Healthy Smile Happy Child s New Lift the Lip Video Daniella DeMaré Project Coordinator Healthy Smile Happy Child Initiative Sandy Kostyniuk Program Consultant, Manitoba and Saskatchewan Region The Public Health Agency of Canada / Government of Canada Robert Schroth DMD, MSc, PhD Associate Professor and Clinician Scientist, College of Dentistry and Max Rady College of Medicine, University of Manitoba Davorka Monti Executive Director Healthy Start for Mom & Me http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Lift the Lip Video The importance of early childhood oral health How to look for early signs of caries Toothpaste recommendations for children Connecting children with oral health professionals before their first birthday
Total Number of Children Requiring Dental Surgery under General Anesthetic Average Rate for Manitoba Rates of pediatric dental surgery in Manitoba for 1997/98-2014/15. [Data available from MB Health 4000 3500 3000 2500 2000 1500 Total Number of Children Receiving Dental Surgery under General Anesthesia Average Rate of Dental Surgery for all of Manitoba 19.4 21.3 20.7 22.2 24.6 27.4 30.5 34.1 36.4 32.6 36.1 41.6 44.9 42.6 43.8 40.2 36.6 34.2 50 45 40 35 30 25 20 1000 15 10 500 0 1355 1411 1363 1432 1536 1659 1685 1668 2251 1993 2593 3052 3387 3310 3521 3295 3026 2860 97/98 98/99 99/00 00/01 01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 Fiscal Year 5 0
Healthy Smile Happy Child GOAL: reduce the incidence and severity of ECC in Manitoba, Canada -Community development principles -Relationships with existing programs -Build capacity to ensure sustainability
Healthy Smile Happy Child Collaborative, multi-agency partnership Move from traditional health educator paradigm towards community development approach to health promotion Enable communities to address Early Childhood Caries through existing programs and services
HSHC Goals To gain community acceptance of the importance of early childhood oral health To build on existing programs which target young children To increase parental knowledge of ECC prevention To increase the knowledge of existing service providers (i.e. public health) of the importance of prevention of ECC To encourage existing service providers to incorporate ECC prevention activities into their practice
Improved Knowledge, attitude, and behaviors toward early childhood oral health Modest, yet statistically significant reduction in caries scores and the prevalence of S-ECC
HSHC Webpage http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Lift the Lip Resource
Lift the Lip Video Created by Healthy Smile Happy Child, in partnership with the CPNP program, healthy Start for Mom & Me, and with funding from the Public Health Agency of Canada The video incorporates key oral health messages for children 0-6 years and their families
Lift the Lip Video Demonstrates a practice called Lift the Lip to complete a simple assessment of tooth decay in children Lift the Lip is recognized worldwide as an effective means to increase early intervention in order to prevent more advanced oral caries and disease The practice promotes a family focus on oral health and preventive care Produced in English, French, Cree, Ojibwe, and Inuktitut
Prenatal and Early Childhood Oral Health Lift the Lip Video Launch/HSHC Telehealth June 22, 2017
Oral Health in Canada The tooth decay rate has improved in Canada in the last 40 years, but one quarter of children are still affected by tooth decay and it is two to three times worse for children within vulnerable populations. Tooth decay is 5 times more common than asthma, 4 times more common than early childhood obesity, and 20 times more common than diabetes. Tooth decay is a chronic and infectious disease that is 100% preventable. 15
Burden of Oral Health Disease in Canada Tooth decay is the leading cause in Canada for day surgery under general anesthesia for children aged 1-5 Every year, there are over 19,000 day surgeries in Canada (excludes the province of Quebec) on children to treat early childhood caries (ECC) a disease that is 100% preventable! There are 8.6 times more surgeries in Aboriginal populations. There are 3.9 times more surgeries in less affluent neighbourhoods There are 3.1 times more surgeries in children from rural neighbourhoods. 16
Effects of Poor Oral Health Symptoms and conditions: Infection Pain Disturbance of sleep Withdrawal from normal activities Reduced chewing ability Poor nutrition status Teeth overcrowding (due to early extractions) Reduced body weight, growth and quality of life for the whole family Social impacts: Lower self-esteem and confidence (appearance) Reduced school performance and work productivity Reduced ability to speak 17
Dental Care Expenditures ORAL HEALTH IN CANADA Second largest share of private sector spending was on dental care services. Canadians spent $11.7 billion on private dental care, of which about (CIHI 2014) $7.0 billion was paid for by insurance firms $4.7 billion by households. In addition to this, over 800 million spent from provinces and territories on oral health public programs In addition, 410 million from public funds regarding drugs, hospital and physician care Grand Total: 12.9 billions (11.7M + 800M + 410M = 12.9M) Represents over 6% of total health expenditures 18
