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1 Visit our website: All our publications are available in other formats

2 2 Contents Introduction Curriculum for Excellence Nutrition and oral health Toothbrushing Dental services Oral health promotion resources Key oral health promotion messages Class based activities Useful contacts and websites Appendices

3 3 Introduction This educational resource aims to provide innovative activities that will support and help children to learn about the importance of good oral health in a fun and engaging way. The resource can be used as part of a whole class activity or as an individual project. The activities are separated into three topics: Toothbrushing Nutrition and oral health Oral health quiz Learning experiences can be further enhanced by using a range of educational resources which are available on loan from the Oral Health Promotion Team. A list of resources and contact details are available in this pack. Further copies of this resource can be obtained from the Oral Health Promotion Team. Please contact us for more information. s m i l e

4 4 Curriculum for Excellence Curriculum for Excellence aims to achieve a transformation in education in Scotland by providing a coherent, more flexible and enriched curriculum for children aged three to 18. The curriculum includes all of the experiences which are planned for children and young people through their education, wherever they are being educated. It is underpinned by the values inscribed on the mace of the Scottish Parliament - wisdom, justice, compassion and integrity. The Curriculum for Excellence has four parts, to make sure each child develops to their full potential. These are: successful learner, a confident individual, a responsible citizen and an effective contributor. This educational resource fits with the seven principles that must be taken into account when planning learning experiences for children and young people.

5 5 The seven principles 1. Challenge and enjoyment Children and young people should find their learning challenging, engaging and motivating. Designed and developed by children from primary schools across Ayrshire, this resource provides an opportunity to learn about the importance of good oral health in a fun and engaging way. 2. Breadth All children and young people should have opportunities broad, suitably weighted range of experiences. This comprehensive resource allows children to learn about their oral health by: Exploring the importance of toothbrushing through a DVD Identifying snacks that can be harmful to their oral health and finding out more about foods that are tooth friendly Participating in an interactive quiz on general oral health and nutrition messages

6 6 3. Progression Children and young people should experience continuous progression in their learning from ages three to 18 within a single curriculum framework. Each stage should build upon earlier knowledge and achievements. This resource has been developed to suit the learning and development stages of primary aged children from four to 12 years. It builds on existing oral health promotion programmes being delivered in the school environment. 4. Depth There should be opportunities for children to develop their full capacity for different types of thinking and learning. As they progress, they should develop and apply increasing intellectual rigor, drawing different strands of learning together, and exploring and achieving more advanced levels of understanding. This resource allows children to explore the use and benefits of DVD media in promoting good oral health and provides an interactive and in depth approach to teaching key oral health messages.

7 7 5. Personalisation and choice The curriculum should respond to individual needs and support particular aptitudes and talents. It should give each child and young person increasing opportunities for exercising responsible personal choice as they move through their school career. This resource provides children with the opportunity to participate in three activities which can be undertaken at different stages in their school career. The activities can also be selected depending on individual learning stages and personal interests. 6. Coherence Taken as a whole, children and young people s learning activities should combine to form a coherent experience. There should be clear links between the different aspects of children s and young people s learning, including opportunities for extended activities which draw different strands of learning together. This resource is linked to the school toothbrushing programme and is endorsed by Childsmile. The activities also link to ongoing programmes delivered by the Oral Health Promotion Team, School Nursing and Community Dietitians.

8 8 7. Relevance Children and young people should understand the purposes of their activities. They should see the value of what they are learning and its relevance to their lives. This resource emphasises the importance of good oral health and a healthy diet. Messages learned will be of benefit across the school and home environments. Find out more about the purposes and aims of the Curriculum for Excellence by visiting the website at

9 9 Nutrition and oral health Nutrition in childhood plays an essential role in growth and development, current wellbeing, educational performance and avoidance of chronic disease throughout life. (Hungry for Success: A Whole School Approach to School Meals in Scotland, 2002) We should try to eat: Plenty of fruit and vegetables Plenty of bread, rice, potatoes, pasta and other starchy foods choose wholegrain varieties when you can Some milk and dairy foods Some meat, fish, eggs, beans and other non-dairy sources of protein Just a small amount of foods and drinks high in fat and / or sugar The more often we eat sugary foods or take drinks containing sugar, the more likely we are to get tooth decay. Avoid having snacks and drinks that contain sugar between meals Limit sweets and puddings and have them at meal times only

10 10 Milk and water are the safest drinks for teeth Sweetened juices, squashes and fizzy drinks can all cause tooth decay Look at the eatwell plate (appendix A) to see how much of a whole day s food should come from each food group. You can also find out more about healthy foods in the Laptop megabites leaflet (appendix B) which includes suggestions for creating a healthy and balanced lunch.

11 11 Toothbrushing Brushing twice a day with at least 1,000ppm of fluoride toothpaste is an effective way of helping to prevent tooth decay and gum disease. For children over three years of age use a pea-sized amount of fluoride toothpaste (smear for under three years). Look at the leaflet on toothbrushing tips for children s teeth (appendix C) to see a list of toothpastes which contain 1,000 parts per million (ppm) fluoride. Use a toothbrush with a small head and medium bristles and replace it when the bristles begin to splay. Brush at least twice a day after breakfast and again at night after your last meal or snack. Brush the surfaces of all teeth and gums using a gentle circular action. Angle the bristles against the gums. Make sure all teeth are brushed each time by using the same pattern of brushing. For example, after brushing the outside surfaces, brush the inside surfaces and finish with the chewing surfaces.

12 12 Young children need help to brush their teeth and should be supervised by an adult until they are at least seven years old. You should spit out the toothpaste after brushing but not rinse your mouth. Re has shown that children develop less decay if they do not rinse out their mouth after brushing. You can refer to the Childsmile standards for nursery and school toothbrushing programmes for more information by visiting and clicking on Professionals.

13 13 Dental services Everyone should visit the dental surgery check up as often as recommended by their dentist. You can find a list of local dentists by visiting and clicking on Dentist. You will also find a list of dentists in the Yellow Pages or Thomson Local Directory. Once you have found a dentist, visit the surgery or contact them by phone to find out if they can accept you on to their patient list. Remember to let them know that you want to be registered for NHS dental treatment. How can I register with my dentist as a NHS patient? Call the Dental Management Team on , Monday - Friday from 8.30am to 4.30pm or visit and click on Dentist in the Where s your nearest box. For urgent care or advice on weekdays (including advice on registering with a NHS dentist), telephone NHS Ayrshire & Arran s Dental Management Team on For dental emergencies out-of-hours (after 5pm and at weekends), telephone NHS 24 on

14 14 Oral health promotion resources You can borrow a range of fun and innovative resources from the Oral Health Promotion Team including: Elliott s dental role play resource box (ages 3 6 years) - This includes an inflatable dental chair, dental uniforms for children, disposable hygiene masks and mirrors, and guidance on how to run your own dental role play session. Oral health board games (ages 8 12 years) The set of three board games, designed by schools across Ayrshire, can be used to enhance sessions on personal hygiene and oral health. Explore Molar Mania, Tooth Adventure and Toothafied!

15 15 Elliott goes to the dentist (all ages and can also be used as a story book) Designed by children, this comic book is an ideal way to talk about visiting the dentist and what can be expected when you get there. The comic can also be used to run a dental role play session. The White Tooth Rap DVD (ages 6 12 years) Written and produced by children, the White Tooth Rap demonstrates the effectiveness of using innovative approaches to promoting good oral health. Watch as the children perform their rap, and follow them behind the scenes to explore the different activities undertaken to produce the resource. Magical Mouths drama production (ages 8 12 years) Available as a drama script, this can be used with a class of children to deliver key oral health messages in a fun and engaging way. Each child can take on the role of a different character

