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You work at a community health center in a rural area of your state. Carol, a 9 month old girl, comes in with her Mom for a routine well child visit. Mom received good prenatal care including dental restoration of several cavities, but unfortunately her pregnancy was complicated by episodes of maternal pyelonephritis and pneumonia, and Carol was delivered at 34 weeks due to premature rupture of membranes. At today’s visit, in addition to addressing common issues in the care of former premature infants, you explore Carol’s oral health risks. Your oral exam findings are displayed in the photo.
Which of the following is true about Carol’s risk for developing Early Childhood Caries (ECC)?
You and Carol’s Mom agree that she is at high risk for ECC. Mom is anxious to do all that she can to help Carol avoid the extensive caries that she has experienced herself. She asks you for guidance.
Which of the following is the most appropriate anticipatory advice for Carol?
6 months pass, and Carol returns for her 15 month well child visit. On oral exam you note the following:
Which of the following is most likely to have been a contributing factor to Carol’s rapid development of ECC?