DENTAL

Resource Faculty
HOME
Dr. Bandana Koirala
(Professor & HOD)
Presented by:
Aishwarya Joshi
Dr. Mamta Dali Roll no: 516
(Associate Professor) BDS 2012
Dr. Sneha Shrestha
(Assistant Professor)
Department of Pediatric and
CONTENTS:
 Dental home
 Recommendation to establish dental home
 Objectives
 Ideal characteristics of dental home
 AAPD policy statement
 Mission of AAPD regarding dental home
 Conclusion
DENTAL HOME:

AAPD,2004:
The dental home is the ongoing relationship between
dentist and the patient, inclusive of all aspects of
oral health care delivered in a comprehensive,
continuously accessible, coordinated, and family-
centered way.
Establishment of dental home begins no later than
12 months of age and includes referral to dental
specialists when appropriate
PURPOSE:
 concept is derived from the American Academy of
Pediatrics’ (AAP) definition of a medical home
which states pediatric primary health care is best
delivered or supervised by qualified child health
specialists.
Recommendation to establish dental
home:

 Immediate referral of infants with an

apparent dental problems d/t trauma or
developmental abnormality

 Examination at no later than 6months or when

the first tooth erupts.
OBJECTIVES:
To enhance the dentist’s ability to assist children &
their parents/caregivers for optimum oral health
care.

To schedule early oral health examinations &

preventive services for cost effectiveness

To offer parents & caregivers resources which

assist them in makingthe best informed choice.

Individual child risk assessment for dental diseases

Monitoring the growth and development

Referrals to dental specialist’s when care cannot

directly be provided with the dental home

Interaction with early prevention programs, schools,

early childhood education, child care programs

Increase awareness about age specific oral health

disease among medical, dental communities

To make the parents aware of when & how frequently to

visit a dental home for their child
Essential steps to be taken when a
parent/ caregiver approach dental
home

EXAMINATIO RISK THERAPEUTIC

HISTORY N ASSESSMENT PROCEDURES
 GOALS OF 1ST DENTAL VISIT
• Provide infants and toddlers a pleasant and

Nonthreatening introduction to dentistry

• Determine risk status

• Establish and reinforce sound dental habits

• Detect the manifestations of ECC at early age

• Assist committed parents to raise caries free

children
IDEAL CHARACTERISTICS
OF A DENTAL HOME
 Accessible
 Care provided in child's community.
 All insurance accepted and changes in coverage
accommodated.
Advantage:
 Source of care is close to home and accessible to
family.
 Minimal hassle encountered with payment
 Office ready for treatment in emergency situations
 Office is non biased in dealing with children with
special health care needs.
 Dentist knows community needs and
resources(fluoride in water).
 Family Centered
:

 Recognition of the centeredness of family.

 Unbiased complete information is shared on an
ongoing basis.
Advantage:
 Low parent/child anxiety improves care.
 Care protocols are comfortable to family(behavior
management).
 Appropriate role of parents in home care is
established.
 Continuous

 Same primary care provided from infancy through

adolescence.
 Assistance provided with transition(Eg. to school).
Advantage:
 Appropriate recall intervals are based on child
needs.
 Continuity of care is better owing to recall
system Vs episodic care.
 Coordination of complex dental treatment is
possible(traumatic injury.
 Comprehensive

 Health care available 24 hours/ day,7days/week.

 Preventive, primary, tertiary care provided.
Advantage:
 Emergency access is ensured.
 Care manager and primary care dentist are in same
places.
 Coordinated

 Families linked to support,education and

community service.
 Information centralized.
Advantage:
 Records centralized .
 School, workshop, therapy linkages established
and known
 Compassionate
 Expressed and demonstrated concern for child
and family.
Advantage:
 Dentist child relationship established.
 Family relationship is established.
 Children less anxious owing to familiarity.
 Culturally
Competant
 Cultural background recognized, valued and
respected.
Advantage:
 Mechanism is established for communication for
ongoing care.
 Specialized resource are known and proven if needed.
 Staff may speak other languages and know dental
terminology.
AAPD Policy statement (2015)
The AAPD encourages parents and other care providers to
help every child establish a dental home by 12 months of
age
 • Comprehensive, continuously-accessible, family-
centered, coordinated, compassionate, and culturally-
effective care for children

Comprehensive oral health care including acute care

••

and preventive services

Comprehensive assessment for oral diseases and

conditions

Individualized preventive dental health program

based upon a caries-risk assessment and a
periodontal disease risk assessment
Anticipatory guidance regarding growth and dev-
elopment

• Plan for acute dental trauma ..

• Information about proper care of the child’s teeth

and gingivae. This would include the prevention, di-
agnosis, and treatment of disease of the supporting and
surrounding tissues and the maintenance of health,
function, and esthetics of those structures and tissues.

Dietary counseling
Referrals to dental specialist when care cannot be
provided within the dental home.

Education regarding future referral to a dentist

knowledgeable & comfortable with adult oral health
issues for continuing oral health care.

Referral at an age determined by patient,parent &

pediatric dentist
 CONCLUSION:
Strong clinical evidence exists for the efficacy of early
professional dental care complemented with caries-risk
assessment, anticipatory guidance, and periodic supervision. The
establishment of a dental home may follow the medical home model
as a cost-effective and higher quality health care alternative to
emergency care situations. Children who have a dental home are
more likely to receive appropriate preventive and routine oral
health care.
 Referral by the primary care physician or health provider has been
recommended, based on risk assessment, as early as 6 months of
age, 6 months after the first tooth erupts, and no later than 12
months of age. Furthermore, subsequent periodicity of
reappointment is based upon risk assessment. This provides time-
critical opportunities to implement preventive health practices and
reduce the child’s risk of preventable dental/oral disease.
REFERENCES:
 A text book of Pedodontics 2nd edition-
Shobha Tandon
 Text book of Pediatric dentistry 2ND edition –
Nikhil Marwah
 Pediatric dentistry :Infancy through
adolescence 3rd edition- Pinkham
 www.aapd.org(Policy on dental home)
THANK-YOU