COMPONENTS OF ORAL HEALTH SUPERVISION
Examination
An oral examination includes a complete clinical oral assessment and appropriate diagnostic testing, including x-rays and other tests. The examination also includes an assessment of the infant’s, child’s, or adolescent’s risk for developing oral diseases and a determination of an appropriate prevention plan and interval for periodic reevaluation based on that assessment. If stains or other deposits are present, they may be removed by the dentist or dental hygienist. Another appointment will be scheduled if other treatment needs exist.
Preventive Procedures
Health professionals, as approved by state practice acts or regulations, can assess the infant’s, child’s, or adolescent’s exposure to systemic and topical fluoride, apply dental sealants or topical fluoride (e.g., varnishes, gels, foams), and prescribe systemic fluoride supplements, if indicated.
Anticipatory Guidance
Anticipatory guidance refers to the key information (e.g., about oral development, teething and tooth eruption, oral hygiene, feeding and eating practices, exposure to fluoride, and injury prevention) provided to the family about the infant’s, child’s, or adolescent’s current oral health and what to expect during the next developmental stage. The guidance should be modified based on risk assessment responses. When providing anticipatory guidance, health professionals are encouraged to discuss age-related risk and protective factors. Working in partnership with the family, health professionals can be remarkably effective in promoting health. Creating opportunities for thoughtful dialogue between families and health professionals is one of the most effective ways to establish trust and build a partnership that promotes health and prevents illness or injury. Older children and adolescents, as they mature, should actively participate in the health partnership and should assume increasing responsibility for their own health.