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Issue 56 2008

Childrens Dental Health

Six Building Blocks Of Childrens Dental Health


ORAL (MOUTH) HYGIENE Clean regularly & early. Brush teeth twice a day. Floss daily. Schedule regular dental checkups. Assist children until age 6-7 in brushing properly.

Childrens dental health is about taking care of the whole mouth! In order to educate children about how to do that you need to first know how yourself!

DENTAL PROBLEMS Cavities hurt. Fill them! Take care of baby teeth; they may need fillings, too. Tend cavities immediately by taking child to dentist.

PREVENTING CAVITIES Keep decay away. Brush, floss, use fluoride, apply sealant. The best cavity protection is good oral health. Use toothpaste with fluoride. Have dentist apply dental sealants when backteeth have emerged.

NUTRITION Keep plaque away. Eat nutritional snacks. Limit the amount of sugary drinks.

EDUCATING CHILDREN Make learning fun. Teach children about good dental health with educational dental activities: Puzzles Games Songs Coloring pages Brushing charts Crafts Dental experiments Play props Dramatic play

DENTAL HABITS Build good ones; break bad ones. Develop good dental habits at a very early age. Understand and break the bad habits.

By Lita Haddal Reference: Davenport, Tammy. 2008. National Childrens Dental Health Month. http://dentistry.about.com/od/childrensdentistry/a/kidsdental.htm

Who We Are
The Child Care Information Center (CCIC) is a free mailorder lending library and information service for anyone in Wisconsin working in the field of child care and early childhood education. Sponsored by the State of Wisconsin, CCIC has worked since 1986 to provide quality resources to match the needs of caregivers and parents.

CCIC Staff
Editor & Child Care Specialist: Lita Haddal Librarian, Acquisitions: Glenna Carter Librarian, Circulation: Linda Bather Mail Distribution: Sonia Frank

Child Care Information Center

Issue 56

Big News!
WMELS Expanded
The second edition of the Wisconsin Model Early Learning Standards (WMELS) is now available on the Wisconsin Early Childhood Collaborating Partners web page: http://www.collaboratingpartners.com/EarlyLS_docs.htm in a PDF format and it is also available for purchase from the Wisconsin Child Care Information Center at a cost of $3.00 per book, with a minimum order of 3 copies for a total cost of $9.00. This price will allow the book to continue to be printed, and to be available to the early care and education workforce. Make checks out to Department of Public Instruction and mail them to CCIC along with your request and mailing address. Shipping is free. The WMELS include developmental domains, developmental sub-domains, developmental expectations, performance standards, and include a new developmental continuum, samples of child activities and sample adult strategies. The 2nd edition has been broadened to provide standards for children birth to first grade. This new 2nd edition clearly identifies how the standards are intended to be used, and how they should NOT be used. The new developmental continuum provides a predictable but not rigid sequence of accomplishments which describes the progressive levels of performance in the order in which they emerge in most children, based on current research. The developmental continuums begin at an early developmental level and continue through developmental levels that would be typical to first grade. Observable samples of what children might do as they demonstrate accomplishments at each level of the developmental continuum are included for each of the developmental continuums linked to each performance standard. Sample strategies of what adults might do to assist the child to gain knowledge or learn skills at each level of the developmental continuum are included as well. An expanded resource section has also been included for parents and child care teachers and providers. The appendix section also now includes information on how the Wisconsin Model Early Learning Standards align with the Wisconsin Model Academic Standards, and a section on IDEA Early Childhood Outcomes. Feedback on the new standards can be submitted via the feedback form on the Wisconsin Early Childhood Collaborating Partners (WECCP) webpage. In addition to this feedback form, other new materials housed on the WECCP webpage include the 2007 training report summary, updated WMELS regional training opportunities, approved WMELS trainer listings, and updated materials for approved trainers.

The WMELS Steering Committee, and the early childhood consultants that worked tirelessly on the enhancements to the second edition of the standards believe that this tool will provide exciting opportunities for promoting dialogue across settings and can become a basis for conversation and learning opportunities. The standards can inform the development of program standards across early learning environments, and provide opportunities for local communities to develop local benchmarks, and make decisions about the curriculum and assessment tools that will be used in individual programs. Our hope is that this second edition will be useful to communities and programs to create quality early care and education environments that promote early learning. -Jill Haglund, DPI Early Childhood Consultant

Spanish Activities
The Spanish language version of birth-to-three parent-child activity materials are now available free to reproduce downloading on the Washington Learning Systems website. Developed by Angela Notari-Syverson, Ph.D, and Judy Challoner, M.S., iIllustrations by Don Syverson, these infant-toddler language & early literacy materials include twenty home and community activities for adults and children birth to three that encourage early language and literacy development. They are appropriate for children with disabilities as well as children who are developing typically. Each of the twenty activities includes an activity description, and hints for making the activity fun and developmentally appropriate. In addition to the activities, you can download an activity checklist that helps parents and caregivers notice their childrens skills, and also cues adults to examine and grow their own interactions with children. The materials are specifically designed to address the three key skills of 1) language development, 2) sounds and rhythms, and 3) general book and print awareness. The materials are made available by the authors, and may be copied and distributed as long as they are not sold. Go to www.walearning.com, click on the purple button that says Free Parent Education Handouts. For questions please contact: Mary Maddox Washington Learning Systems 2212 Queen Anne Ave. No. Ste. 726 Seattle, WA 98109 (206) 310-7401 FAX (206) 283-9243 mmaddox@walearning.com

Issue 56

Child Care Information Center

Baby Teeth are Important


Children need healthy baby teeth to: 1. Eat properly. 2. Learn to talk properly (pronounce words and make sounds). 3. Sleep comfortably. 4. Learn without being distracted by dental pain. 5. Maintain good general health. 6. Hold space for the adult teeth to erupt in proper alignment . 7. Reduce the chances of having cavities in the adult teeth. 8. Have a healthy smile!

Healthy Smile Happy Child

Parent/Caregiver Handout
Reprinted with permission from Seal a smile: A dental portfolio for dental hygiene programs and Wisconsin communities - A users guide. Milwaukee, WI: Childrens Health Alliance of Wisconsin. http://chawisconsin.org/oralHealth/Resources.htm

Child Care Information Center

Issue 56

Dental Decay is an Infectious Disease


In order for tooth decay to occur, there must be interaction of four factors: 1. Bacteria. Infants are not born with the bacteria that cause dental decay. They are infected through saliva, usually by caregivers. Caregivers can infect the child with the bacteria by sharing eating utensils, sharing food or pre-chewing food for the baby or cleaning off a baby bottle nipple or a pacifier with their mouth.

2. A tooth. As soon as a baby gets his/her first tooth, it is important to start cleaning the baby's mouth and teeth.

3. The proper environment (foods containing sugars). All foods and drinks that contain any kind of sugar, allow the bacteria to start producing acids. Even "natural" sugars, like those found in milk and juice, can cause acid production. These acids are what cause cavities in teeth.

frequency. 4. Time or Frequency. The longer foods or beverages that contain sugar are present in the mouth with bacteria, the longer the teeth are exposed to cavity-producing acid.

Do not allow your child to carry a bottle or trainer cup around with them because it can encourage frequent sipping.

Parent/Caregiver Handout

Reprinted with permission from Seal a smile: A dental portfolio for dental hygiene programs and Wisconsin communities - A users guide. Milwaukee, WI: Childrens Health Alliance of Wisconsin. http://chawisconsin.org/oralHealth/Resources.htm

Issue 56

Child Care Information Center

Keep It: Free Child Care Articles


Selected from a variety of magazines & websites for: Timeliness Relevance Quality Item #
1. 2. . . 5. 6. 7. 8. 9.

To Order Items, Phone (608) 224-5388 or 1-800-362-7353


Description Age
Infants & Toddlers All ages

Material Detail

ORAL HYGIENE
A healthy mouth for your baby flyer. National Institute of Reprintable flyer. What you can do during the first Dental and Craniofacial Research, 1/2008. year to make sure a baby has healthy teeth. How to care for your babys teeth.
American Academy of Family Physicians, 2008. Available at http://familydoctor.org

Reprintable brochure in English or Spanish on how to wash a babys gums and more caregiving tips. Article describing babies mouths at birth, position for cleaning their teeth, sucking habits, and teething. Preschoolers and young schoolagers need help from adults to brush and floss their teeth. Myths and facts about controlling bad breath. Causes of bad breath and treatments. Saliva helps break down food and clean the mouth. Text in English and Spanish. Mini-poster. Steps in flossing teeth with illustrations of how to hold floss. A new toothbrush is 30% more effective at removing plaque. Change at least every 3 months.

Your infants mouth: Teeth at birth?

Simple Steps to Better Dental Health. Available at www.simplestepsdental.com

Cleaning your childs mouth and teeth. What causes bad breath?
Available at www.kidshealth.org

Simple Steps to Better Dental Health. Available at www.simplestepsdental.com The Nemours Foundation.

Bad breath: What is it? Whats spit?


kidshealth.org

Simple Steps to Better Dental Health. Available at www.simplestepsdental.com The Nemours Foundation. Available at www. Parents bulletin board, Texas

Floss your childrens teeth.


Child Care, Fall 1993.

Is your toothbrush old and frayed?

BrushBrushBrush. Inc., 2007. Available at http://www.toothbrushexpress.com Mayo Foundation for Medical Education and Research. Available at www. MayoClinic.com American Academy of Periodontology. Available at http://www.nlm.nih.gov/medlineplus/ childdentalhealth.html

11. Protecting childrens oral health.

Factsheet about gingivitis, the first stage of a lifelong disease of the gums and jaw called periodontal disease. Keeping gums healthy is crucial.

PREVENTING CAVITIES
Infants & Toddlers 12. A healthy mouth for your baby. National Institute of Dental Booklet highlighting the importance of using fluoride to and Craniofacial Research, 2007. protect teeth, cleaning babys teeth, preventing baby bottle tooth decay, and the first visit to the dentist. 1. Una boca saludable para su beb.
Dental and Craniofacial Research, 2007. Dept. of Health. Available ph18publications/secure at National Institute of

Booklet. Spanish version of above. Reprintable poster about how cavity causing germs pass from adult mouths to babies.

1. Most of the time sharing is a good thing.

So. Dakota https://apps.sd.gov/applications/

15. Prevent cavities: Infant and toddler tooth decay or Reprintable flyer with photo of a preschoolers early childhood caries (ecc). So. Dakota Dept. of Health. decayed teeth. Loss of baby teeth to decay affects Available at https://apps.sd.gov/applications/ph18publications/secure the childs speech, permanent teeth and self-image. 16. Preventing tooth decay.
Alexa Sparkman. Translated by Jos Saenz & Dorothy Turner. Texas Child Care Quarterly, Winter 1984.

Article in English and Spanish on how child care centers can build dental health programs. Activity ideas and meal suggestions.

Child Care Information Center

Issue 56

Adults

10. Oral health: A window to your overall health.

Important article explaining how oral health is more than caring for teeth. It involves the mouth, throat and face and impacts the heart and brain.

All ages

Item #

Material Detail

Description

Age

17. Dont wait until it hurts- Your child needs healthy Reprintable brochure. How to schedule dental teeth to eat, talk and smile!! Michigan Dental Assn. 2008. appointments. 18. Dental amalgam. 19. Dental sealants.
Wisconsin Oral Health Program Fact Sheet. Available at http://dhfs.wisconsin.gov/health/oral_health Wisconsin Oral Health Program Fact Sheet. Available at http://dhfs.wisconsin.gov/health/oral_health Craniofacial Research, 2007. National Institute of Dental and

Filling material used by dentists has mercury in it. How dangerous is it? How this method of covering teeth with a layer of clear varnish provides a long-lasting barrier to decay. Brochure for parents of children ages 6-14 about sealants and how do they protect teeth from decay. Step-by-step description with pictures of how sealants are applied to teeth. Brochure. Spanish version of above. Reprintable illustrated brochure.

20. Seal out tooth decay.

21. Selle los dientes contra la caries dental.


Institute of Dental and Craniofacial Research, 2007.

National

Adults
Infants & Toddlers

22. Flouride and water what parents should know.

So. Dakota Dept. of Health. Available at https://apps.sd.gov/applications/ ph18publications/secure

DENTAL HABITS
2. Healthy baby teeth.
Fall 1988. Parents bulletin board, Texas Child Care,

2. First steps to a healthy smile.

American Academy of Pediatrics. 2008. Available at http://www.aap.org

Reprintable flyer describing 3 stages of caregiving routines to practice during a childs first 24 months. Pacifiers. What to do when a toddler wont pull the plug! Toothbrushing should be a part of the daily routine of child care centers. Reprintable chart for preschoolers and younger schoolagers to track their brushing routines. Mini-poster about regular routines for teeth care and oral health. Reprintable brochure for parents of children 0-8 years. Brochure. Spanish version of above.

25. The binky breakup. Marnell Jameson. Parents, 12/07. 26. Toothbrushing: Do it daily. Texas Child Care, Fall 1993. 27. Brushing chart.
2008. Lita Haddal, Child Care Information Center, Parents bulletin So.

28. Make your childs teeth last a lifetime!


board, Texas Child Care, Winter 1984. Dakota Dept. of Health.

29. Baby teeth do matter!: Steps to healthy teeth. 0. Medida para los dientes sanos. SD Dept. of Health.
at www.kidshealth.org

1. Going to the dentist. The Nemours Foundation, 2007. Available What happens at the dentists office. All ages Adults 2. Brush up on healthy teeth: Simple steps for kids 3-page information packet: parent handout, smiles. Centers for Disease Control and Prevention. Available at enlargeable poster and parent quiz. List of parents http://www.cdc.gov/OralHealth/publications/factsheets/brushup.htm duties in keeping their childrens teeth healthy. . How to brush and floss.
Program,Canada. 2005. So. Dakota Dept. of Health. 2005. Available at https://apps.sd.gov/applications/ph18publications/secure Saskatoon Dental Health

Mini-poster. Illustrated flyer and reprintable chart to track brushing and flossing routines.

. Daily flossing and brushing.

5. Your childs age 1 dental visit. Simple Steps to Better Dental Choosing a dentist for your infant, preparing for the Health, 2006. Available at www.simplestepsdental.com visit and expectations of your childs dental home. 6. Expect the best for your childs dental home.
Paul Casamassino, D.D.S. Exceptional Parent, 9/5/07. Available at www. eparent.com

Children with special healthcare needs often require special dental care. Parents should establish this care while children are in infancy.

DENTAL PROBLEMS
7. Baby bottle tooth decay. Wisconsin Oral Health Program Fact Sweet liquids given to babies by bottle leave decaySheet. Available at http://dhfs.wisconsin.gov/health/oral_health causing residue in their mouths. 8. Teething tots.
http://kidshealth.org The Nemours Foundation, 2005. Available at The Nemours Foundation, 2005.

Teething can begin as early as 3 months and continue until age 3. Spanish version of above.

9. Los bebs y la denticin.


Available at http://kidshealth.org

Issue 56

Child Care Information Center

P-K& Younger Schoolagers

Infants & Toddlerss

Mini-poster about pacifier and bottle use in 0-3 year olds.

Articles

to

Keep

Item #

Material Detail

Description

Age
Infants & Toddlers

0. From baby bottle to cup. American Dental Association. JADA, Choose training cups carefully, use them temporarily. Vol. 135, 3/2004. What and how often should your child drink? 1. Thumbsucking. American Dental Association. Available at http:// Sucking is a natural reflex for babies and toddlers. At www.nlm.nih.gov/medlineplus/childdentalhealth.html what age should this stop to avoid teeth problems? Text in English and Spanish. 2. Rx for sound teeth - - Plaque: What it is and how to Brochure. Shows how to brush and floss. get rid of it. National Institute of Dental and Craniofacial Research.
1999. Available at http://www.nidcr.nih.gov/NR/rdonlyres/0C900F9DC582-4609-A62C-CF4AB53E84A0/0/Plaque_brochure.pdf

. La placa.

National Institute of Dental and Craniofacial Research. 1999. Available at http://www.nidcr.nih.gov/OralHealth/Topics/ ToothDecay/LAPLACA.htm

Brochure. Spanish version of above.

. Teen health: Gum disease. The Nemours Foundation, 2005. Gum disease doesnt just happen to old people. Available at http://kidshealth.org. Snacks, heredity and plaque bring it on. 5. Mouth guards. California Dental Association, 2008. 6. Toothache: First aid.
Mayoclinic.com. Available at http://www. mayoclini.com/health/firs-aid-toothache/FA00013 The Nemours Foundation, 2007. Available at

Sports equipment which protects against mouth, teeth and jaw injuries makes sense. Decay is very painful when it reaches the nerve in the tooth. Some steps to help while waiting to see the dentist. What to do when a tooth gets knocked out or gums are injured. Fillings and crowns in baby teeth? Yes and why. Choose a pediatric dentist, who specializes in children and has an office set up for kids.

7. Tooth injuries.


www.kidshealth.org

8. Repairing childrens teeth. 9. Calming the anxious child.

Simple Steps to Better Dental Health. Available at www.simplestepsdental.com American Academy of Pediatric Dentistry. Available at http://www.aapd.org

50. Early orthodontics may mean less treatment All children should have an orthodontic screening later. Simple Steps to Better Dental Health. Available at www. by age 7 when problems with teeth position become simplestepsdental.com apparent. Perhaps braces can be avoided later. 51. Oral conditions in children with special needs. Photo guide of teeth and gum conditions which may National Institute for Dental and Craniofacial Research. 7/2008. occur in children with special needs. 52. Columbia Commentary: The boy who died from a A young boy tragically died when an untreated tooth toothache. Burton Edelstein, D.D.S., & David Albert, D.D.S. Simple abcess which spread to become a brain infection. Steps to Better Dental Health. Available at www.simplestepsdental. How could this happen?
com.