16 16 from Grandpa Crest to Bobby Bad Teeth and learn more about the importance of looking after their teeth. Oral health promotion leaflets and display boards (all ages) can be provided to support you to promote campaigns such as National Smile Month. Oral health Top ten tips for teeth Visit the dentist often Use a dry toothbrush 3. Brush your teeth twice a day 4. Brush for two minutes 5. Spit, don t rinse 6. Carefully brush every surface 7. Use a small headed toothbrush 8. Use a pea sized amount of fluoride toothpaste 9. Keep sugary snacks and drinks to mealtimes 1 0. Always show off your nice smile Dentures Information for you Visit our website: All our publications are available in other formats Gum disease, erosion and sensitivity Information for you Visit our website: All our publications are available in other formats Oral health advice for teenagers Visit our website: All our publications are available in other formats Oral health and smoking Information for you Visit our website: All our publications are available in other formats MIS GD For more information contact the Oral Health Promotion Team on

17 17 Key oral health promotion messages Choose healthy snacks and drinks between meals Brush your teeth twice a day (after breakfast and at night after your last meal, snack or drink) Visit the dentist regularly for check ups

18 18 Class-based activities You can borrow resources to support class-based activities from the Oral Health Promotion Team. Contact details at the back of the folder. Activity Pass the bag Please refer to section one of the DVD - Tiny tots top ten tips for teeth Description and preparation This activity is suitable class session and is similar to the well know party game pass the parcel. The bag contains a variety of oral health, food and dental items and will be passed around the pupils while music plays. Begin by arranging the pupils in a circle to encourage active participation. Select a starting position and direction, start the music and encourage the pupils to pass the bag around the circle. When the music stops, the pupil who is holding the bag holds it up for the teacher to take out an item and generate discussion. The game continues until all items have been discussed. Aims To increase awareness and understanding of oral health and encourage open discussion.

19 19 Objectives Express their thoughts and feelings around each item in the bag. Talk about the need for certain items to achieve good oral health. Describe the different types of food and the impact they have on our oral health. Resources required Bag (available on loan from the Oral Health Promotion Team) Suitable music and music player Guidance notes Please use the leaflets in the appendices section to help highlight these messages with each item: Toothbrush Used to remove germs from our teeth and gums. Q. Does anyone know the name of the germs? A. Plaque (encourage the pupils to say the word). It is important to brush our teeth and gums twice a day (morning and night). You might be really lucky and get the chance to brush your teeth third time at school. Toothpaste Used to help remove plaque from our teeth and gums. Q. It contains a very important ingredient that is very good for our teeth - does anyone know what it is called?

20 20 A. Fluoride. Encourage the pupils to say the word. Fluoride is a natural ingredient that is added to toothpaste to make our teeth strong. It is important to spit out the toothpaste after we ve brushed rather than rinse out. This helps the fluoride work on our teeth and makes them strong. If we rinse the toothpaste away we rinse all the goodness of the fluoride away. Sticky chewy sweets Q. Who likes sweets? (All raise hands, including staff) Sweets taste nice and we all enjoy eating them. Does anyone know what ingredient is in sweets to make them taste so nice? A. Sugar! It s important that we don t eat too much sugar too often as it is not good for our bodies or teeth. Q. What would happen to our teeth if we ate too much sugar too often? A. Sore teeth, tooth decay, fillings and so on. To keep our teeth and bodies healthy - try to keep sugar foods and drinks to mealtimes only. Banana This contains lots of goodness for our bodies. It is also a safe snack for teeth. Q. What other foods are healthy for our bodies? A. Fruits, vegetables, water and milk.

