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Transcript of Oral Health - Happy Kids Childcare · Increasing application of fluoride varnish by dentists; ......
Oral Health
in Barnsley
Early years Barnsley Oral Health Promotion
Team Sandy McNicol - Oral Health Improvement Practitioner,
Barnsley Community Dental Promotion Service,
Rotherham NHS Foundation Trust
Aim and Objectives
Raise awareness of oral health issues Update knowledge on childrens oral health in
Barnsley
Be aware of certain conditions that may occur in the mouth
Understand and know how to maintain a healthy mouth
Identify the role you play in oral health
Have information of where to sign post people for help and advice
Sandy McNicol
Local Picture
Dental health
It is particularly prevalent in 5 year old children in Barnsley, Doncaster and Rotherham
It causes pain, misery and infections
It is preventable
Fluoride is the most effective preventive agent.
Sandy McNicol
5 year olds DMFT by Ward 2007/8 survey
9 areas of Barnsley where DMFT (decay, missing, filled teeth) in 5 year old children is above the National and Local average • St Helens * Worsborugh • Dearne North * Kingstone • Dearne South * Monk Bretton • Wombwell * Stairfoot • Darfield
Universal OHP Programmes in Barnsley
Brushing for Life - toothbrush & toothpaste distributed via Health Visiting Teams to:
6 month olds (1000ppm Fluoride) 2 year olds (1450ppm Fluoride) .
Bottle to Cup - Free flow trainer cup distributed via Health Visiting Teams to 6 month old children in Barnsley.
Smiling for Life - toothbrush & toothpaste distributed to
targeted families who meet the protocol by professionals and services working with children and families in Barnsley.
Increasing application of fluoride varnish by dentists;
Pregnancy Gingivitis/ Gum Disease
Hormonal changes in pregnancy can cause
Swelling,
Pain
Bleeding
Advice
Continue to brush twice a day with a fluoride toothpaste, taking care around the gum area.
Eat at least portions of fruit a veg a day
Cut down on sugary foods and drinks
Quit smoking
NHS dental treatment is free during pregnancy and until your baby is 1yr old
Sandy McNicol
Teething can cause…
Signs: Irritability Drooling/dribbling Putting things in their mouth Waking in the night
Illnesses are illnesses not teething
If they get a high fever, vomiting or diarrhoea see your doctor
Teething can happen from around 6 months up to 3 years
What to do:
Teething rings (keep them clean)
Keep them busy
Get someone to give you a break
Get sleep when you can
Pain relief (sugar free)
Follow correct instructions when using teething gels and powders
Sandy McNicol
Dummies
Prolonged dummy use can cause an open bite
Affect speech
A child is unable to place their tongue behind their front teeth to make certain sounds
If dummies are used -
Always remove a dummy when a child is speaking
Avoid dipping it in anything – especially sugary drinks
Keep it clean (Don’t suck it to clean it!)
Gradually wean the baby off the dummy by the age of 1
Sandy McNicol
How Does Decay Affect a Pre-school Child?
Pain and suffering e.g. difficulty sleeping, eating, poor appearance
Infection e.g. abscess and possible life-threatening consequences
Early loss of baby teeth
Risk of G.A Difficulty in chewing Speech difficulties Crowding of adult teeth
Ability to learn, thrive, develop
Good oral health can contribute to ‘school readiness’
How can we help stop decay?
Fluoride: Toothpaste – brushing at least twice a day with Fluoride
toothpaste appropriate to age
Fluoride varnish – Applied by Dental professional
We only recommend a fluoride mouthwash, if used at a different time to brushing
Reduce the amount of sugary foods and drinks consumed
limit to mealtimes only
Sandy McNicol
Fluoride
• Fluoride slows plaque growth.
• Reduces the plaque acid produced when we consume sugar.
• Fluoride changes the enamel so it loses fewer minerals when attacked by plaque acid
Sandy McNicol
Tooth Brushing
Delivering Better Oral Health recommendations -
Children aged up to 3 years should use a smear of toothpaste containing no less than 1000 parts per million fluoride (ppm F)
Children aged 3-6 years should use a pea-sized amount of toothpaste more than 1000 parts per million fluoride
(ppm F)
Children aged 7 and above should use fluoride toothpaste containing 1350 – 1500 (ppm F)
Brush twice daily – last thing at night and one other occasion
SPIT OUT AFTER BRUSHING DO NOT RINSE
– to maintain fluoride concentration levels
Fluoride Varnish
A sticky, yellow paste that is applied to the teeth to release slowly over time
FREE for children
Quick and easy to apply – by dental professional only
Proven to reduce dental decay by 25-44%
In England it is recommended that 3-16 years have it applied at least twice yearly
ASK YOUR DENTIST
Sandy McNicol
Tooth brush
Choose a toothbrush with…
A small head
Soft/medium bristles
A comfortable handle
Change every 3 months
Sandy McNicol
When should you start brushing?
Start brushing as soon as they get their first tooth
Brush morning and night (especially night time)
Start with the back teeth
Aim for 2-3 minutes
Help your child to brush until
at least 7 years old
Sandy McNicol
Your child’s first visit to a dentist should be..?
With you right from the start
Regular check ups help prevent pain and discomfort for your child
Children should go more regularly than adult – even if they are not in pain.
Be a good role model. Be positive and use encouraging words.
Sandy McNicol
A baby’s bottle can cause teeth to rot when…
Sugary drinks are added such as:
Juice
Fizzy drinks
Diet drinks
Tea/coffee
Stick to milk and water
Sandy McNicol
Bottle to cup
Type of cup:
Free flow or one without a lid
When to start:
When start to wean at 6 months, bottle gone by age 1
Why:
Encourages baby to develop a sipping action
Keeps drinking times short
What not to put in it: Sugary drinks
Diet drinks
Tea/coffee
Sandy McNicol
Safe drinks for teeth
Milk and water only
Erosion from acidic drinks e.g. fizzy pop and fruit juice
Dilute juice 10 parts water, at meal times only
Avoid sports tops
Avoid artificially sweetened products for under 3’s
Sandy McNicol
Hidden Sugars
Sucrose Glucose Maltose Fructose Brown sugar Treacle Concentrated fruit juice Syrup Honey
Sandy McNicol
Snacks and Drinks you can eat between meals
Safe snacks
Sandy McNicol
● Fruit
● Vegetables
● Plain pop corn
● Tea cakes
● Toast
● Bread sticks
● Rice cakes
● Water
● Milk
Savoury sandwiches e.g. banana, cheese
Yoghurt
Savoury dips
Crackers
Muffins
Pitta bread
Crumpets
Chapattis
Oral Health Promotion - Resources
For information on Resources, leaflets, posters etc Contact Barnsley Community Dental Promotion team
Cudworth centre – 01226 438768
Sandy McNicol
Finding a Dentist
• NHS Choices web site
• Health Watch Barnsley
• Emergency dental
treatment
Tel :111
Sandy McNicol
Summary
Brush twice daily – last thing at night and one other occasion
Use a fluoride toothpaste suitable to age as soon as teeth erupt
0-3 yrs - a smear of no less than 1000ppm fluoride toothpaste
3 – 6 yrs - a pea size amount of 1350 – 1500ppm fluoride toothpaste
7 yrs – young adults – 1350 – 1500ppm fluoride toothpaste
Spit out after brushing, do not rinse
Keep sugary snacks and drinks to mealtimes
Visit the dentist regularly as a family
Aim to stop bottles and dummies by the age of 1
Sandy McNicol
References
For more information –
Delivering better oral health: an evidence-based toolkit for prevention.
Links - Summary guidance tables which are useful for quick reference for the correct messages on oral health.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/319472/DBOHv3JUNE2014Summary_tables.pdf
Sandy McNicol
Contact details
Barnsley Community Dental Service
Cudworth Health Centre
Carlton Street
Cudworth
Barnsley
S72 8SU
Tel: 01226 438768
Email: [email protected]
Or New St Health centre Upper New St Barnsley S70 1LP Tel: 01226 433101 or Rotherham Community Dental Service Tel: 01709 423107
Sandy McNicol - Oral Health Improvement Practitioner, Barnsley Community Dental Promotion Service,
Rotherham NHS Foundation Trust
Sandy McNicol