Integrating Oral Health Within Children s Programs Common Risk Factor Approach Poor oral health Poverty Obesity Poverty Low parental education level Lack of breastfeeding Diet Consumption of sugarsweetened beverages Parents oral health Hygiene Low parental education level Lack of breastfeeding Diet Consumption of sugarsweetened beverages Parents Body Mass Index Physical Inactivity 19
Oral Health Key Messages The Office of the Chief Dental Officer is the Secretariat to group that includes the dental directors of all provinces and territories. This group would like to inform and disseminate knowledge about oral health through very simple key messages: Lift the lip of your child as soon as the first baby tooth erupts. It is not normal to get tooth decay to the point of having to put a child to sleep to fix their cavities! It is not ok to lose baby teeth prematurely! Less sugar in diet = Less risk for cavities! First visit at the oral health professional by one year of age. Fluoride mechanisms are a great way to protect your teeth: Community Water Fluoridation Toothpaste containing fluoride for children at risk of developing tooth decay Fluoride varnish application as soon as the first tooth erupts. 20
Healthy Smile Happy Child Lift the Lip Video https://www.youtube.com/ watch?v=zazhk295qr0
Healthy Smile Happy Child s New Lift the Lip Video http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Looking for Early Signs of Caries Lift the Lip!
Looking for Early Signs of Caries
Looking for Early Signs of Caries
Looking for Early Signs of Caries
Looking for Early Signs of Caries
Promote Early Visits to the Dentist The Canadian Dental Association encourages dental assessments of infants within 6 months of the eruption of the first tooth or by one year (12 months) of age At the first dental visit, the infant s risk of caries should be assessed and discussed with a parent or caregiver The goal is to have children visit the dentist before there is a problem Establishment of a dental home
< 1% seen by dentist by recommended 1 year of age 1.9% seen by dentist by 2 years of age Factors associated with utilization: older child (OR=0.88), low family income (OR=2.73), prolonged bottle use (OR=1.43), increased intake of sweetened drinks (OR=1.20)
Manitoba Dental Association s Free First Visit Program
Oral Hygiene with the First Tooth Begin cleaning your child s mouth with a soft cloth before teeth arrive. Once teeth erupt begin with a smear of toothpaste the size of a grain of rice. Once your child turns 3 years old use a green pea size of toothpaste. Most children need assistance with brushing until age 8.
Promote Fluoride Toothpaste & Varnishes Children at high-risk for caries needing toothpaste at early ages include: living in a community with nonfluoridated water supply or low natural fluoride levels (< 0.3 ppm), enamel defects, incipient caries (i.e. white chalky spots), or cavities, frequent intake of sugary snacks/drinks between meals (including bottle or sippy cup containing liquids other than water and sweetened medications), special health care needs that limit cooperation with brushing and oral hygiene, teeth are not brushed daily, premature birth and low birth weight, parent or caregiver has tooth decay, visible plaque on teeth.
Promote Fluoride Toothpaste & Varnishes Important for at risk children
Key Messages Daily oral health care routines for mom during pregnancy is important. Breastfeeding is promoted. Clean infant s mouth with clean washcloth after each feeding. http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Key Messages Only put water in bottle at night http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Key Messages Wean the bottle/sippy cup by 12 months http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Key Messages Avoid prolonged use of sippy cup Child s first visit to dentist by 1 st birthday. Help child brush their teeth until they are 8 years old Brush child s teeth two times everyday http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
Lift the Lip Using the new video & interactive resources in your community This tote was received by CPNP, CAPC & AHS programs March 2011
When do I start using a toothbrush? They need to drink juice, what else will they drink? Every one of my children has cavities. My toddler will only fall asleep with their bottle. But candy makes them happy! My baby has no teeth so why do I need to worry about dental care? This kit will help to answer some of those questions
Using these visual cups to talk about the sugar content of beverages can create good discussion These resources help you not to just tell but show which has a lasting impression
Great information to go over or simply leave out at group or community centre for parents to look at
For an interactive way to talk about dental health, you will find the dental quiz & bingo in the kit For copies of any of these resources go to: http://www.wrha.mb.ca/healthinfo/preventill/oral_child.php
After watching the Lift the Lip video & discussing dental health parents often say: I didn t know that natural sugar in juice can harm her teeth. I m going to make some changes now so his teeth will always be beautiful. I wish I had nice teeth but I can lift my baby s lip to make sure she does.