A14.4 Prevent Decay_Andrea Feller

Prevent decay! Niagara collaborative assessing the feasibility of applying fluoride varnish during well baby/well child visits Andrea Feller MD MS FAAP FACPM for Niagara Region Public Health 1

Early Childhood Caries (ECC)

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Impacts of ECC

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Decay Rates in Preschoolers NOT

GETTING

BETTER

SO VERY FRUSTRATING

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Toothbrushing is non-negotiable

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This is a social disease, not simply a disease of behaviour,� Carlos Quinonez, Director

of Dental Public Health, University of Toronto

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When should kids go to the dentist? 40 per cent haven’t been by age 4. Global News May 5, 2014 (TargetKids Toronto study)

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“VITAMIN for the teeth”

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US Preventive Services Task Force The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.

(B recommendation) May 2014 9

WHY me?

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WHY primary care?

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Time for a completely random, unknown volunteer from the audience that I’ve never met before and don’t know at all 12

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In praise of the team • Niagara Region Public Health: – Tara Wincott – Sandy Dupuis

• Niagara College: – Carolyn Triemstra – Sandra Moorehouse

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In collaboration with the following dentists and doctors: • U of T Dental public health: Carlos Quinonez • McMaster, Niagara campus: Karl Stobbe • Thought Leaders group: – Leslie Rourke – Peter Cooney – Karl Stobbe – Joseph Telch – David Price 15

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