Healthy Living in the North

A lifetime of healthy smiles

Did you know that tooth decay is the third most common disease in Canada? And that four in 1000 children require dental treatment in hospital operating rooms? Not only that, but dental caries (cavities) interferes with a child’s ability to eat, sleep and thrive.

The good news is that dental caries is a preventable disease! Simple changes to you and your child’s diet and dental health behaviour can have a great impact on the development of a healthy mouth and a bright smile. Oral Health Month is a great time to start these changes!

Display with food photos

There are some foods that seem to protect against tooth decay, including hard cheeses like cheddar and mozzarella, nuts, meats, fish, poultry, and eggs.

What can you do?

  • Take care of your own dental needs. Decay-causing bacteria can be spread from person to person so brush and floss daily and have the dentist remove active decay. Limit passing bacteria to infants by not sharing toothbrushes or cutlery and by not licking soothers to clean them.
  • Once teeth appear, brush your child’s teeth twice daily with a rice-sized amount of fluoride toothpaste. Don’t rush your brush! Starting at one point, slowly work your way around the entire mouth until the fronts, backs, and chewing surfaces of both the upper and lower teeth are done – this will take you three to five minutes.
  • At least once a month, lift your child’s lip to check for newly erupted teeth and white or brown spots on the teeth.
  • Teach your child to drink from a regular, lidless cup. Offer plain water instead of other liquids for thirst between meals. Limit acidic drinks like pop and fruit beverages.
  • A balanced diet is crucial to the development and maintenance of healthy teeth and gums. Choose a variety of healthy foods that do not stick to teeth. There are some foods that seem to protect against tooth decay, including hard cheeses like cheddar and mozzarella, nuts, meats, fish, poultry, and eggs.
  • Start regular dental visits at age one or after teeth start appearing. Refer children with signs of dental decay to dental staff at your local health unit. Public health dental staff offer free counseling and fluoride varnish treatments.

For more information, visit the BC Dental Association or HealthLink BC.


Look for this article – along with several other stories about child health – in the upcoming (Summer 2016) issue of Healthier You magazine!

 

Shirley Gray

About Shirley Gray

Shirley is the Team Lead for Dental Programs at Northern Health. She moved to Terrace for a two year position as a Dental Hygienist and has stayed for 27 years! She feels it's a privilege to live and work in the North. She loved teaching children and has been mistaken for the tooth fairy! She is not magic like the tooth fairy, but she is proud to lead a real team of preventive dental specialists in the North who work hard to ensure children keep their teeth healthy for a lifetime.

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Certified Dental Assistants: A passion for healthy smiles!

Two toothbrushes

Northern Health has a dedicated team of public dental health professionals who are busy promoting healthy dental behaviours!

April is Oral Health Month!

You may not know that Northern Health has a dedicated team of public dental health professionals who are busy promoting healthy dental behaviours! This Oral Health Month, I’d like to celebrate and acknowledge the work that our Certified Dental Assistants (CDAs) provide. CDAs are educated, trained dental professionals who make important assessments about patient care every day. The five ladies who make up this team are often the first person that clients meet in their community – whether it’s at family health events, Strong Start, or our fluoride varnish clinics.

I had the privilege of interviewing each of the CDAs last month and discovered the deep passion each has for working with children and families. I asked that they share a few stories and reflections here with you.

Thank you for taking time to read and consider the support these ladies provide in our communities!

Pamela:

I am a Certified Dental Assistant working as a Community Dental Assistant for Northern Health. I’ve been working for six years and during that time, I have been in contact with multiple families. The families that made the biggest impression on me were the ones who had children with early childhood caries. Sometimes these children are in pain and you can really tell that their self-esteem is low. They also struggle to eat well.

After these children are treated and their pain is alleviated, the difference can make you cry! I like to compare it to a flower that is blooming – so beautiful and happy! There is nothing better than watching a child start to thrive again, eat, and be healthy and happy! This is what makes me love my job and makes me passionate about healthy children.

Wendy:

I appreciate the variety that my job as a dental assistant in public & population health offers. I love working with young children and their parents and especially enjoy working with immigrant families. Recently, our dental program was invited to the multicultural society in Prince George to meet with several new refugee families from Syria. A co-worker and I did basic teaching around oral health, screening and referral for obvious dental needs, and did fluoride applications for children under 6 years. The children and I got a great laugh as I attempted to pronounce their names. They had no problem with my name! All in all, it was a great privilege to meet these families and to be a small part of not only helping them on the road to achieve better dental health, but also to show compassion and friendship as they face many new challenges in adjusting to their new life in Canada.

Louise:

When I think of a success story in my time as a Certified Dental Assistant, I remember the first time I went out to see families in a remote community. I was screening children and doing fluoride varnish with the parents present. One mom had several children at the Health Unit. She brought her 18 month old last. We did a “knee-to-knee” dental exam and “lift-the-lip.” As we looked at this child’s teeth, I noticed the start of cavities. Not just white lines, but brown, stained upper anterior teeth with ditching in them. Further investigation revealed that the mom was breastfeeding ad lib, wasn’t brushing for the child, and that the family had cavities themselves.

I encouraged brushing at least 2-3 times a day with fluoride toothpaste and showed how to brush. I also discussed decay-causing acids from the frequency of sugary drinks, such as juice, pop, or even milk. Breast milk was the best option for her child so I encouraged continuing on, but really stressed the importance of brushing with fluoride toothpaste, having fluoride varnish done, and taking her child to the dentist. I said if we did these things, her child may not have to have work done in the hospital within the next year or two, and we could keep those cavities “at bay” until the child was able to sit in the dental chair to have the work done.

The next time I spoke with mom, she had taken him to the dentist and was brushing lots with fluoride toothpaste. The dentist had scooped out some decay and burnished the fluoride varnish into the cavitation. The fluoride varnish was done routinely (about every 2-3 months) and the teeth strengthened. We built a relationship of trust through these fluoride varnish appointments. Her child had some dental work done while sitting in the chair at 5 years of age. The upper anterior teeth weren’t involved; it was the back molars that had fillings done. There was no hospital work done and fewer cavities/fillings. Overall, we saw much better outcomes. We still have a trusting relationship when I see her and her family in the community. Now, her children are having children: the next generation. Hopefully there will be more great changes in their dental health and overall health!

Thank you card

Thank you card received by a Certified Dental Assistant.

Dianne:

This is a very special card to me. The inside note says, “You have been an amazing ‘Tooth Fairy’ for us!”

This was given to me by a very grateful young mother. This mom’s 2.5 year old was in urgent need of dental treatment. When they came to me, he had already been on antibiotics and was not sleeping or eating very much. Mom was very worried and did not know where to start to help her son.

Because of some special circumstances, this mom had spent over two years trying to figure out the paperwork to get dental coverage for her son. She had even started some personal fundraising for dental care, but even these funds had to be redirected to a family emergency.

I got involved and supported the many levels of communication required in this case. There was communication to coordinate with a dental office (which took the case knowing that they may not be paid), local government staff for travel arrangements, local and regional administrators, doctors’ offices, Save a Smile program, dental therapist, and a local church.

Ultimately, people worked together and this child received full treatment within one month of their visit with me! The family was not able to pay the dental office in full at the time but the mom is still committed to sending this office extra money as she is able to. Mom is so thankful that her child sleeps and eats well and can run and play as a child should. I see him regularly for fluoride varnish; he is doing very well and will start kindergarten in the fall. He and others like him are why I love my job!

Kim:

After I graduated as a Certified Dental Assistant and started working, I quickly realized that chair-side assisting wasn’t for me. I wasn’t proud of the work I was doing or the setting I worked in. I job-hopped for a while gaining experience and looking for something that would satisfy my mind. The job-hopping stopped when I was hired as a Public Health Certified Dental Assistant!

Public health has given me the opportunity to use my life skills and personal abilities in my daily work in a way that I wasn’t able to in an office setting. I’ve also had a lot of personal growth in this career. It has come to me through different work experiences such as teaching clients, presenting to groups, coaching clients through oral hygiene changes, learning about statistics and cultures, gaining computer skills, and the freedom to use my creativity to reach people when the “usual” way doesn’t work.

My career as a Public Health Certified Dental Assistant has contributed to me being a well-rounded person with the confidence to tackle whatever is in front of me.

Shirley Gray

About Shirley Gray

Shirley is the Team Lead for Dental Programs at Northern Health. She moved to Terrace for a two year position as a Dental Hygienist and has stayed for 27 years! She feels it's a privilege to live and work in the North. She loved teaching children and has been mistaken for the tooth fairy! She is not magic like the tooth fairy, but she is proud to lead a real team of preventive dental specialists in the North who work hard to ensure children keep their teeth healthy for a lifetime.

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Oral Health Month: Healthy smiles for your family

Smiling child

Keep your family’s smiles bright! Registered dental hygienist Kelly has tips to ensure a lifetime of healthy smiles.

Good oral health is something we all try to work on every day as a healthy mouth contributes to overall good health. But, at certain times of the year, the choices we make are even more important to our dental health. April is Oral Health Month in Canada and it’s a great time to think about your family’s smiles!

For many families, last week included a special visit from the Easter Bunny. It’s common for a child’s Easter basket to be filled with chocolate and candy. As a registered dental hygienist, my role is to help prevent tooth decay in children, so I’m always conscious of the effects these traditions have on children’s mouths.

Baby teeth are very important and need to be well cared for; primary teeth can remain in a child’s mouth until the age of 12. They help with chewing, speech, and allow the proper spaces for the adult teeth to come in.

It is important to know that sugars turn to acids in the mouth. If your child is eating candy throughout the day, numerous acid attacks are happening in the mouth. Constant sugar/acid exposure can wear down enamel and lead to dental decay. If untreated, this can cause pain, infection, and problems with eating and sleeping for the child. Decay is preventable and can be avoided.

You can help your children avoid getting cavities by limiting the amount of sugar they consume. If treats are offered, it’s best they are given at meal time when there is more saliva to help maintain an optimum pH level in the mouth. It’s also a good idea to avoid sticky, chewy candy as it is harder to remove from tooth surfaces and it tends to stay in the mouth longer, leaving your child vulnerable to decay.

Some other tips to help prevent childhood cavities include:

  • Offer a variety of healthy choices, including fresh fruits and vegetables, cheese, and nuts.
  • Limit sugar intake in snacks and drinks. Water is the best choice for thirst as fruit juices and pop have a very high sugar content.
  • Brush your child’s teeth with a pea size amount of fluoride toothpaste two times per day (morning and before bed). Introduce flossing to your oral hygiene routine.
  • At times like Easter, offer alternatives to candy like stickers, tattoos, pencils, toys, or sugar free gum.
  • See your dentist regularly.
Kelly Esopenko

About Kelly Esopenko

Kelly is a registered dental hygienist working with Population & Public Health. Kelly has been a dental hygienist for over 20 years and has worked in a variety of clinical settings. She joined Northern Health in 2012 and works with a wide range of clients promoting good oral health practices. Kelly is married with two children. In her free time, she enjoys spending time with family and friends, walking her dogs, and cheering on her children in their various sporting activities.

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