21 21 Dental mirror Q. Does anyone recognise this? Where would we expect to see this item? A. Dental surgery or dentist. Q. Why do you think the Dentist needs to use this? A. To see all the teeth - especially the ones at the top, right at the very back. It helps the dentist count all your teeth and helps them decide if you have been brushing well enough. Q. Do you all visit the dentist? A. It s important to visit the dentist every six months to have your teeth checked. Dental mask Staff member puts on the mask Q. Does anyone recognise this? Where would we expect to see this item? A. Dental surgery / dentist / dental nurse / dental hygienist Q. Why do you think the dentist would wear this? A. To stop germs spreading. The dentist may have a sore throat or cold (or vice versa) and because they work very close to your face - it s important to prevent germs from spreading. It may look a little strange and unsettling because you can t see the dentist s full face... and their nice warm smile underneath. Q. How does everyone feel about visiting the dentist? Explore feelings and thoughts relating to the sights, sounds and smells.

22 22 Q. Is there anything that you don t like about visiting the dentist? Q. What do you like best about visiting the dentist? (Explore) A. The dentist and dental nurse want to help you enjoy your visit and if you re worried about anything - it s important you tell them as they will be able to help. Helpful tips It is important to extract the items in the above order as this will be of benefit to the flow of conversation and assist with oral health messages. Borrow the Elliott Goes To The Dentist comic book and facilitate a story telling session. Facilitate a dental role play session and borrow The Dental Role Play resource (see resources section) following this activity to talk more about visiting the dentist.

23 23 Activity Tiny tots top ten tips for teeth Please refer to section one of DVD Tiny tots top ten tips for teeth Description This activity is ideally suited to perform at assembly, during health week or as an opening to parents evenings. It involves 20 pupil performers from different classes; ten older pupils are responsible to read the script cards and ten younger pupils have the opportunity to dress up and use the relevant props. It is a fun and interactive activity which can involve the whole school and is a positive way of engaging as the pupils learn from their peers. Aim To increase awareness of oral health messages and engage with the whole school using a fun approach. Objectives Identify the oral health messages. Discuss how the oral health messages can be achieved. Explain the reasons behind each message. Reinforce the messages at home. Resources required An area to perform for example, school stage or assembly hall. Invitation to parents or carers (included in this folder) Top ten tips for teeth pull up banner. Tip bags (includes props and script cards). (Pull up banner and tip bags available on loan from the Oral Health Promotion Team)

24 24 Preparation Identify a staff member who has adequate capacity to support, an interest in health promotion and an abundance of enthusiasm! Identify 20 pupils who will perform this activity. Co-ordinate which pairs are responsible for delivering which tip (see list of tips below). Distribute tip bags. Within each pair : Performer 1 (PF1) - reads out explanation and point to tip on pull up banner. Performer 2 (PF2) displays/wears relevant prop. Prepare (and make, where required) props. Please note: - all props are supplied except in relation to top tip number five (this can made using papier mache techniques). - Top ten tips for teeth pull up banner to be displayed during performance - all performers wear smiles prop for final tip. Distribute tip bags and discuss content as part of an oral health session (with support from leaflets - see appendix E). Practice, practice, practice! Make sure at least one rehearsal is carried out in advance. Show time!

25 25 Script cards Top tip number one PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number one - visit the dentist often! PF2 Wears dental tunic and holds dental mirror and dental torch PF1 - Have a check up as often as your dentist recommends usually every six months. Props: Dentist outfit, mirror and torch Top tip number two PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number two - use a dry toothbrush! PF2 - Holds up poster with tap and running water. PF1 - Toothbrushes clean our teeth better when they are dry so don t put it under the tap before brushing your teeth. Props: Poster with tap and running water Top tip number three PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number three - brush your teeth twice a day! PF2 - Holds giant toothbrush PF1 - Brush your teeth in the morning and last thing at night. If you re really lucky you might brush them a third time at school. Prop: Giant toothbrush Remember this prop is required to be passed to relevant pupils for top tip number eight.

