Good Health Starts Here 8 · health care professionals and the public. Take advantage of all the...

Parent Education BrochuresParent Education BrochuresParent Education BrochuresParent Education BrochuresParent Education Brochures ............................................................................................................................................ 44444

Good Health Starts HereGood Health Starts HereGood Health Starts HereGood Health Starts HereGood Health Starts Here .......................................................................................................................................................................... 88888

Visual Reference CardsVisual Reference CardsVisual Reference CardsVisual Reference CardsVisual Reference Cards ........................................................................................................................................................................................................ 99999

Audiovisual PublicationsAudiovisual PublicationsAudiovisual PublicationsAudiovisual PublicationsAudiovisual Publications ...................................................................................................................................................... 1010101010

Additional PublicationsAdditional PublicationsAdditional PublicationsAdditional PublicationsAdditional Publications ......................................................................................................................................................................................... 1212121212

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Pediatric Pediatric Pediatric Pediatric Pediatric DentistryDentistryDentistryDentistryDentistry

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Welcome to the catalog of the American Academy of Pediatric Dentistry (AAPD).We are pleased to offer you a variety of products. We have carefully produced the mostup to date materials that can be used for parents, general dentists, pediatricians, otherhealth care professionals and the public.

Take advantage of all the AAPD has to offer and remember when you purchasefrom AAPD, you are supporting the practice, science and art of pediatric dentistry.

Your comments and suggestions for improving the current items or for developingnew ones are invited.

If you have any questions about any of the products in this catalog, please call theAAPD Communications department at (312) 337-2169.

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Parent Education BrochuresParent Education BrochuresParent Education BrochuresParent Education BrochuresParent Education BrochuresEducating patients

and parents on treat-ment methods can bedifficult and oftentime consuming. Thisbrochure series coversour most popular top-ics and is designed tocomplement any of-fice. Your patients andtheir parents will ap-preciate the wealth ofinformation you offerto help them targethealthy smiles.

Parent education brochures are used primarily for parents and the public, but mayalso be used by general dentists, pediatricians and other health care professionals.

BrochuresCalming the Anxious ChildConscious SedationDental Care for Your Special ChildDental Care for Your Baby*Diet and SnackingEarly Orthodontic CareEmergency CareEnamel FluorosisEnamel MicroabrasionEsthetic DentistryFluorideGeneral AnesthesiaManaged Dental Care ProgramsMouth ProtectorsNitrous OxidePreventive DentistryRegular Dental VisitsSealants*Space MaintenanceThe Pediatric Dentist*Thumb, Finger and Pacifier Habits*To My Teenage PatientsTooth-Colored FillingsWhat is MalocclusionX-Ray Use and SafetyComplete Brochure Assortment Sample Packet includes one copy of eachparent education brochure listed above.Acrylic Display Rack

* Availabe in Spanish

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Acrylic RackAcrylic RackAcrylic RackAcrylic RackAcrylic RackWith room for up to 12 different brochures, the acrylic rack measures, 17.75"

wide x 12.5" high and is 6.6" deep. It can be placed on a countertop or mountedto a wall.

Dental Care for Your BabyDental Care for Your BabyDental Care for Your BabyDental Care for Your BabyDental Care for Your BabyA child should begin seeing a pediat-

ric dentist when the first tooth comes in,usually between six and 12 months. Theearlier the dental visit, the better thechance of preventing dental problems.Children with healthy teeth chew foodeasily, speak clearly and smile with confi-dence. If the child’s teeth are not takencare of at a young age, there is a greaterrisk for a form of tooth decay. Withinthis brochure, there is significant infor-mation about Early Childhood Caries andways to prevent it. Also, information onthumb and finger sucking, teething andteeth cleaning is provided.

Diet and SnackingDiet and SnackingDiet and SnackingDiet and SnackingDiet and SnackingA healthy diet is a balanced diet that

naturally supplies all the nutrients a childneeds to grow. A diet high in sugars andstarches, can lead to an increased risk oftooth decay. Although most foods docontain various amounts of sugar andstarch, it is important to select and servefood wisely. This brochure incorporatesinformation about fluoride and providestips regarding diet and dental health.

Early Orthodontic CareEarly Orthodontic CareEarly Orthodontic CareEarly Orthodontic CareEarly Orthodontic CareA pediatric dentist can identify mal-

occlusion, crowded or crooked teeth andeven a bite problem early on in a child’sdental care. Early orthodontic treatmentcan prevent more extensive treatmentlater. Other topics discussed includetypes of orthodontic appliances and foodsa child should avoid when wearing theseappliances.

Calming the Anxious ChildCalming the Anxious ChildCalming the Anxious ChildCalming the Anxious ChildCalming the Anxious ChildPediatric dentists are specially trained

to alleviate a child’s anxiety about receiv-ing dental treatment. Children must feelcomfortable and their time spent in thedental office should be a pleasant experi-ence. Some children may want a parentin the examining room with them, whileothers may prefer to communicate one onone with the dentist. Information pro-vided in this brochure discusses how apediatric dentist can help with a child’sanxiety and also ways to deal with chil-dren who have difficulty cooperating dur-ing treatment.

Conscious SedationConscious SedationConscious SedationConscious SedationConscious SedationConscious sedation is a management

technique that uses medications to assistthe child in coping with fear and anxiety,so they can cooperate with dental treat-ment. This brochure discusses the safetyof sedation and special instructions forbefore and after the sedation appointment.

Dental Care for YourDental Care for YourDental Care for YourDental Care for YourDental Care for YourSpecial ChildSpecial ChildSpecial ChildSpecial ChildSpecial Child

Some special children are susceptibleto tooth decay and other oral diseases andtrauma. If dental care is started early,many serious dental problems can be pre-vented. This brochure discusses how earlydental intervention, such as brushing andflossing, can help keep a special child’steeth healthy. Also discussed within thebrochure is the education and trainingprovided to pediatric dentists to help thembetter prepare and treat the special child.

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Emergency CareEmergency CareEmergency CareEmergency CareEmergency CareIf a child has a dental emergency, con-

tacting their pediatric dentist immediatelyis the best approach. Dental injuries canbe avoided if certain preventive measuresare taken. This brochure discusses waysto handle a chipped tooth, knocked outtooth and ways to prevent injuries to themouth and teeth.

Enamel FluorosisEnamel FluorosisEnamel FluorosisEnamel FluorosisEnamel FluorosisEnamel fluorosis is a condition caused

when a child ingests too much fluorideduring the years of tooth development.In severe cases, the appearance of teeth canbe discolored or pitted. This conditioncan occur if a child swallows fluoridatedtoothpaste instead of spitting it out. Inaddition, enamel fluorosis can be a con-cern if a child is taking a fluoride supple-ment when there is already a significantamount in their drinking water. Preven-tion and treatment of enamel fluorosis areincluded in this brochure.

Enamel MicroabrasionEnamel MicroabrasionEnamel MicroabrasionEnamel MicroabrasionEnamel MicroabrasionMicroabrasion is the process of remov-

ing superficial stains and discolorationsfrom the teeth. An infection or traumato the baby tooth before the eruption ofthe permanent tooth can cause discolora-tion. This brochure goes into more detailon why discoloration occurs and also pro-vides reasons why microabrasion may notwork in some cases. It also gives alterna-tive treatment suggestions.

Esthetic DentistryEsthetic DentistryEsthetic DentistryEsthetic DentistryEsthetic DentistryA child is more confident when they

are proud of their teeth. Esthetic den-tistry can enhance a child’s smile. Discol-oration can be caused by illness duringtooth development, poor hygiene and ex-posure to certain medicines. This bro-chure details the limitations to bondingand veneers, and addresses bleaching and

porcelain crowns as methods used to en-hance a child’s smile.

New Fluoride BrochureNew Fluoride BrochureNew Fluoride BrochureNew Fluoride BrochureNew Fluoride BrochureThe Council on Communications, in

conjunction with the Council of Scien-tific Affairs and Council on Clinical Af-fairs, has developed the new AAPD par-ent education brochure on fluoride.

This brochure answers the most fre-quently asked parent questions such as,“How does fluoride work? Will my childneed fluoride supplements? What type oftoothpaste should my child use? How safeis fluoride?” And, “What is topical fluo-ride?”

General AnesthesiaGeneral AnesthesiaGeneral AnesthesiaGeneral AnesthesiaGeneral AnesthesiaGeneral anesthesia is the management

technique that uses medication to causethe child to become unconscious andasleep during dental treatment. Childrenwith severe anxiety or inability to cooper-ate are good candidates for general anes-thesia. This brochure goes into detailabout the safety of general anesthesia, aswell as parental concerns and consider-ations.

Managed Dental Care ProgramsManaged Dental Care ProgramsManaged Dental Care ProgramsManaged Dental Care ProgramsManaged Dental Care ProgramsDental insurance plans differ by the

services they cover, amount they pay fordental procedures and whether or notthere is the option to choose to go to thepediatric dentist. When choosing a den-tal plan, it is crucial to know what ser-vices the plan does and does not cover.This brochure covers all insurance optionsregarding dental coverage for children.

Mouth ProtectorsMouth ProtectorsMouth ProtectorsMouth ProtectorsMouth ProtectorsMouth protectors are made of soft plas-

tic and are adapted to fit comfortably tothe shape of the upper teeth. They pro-tect not just the teeth, but the lips, cheeksand tongue. A mouth guard protects

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against head and neck injuries, as well asjaw fractures. Children who participatein contact sports are good candidates fora mouth guard. There is more informa-tion about when a mouth guard shouldbe worn and how to choose the correcttype of mouth guard in this brochure.

Nitrous OxideNitrous OxideNitrous OxideNitrous OxideNitrous OxideNitrous oxide is a safe and effective

technique used to calm a child’s fear ofthe dental visit. Nitrous oxide is a blendof two gases: oxygen and nitrous oxide.When inhaled, it is absorbed by the bodyand has a calming effect. Nitrous oxide isperhaps the safest sedative in dentistrysince the child remains fully consciousduring treatment. Discussed within thebrochure are ways to prepare the child fortreatment and effectiveness of the treat-ment on children.

Preventive DentistryPreventive DentistryPreventive DentistryPreventive DentistryPreventive DentistryPreventive dentistry for children in-

cludes brushing, flossing, fluoride, properdiet and other preventive practices. Pre-ventive dentistry means a healthy smileand gives children more confidence intheir appearance. Additional informationin the brochure discusses the role parents’play in prevention, as well as the pediat-ric dentist’s goal to ensure healthy teeth.

Regular Dental VisitsRegular Dental VisitsRegular Dental VisitsRegular Dental VisitsRegular Dental VisitsRegular dental visits are key to help-

ing your child stay cavity free. Hygieneinstructions improve brushing and floss-ing techniques and lead to cleaner andhealthier gums. A pediatric dentist willassess any changes that occur within thechild’s mouth and identify problems andoffer suggestions. This brochure discussesdental check-ups, X-ray information andprovides steps to maintaining good den-tal health.

SealantsSealantsSealantsSealantsSealantsEven if a child brushes their teeth regu-

larly, it is very difficult to clean the tinygrooves and pits on certain teeth, espe-cially the teeth in the back of the mouth.Sealants “seal out” food and plaque andreduce the risk of decay. Sealants are madeof clear or shaded plastic and last for manyyears. This brochure discusses the ben-efits of sealants, as well as treatment andcost concerns.

Space MaintenanceSpace MaintenanceSpace MaintenanceSpace MaintenanceSpace MaintenanceSome children may lose their baby

teeth too soon. When a tooth is lost pre-maturely, the pediatric dentist might rec-ommend a space maintainer to preventspace loss and future dental problems.This brochure discusses how spacemaintainers work and provides instruc-tions for their care.

The Pediatric DentistThe Pediatric DentistThe Pediatric DentistThe Pediatric DentistThe Pediatric DentistThe pediatric dentist is a specialist who

is dedicated to the oral health of childrenfrom infancy through the teenage years.They have special training that allowsthem to provide the most up-to-date,thorough treatment for a variety of den-tal problems. This brochure covers severalimportant topics such as tooth decay, pre-ventive measures, dental injuries and de-velopmental abnormalities. There is alsoa dental checklist to assist with properdental care for an infant and toddler.

Thumb, Finger and PacifierThumb, Finger and PacifierThumb, Finger and PacifierThumb, Finger and PacifierThumb, Finger and PacifierHabitsHabitsHabitsHabitsHabits

Thumb, finger and pacifier habits arecompletely normal for babies and youngchildren. There is generally no cause forconcern, however, some children repeat-edly suck on a finger or pacifier over longperiods of time causing the upper frontteeth to tip toward the lip or cause theteeth to not come in properly. This bro-

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chure discusses a child’s thumb, finger andpacifier habits and offers suggestions onhow to wean a child from these behav-iors.

