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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 7: Infants and Young Children with Special Health Care Needs
Module Contents
Overview
7.1 Children with Special Health Care Needs
7.2 Oral Health Status
7.3 Oral Conditions
Oral Development
Oral Trauma
Bruxism
Oral Infections
Gingival Overgrowth
7.4 Interview and
Risk Assessment

Interview
Risk Assessment
7.5 Oral Screening
7.6 Anticipatory Guidance
7.7 Dental Visits
7.8 The Dental Home (current page)
Key Points
Post-Test
References
Additional Resources



7.8 The Dental Home

Fact
exclamation point graphicChildren who have a dental home are more likely to receive appropriate preventive and routine care.

 

Children who have a dental home are more likely to receive appropriate preventive and routine care. The concept of the “dental home” is derived from the American Academy of Pediatrics’ concept of the “medical home.” This concept states that the care of infants and children ideally should be accessible, continuous, comprehensive, family centered, coordinated, compassionate, and culturally effective. The child’s first visit establishes the dental home. This provides the opportunity to implement preventive health practices and reduces the child’s risk for preventable oral disease.[13],[14]

A dental home should be able to provide the following:[13]

  • An accurate risk assessment for oral diseases and conditions

  • An individualized preventive dental health program based on risk assessment

  • Anticipatory guidance about growth and development issues (e.g., tooth eruption; thumb, finger, or pacifier habits; feeding practices)

  • A plan for emergency dental trauma

  • Information about proper care of the infant’s or child’s teeth and soft tissues

  • Information about proper nutrition and dietary practices

  • Comprehensive dental care in accordance with accepted guidelines and periodicity schedules for pediatric dental health

  • Referrals to, coordination of, and follow-up for other dental specialists, such as endodontists, oral surgeons, orthodontists, and periodontists, when care cannot be provided directly within the dental home

If the child does not have a dental home, help parents obtain a source of care by doing the following:

  • Provide a referral to a dentist who has experience in treating infants and young children with special health care needs. Contact your local dental society, pediatric dental society or national organizations for a list of dentists in your community. The following national organizations may be helpful in locating dentists in your community:

    American Academy of Pediatric Dentistry
    211 East Chicago Avenue, Suite 700
    Chicago, IL 60611-2663
    (312) 337-2169
    www.aapd.org

    American Dental Association
    211 East Chicago Avenue
    Chicago, IL 60611-2678
    (312) 440-2500
    www.ada.org

    National Foundation of Dentistry for the Handicapped
    1800 15th Street, Suite 100
    Denver, CO 80202
    (303) 534-5360
    www.nfdh.org

    Special Care Dentistry
    211 East Chicago Avenue, Suite 740
    Chicago, IL 60611-2616
    (312) 440-2660
    www.scdonline.org

  • Work with local agencies to determine an infant’s or child’s eligibility for public assistance programs such as Medicaid or the State Children’s Health Insurance Program or other sources of funding for oral health care, and help families enroll in these programs or obtain such funding.
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logo: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau