Oral Health in Barnsley Early years Barnsley Oral Health Promotion Team - 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
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.
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
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
Eruption of Teeth
Natal Tooth
Sign of Teething
Eruption Cyst
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
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
Early Childhood Caries Dental decay
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 Plaque/bacteria Sugar Acid Tooth decay
Plaque - Old Food Dead Skin Spit Germs
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
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
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
Tooth brush Choose a toothbrush with A small head Soft/medium bristles A comfortable handle Change every 3 months
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
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.
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
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
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
Erosion Is when the tooth surface is worn away by acid. Teeth become sensitive
Labeling & Sugars
Hidden Sugars Sucrose Glucose Maltose Fructose Brown sugar Treacle Concentrated fruit juice Syrup Honey
Snacks and Drinks you can Safe snacks eat between meals Savoury sandwiches e.g. banana, cheese Yoghurt Savoury dips Crackers Muffins Pitta bread Crumpets Chapattis Fruit Vegetables Plain pop corn Tea cakes Toast Bread sticks Rice cakes Water Milk
Oral Health Promotion - Resources For information on Resources, leaflets, posters etc Contact Barnsley Community Dental Promotion team Cudworth centre 01226 438768
Finding a Dentist NHS Choices web site Health Watch Barnsley Emergency dental treatment Tel :111
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
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
Contact details Barnsley Community Dental Service Cudworth Health Centre Carlton Street Cudworth Barnsley S72 8SU - Oral Health Improvement Practitioner, Barnsley Community Dental Promotion Service, Rotherham NHS Foundation Trust 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