To My Teenage PatientTo My Teenage PatientTo My Teenage PatientTo My Teenage PatientTo My Teenage PatientTooth decay and other dental diseases

are still very much a concern for a teen-ager. This brochure offers excellent tipsand suggestions for teenagers who careabout their dental health. Informationabout eating disorders, dangers of smok-ing and ways a pediatric dentist can assistin the care of their teeth is provided inthis brochure.

Tooth-Colored FillingsTooth-Colored FillingsTooth-Colored FillingsTooth-Colored FillingsTooth-Colored FillingsTooth-colored fillings are made from

durable plastics called composite resins.The fillings are less noticeable because theylook similar in color and texture to an ac-tual tooth. Since a tooth-colored filling isnatural looking, a child can smile, talk andeat with confidence. Tooth colored fillingsare not suitable for every tooth, but a pedi-atric dentist will discuss what filling op-tions are available. Discussed in this bro-

chure are advantages and disadvantages tothese fillings and proper care managementfor tooth-colored fillings.

What is MalocclusionWhat is MalocclusionWhat is MalocclusionWhat is MalocclusionWhat is MalocclusionMalocclusion is the improper position-

ing of the teeth and jaws. This type ofimproper development can affect the bite,ability to clean the teeth properly, jawgrowth, speech development and appear-ance. Environmental and heredity factorsplay a role in the cause of malocclusion.This brochure offers information on howa pediatric dentist evaluates the complex-ity of the problem, appliances used to cor-rect malocclusion and treatment necessaryto aid in combating malocclusion.

X-Ray Use and SafetyX-Ray Use and SafetyX-Ray Use and SafetyX-Ray Use and SafetyX-Ray Use and SafetyThe need for X-ray films varies from

child to child. Films are taken only aftera review of the child’s health, and are usedto aid in assessing the child’s oral health.Information provided in this brochurediscusses reasons why an X-ray might needto be taken and how the child is protectedduring this process.

Good Health Starts HereGood Health Starts HereGood Health Starts HereGood Health Starts HereGood Health Starts HereThis brochure addresses the Good Health Starts Here

campaign. The campaign targets caregivers, adolescents andother health care professionals that serve children to 1) edu-cate them that oral health is an essential component ofgeneral health, and 2) promote actions these groups canperform on themselves or children under their care to pre-vent oral disease and maintain health. This informationwill be conveyed to these audiences through a series ofage-specific messages on key oral health topics. Messageswill be delivered to these groups through several strate-gic mechanisms including, but not limited to, collat-eral materials posted in areas frequented by target au-diences such as pediatricians' offices, placement onchildcare product labels and through a national me-dia campaign.

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Visual Reference CardsVisual Reference CardsVisual Reference CardsVisual Reference CardsVisual Reference CardsShare them with general dentist colleagues, pe-

diatricians and other healthcare professionals. Vi-sual Reference Cards are designed to serve as areference guide, as well as a visual resource for edu-cating parents. Ideal as a referral tool. Cards aresold laminated in packs of 10.

Pediatric Dental Reference CardPediatric Dental Reference CardPediatric Dental Reference CardPediatric Dental Reference CardPediatric Dental Reference CardInfant Dental Care

Dental InfectionBaby Bottle Tooth Decay

Ectopic EruptionPit and Fissure Sealants

Tooth FracturesThumb/Finger Habit

Tooth Avulsion

Pediatric Dental TopicsPediatric Dental TopicsPediatric Dental TopicsPediatric Dental TopicsPediatric Dental TopicsPulpotomy in Primary TeethEarly Childhood CariesInterproximal Caries Undetected ClinicallyInfant Oral Health CarePremature Loss of Primary Teeth / Space LossSystemically Administered Fluoride Supplements

Pediatric Dental Trauma *NEW*Pediatric Dental Trauma *NEW*Pediatric Dental Trauma *NEW*Pediatric Dental Trauma *NEW*Pediatric Dental Trauma *NEW*Intruded Primary Incisor Displaced Permanent IncisorFractured Primary Incisor Fractured Permanent IncisorAvulsed Primary Incisors Avulsed Permanent IncisorDiscolored Primary Incisor Root FractureRoot Fracture

Pediatric Dental Card For Health ProfessionalsPediatric Dental Card For Health ProfessionalsPediatric Dental Card For Health ProfessionalsPediatric Dental Card For Health ProfessionalsPediatric Dental Card For Health Professionals*COMING SOON**COMING SOON**COMING SOON**COMING SOON**COMING SOON*

Infant Oral Health Care Risk AssessmentDiet and Nutrition FluorideEarly Childhood Caries

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Audiovisual PublicationsAudiovisual PublicationsAudiovisual PublicationsAudiovisual PublicationsAudiovisual PublicationsABCABCABCABCABC’s of Infant Oral Health*s of Infant Oral Health*s of Infant Oral Health*s of Infant Oral Health*s of Infant Oral Health*

A complete program to equip dentists and staff to teach parents about the impor-tance of infant oral health. The program includes:• Instructional video – to acquaint dentist and staff with the concepts of

early intervention.• Tent Card – designed for the reception area• Risk Assessment Interview Form –details questions in each of the seven

risk assessment areas.• Anticipatory Guidance Reference Card – pinpoints discussion topics specific to a

child’s stage of growth and development.• Patient Education Flip Chart• Parent Information Form – provides take-home information for parents/caregivers

to reinforce compliance.• Infant Oral Smilestones Wall Poster – focuses on infant oral health issues from

birth to 36 months of age.• 1st Dental Exam Bookmark• Reference Card – for professional-to-professional communication.

Refill materials can also be purchased separately. See page 26 to order.*While supplies last

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Baby Bottle Tooth DecayBaby Bottle Tooth DecayBaby Bottle Tooth DecayBaby Bottle Tooth DecayBaby Bottle Tooth DecayThis slide presentation, developed for the

WIC program, can be used by nurses,physicians, dentists, public health nurses andparents. This slide series contains 22 slides anda basic script that outlines several importantpoints for discussion.

Smiles for Tomorrow*Smiles for Tomorrow*Smiles for Tomorrow*Smiles for Tomorrow*Smiles for Tomorrow*

Included are 218 slides tailored to the general dentist and pediatrician. Pediatricdentists are encouraged to use these slides to better educate other medical personnelon the importance of pediatric dental issues. Each slide is accompanied with a writ-ten description to aid you during the presentation. Modules included are: normaloral structures, common oral conditions, eruption patterns, dental caries and preven-tion and orofacial trauma.*While supplies last

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Additional PublicationsAdditional PublicationsAdditional PublicationsAdditional PublicationsAdditional Publications

Bright Futures in Practice:Bright Futures in Practice:Bright Futures in Practice:Bright Futures in Practice:Bright Futures in Practice:Oral HealthOral HealthOral HealthOral HealthOral Health

The Maternal and Child Health Bureau (USDHHS)developed this publication in conjunction withAAPD and the American Academy of Pediatrics. It isdesigned to address the oral health needs of childrenand families by providing an overview of preventive oralhealth issues.

VideosVideosVideosVideosVideosHealthy Smiles for Children with Special NeedsHealthy Smiles for Children with Special NeedsHealthy Smiles for Children with Special NeedsHealthy Smiles for Children with Special NeedsHealthy Smiles for Children with Special Needs

This videotape is helpful in educating parents of special needs children the funda-mentals of appropriate dental care. Approximate time: 12:02

Profile of a ProfessionProfile of a ProfessionProfile of a ProfessionProfile of a ProfessionProfile of a ProfessionThis videotape is specifically designed for the general dentist and dental student in

mind. This product is helpful in encouraging others to view the importance of pedi-atric dentistry as a significant and worthwhile specialty. In addition, its goal is to sparkinterest in the profession, and possibly answer questions or concerns regarding pediat-ric dentistry. Approximate time: 9:54

They Never Came BackThey Never Came BackThey Never Came BackThey Never Came BackThey Never Came BackWritten from the perspective of AAPD member

Melvin A. Noonan, They Never Came Back: How toLose Patients, offers humorous vignettes learned at thedental office. This 93-page book details the experi-ences of Dr. Noonan and other dentists who were will-ing to share their bizzare encounters, which unfortu-nately resulted in the patient not returning to the prac-tice. A must-have if you are looking fot the “lighterside” of the profession.

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Reference ManualReference ManualReference ManualReference ManualReference ManualUpdated annually, this informative

manual contains the AAPD’s Guidelines,Oral Health Policies and additionalinformation pertinent to the practice ofpediatric dentistry.

MembershipMembershipMembershipMembershipMembershipDirectoryDirectoryDirectoryDirectoryDirectory

The directory is recognized by themembership as the most widelyused membership benefit. Providing in-formation for referral and increasingcommunication among members,the directory also showcases importantinformation regarding the AAPD and itsservices, including the Constitution andBylaws.

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Red BookRed BookRed BookRed BookRed BookThis 3-ring bound red notebook con-

tains pictures of children in need of oralhealth, along with current legislative factsheets, recent testimony and demo-graphic information compiled by theAAPD. State and district units can alsosupplement or replace these writtenmaterials with their own specific legis-lative activities at the state level. The RedBook is used during the monthly Con-gressional visits of AAPD CongressionalLiaison Heber Simmons Jr.

ASDC BrochuresASDC BrochuresASDC BrochuresASDC BrochuresASDC BrochuresThis is an excellent opportunity to expand your

brochure collection and offer parents important informationregarding the dental care of their child. These brochures arereader friendly and offer pictures detailing dental treatmentsand procedures. The following are a few of the brochures nowavailable for purchase: Baby’s Bright Smile (discusses infantoral hygiene and nursing decay); Healthy Gums (explainscauses, signs and prevention methods of gum disease); ToothRescue (describes the common forms of dental injuries, whichinclude broken teeth and toothaches).

Kid's Mouth Kid's Mouth Kid's Mouth Kid's Mouth Kid's MouthAAPD member Theodore P. Croll’s “Kids Mouth Book”

is an excellent resource geared towards parents, childrenand anyone interested in dentistry. Topics include dentaland oral development, proper oral home care to preventdisease, treatment of injuries to teeth, root canal treatmentand varies aspects of orthodontic treatment. One of thebook’s strengths is its numerous color illustrations.

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ItItItItIt’s EASY to orders EASY to orders EASY to orders EASY to orders EASY to order• On-line at aapd.org

• By fax (312) 337-6329

• By mail

All orders in the continental U.S. will beshipped via United Parcel Service.

Please allow 7–10 days for delivery.Foreign orders: Additional shipping charges will be

applicable for orders outside the U.S.Order forms can be mailed with appropriatepayment (checks payable to AAPD) to:American Academy of Pediatric Dentistry

c/o AAPD Lockbox—190 E. Delaware PlaceChicago, IL 60611

or faxed to: (312) 337-6329

All of our publications are also availableon our Web site, www.aapd.org.

Click on On line Store

ASDC Affiliate Brochure Order FormBrochure SeriesSold in packs of 100

Brochure Quantity Price Price TotalPer Pack Member Nonmember

Baby’s Bright Smile _______ x $34 $49 =_______Baby’s Bright Smile (Spanish) _______ x $34 $49 =_______Baby Teeth and Beyond _______ x $30 $43 =_______Baby Teeth and Beyond (Spanish)_______ x $30 $43 =_______Primary Importance _______ x $30 $43 =_______Snack-N-Good Foods _______ x $30 $43 =_______Be Cool _______ x $30 $43 =_______Tooth Rescue _______ x $34 $49 =_______Seal Out Trouble _______ x $28 $40 =_______Beyond Your Child’s Smile _______ x $30 $43 =_______Tough Teeth _______ x $28 $40 =_______Healthy Gums _______ x $30 $43 =_______Straighten Up _______ x $28 $40 =_______Invisible Fillings _______ x $28 $40 =_______

Croll–Kid’s Mouth Book _______ x $44 $44 + $5 S/H =_______

SHIPPING CHARGES:$50 and under = $5; $50.01 to $100 = $8; $100.01 to $200 = $12;

Over $200 = $15

Subtotal: $ _______Shipping (if applicable) $ _______

Sales Tax (IL residents only): $ _______(Chicago Residents add 8.75%;

Elsewhere in Illinois add 7.75%)

TOTAL ENCLOSED: $ _______

SHIPPING ADDRESS (please print)Name: ______________________________________________________________________

Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________

CREDIT CARD INFORMATION❏ Master Card ❏ Visa 3-digit Security Code: ____________________________________

Card No.: ________________________________________ Exp. Date: _________________

Name on card (please print): _____________________________________________________

Authorized Signature: __________________________________________________________

ABCABCABCABCABC’s of Infant Oral Healths of Infant Oral Healths of Infant Oral Healths of Infant Oral Healths of Infant Oral Health

A Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALS

The ABC’s of Infant Oral Health comprehensive early intervention program providesthe beginning steps to integrating early infant oral health into your daily practice and canbe easily modified to suit your practice needs. Incorporating this program into your practicewill strengthen the coalition with parents and other health care practitioners in the quest fordisease-free children.

