fo r • a ll a g e s a nd e spe c ia lly re c o mme nde d fo r c hildre n unde r 3 ye a rs who a re a t hig h risk fo r de c a y He lp the c hild b rush the ir • te e th until 8 ye a rs o ld Use a ppro pria te a mo unt o f • to o thpa ste ! F luor ide r e sour c e available on our we bsite !
T he re a re mixe d me ssa g e s e ve n a mo ng st de nta l pro fe ssio na ls re g a rding the • use o f fluo ride to o thpa ste fo r tho se unde r 3 ye a rs o f a g e T he Ca na dia n De nta l Asso c ia tio n (CDA)’ s po sitio n sta te me nt sta te s: • A g ra in o f ric e a mo unt o f fluo ride to o thpa ste is re c o mme nde d fo r tho se unde r 3 who a re a t HIGH RISK fo r to o th de c a y T ho se a t HIGH RISK inc lude : • L iving in a re g io n witho ut a fluo rida te d wa te r supply • Child re g ula rly c o nsume s sug a r (e ve n na tura l sug a rs) • b e twe e n me a ls Child’ s te e th a re b rushe d < o nc e a da y o r the y ha ve • spe c ia l he a lthc a re ne e ds limiting c o o pe ra tive a b ilitie s Pa re nt o r c a re g ive r ha s to o th de c a y • Child ha s visib le pla q ue , c a vity, no tc h, de fe c t, o r white • c ha lky a re a o n the te e th Child wa s b o rn pre ma ture ly (b irth we ig ht <3 po unds) •
Challe nge : “I’ve looke d up fluor idate d wate r • online … is it ac tually ne c e ssar y for optimal de ntal he alth?” F luo ride pre ve nts to o th de c a y b y inhib iting • pla q ue b a c te ria a nd pro mo te s re mine ra liza tio n o f te e th the re fo re re duc ing the risk fo r c a rie s An ide a l pub lic he a lth initia tive b e c a use it is: • E ffe c tive • Sa fe • I ne xpe nsive • Re q uire s no c o o pe ra tive e ffo rt o r dire c t a c tio n • Do e s no t de pe nd o n a c c e ss o r a va ila b ility o f pro fe ssio na l • se rvic e s T he e ntir e population of the c ommunity be ne fits re g a rdle ss o f • fina nc ia l re so urc e s
• Challe nge : “Doe sn’t the addition of fluor ide into the wate r c ause r isk?” He re is the T RUT H … • F luo ride is VE RY we ll c o ntro lle d a nd a • ma nda tory te st is done da ily to e nsure sa fe ty Re po rts a re se nt to Ma nito b a He a lth a nd the y • a re no tifie d if le ve ls a re o utside re c o mme nde d ra ng e De nta l fluo ro sis o c c urs whe n to o muc h • fluo ride is ing e ste d whe n te e th a re de ve lo ping (during c hildho o d) E ffe c ts o f de nta l fluo ro sis ra ng e fro m ve ry mild • (white spe c ks o n the te e th) to pitting , b ro wn disc o lo ra tio n o f te e th
A c hild unde r 8 wo uld ha ve to drink 15 g la sse s o f wa te r DAIL Y fo r a pro lo ng e d pe rio d to g e t MIL D de nta l fluo ro sis!
Sa fe ty a spe c ts o f wa te r fluo rida tio n ha ve b e e n e xte nsive ly • studie d a nd the c o nc e ntra tio n use d is no t to xic o r ha rmful T he o ptima l ra ng e o f fluo ride use fo r wa te r fluo rida tio n • a lre a dy ha s a b uilt-in ma rg in o f sa fe ty tha t ta ke s into a c c o unt o the r so urc e s o f fluo ride use suc h a s to o thpa ste a nd rinse s
Re g iste ring a c hild fo r no n-insure d he a lth b e ne fits (NI HB) › Whe re to g o in Winnipe g › Whe re to g o in rura l a re a s – MDA we b site ›
T ho se with F irst Na tio ns o r I nuit sta tus q ua lify fo r no n-insure d he a lth • b e ne fits (NI HB) whic h c o ve r he a lth se rvic e s no t c o ve re d b y the pro vinc e , c o untry, o r o the r priva te insura nc e pla ns NI HB c o ve r a va rie ty o f de nta l se rvic e s ra ng ing fro m pre ve ntive to • re sto ra tive tre a tme nt Pe o ple ma y ha ve diffic ulty re g iste ring the ir infa nt unde r the ir sta tus • whic h po se s c ha lle ng e s fo r the de nta l te a m to pro mo te first de nta l visit
be ne fits?” • Challe nge : “How do I r e giste r my c hild for F irst Na tio ns a nd I nuit ma y re g iste r the ir c hild a t a ny Ab o rig ina l Affa irs • a nd No rthe rn De ve lo pme nt Ca na da (AANDC) Re g io na l Offic e o r a t a ny F irst Na tio n o ffic e : Ma nito b a Re g io na l Offic e lo c a te d a t: • 365 Ha rg ra ve Stre e t Winnipe g , Ma nito b a R3B 3A3 Or re g iste r via pho ne : 1-800-567-9604 • Or o nline (must c ho o se c o rre c t fo rm) a t AANDC Go ve rnme nt we b site : • http:/ / www.a a dnc -a a ndc .g c .c a
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