ABCD dentists are trained and certified by the University of Washington School of Dentistry to perform gentle, yet effective techniques that make “going to the dentist” a comfortable experience for very young children and their families.
Knee-to-knee examination: A preferred alternative to dental chairs, this procedure has the dentist sitting knee-to-knee opposite the parent or guardian with the child lying across their laps. With the child’s head in the parent’s lap, the parent learns how to brush the child’s teeth, while the dentist provides information and encouragement. Then the child’s position is reversed so the dentist can complete the examination. Read a step-by-step description of the Knee-to-Knee technique.
Fluoride Varnish is a coating that is painted on baby teeth to prevent new cavities and stop those that have already started. It slowly soaks into teeth, making them harder and reducing surface decay by 50 to 70 percent. Up to three applications per year can be billed to Apple Health -ABCD by the dental practice.
Interim Therapeutic Restorations (ITR) is a modified technique in which a handpiece is used, caries removal is obtained in full or in part, retention is obtained, and a glass ionomer restoration is placed which can be expected to be retained for a year or even much longer. The procedure helps dentists avoid treatment under anesthesia and manage early childhood caries progression until the child is old enough to cooperate for routine care in the dental chair. ABCD-certified dentists who complete Phase II (ITR) training can receive reimbursement for ITR procedures.