The Ohio Department of Job and Family Service is leading the nation in helping to save the over five million teeth knocked-out in the United States each year.

The ODJFS has expanded the health services equipment requirements for licensed childcare facilities to include those for dental injuries. The ODJFS is now the first state in the country that requires all licensed childcare centers to protect children against unnecessary tooth loss that occurs after teeth are knocked-out by having the Save-A-Tooth emergency tooth preserving system or low fat milk as part of their emergency kit.

The Save-A-Tooth® is a six-part system that contains a Hank's Balanced Solution (HBS), a pH balanced cell-preserving fluid, in a shatterproof container with a suspension netting inside. Research has shown the best storage for knocked-out teeth until a dentist can replant them. Teeth that are accidentally knocked-out will die in 15 minutes and rejected by the body after replantation if not stored in the right way. HBS is not a saline solution but a special medical fluid that preserves teeth up to 24 hours.

If a Save-A-Tooth is not available, low fat milk can be used. However, milk does not replace cell nutrients and, if sour will cause tooth root cell damage.

Teeth that are stored in a Save-A-Tooth, which costs $13.95, have a 91% chance of being saved for life. The cost to replace improperly stored knocked-out teeth with bridgework and implants can cost $3,000 initially and $30,000 over a lifetime.

The American Dental Association recommends that all knocked-out teeth be stored in the best storage media possible. The Save-A-Tooth system is the only product for saving knocked-out teeth that has the ADA seal of acceptance. Information about knocked-out teeth and the Save-A-Tooth system can be obtained by calling 1-800-323-1305.

OHIO DEPARTMENT OF JOB AND FAMILY SERVICES
FIRST AID SUPPLIES
Licensed Child Care Centers
Type A Items
Funding Approved Day Camps

Required First Aid Items for ODJFS child care programs:

	Blunt Scissors
	Tweezers
	Disposable or non-mercury thermometer with disposable covers
	Two one-ounce bottles of Syrup of Ipecac (dated) to be used only under the direction of the Poison Control Center
	Measuring device for administering Ipecac (such as a dosing spoon)
	Assorted Sterile Adhesive Bandages ("Band-Aid") (1x3 Inches) Individually Packaged
	Sterile gauze squares (2x2x3 inches) individually packaged
	Nonallergic adhesive tape (1 inch wide)
	Gauze roller bandage (1 or 2 inches wide)
	A Balanced Salt Solution (HBSS) available in the "Save-A-Tooth" preserving system or milk (preferably skim or lowfat) in which to transport a lost tooth.
	Cold pack (or ice)
	Soap (or waterless water sanitizer for field trips)
	Disposable vinyl gloves
	Pocket mask or face shield for CPR administration
	Working flashlight
	Bottled water for field trips
	Sealable plastic bags (assorted sizes) for soiled materials
	Triangular Bandage

Prepared by Ohio Department of Job and Family Services in cooperation with the Ohio Department of Health.

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