Smiling for Life. Karen Gonzalez Oral Health Advisor

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1 Smiling for Life Karen Gonzalez Oral Health Advisor

2 Why we need teeth. Eat Speak Smile

3 Tooth Growth Chart Incisors Incisors Canine Pre-molars Canine Molars Molars WisdomTeeth

4 Eruption dates Primary dentition Teeth Incisors Canines First Molars Second Molars Age 6-9 months months months months

5 Is dental decay still a problem? Yes! From April December children under 5 had 393 teeth removed! yr old children had 604 teeth removed yr olds had teeth removed!

6 Under 5 s General Anaesthetics Date no. of children no. of teeth 08/06/ /06/ /06/ /07/ /07/ /07/ /07/ /08/ /08/ /08/ /09/ /09/ /09/ /10/ /10/ /10/ /11/ /11/ /11/ /11/ /12/ /12/ /12/

7 Dental Plaque magnified thousands of times

8 Drinking sugary drinks and milk from a bottle can damage teeth By 1yr old a child should be using a CUP

9

10 Milk, cheese and yogurt Offer your child these foods about three times a day. Dairy products provide plenty of calcium for growing bones, but are extremely low in iron. Toddlers need less milk than babies and should not be given large bottles of milk. Offer about 120ml (4fl oz) of milk in a cup as a drink. In total, your toddler should have no more than 350ml (12fl oz) a day. Remember 30g of cheese or 125g of yoghurt is the same as ⅓ pint (190mls) Large drinks of milk will reduce a toddler's appetite for other foods, especially those higher in iron.

11 Snacks and Sugars Half sucrose consumed is sold as packaged sugar and half is used by food drink and confectionary manufacturers Average daily intake of total sugars for 2 4 year olds is 88.2 grams = 17 teaspoons - the recommendation is 6 teaspoons Confectionary, soft drinks, cakes, biscuits and table sugar are often consumed between meals- frequency of consumption is linked to decay

12 Smiling for Life is a nutrition and oral health programme for Early Years settings

13 Model Policy All snacks provided are free from sugars that can damage teeth and low in salt Fruit and vegetables are encouraged (dried fruit at mealtimes only for healthy teeth) Water and milk are safe for teeth and therefore the only drinks on offer All children over 1 year old will be encouraged to drink from a cup The dietary needs of religious groups and vegetarians/vegans are respected Parents/carers who wish to provide food for birthdays are requested to provide fresh fruit or non-food treats rather than cakes/sweets

14 Birthday celebrations Please do not bring in cakes or chocolate to celebrate your child s birthday Choose something else for your children to bring into school

15 SNACK IDEAS

16 How much sugar? 1 sugar cube or 1 teaspoon = 3 grams of sugar Baby drinks? Children s cereal? McDonalds McFlurry? Yoghurt? Cereal bar? Fruit bowl school bars? Fruit flakes raspberry?

17

18 17.5 grams 6 cubes 27 grams 7 sugar cubes 8 grams 3 cubes 54 grams -18 cubes 2 grams per 200ml bottle ½ cube Trace of sugar but contains citric acid

19 39g 9½ cubes 65g 16½ cubes 108g 27½ cubes

20 30 gram portion 10 sugar cubes 15.5 grams 5 sugar cubes 15 grams 5 sugar cubes 30 grams 10 sugar cubes 21 grams 7 sugar cubes 46 grams 15 sugar cubes 8.3 grams 3 Sugar cubes

21 Total sugars 61 grams = 22 teaspoons of sugar

22 Almost 5 sugar cubes

23 Almost 9 sugar cubes

24 Checking out the labels Look out for hidden sugars such as fructose, dextrose, glucose, sucrose, honey and syrup. These are all damaging to teeth as they can cause tooth decay.

25

26

27 Acid Erosion When acid that is found in drink comes into contact with teeth Softens the hard enamel surface on our teeth When we then brush our teeth, the enamel can be worn away more easily and become thinner, Makes our teeth feel and look different in texture and shape BUT Calcium in the saliva can be re-absorbed back into the teeth when the ph is neutral

28 Acid erosion is on the rise in children. Half of 5-year-olds are showing signs of tooth surface loss, while around 30% of 12-year-olds have a similar problem.

29 Teeth lose calcium at a ph of 5.5 or lower on the ph scale

30 What about toothpaste? Use a pea sized blob of family formula toothpaste 1,350 ppm to 1,500 ppm Children under 3 years should use a toothpaste containing no less than 1,000 ppm fluoride and use no more than a smear of (a thin film of paste covering less than threequarters of the brush) and must not be permitted to eat or lick toothpaste from the tube Spit but don t rinse!

31 Over 3yrs use a small toothbrush with a pea-sized blob of family fluoride toothpaste Too much!!!!

32 Fluoride Fluoride strengthens the outer covering of the tooth (the enamel) making it more resistant to the harmful effects of eating sugar. The bacteria that everybody has in their mouths live off the sugar in our diet and produce acid that dissolves the tooth surface. Fluoride slows this process down giving the tooth surface more time to heal.

33 What can you do to help reduce the levels of tooth decay? Bottle to Cup from 6 months Water not juice Fluoride toothpaste Spit don t rinse! Encourage families to visit a dentist Discourage the giving of sweetened drinks and not use sugared dummies or juices in a dinky feeder or night comforter. Recommend that labels are carefully read and beware of hidden sugars in food and drinks-even commercially prepared baby foods.

34 Visits to the dentist! Free for children!

35 Books! Going to the Dentist Topsy and Tim go to the dentist Postman Pats Sore Tooth Dora -Show Me Your Smile Freddie Visits the dentist All about me To Be a Star

36 Resources Leaflets are available from Berkshire Health Promotion

37 Accidents Stop the bleeding get the child to bite with steady pressure on a clean handkerchief or gauze for about 20 min Do not attempt to push teeth back in if a baby tooth Contact parent/s and dentist

38 Dental Access Centres Out of Hours Tilehurst - Dental Clinic, Corwen Road Open Monday, Tuesday, Thursday and Friday Sunday 10 2 If you have a regular NHS dentist and need urgent treatment, contact your dentist for advice. If you do not have a regular NHS dentist, you can contact NHS Direct on (or 111 if available in your area). They can give you details of out-of-hours dental services in your area. From 1 April 2015, emergency and out-of-hours NHS dental care will cost you You will not have to pay for emergency or out-of-hours care if you re entitled to free NHS dental treatment.

39 Ref: Delivering Better Oral Health: An Evidence-based toolkit for prevention, 3 rd Edition 2014 Every Contact Counts: The NHS s Role in the Public s Health Thank you for listening

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