The ABC’s of Infant Oral Health involves Assessing Risk, Building Relationships andContinuing Care.

❏ Please send me ______ copy(ies) of ABC’s of Infant Oral Health materials and instructionalvideo for only $125 each (Member) $175 (Nonmember)

❏ Please send me the individual items listed below.

Please specify desired quantities below:

______ Instructional Video–$30.00 each

______ Tent Card–$2.50 each

______ Risk Assessment Interview Form–$5.00 per pad of 500

______ Anticipatory Guidance Reference Card–$5.00 each

______ Patient Education Flip Chart–$25.00 each

______ Parent Information Form–$5.00 per pad of 500

______ Infant Oral Smilestones Wall Poster–$5.00 each

______ 1st Dental Exam Bookmark–$5.00 per pad of 50

______ Reference Card–$2.50 each


Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________


Card No.: ________________________________________ Exp. Date: _________________



Subtotal: $ _______Sales Tax (IL residents only): $ _______

(Chicago Residents add 8.75%;Elsewhere in Illinois add 7.75%)


total: $ _______only): $ _______75%;75%)

SED: $ _______

ASDC Affiliate Brochure Order FormBrochure SeriesSold in packs of 100

Brochure Quantity Price Price TotalPer Pack Member Nonmember

Baby’s Bright Smile _______ x $34 $49 =_______Baby’s Bright Smile (Spanish) _______ x $34 $49 =_______Baby Teeth and Beyond _______ x $30 $43 =_______Baby Teeth and Beyond (Spanish)_______ x $30 $43 =_______Primary Importance _______ x $30 $43 =_______Snack-N-Good Foods _______ x $30 $43 =_______Be Cool _______ x $30 $43 =_______Tooth Rescue _______ x $34 $49 =_______Seal Out Trouble _______ x $28 $40 =_______Beyond Your Child’s Smile _______ x $30 $43 =_______Tough Teeth _______ x $28 $40 =_______Healthy Gums _______ x $30 $43 =_______Straighten Up _______ x $28 $40 =_______Invisible Fillings _______ x $28 $40 =_______

Croll–Kid’s Mouth Book _______ x $44 $44 + $5 S/H =_______

SHIPPING CHARGES:$50 and under = $5; $50.01 to $100 = $8; $100.01 to $200 = $12;

Over $200 = $15

Subtotal: $ _______Shipping (if applicable) $ _______

Sales Tax (IL residents only): $ _______(Chicago Residents add 8.75%;

Elsewhere in Illinois add 7.75%)



Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________


Card No.: ________________________________________ Exp. Date: _________________



ABCABCABCABCABC’s of Infant Oral Healths of Infant Oral Healths of Infant Oral Healths of Infant Oral Healths of Infant Oral Health

A Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALSA Comprehensive Program REFILL MATERIALS

The ABC’s of Infant Oral Health comprehensive early intervention program providesthe beginning steps to integrating early infant oral health into your daily practice and canbe easily modified to suit your practice needs. Incorporating this program into your practicewill strengthen the coalition with parents and other health care practitioners in the quest fordisease-free children.

The ABC’s of Infant Oral Health involves Assessing Risk, Building Relationships andContinuing Care.

❏ Please send me ______ copy(ies) of ABC’s of Infant Oral Health materials and instructionalvideo for only $125 each (Member) $175 (Nonmember)

❏ Please send me the individual items listed below.

Please specify desired quantities below:

______ Instructional Video–$30.00 each

______ Tent Card–$2.50 each

______ Risk Assessment Interview Form–$5.00 per pad of 500

______ Anticipatory Guidance Reference Card–$5.00 each

______ Patient Education Flip Chart–$25.00 each

______ Parent Information Form–$5.00 per pad of 500

______ Infant Oral Smilestones Wall Poster–$5.00 each

______ 1st Dental Exam Bookmark–$5.00 per pad of 50

______ Reference Card–$2.50 each


Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________


Card No.: ________________________________________ Exp. Date: _________________






Parent Education Brochure Series

Brochure Quantity Price TotalCalming the Anxious Child _______ x _______ = _______Conscious Sedation _______ x _______ = _______Dental Care for Your Special Child _______ x _______ = _______Dental Care for Your Baby (English/Spanish) _______ x _______ = _______Diet and Snacking _______ x _______ = _______Early Orthodontic Care _______ x _______ = _______Emergency Care _______ x _______ = _______Enamel Fluorosis _______ x _______ = _______Enamel Microabrasion _______ x _______ = _______Esthetic Dentistry _______ x _______ = _______Fluoride _______ x _______ = _______General Anesthesia _______ x _______ = _______Managed Dental Care Programs _______ x _______ = _______Mouth Protectors _______ x _______ = _______Nitrous Oxide _______ x _______ = _______Preventive Dentistry _______ x _______ = _______Regular Dental Visits _______ x _______ = _______Sealants (English/Spanish) _______ x _______ = _______Space Maintenance _______ x _______ = _______The Pediatric Dentist (English/Spanish) _______ x _______ = _______Thumb, Finger and Pacifier Habits _______ x _______ = _______ (English/Spanish)To My Teenage Patients _______ x _______ = _______Tooth-Colored Fillings _______ x _______ = _______What is Malocclusion _______ x _______ = _______X-Ray Use and Safety _______ x _______ = _______

Acrylic Display Rack _______ x _______ = _______(17.75" wide x 12.5" high x 6" deep, wall or countertop @ $60,room for 12 different brochures)





Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________


Card No.: ________________________________________ Exp. Date: _________________



total: $ _______only): $ _______75%;75%)

SED: $ _______

Additional Publications Order FormMiscellaneous Publications, Slide Sets, Compilations*

Quantity Price Total

AAPD Red Book 2001 Edition(Domestic M: $15, DomesticNM: $20/ Foreign M: $20, Foreign NM: $25) _______ x _______ = _______

AAPDF Good Health Starts HereBrochure/Poster (packs of 50) ($27.50) _______ x _______ = _______

ABC’s of Infant Oral Health(Member: $125 / Nonmember: $175) _______ x _______ = _______

Baby Bottle Tooth Decay SlidePresentation for WIC Groups ($35) _______ x _______ = _______

Bright Futures in Practice:Oral Health (Domestic: $12.50/ Foreign: $17.50) _______ x _______ = _______

The Handbook of Pediatric Dentistry, 2nd Edition(Domestic M: $35, Domestic NM: $40 /Foreign M: $40, Foreign NM: $46) _______ x _______ = _______

Healthy Smiles for Children withSpecial Needs videotape ($9.95) _______ x _______ = _______

Membership Directory(Member: $15 / Nonmember: $25) _______ x _______ = _______

Reference Manual(Member: $14 / Nonmember: $25/Foreign M: $21, Foreign NM: $32) _______ x _______ = _______

Pediatric Dental Reference Card (laminated) (packs of 10)(Domestic M: $11, Domestic NM: $15/Foreign M: $17, Foreign NM: $21) _______ x _______ = _______

Pediatric Dental Topics Card (laminated) (packs of 10)(Domestic M: $11, Domestic NM: $15/Foreign M: $17, Foreign NM: $21) _______ x _______ = _______

Pediatric Dental Trauma Card (laminated) (packs of 10)(Domestic M: $11, Domestic NM: $15/Foreign M: $17, Foreign NM: $21) _______ x _______ = _______

Pediatric Dental Card for Healthcare Professionals(laminated) (pack of 10) (Domestic M: $11, DomesticNM: $15/ Foreign M: $17, Foreign NM: $21) _______ x _______ = _______

Profile of a Profession videotape ($29.95) _______ x _______ = _______

Smiles for Tomorrow slide series(Domestic: $175, Foreign $220) _______ x _______ = _______

They Never Came Back:How to Lose Patients ($15.95) _______ x _______ = _______

*Please note: Prices are subject to changePlease fill out shipping address and credit card information on reverse side.




rice Total

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Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________


Card No.: ________________________________________ Exp. Date: _________________










Address: _____________________________________________________________________

City: ________________________________ State: __________ Zip: __________________

Telephone: ( ___________ ) _____________________________________________________


Card No.: ________________________________________ Exp. Date: _________________



rice Total

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rice Total

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American Academy of Pediatric DentistryAmerican Academy of Pediatric DentistryAmerican Academy of Pediatric DentistryAmerican Academy of Pediatric DentistryAmerican Academy of Pediatric Dentistry211 East Chicago Ave., Suite 700

Chicago, Illinois 60611(312) 337-2169 Fax • (312) 337-6329

www.aapd.org

©2004 American Academy of Pediatric Dentistry. All rights reserved.

Good Health Starts Here 8 · health care professionals and the public. Take advantage of all the...

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