5. Warning: Toothpaste from China.

USFDA Consumer Update, 6/2007. Available at http://www.fda.gov/consumer Wisconsin Oral Health Program Fact Sheet. Available at http://dhfs.wisconsin.gov/health/oral_health

The Food & Drug Administration list of toothpaste brands that contain the poisonous chemical diethylene glycol (DEG) also used in antifreeze. Too much flouride can cause white lines and ridges on teeth. It is important to monitor the appropriate level of flouride a child consumes.

5. Fluorosis of the teeth.

56. Dentists and HeadStart: What you should know and Tipsheet with overview of HeadStart, the burden how you can help. Available at http://www.mchoralhealth.org/ of oral health care on HeadStart participants, and PDFs/HSDentists.pdf opportunities for dentists to become involved. 57. Finding low-cost dental care.
and Craniofacial Research. 12/2007. National Institute for Dental

Flyer about inexpensive dental care through clinical trials, dental schools, and federally-funded programs. Wisconsin dental programs for low-income patients. Healthy Smiles for Wisconsin initiative for schoolcommunity partnerships to improve dental health. All WI children can access health insurance regardless of their parents income level. How?

58. Free or reduced-fee dental services.

WI Department of Health Services, 7/2008. Available at http://dhs.wisconsin.gov/guide/ spec/freedental.htm http://dhs.wisconsin.gov/badgercareplus/enroll.htm Available at

59. BadgerCare Plus, Health care for all kids.

Child Care Information Center

Issue 56

Adults

55. Pregnant? Dont forget to take good care of your During pregnancy, hormones make the gums teeth! Tennessee Dept. of Health, 2008. Available at http://health. vulnerable. Pregnant women often get gingivitis, an state.tn.us/Infantmortality/PDFs/Dental.pdf inflammation that can lead to premature birth.

All ages

Item #
NUTRITION

Material Detail

Description
for contacting

Age
Spanish-speaking

60. The Hispanic Dental Association. Available at http://www. Information hdassoc.org dentists.

62. Hazards of sippy cups. So. Dakota Dept. of Health. Available Reprintable flyer on how sippy cups can lead to tooth at https://apps.sd.gov/applications/ph18publications/secure decay and how to use them correctly. 6. High-sugar infancy can mean adult sugar Adult eating habits actually form at the time a baby is dependancy. Oral Health Resources, Nutrition - Children, 3/30/07. weaned from the bottle.
Available at http://agd.org/support/articles/?ArtID=1280

6. Caution sweetened beverages.

Available at https:// apps.sd.gov/applications/ph18publications/secure/PublicationsInt/ SweetenedBeverages.pdf Parents, 12/07.

One can of pop contains all the sugar you should have in a whole day. Sweet drinks take the place of milk and lead to calcium shortage. Pre-K Adults All ages School-agers Adults
School-agers

65. Smile savers. Gina Roberts-Grey.

Candy leads to tooth decay but other foods actually strengthen teeth.

66. Are you feeding your kids tooth-friendly foods? Simple More on which foods build better teeth. Textures of Steps to Better Dental Health. Available at www.simplestepsdental. foods also make a difference.
com

67. Diet and snacking.

American Academy of Pediatric Dentistry. Available at http://www.aapd.org National Institute of Dental and Craniofacial Research, 2/2000. Available at http://www.nidcr.nih. gov National Institute

Quick anwers to frequently asked questions about the foods and fluoride children should be getting. Brochure/poster. Ages 10-12. Describes the decay process, how some foods contribute to tooth decay, and a list of healthy foods from different food groups. Brochure/poster. Spanish version of above.

68. Snack smart for healthy teeth.

69. Meriendas sanas para dientes sanos.


of Dental and Craniofacial Research, 2/2000.

70. Fluoride content of bottled, filtered and conditioned Packet of fact sheets on fluoride and how to determine water. Wisconsin Oral Health Program Fact Sheets. Available at whether to give children fluoride supplements or not. http://dhfs.wisconsin.gov/health/oral_health/pdf_files/pph4559.pdf Bottled water does not contain fluoride.

EDUCATING CHILDREN
71. How does fluoride work?
Available at www.kidshealth.org kidshealth.org The Nemours Foundation, 2005.

How does fluoride in toothpaste and water work to keep teeth healthy? A tour of your teeth in kids words. Spanish version of article above. Explanation in childrens terms of how teeth grow and when to expect them to fall out. Chart of teeth. A child should brush 2-3 minutes, about the length of a song! Here are a few songs about teeth. Coloring book for children ages 4-8 from Milk Matters, a campaign dedicated to increasing calcium consumption among Americas children and teens.

72. The truth about teeth.

KidsHealth, 2008. Available at www.

7. Tus dientes. KidsHealth, 2008. Available at www.kidshealth.org 7. When will my teeth fall out?
Program, 2008. 2008 San Diego County SMILES

75. SMILES songbook.

San Diego County SMILES Program,

76. Milk Matters with Buddy Brush coloring book.

US DHHS, 2006. Available at http://www.nichd.nih.gov/publications/pubs/ upload/mm_with_buddy_brush_2006.pdf

77. Just for fun - Activities from SMILES. San Diego County Packet of activity pages, puzzles and worksheets for SMILES Program, 2008. children. 78. Life cycle of the primary & permanent teeth.
WI Oral Health Program, 2001. Available at http://dhfs.wisconsin.gov/health/ oral_health/pdf_files/pph4736.pdf Maryland Department of Health and Mental Hygiene, 2008. Available at http://www. mchoralhealth.org/PDFs/2008BulletinBoard.pdf Maternal and Child Oral Health Resource Center, 2008. National

Factsheet including pictorial chart showing what happens below the gums at different stages, 6 months to 11 years. Teeth form 3 months after conception. Materials for creating an interactive bulletin board suitable for display where parents are likely to see it. Booklet. List of free or inexpensive materials created countrywide for dental health education.

79. February Is dental health month!

80. Oral health resource bulletin: Volume XIX.

Issue 56

Child Care Information Center

Articles

to

org/foundation/pdfs/GoodHealthLabel.pdf

Infants & Toddlers

61. Good dental care: Its never too early to start. American A reprintable flyer to congratulate new parents and Academy of Pediatric Dentistry. 2008. Available at http://www.aapd. guide their care of their babys mouth.

Keep

Books
81.

Bright futures in practice: Oral health pocket guide. Holt, Katrina A. Washington, D.C: National Maternal and Child Oral Health Resource Center, Georgetown University, 2004.

Audio-Visuals
87.

Books for Kids


82. 8.

CARE OF CHILDRENS TEETH. Loxley Hall. Evanston, IL: Altschul Group Corporation, 1994. VHS, color, 10 min. This video shows parents and caregivers how to take care of childrens teeth from birth and how to prevent baby bottle tooth decay. Shows the proper way to brush and the right things to eat. FEEDING YOUR TODDLER: LILY GETS HER MONEYS WORTH. Evanston, IL: Altschul Group Corporation, 1991. VHS, color, 17 min. This program joins Lily, a young mother, for a speedy overview of toddler nutrition based on the four food groups of milk, protein, vegetables and fruit, and cereals. Presents a variety of food options even for those on the strictest budgets. Also covers food preparation, smart grocery shopping, meal planning, preventing tooth decay, the introduction of solid foods, and getting toddlers to eat using utensils. Repeatedly stresses the need for parental love and patience. Introduction for a teen parenting class. DENTAL CARE FOR THE EARLY YEARS, AGE 0-5: THE SMILE GUIDE. Evanston, IL: United Learning, 2002. VHS, color, 15 min. Provides parents and caregivers with information about the importance of dental health, emphasizing nutrition, dental visits, cavity prevention, brushing and flossing skills. DENTAL CARE FOR KIDS. Charleston, WV: Cambridge Educational, 1994. VHS, color, 30 min. An adults guide to childrens teeth; how they develop, the care they need, and the diseases that can spoil a childs mouth. It gives useful information about proper dental care from the prenatal period through the development of primary teeth until permanent teeth come in. It covers proper eating habits, brushing and flossing techniques, and when to visit your dentist. KEEPING YOUR CHILD HEALTHY: ROUTINE HEALTH CHECKS FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES. Omaha, NE: University of Nebraska Medical Center, 1990. VHS, color, 32 min. Discusses aspects of vision, hearing, dental care and immunizations for developmentally disabled children.

88.

Dinosaurs, dinosaurs. Byron Barton. New York: Crowell, 1989. 36 pgs. Color illustrations. In prehistoric days there were many different kinds of dinosaurs, big and small, those with spikes and those with long, sharp teeth. Going to the dentist. Fred Rogers. New York: Putnam, 1989. 32 pgs. Color illustrations. A Mister Rogers First Experience book, this book prepares a child for his first visit to the dentist by describing the procedures, equipment, and staff involved in a dental examination. Gross disgusting totally cool mouth book. Theodore Croll, DDS. Doylestown, PA: Reed Drabick Publishers, 2004. 42 pgs. A collection of 40 color photos along with a story about teeth, showing children and adults how and why they need simple but complete daily care right from the beginning. Includes lessons on the need for mouthguards and caring for braces. How the mouse got brown teeth: A Cree story for children. Freda Ahenakew. Saskatoon, Saskatchewan: Fifth House, 1988. 26 pgs. Color illustrations. A mouse burns it front teeth trying to free the sun from a snare. Those icky sticky smelly cavity-causing but-- invisible germs. Judith Rice & Petronella J. Ytsma. St. Paul, MN: Redleaf Press, 1997. 32 pgs. Illustrated. English and Spanish text presents the importance of dental health and the care of the teeth. 91.

89.

8.

90.

85.

86.

10

Child Care Information Center

Issue 56

92.

A CATHY & MARCY COLLECTION FOR KIDS. Cathy Fink & Marcie Marxer. Cambridge, MA: Rounder Records Corp, 1994. Audiocassette, 43 min. + lyrics. Cathy and Marcy present 15 favorites from three different award-winning albums. Contents: Grandma slid down the mountain-- Grandpas farm-- Susie & the alligator-- Ten cats down-- A flea & a fly in a flue-- Brush your teeth-- January, February, March-- Buffalo gals-- Magic penny-- Its a beautiful day-- Shakin hands-- Peanut butter & jelly-- Use your own two feet-- Mr. Rabbit-- Banjo song-- When the rain comes down-- Jump children. THE SMILE GUIDE: DENTAL CARE FOR CHILDREN, AGE -12. Hoffman Estates, IL: Christie Entertainment Inc, 2002. VHS, color, 14 min. Introduces children to important concepts related to dental health, including the process of a cavity, the effects of sugar and nutrition, the purpose of a dentist and practical self-care dental skills. ROBERTO MEETS THE TOOTHFAIRY. Newport Beach, CA: Toothfairy Island, 2005. DVD, color, 15 min. Roberto meets the Toothfairy and learns the importance of why he should brush his teeth and wash his hands. For ages 2-6. Available in English or Spanish. TOOTHTOWN U.S.A. William Watson & Michael S. Haro. Filmstrips, 158 frames, color, 35 mm. + audiocassette, 18 min. + teacher/leader guide, wall chart, posters, and booklets. Shows young people how to take good care of their teeth through proper cleaning, eating, and preventive dental care. Presents four units which highlight values associated with good dental care, dietary habits and oral health, personal dental care, and professional dental care. For elementary grades.

9.

9.

95.

8 mos

10 mos

8-7 years

7-8 years

11 mos

13 mos

8-9 years

9-10 years

16 mos

19 mos

10-12 years

11-13 years

20 mos

27-29 mos

17-21 years

Issue 56

Child Care Information Center

BooKs & Videos to Borrow


11

Audio-Visuals for Kids

Reprinted with permission from Seal a smile: A dental portfolio for dental hygiene programs and Wisconsin communities - A users guide. Milwaukee, WI: Childrens Health Alliance of Wisconsin. http://chawisconsin.org/oralHealth/Resources.htm

Early Childhood Cavities Prevention Parent/Caregiver Contract


Early Childhood Cavities is a very serious disease that is preventable with your help. Left untreated it can cause your child pain, low self-esteem, difficulty eating and learning. As the parent/caregiver, you are the most important person to manage your childs oral health. The following goals will help you gain and maintain a healthy smile for your child.
Reprinted with permission from Seal a smile: A dental portfolio for dental hygiene programs and Wisconsin communities - A users guide. Milwaukee, WI: Childrens Health Alliance of Wisconsin. http://chawisconsin.org/oralHealth/Resources.htm

Please choose goals you are willing to work on to insure your childs oral health Goal 1: I will clean my childs teeth at least once a day. Goal 2: I will use a pea size amount of fluoride toothpaste once my child turns two years old. Goal 3: I will Lift the Lip weekly and check for white spot lesions. If I notice white spots I will contact my dental or medical provider. Goal 4: I will not put my child to bed with a bottle, unless it only contains water. Goal 5: I will limit my childs intake of juice to between 4-6 ounces a day consumed at meal time only. Goal 6: I will have fluoride varnish placed on my childs teeth three times a year. Goal 7: I will feed my child foods low in sugar and limit sugary snacks. Goal 8: I will have dental and medical providers check my childs teeth by age one. Goal 9: I will introduce the trainer cup by 6 months and wean my infant from the bottle by the age of one. Signature and Date:
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How To Brush Your Childs Teeth How to Brush Your Child's Teeth

Brush the outsides and Place a pea-size Wash your hands first. the insides of the upper and lower teeth. Angle child dab of fluoridated toothpaste (if the is soft bristles 45 degrees, along the over age 2) on a soft-bristled toothbrush. gums and teeth. Place the bristles along gum line at a 5degree angle. Bristles should contact both the tooth and the gum line. Brush his/her teeth and gums.

Gently brush 1-2 teeth at a time using Brush or circular the front a vibrating the insides of motion moving in anteeth with the front part (left to right, established pattern or toe of the outside, top to bottom.) Brush inside to brush. the insides of the front teeth with the front part or toe of the brush using up and down movements.

Brush chewing surfaces (top of teeth) last, with a firm back and forth motion to remove cavity-causing germs.of Do Brush the chewing surfaces (top not forget to brush the childs tongue. teeth) last, with a firm back and Cleanse it with either his/her toothbrush forth movement to remove cavityor a commercially available tongue causing germs. scraper. Replace the toothbrush every 2- months or when the bristles begin to flare. Do not share toothbrushes with anyone.

Parent/Caregiver Handout
Reprinted with permission from Seal a smile: A dental portfolio for dental hygiene programs and Wisconsin communities - A users guide. Milwaukee, WI: Childrens Health Alliance of Wisconsin. http://chawisconsin.org/oralHealth/Resources.htm

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Doing Fun Stuff


Cheryl DeWelt Robinson, Early Childhood Advisor at the Madison Childrens Museum, shares the next four pages of activity ideas with our newsletter readers. To contact her, phone: (608) 268-1231, ext.36, or email: cdewelt@madisonchildrensmuseum.org Visit the Childrens Museum in your area for inspiration in planning your own activities. Give your children a new environment to explore by making a field trip to the museum. Call ahead and book a special group rate and tour. The following are childrens museums located in Wisconsin: Appleton: The Building for Kids - Fox Cities Childrens Museum, 100 W. College Ave., Appleton, WI 54911. Phone: (920) 734-3226. Fax: (920) 734-0677. Email: contact@buildingforkids.org Web: http://www. kidmuseum.org Eagle River: Northwoods Childrens Museum, 346 W Division Street, PO Box 216, Eagle River, WI 54521. Phone (715) 479-4623. Fax (715) 479-3289. Web: http://www.northwoodschildrensmuseum.com (Continued on page 17)

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Dental Hygiene
Dramatic Play Area: Going to the Dentist
Materials:
Clothes pins and white square cloth pieces Flashlights Doctor tools Hand mirrors Dentist Books (from bibliography) Magazines Chairs Pretend prize box (made from existing small toys in play environment) Goggles Lab coats, scrubs or jackets

Activity:

Set up the dramatic play area. Model play and invite children to visit the dentist. Use clothes pins to attach a bib to the childrens chests, have them open wide, count their teeth, give them a prize. Let other children take the lead and be the dentist. Children can sit in the waiting room and look at books and magazines. Have individual tooth brushes available for children in the bathroom and encourage them to brush their teeth throughout the day.

Goal:

Children will increase their ability to initiate and sustain interactions with peers and adults. They will develop an awareness of health and hygiene while learning to play cooperatively and share materials.

Art Project: Tooth Brush Painting


Materials:
Paper Washable tempera paint Old toothbrushes

Activity:

Set out art supplies to provide open-ended opportunities for self-expression using toothbrushes and paint.

Goal:

Children will gain fine muscle control and express themselves by using a variety of art media.

www.madisonchildrensmuseum.org

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Science Activity: Breaking Down Calcium


Materials:
Egg Plastic peanut butter jar or other unbreakable transparent vessel Vinegar

Activity:

Talk to children about bones and teeth. Discuss calcium and its contribution to creating healthy bones and teeth. Discuss calcium rich foods. Use inquirybased learning as you ask children if they can name foods or drinks they eat that contain calcium. The outer shell of an egg is hard because it has calcium. Ask children what will happen if they put an egg in a glass of vinegar and leave it overnight? Document their predictions and leave the document by the experiment. Check the egg later that day and again in the morning. Conclusion: Vinegar breaks down mineral deposits like lime and calcium. The egg shell will have disintegrated leaving only the lining of the egg intact. Goal: Children will learn to hypothesize, investigate, observe and draw conclusions from their discoveries.

Bibliography: Books for Children


Goal: Children will continue to develop speaking, listening, reading and writing skills through active engagement with these literacy materials. They will learn letter recognition and develop an increasingly complex vocabulary. At the Dentist. Greene, Carol. Childs World; 1998. ISBN#1-56766-468-7 Going to the Dentist. Frost, Helen. Pebble Books; 1999. ISBN#0-7368-0114-6 Just Going to the Dentist. Mayer, Mercer. Western Pub. Co.; 1990. ISBN#0-30762583-4 My Dentist. Rockwell, Harlow. Greenwillow Books; 1975. ISBN#0-688-80004-1 First Visit to the Dentist. Hughes, Monica. Raintree; 2004. ISBN#141090645-0 Throw Your Tooth on the Roof: Tooth Traditions From Around the World. Beeler, Selby B. Houghton Mifflin Co.; 1998. ISBN#0-395-89108-6

Books in Spanish
Mi Dentista no es un Monstruo. Moffatt, Julia. Gingham Dog Press; 2005, 2004. ISBN#0-7696-4070-2

*Goals are from the WI Model Early Learning Standards. Books can be found at your local public library. Use WISCAT online, www.wiscat.net to order books to be delivered to the library nearest you.
www.madisonchildrensmuseum.org

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(Childrens Museums continued from page 14) Eau Claire: Childrens Museum of Eau Claire, 220 S. Barstow Street, Eau Claire, WI 54701. Phone: (715) 832KIDS. Email: info@cmec.cc Web: http://www.cmec.cc Fond du Lac: Childrens Museum of Fond du Lac, 51 Sheboygan St., Fond du Lac, WI 54935. Phone: (920) 9290707. Web: http://www.childrensmuseumfdl.org LaCrosse: Gertrude Salzer Gordon Childrens Museum of LaCrosse, Inc., 207 Fifth Avenue South, La Crosse, WI. Phone: 608.784.2652. Fax: 608.784.6988. Email: info@childmuseumlax.org Web: http://www.childmuseumlax.org Madison: Madison Childrens Museum, 100 State Street, Madison, WI 53703. Phone: (608) 256-6445. Web: http:// www.madisonchildrensmuseum.org Milwaukee: Betty Brinn Childrens Museum, 929 E. Wisconsin Ave., Milwaukee, WI 53202. Phone: (414) 390-KIDS (5437). Fax: (414) 291-0906. Email: questions@bbcmkids.org Web: http://www.bbcmkids.org Sheboygan: Above & Beyond Childrens Museum, 902 N. 8th Street Sheboygan, WI 53081. Phone: (920) 4584263. Fax: (920) 458-3402. Web: http://www.abkids.org/index.php Stevens Point: Central Wisconsin Childrens Museum, CenterPoint MarketPlace ~ Downtown (between Main Street and CenterPoint Drive/Hwy10), Stevens Point, WI 54481. Phone: (715) 344-2003. Email: cwcm@sbcglobal.net Web: http://www.cwchildrensmuseum.org To find childrens museums in other states and countries, go to: www.childrensmuseums.org

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Cleaning Babies Teeth Group Toothbrush Holder


When should teeth cleaning and mouth hygiene begin? Early! Even babies teeth can decay!

Most children have a full set of baby teeth by age 3. How Materials Needed: these first teeth are tended will impact how the permanent Toothbrushes -teeth-to-come will be maintained when they replace the Eyescrews baby teeth. Wood plank Yoghurt cups Infants teeth and gums should be wiped with a clean, damp Non-toxic enamel craft paint cloth after feeding and meals. Babies may squawk about this as they often do about having their hands wiped clean 1. Take one of the toothbrushes your group will be after a meal. Try introducing a song to sing while carefully using with you to the hardware store. You will be and respectfully wiping their mouths. looking for eyescrews. The size will be determined by how the toothbrush fits through the eye. The Wipe, Wipe, Wipe Your Teeth eyescrew should fit about halfway up the toothbrush (to the tune of Row, Row, Row Your Boat) handle. You will need as many screws as you have children in your group. Young children: Wipe, wipe, wipe your teeth. 2. The length of the wood plank will be determined by Clean them every day. the number of children in your group. If you have 6 Wipe the roof and wipe the floor, children, you will need a board at least 18 inches Then rinse the dirt away. long. Distribute the eyescrews along the board allowing at least 3 inches between each eyescrew. Older children: Use a yoghurt cup or one of the cups the children Brush, brush, brush your teeth. will be using for rinsing after brushing to measure Clean them every day. a comfortable distance between each eyescrew. Rub your gums, and wipe your tongue, Adjust the eyescrews so the openings are up-andThen rinse the dirt away. down. This Is the Way We Clean Our Teeth (to the tune of This Is The Way We Wash Our Clothes) This is the way we clean our teeth, Clean our teeth, clean our teeth. This is the way we clean our teeth, After every meal. This is the way we smile awhile, Smile awhile, smile awhile. This is the way we smile awhile, When our teeth are clean. Babies will respond to the cheerful musical cue associating the actions to the words. The ritual will be the first step in learning life-long dental hygiene habits. Older children will respond to the humor and indirect instruction in the song, showing you their clean teeth by smiling broadly. Tip: A thick-handle toothbrush may be easier for a small child to hold & use.
References: American Dental Association, www.ada.com Body Bulletin, February 1999. Texas Child Care, Spring 2001.

3. Screw the board to the wall near the sink where children will brush their teeth after meals. 4. Have each child decorate a yoghurt cup with enamel paint. Paint the name of each child on the bottom of their cups. Alternatives: Use disposable paper cups or small plastic cups. 5. Paint each childs name on their toothbrush. 6. Thread the toothbrushes through the eyescrews straightening them so that the brush points upward. Tip the cups over the correlating toothbrushes. 7. Hang a mirror just above the sink behind the faucets so children can see themselves while they brush. Make toothbrushing part of the aftermealtime ritual along with pottying and handwashing before rest-time and outdoor play. - Ideas by Lita Haddal, CCIC

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Bright Smile, Bright Futures www.colgatebsbf.com Free curriculum materials for PreK-3rd grade to promote oral health and literacy: teachers guides, activities, takehome pages, mini posters of brushing how-tos, and family materials. Download a Free DVD and a CD of music . At same site: Healthy Bedtime Habits for a Lifetime Reading is Fundamental (RIF)/Colgate-Palmolives Healthy Bedtime Habits campaign resources encourage healthy reading, brushing, and handwashing habits. Kids and families can read an online interactive storybook, enter a library sweepstakes, and use an online tool for tracking childrens progress in building good health habits. Special Smiles. Dental Help For The Disabled http://www.specialolympics.org/Special+Olympics+Publi c+Website/English/Initiatives/Healthy_Ahtlietes/Special_ Smiles/default.htm Special Olympics Special Smiles helps Special Olympics athletes and people with intellectual disabilities access dental care. Dental screenings are used to increase awareness of athletes oral health for the athletes themselves, as well as their parents and/or caregivers. A screening includes: hygiene education to help ensure they are doing an adequate job of brushing and flossing, "Goody bag" with toothbrush, toothpaste and floss, nutritional education on how diet affects total health, a list of dentists/clinics in their area who will treat patients with special needs (should they have difficulty finding a dentist), free mouth guards (at most locations) for athletes competing in contact or high-risk sports. Toothfairy Island www.toothfairyisland.com Interactive website for kids in English and Spanish.

Free Potty Charts http://www.ablebaby.com/ptychrt.html Free printable colorful potty sticker charts for motivating toddlers to use the potty. Use them with your own stickers, or order free or inexpensive kids stickers at: http://www.freestuffchannel.com/sticker.html or http://www.stickergiant.com/Merchant2/merchant. my?Screen=CTGY&Store_Code=sg&Category_Code=c& AID=5656331&PID=1530579

Interactive Website About The Mouth &Teeth http://kidshealth.org/misc.movie/bodybasics/ mouthandteeth.htm Roll the mouse over the opening illustration to activate pop-up information and additional illustrations, i.e., make the tongue stick out of the mouth. A Parents Guide To Tooth Eruption h t t p : / / w w w. s i m p l e s t e p s d e n t a l . c o m / S S / i h t S S / r.WSIHW000/st.31840/t.31880/pr.3.html An online interactive illustration and guide to how childrens teeth look above and below the gumline at 8 different ages during development. By clicking on the specific ages, the illustration switches and appropriate tips are listed for dental hygiene at that age. Two Pet Health Websites www.merckvetmanual.com www.peteducation.com A good way to reinforce childrens interest and knowledge of dental hygiene is to engage them in the dental care of a pet. Type in dental in the search window at the above websites for photos and information regarding animal mouth and teeth care.

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resources
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Simple Steps to Better Dental Health: Parents Guide h t t p : / / w w w. s i m p l e s t e p s d e n t a l . c o m / S S / i h t S S / r.WSIHWOOO/st.31840/t.31840/pr.3/html A consumer information website, reviewed by the Columbia School of Dental Medicine, with information about oral health for infants, children, and adolescents. Free streaming video entitled: Brushing Childrens Teeth.

National Maternal & Child Oral Health Resource Center http://www.mchoralhealth.org/materials/action.lasso?database=Biblio&-layout=Web&-response=results. lasso&-MaxRecords=all&-DoScript=lang_OHRC_VI&search The National Maternal and Child Oral Health Resource Center collects materials for health professionals and consumers. Non-English Materials On Childrens Oral Health http://www.mchoralhealth.org/materials/nonenglish.html Dental health materials in languages other than English, including the following languages: Armenian, Bosnian, Cambodian, Chinese, Hmong, Korean, Laotian, Persian,(Iranian, Farsi), Pilipino (Tagalog, Filipino), Russian, Somali, Spanish, Thai (Siamese), Vietnamese.

elsewhere

Celebrate Childrens Dental Health Month Each and Every Year in February American Dental Association http://www.ada.org/prof/events/featured/ncdhm.asp Wisconsin Oral Health Program http://dhfs.wisconsin.gov/health/Oral_health/ HealthySmiles.htm Health links http://www.dhfs.wisconsin.gov/health/Oral_Health/Links. htm Games, cartoons, and more http://www.mouthpower.org Dental products and play props www.practicon.com, 1-800-959-9505 www.plaksmacker.com,1-800-55-TOOTH

Pediatric Dental Facts http://youtube.com/watch?v=l8WcjniIhkE&feature=related Online video opens with the alert that the video host is an educated black woman. Nikko, a young dental hygienist, chats engagingly about a range of dental issues, including braces, baby teeth, ridges on teeth, bad breath and more.

To Order Resources: Phone,fax Mail or Email. Identify the newsletter issue number and the item number. Give your name, center name, address, and phone number. Tell us the date you intend to use the materials. Books & Videos Are Library Items. Loan periods are: 2 weeks for books 1 week for videos Articles Are Yours To Keep. Wisconsin Child Care Information Center Statewide toll free phone: (800) 362-7353 Local phone: (608) 224-5388 Fax: (608) 224-6178 Email: ccic@dpi.wi.gov Internet: http://dpi.wi.gov/ccic

Call 1-800-362-7353.

Our services are free and confidential.

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