26 26 Top tip number four PF1 Points to the relevant tip on pull up banner with pointer and says Top tip number four - brush for two minutes! PF2 Holds giant two minute timer. PF1 - It takes about two minutes to brush your teeth properly so take your time and do a good job to make sure your teeth are shining bright! Prop: Giant two minute timer Top tip number five PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number five - spit, don t rinse! PF2 Holds toothbrush tube. PF1 - When you ve finished brushing it is best to spit out the excess toothpaste but not rinse your mouth with water. This way the fluoride in your toothpaste gets the chance to strengthen our teeth and make them really strong! Prop: Toothpaste tube (either use the tube provided or design a large tube using papier mache techniques and label it Fluoride toothpaste ). Top tip number six PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number six - carefully brush every surface! PF2 Holds big mouth and big brush (simulating a brushing action). PF1 - We must try to brush every surface of every tooth. Remember - teeth have lots of different surfaces; outside surfaces,

27 27 inside surfaces and the biting surfaces too! Prop: Big mouth and big brush Top tip number seven PF1 - Top tip number seven - Use a small-headed toothbrush! PF2 Points to the relevant tip on pull up banner with pointer. PF1 - If our toothbrush is too big it won t reach our back teeth or gums. This one (PF2 holds up large-headed toothbrush) is too big but this one (PF2 holds up small-headed toothbrush) is just right! Prop: Small-headed and large-headed toothbrushes Top tip number eight PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number eight - use a pea-sized amount of fluoride toothpaste! PF2 Holds giant toothbrush and green ball (pea). PF1 - There s enough fluoride in a pea sized amount of toothpaste, any more than that just makes our face and clothes messy! Prop: Giant brush and green ball (pea) Make sure pupils collect these props from the pupils presenting top tip number three. Top tip number nine PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number nine - keep sugary snacks and drinks to mealtimes! PF2 Holds fruit bowl and bottled water. PF1 - It s important for our general health that we don t eat and drink too much sugar too often. If we re having a treat it s safer for our teeth to keep them to mealtimes. Between meals it s a good

28 28 idea to stick to drinking plain milk and plain water and eat healthy snacks like fruit! Props: Fruit bowl and bottled water Top tip number ten PF1 - Points to the relevant tip on pull up banner with pointer and says Top tip number ten - Always show off your nice smile! PF2 - Wears smile sign. PF1 - You ve worked so hard at looking after it so show your wonderful smile to everyone you meet! (cue smiles!) All performers turn their backs to the audience, position their smiles and turn around on cue Props: Smiles sign Helpful tips 1. Prop for top tip number five can be made using papier mache techniques. Make sure it is labelled only with Fluoride toothpaste. 2. Before show - arrange two benches either side of stage; one bench at right hand side of stage for pupils to sit in numerical order of tip before the show. 3. Place another bench at left hand side of stage for when the pupils leave stage after tip has been presented. Please note - after each pair has presented their tip, encourage pupils to leave stage by left hand side. 4. Arrange designated table at left hand side for used props and collect Smiles (in preparation for top tip number ten) 5. Allow a small pause after top tip number nine to make sure all pupils are back on stage ready to present top tip number ten.

29 29 6. Involve the audience by having a member of staff or organiser ask them to repeat the most recent tip and then asking them which number is next. This helps to keep their attention and creates a sense of involvement. 7. Encourage parents or guardians to attend the performance. This will provide explanations of each of the oral health messages and enable these messages to be reinforced at home. Please use the invitation template below. Dear parent / guardian We have been learning about the best ways to look after our teeth and we would like to invite you to attend a performance of Top ten tips for teeth. We hope you can come along and support our mission to improve our oral health! When Where Please reply to From class by

30 30 Activity Guess the sugars Please refer to section two on DVD - Snack chat Description and preparation This activity is ideally suited class session: In the classroom set up four tables (labelled one to four) with the relevant products (labelled one to 16) as shown in the table which follows this section. Split the pupils into four groups and decide on a group leader. Distribute activity sheets (provided in this folder) to each group leader. Pupils work at each table, guessing which product is linked to the amount of teaspoons. Encourage pupils to (quietly) openly explore their thoughts to generate group discussion. It would be helpful to set a specific time per each table for example, five minutes. After the game is finished - gather the pupils together for discussion and conclusion. Ask each group to feedback their answers for each product followed by the correct answer being read out and relevant message reinforced. Count the sugar into a beaker and read out the explanation provided (as shown in the guidance notes in this folder). Aim To increase awareness of amounts of sugar in certain foods and drinks and relate this information to general and oral health.

