Wednesday, May 14, 2014

Using Anticipatory Guidance to Provide Early Dental Intervention

Using Anticipatory Guidance to Provide Early Dental Intervention


Resident: Robyn Hofelich
Title: Using Anticipatory Guidance to Provide Early Dental Intervention 
Authors: AJ Nowak and PS Casamassimo
Journal: Journal of American Dental Association. 1995. 126(8):1156-1163

Main Purpose: To discuss why preventive dental care for children must begin earlier, go beyond traditional caries management and incorporate developmental milestones and functional considerations so that each child’s individual risk for oral conditions is addressed.

Key Points:
Previously, dental visits for children began when the child was 3 years old. At this age a child could cooperate in restorative care, was about to begin school and had all the primary teeth. Early identification and appropriate management of dental problems such as caries can minimize intervention and prevent the occurrence of negative, often costly sequelae.
- Anticipatory guidance is the process of providing practical, developmentally appropriate health information about children to their parents in anticipation of significant physical, emotional and psychological milestones.
- The current recommendations by the American Academy of Pediatric Dentistry for anticipatory guidance in pediatric dental care includes areas such as oral development, fluoride adequacy, oral hygiene and health, habits, nutrition and diet, and injury prevention
- Parents are extremely satisfied with the interaction that this approach brings, and they enjoy the functional approach to education that deals with specific events in their own family.

Assessment:
This article is one of the first articles advocating early intervention in pediatric dentistry. This approach is an excellent way to educate parents about upcoming events in their children’s lives and to prevent future problems. 

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