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Dental home: Patient centered dentistry.
K L Girish Babu1, G M Doddamani2
1Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre, Bommanahalli, Hosur Road, Bangalore, Karnataka, India.
Journal of International Society of Preventive & Community Dentistry
|January 31, 2014
Summary
Early childhood dental caries is common in low-income families. Preventing early caries involves targeting mothers and implementing early dental care strategies for at-risk infants.
Area of Science:
- Pediatric Dentistry
- Public Health
- Microbiology
Background:
- Early childhood dental caries (ECC) disproportionately affects low-income populations, reaching epidemic levels.
- ECC originates from the overgrowth of specific oral microorganisms present in human dental flora.
- Infant oral colonization occurs after primary tooth eruption (6-30 months), with mothers being a primary source of inoculation.
Purpose of the Study:
- To highlight the importance of maternal oral health in preventing early childhood dental caries.
- To emphasize early identification of high-risk mothers and infants for targeted caries prevention.
- To advocate for comprehensive strategies including anticipatory guidance and early dental home establishment.
Main Methods:
- Identifying high-risk mothers during prenatal care.
- Implementing aggressive preventive strategies, including behavior modification for oral hygiene and feeding.
- Promoting the establishment of a dental home for at-risk children by one year of age.
Main Results:
- Reducing cariogenic organisms in maternal oral flora during infant colonization significantly lowers caries risk.
- Early identification and intervention are crucial for preventing ECC in vulnerable populations.
- A multi-faceted approach combining maternal health, behavior modification, and early dental care is effective.
Conclusions:
- Maternal oral health is a critical factor in preventing early childhood caries.
- Targeted interventions for high-risk mothers and infants are essential for public health.
- Establishing a dental home early in life provides a foundation for lifelong oral health.
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