31 31 Objectives 1. Identify amount of sugar in certain food and drink. 2. Discuss the oral health risks associated with frequency of sugars. 3. Choose healthy snacks. Resources required One room large enough to allow four tables to be used for four groups One set products list and guidance notes One set of pictures of products Four activity sheets and four pencils (Products list/ guidance notes, pictures and activity sheets are contained in this folder) One bowl of sugar (at least 16 teaspoons) One teaspoon One clear beaker / glass or clear sandwich bag

32 Product list and guidance notes 32 Product number Product Teaspoons Points to consider 1 Can of fizzy juice (330g) 8 Frequently consuming sugar can lead to tooth decay. These drinks have very little nutritional value. To reduce the risk of tooth decay and erosion - keep drinks that contain sugars and acids to mealtimes only and always use a straw. 2 Carton of fresh fruit juice (from concentrate) (200ml) 5 This can be a healthy option especially as it can count as one of your five a day compared to fizzy drinks but it also contains sugars and acids. Frequently consuming sugar can lead to tooth decay. Fizzy drinks can also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. This is called tooth erosion. To reduce the risk of tooth decay and erosion, keep drinks that contain sugars and acids to mealtimes only and always use a straw.

33 3 Packet of Tooty frooties (50g) 33 8 Frequently consuming sugar can lead to tooth decay. These sweets also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. Chewy sweets stick to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. These sweets have very little nutritional value. To reduce the risk of tooth decay and erosion - keep sweets as treats or to mealtimes only.

34 Packet of Haribo (100g) 16 Frequently consuming sugar can lead to tooth decay. These sweets also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. Chewy sweets stick to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. These sweets have very little nutritional value. To reduce the risk of tooth decay and erosion, keep drinks that contain sugars and acids to mealtimes 5 Cheese 0 Cheese is a good source of calcium which is important for strong teeth and bones. Cheese can neutralise your mouth after eating something sugary or acidic. Due to the high fat content, it is recommended to eat small quantities.

35 Bottle of low sugar Fruit shoot (200ml) 1/2 Frequently consuming sugar can lead to tooth decay. These drinks also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. This is called tooth erosion. These drinks have very little nutritional value. To reduce the risk of tooth decay and erosion - keep drinks that contain sugars and acids to mealtimes only and always use a straw. Although this drink contains low amounts of sugar and far less than it s counterpart, it is important to keep this as a treat or at mealtimes only. There are other varieties of Fruit Shoot - products 9-16.

36 School bar (20g) 2 Frequently consuming sugar can lead to tooth decay. These sweets also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. Chewy sweets stick to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. To reduce the risk of tooth decay and erosion - keep sweets as treats or to mealtimes only.

37 Raisins (40g) 5 While dried fruits like apricots or raisins count towards your five-a-day, once fruit is dried it also becomes a concentrated source of sugar. The consistency of dried fruit is very sticky and easily sticks to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. To reduce the risk of tooth decay and erosion - keep sweets as treats or to mealtimes only. 9 Fruit shoot (200ml) 6 Frequently consuming sugar can lead to tooth decay. These drinks also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. This is called tooth erosion These drinks have very little nutritional value. To reduce the risk of tooth decay and erosion - keep drinks that contain sugars and acids to mealtimes only and always use a straw. Due to the high sugar content, it is important to keep this as a treat or at mealtimes only.

38 Nutri-Grain bar (50g) 4 Frequently consuming sugar can lead to tooth decay. These bars can also contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. The consistency of these types of bars is very sticky and can easily stick to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. To reduce the risk of tooth decay and erosion- keep these bars as treats or to mealtimes only. The amounts of sugars contained in these types of healthy options can be surprising.

