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Maternal and Child Health Bureau logoA Health Professionals Guide to Pediatric Oral Health Management
HomeModuleModule 1: An Introduction to Infants' and Young Children's Oral HealthModule 2: Managing Infants' and Young Children's Oral HealthModule 3: Oral Conditions and AbnormalitiesModule 4: Prevention of Oral DiseaseModule 5: Non-Nutritive Sucking HabitsModule 6: Oral InjuryModule 7: Infants and Young Children with Special Health Care NeedsContentsGlossaryEvaluationHelp
Module 2: Managing Infants' and Young Children's Oral Health
Module Contents
Overview
2.1 Oral Development

Tooth Eruption and Loss
Teething
Malocclusion
2.2 Interview and
Risk Assessment


(current page)
During & After Pregnancy
During Infancy
During Early Childhood
2.3 Oral Screening
2.4 Behavior Management
2.5 Oral Examination
2.6 Anticipatory Guidance

For Pregnant Women,
New Mothers, or Other Intimate Caregivers
For Parents of Infants

For Parents of
Young Children

2.7 The Dental Home
Key Points
Post-Test
References
Additional Resources



2.2 Interview and Risk Assessment

Note
notepad graphicOne of the most important ways for health professionals to ensure that infants and young children enjoy optimal oral health is by conducting risk assessments to identify those at increased risk for oral health problems, including dental caries, periodontal disease, malocclusion, and injury.

 

As part of routine health supervision visits, health professionals can incorporate interview questions, risk assessment, screening, and anticipatory guidance. During each visit, health professionals can ask parents key oral health questions about issues to address during that visit.

By age 6 months, every infant should begin to receive oral health risk assessments from a health professional.[3] One of the most important ways for health professionals to ensure that infants and young children enjoy optimal oral health is by performing risk assessments to identify those at risk for oral health problems, including dental caries (the disease process leading to tooth decay), periodontal disease, malocclusion (improper alignment of the jaws and teeth), and injury.

Risk assessment of infants and young children for oral health problems is based on the premise that all infants and children are not equally likely to develop such problems. Performing a risk assessment for infants and young children can help health professionals develop plans to meet each infant’s or young child’s preventive and treatment needs. Table 1 and Table 2 identify risk and protective factors for four major oral health conditions — dental caries, periodontal disease, malocclusion, and injury.[2]

Because non-oral health professionals are more likely to encounter mothers (or other intimate caregivers) before and during the colonization process (first 30 months of the child’s life) than are oral health professionals, it is essential that they be aware of the infectious pathophysiology and associated risk factors of dental caries.

Dental caries, the most common chronic childhood disease in the United States, begins early in an infant’s or child’s life, and it is now recognized as a bacterial infection that can be transmitted from a parent or another intimate caregiver to an infant or child. Since the most likely source of such infection in infants is the mother or another intimate caregiver, health professionals should identify women at high risk for dental caries as early as possible (preferably during pregnancy) to provide anticipatory guidance (e.g., on oral hygiene and feeding practices) and early intervention.

Read more about dental caries.

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logo: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau