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

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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.

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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;

Oral Health

• From pregnancy

• Children's Teeth

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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

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Eruption of Teeth

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Natal Tooth

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Sign of Teething

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Eruption Cyst

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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

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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

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Dental decay

Early Childhood Caries

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 Teeth Decay

Healthy tooth Sugar Plaque/bacteria

Acid

Tooth decay

Old Food

Dead Skin

Spit

Germs

Plaque -

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

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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

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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

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Tooth brush

Choose a toothbrush with…

A small head

Soft/medium bristles

A comfortable handle

Change every 3 months

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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

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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.

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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

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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

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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

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Is when the tooth surface is worn away by acid.

Teeth become sensitive

Erosion

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Labeling & Sugars

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Hidden Sugars

Sucrose Glucose Maltose Fructose Brown sugar Treacle Concentrated fruit juice Syrup Honey

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Snacks and Drinks you can eat between meals

Safe snacks

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● 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

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Finding a Dentist

• NHS Choices web site

• Health Watch Barnsley

• Emergency dental

treatment

Tel :111

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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

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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

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Contact details

Barnsley Community Dental Service

Cudworth Health Centre

Carlton Street

Cudworth

Barnsley

S72 8SU

Tel: 01226 438768

Email: sandy.mcnicol@rothgen.nhs.uk

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

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