39 39 2 1/4 Frequently consuming sugar can lead to tooth decay. The consistency of these types of crisps is very sticky and can easily stick to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. Although these crisps contain a low amount of sugar, it is important to keep this as a treat or at mealtimes only. 11 Packet of Monster Munch crisps (30g) 12 Plain popcorn 0 Plain popcorn is a sugar free healthy snack - ideal to eat between meals. Make sure to not add sugar or salt.

40 Can of Diet coke (330ml) 0 Diet drinks do not contain sugars but still contain acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. This is called tooth erosion. These drinks have very little nutritional value. To reduce the risk of tooth erosion - keep drinks that contain acids as a treat or to mealtimes only and always use a straw.

41 Fruit shoot water with fruit flavouring (300ml) 0 This drink does not contain sugar but still contains acids. Acids will not lead to tooth decay but can cause the tooth surface to dissolve or erode. This is called tooth erosion. These drinks have very little nutritional value. To reduce the risk of tooth erosion - keep drinks that contain acids as a treat or to mealtimes only and always use a straw.

42 Milky Way (21g) 3 Frequently consuming sugar can lead to tooth decay. This chocolate bar is quite chewy and will stick to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. These chocolate bars have very little nutritional value. To reduce the risk of tooth decay - keep sweets as treats or to mealtimes only. This chocolate bar was once marketed as the sweet you can eat between meals without ruining your appetite but it s important to keep this to mealtimes to reduce the risk of tooth decay.

43 Fruit Flakes (25g) 3 1/2 While dried fruits like apricots or raisins count towards your five-a-day, once fruit is dried it also becomes a concentrated source of sugar. The consistency of dried fruit is very sticky and easily sticks to the grooves and ridges on our back teeth and can be very difficult to remove. It is common to see these surfaces decay. To reduce the risk of tooth decay and erosion - keep sweets as treats or to mealtimes only. The amounts of sugars contained in these types of healthy options can be surprising.

44 44 Other points to mention Milk Milk is a good source of calcium which is important for strong teeth and bones. Milk is safe to drink between meals for teeth. Water Water is important for hydration which helps you to concentrate well. Water is safe to drink between meals for teeth. Helpful tips Encourage pupils to highlight any answers they were surprised by and if this activity will change what they eat as snacks. Use Sugar ers as a follow-on activity.

45 45 Worksheet Product number Teaspoons of sugar Product / / /2

46 46 Activity Sugar ers! Please refer to section 2 of the DVD - Snack chat Description and preparation This activity is suitable class project or used as a whole school approach. Pupils will conduct a market re exercise among their classmates / schoolmates on the types of snacks that are consumed at break time and their sugar content. The results will be reported and displayed to the rest of the class / school. Select pupils to participate in the market re team for example, market reers, report writers and artists. Discuss the aim of project and each pupil s role. Gather information about products consumed for example, by randomly selecting pupils in the playground and recording information on Snack recording sheet (provided) or by asking pupils to deposit their empty packets and bottles into a Snack evidence box over a period of a week. Make sure that the packets are in good condition, so you can read the name and nutritional information. Re into each item, following the Guidance sheet (below). Report results by using a presentation in class / during assembly and display results (involve parents / guardians - optional). Pupils will monitor snacks in playground and be known as Snack monitors (optional). Aim To increase awareness of the amount of sugar in certain food and drink. To relate this information to general and oral health.

47 47 Objectives 1. Identify amounts of sugar in certain food and drink. 2. Discuss the oral health risks associated with frequency of sugar. 3. Choose healthy snacks. 4. Develop a healthy snack policy. Resources required Snack recording sheet template (provided in this folder) Snack evidence box (optional) Guidance notes (provided in this folder) Sugar amounts list template (provided in this folder) One bag of sugar (for display - optional) One teaspoon (for display - optional) Clear sandwich bags (for display - optional) Arts and crafts materials (for display - optional) Parents results letter template (provided in this folder)

48 48 Sugar ers - guidance notes One teaspoon of granulated white sugar is approximately four grams. To work out how many teaspoons of sugar are contained in a product - find out how many grams of sugar it contains (using the nutritional label). Then divide that amount by four. Please see example below: Item name Weight of item Amount of sugar Number of teaspoons Yoghurt 150g 27.3g Approximately 9 With this example, please see calculations: This yoghurt pot weighs 150g and the nutritional label indicates how much sugar is contained within the 150g pot. 27.3g divided by 4 = This indicates that there is approximately 7 teaspoons of sugar contained within this yoghurt. Some products only provide nutritional guidance per 100g (or 100ml). Please note the weight of the product and compare that to the actual weight highlighted on the nutritional label - as you will need to adjust your calculations accordingly. Please see examples below; Item name Weight of item Amount of sugar in 100g Number of teaspoons in a pack Yoghurt 200g 18.2g Approximately 7

49 49 With this example - we know the yoghurt pot weighs 200g but the nutritional label only shows the amount of sugars per 100g. Please see calculations below for explanation: 18.2g multiplied by 2 = 36.4g. This indicates there are 36.4g of sugar per 100g 36.4g divided by 4 = 9.1g. This indicates there are approximately 9 teaspoons of sugar contained within this yogurt Please note these are guidance notes only and calculations must be used as an approximation. Snack recording sheet Item name Weight of item Amount of sugar in 100g Amount of sugar in the item Number of teaspoons in a item

50 50 Helpful tips Invite parents or guardians to the presentation of the results (template provided). Why not involve the whole school and use a friendly competition approach? It would be interesting to find out which class eat the healthiest snacks at break time. Make the results short, snappy and colourful by using graphs and brightly coloured charts. Dear parent / guardian We have been reing the snacks that we eat at break time and the amount of sugars they contain. We would like to invite you along to our presentation of Sugar ers! We hope you can come along and support our mission to improve our oral health! When Where Please reply to by From class

51 51 Useful contacts and websites The Oral Health Promotion Team, Admin Building, Ayrshire Central Hospital, Kilwinning Road, Irvine KA12 8SS. Telephone Childsmile, Cassillis House, Ailsa Hospital, Dalmellington Road, Ayr, KA6 6AB Telephone Community Dietitians, Ayrshire Central Hospital, Kilwinning Road, Irvine, KA12 8SS. Telephone Health Promotion Resources, Afton House, Ailsa Hospital, Dalmellington Road, Ayr, KA6 6AB. Telephone / NHS Ayrshire & Arran Find us on Facebook at Follow us on

52 52 Health Promotion Resources National Smile Month ww.nationalsmilemonth.org British Dental Health Foundation

53 53 Appendices Appendix A - The eatwell plate Appendix B - Laptop megabites leaflet Appendix C - Toothbrushing tips for children s teeth leaflet Appendix D - Samples of information leaflets available from the Oral Health Promotion Team Appendix E - Oral health promotion media loop (June 2011) Appendix F - How to access NHS dentist poster Developed by the Oral Health Promotion Team in partnership with the Public Health department.

54 All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your choice. Tha gach sgrìobhainn againn rim faotainn ann an diofar chànanan, clò nas motha, Braille (Beurla a-mhàin), teip claistinn no riochd eile a tha sibh airson a thaghadh Tell us what you think... If you would like to comment on any issues raised by this document, please complete this form and return it to: Communications Department, 28 Lister Street, Crosshouse Hospital, Crosshouse KA2 0BB. You can also us at: comms@aaaht.scot.nhs.uk or comms@aapct.scot.nhs.uk. If you provide your contact details, we will acknowledge your comments and pass them to the appropriate departments response. Name Address Comment Last reviewed: February 2012 Leaflet reference: MIS GD

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