December 1, 2008

Milk teeth, the national guidelines for the prevention of oral diseases

Derived from a broad review of scientific literature and the work of a group of dentistry, pediatricians, neonatologists, doctors of preventive medicine and associations - coordinated by the WHO Collaboration Center for Epidemiology oral directed by Laura Strohmenger - the handbook on dental care to be given to the youngest.
The "National guidelines for the promotion of oral health and prevention of diseases' oral childhood obesity," compiled by the committee, ad hoc established in the Ministry of Health to start in May 2007, aim to achieve a small "cultural revolution" that should change the approach of the same families and young patients with oral health. Why, if the oral health begins with prevention since birth, it is clear that until now the hygiene education, checks and a healthy diet were considered and not just lengthy.
Extension of the guidelines of the experts focused on four aspects of prevention, summarized below: Injury Prevention cariose of gingivitis, the oral mucosal disease, orthopedic problems that may result from malocclusion. Articulated recommendations, which should bring perspective to a lesser appeal to the dentist in adulthood. With a strong save on the front of costi.Carie:
    1. The considerable prevalence of the disease in the population cariosa Italian child suggests that it is all at risk of caries
    2. The fluorine prophylaxis be recommended to all those in children living in areas with low water content of fluorine
    3. The administration of fluorine for systemic is recommended for everyone, from 6 months to 3 years, and is the only form of administration
    4. The administration of topical fluoride by using paste toothpaste low-fluoride (500 ppm) is recommended from 3 to 6 years, twice a day. After 6 years, the use of a toothpaste containing at least 1,000 ppm of fluoride twice a day is of fundamental importance in preventing tooth decay and may be the only form of administration
    5. The seals are suitable for all children. Their effectiveness in preventing tooth decay is greatest when applied in 2 years later all eruption and their integrity must be monitored every 6-12 months.
    6. The use of soothers sweetened and use of non-nutritional drinks bottle containing sugar are absolutely required.
    7. Intake of beverages and foods that contain simple carbohydrates is not recommended without food
Gums:
    1. The proper brushing teeth at least twice a day, is the pre gingivitis, there is evidence that proper oral hygiene habits should be acquired durant el childhood and then be reinforced during adolescence.
    2. The oral hygiene for children 0 to 3 years should be left to parents. Before the eruption of teeth after feeding, you must clean the gums with a damp Garzino. From eruption of the first deciduous teeth, the teeth should be thoroughly cleaned with gauze or rubber finger. The use of the brush should be started as soon as possible to get the baby out with the same.
    3. The oral hygiene for children 4 to 5 years should be Practical ate under the supervision of parents, soft toothbrush with a small head, possibly using the technique "a roll."
    4. L use of dental floss in children is not recommended. Its use is permitted by the end of the exchange and requires a specific learning and a good manual.
    5. In subjects who are unable to control, with oracle personal hygiene, and gingival inflammation in patients at risk is Indic ate oral care professional at least 1-2 times a year
Mucosa lesions
    1. In patients with systemic diseases that constitute a direct involvement d Elle oral mucosa or as a result of the disease primary therapy are recommended: Proper dietary control / drug, increased staff motivation oral hygiene with strong involvement of parents and support personnel; periodic inspections by a pediatric dentist and / or dental the hygienist.
    2. Patients undergoing inhaled steroid therapy should rinse your mouth with water after each treatment
    3. In children with disabilities are recommended to improve oral hygiene at home with the conscious involvement of parents and support personnel, together with regular periodic inspections by 'pediatric dentist and / or dental the hygienist.
    4. For cancer patients is recommended counseling of dentistry children before, during and after therapy.
    5. When an injury or ulcerative white regress after treatment or removal of local causes or reactive, and after careful monitoring of 14 days, send the peace. all dentist
 Pediatric / stomatologist
Malocclusion
    1. Encourage breast-feeding in order to facilitate a smooth development of the jaw.
    2. Adopt measures to discourage the non-nutritive sucking after 2 years, to stop within the next year.
    3. Children with breathing predominantly upper jaw and oral contracts have benefited from expansion of orthopedic jaw.
    4. Monitor patients with low posture and front of the tongue, in order to prevent the bite open dento-alveolar growth and excessive mandibular
 

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