Transcript Toothbrush and toothpaste distribution scheme

Improving
Dental Health
Jan Postans
Oral Health Promotion
UHBristol PCDS
The scale of the problem
• 40% of year 1 (5/6
year olds) pupils in
Bristol have decay
• On average they have
4 decayed teeth
• Last year Bristol
dental hospital gave a
GA to 1382 children
to take their teeth out
All preventable
Plaque – bacteria - germs
• Can be removed easily every day
• Hard to removed if left for a few days.
• Using a toothbrush will stop this from happening.
• Add fluoride toothpaste to inhibit acid formation.
All preventable
Plaque – bacteria - germs
• Firm evidence that oral bacteria can be
linked to:
• Heart Disease
• Diabetes
• Strokes
• Premature & Still Births
• Aspiration pneumonia
• Using a toothbrush will stop this from happening.
• Add fluoride toothpaste to inhibit acid formation.
All preventable
Gum Disease
• Start brushing when first tooth appears
• or at weaning, which ever comes first.
• Children not encouraged to brush will
suffer from this in adulthood.
• Using a toothbrush will stop this from happening.
All preventable
Decay
• Keep sugar for meal times only
• Use a fluoride toothpaste twice a day
• Fluoride toothpaste will stop this from happening.
All preventable
Feeding or nursing caries
•
•
•
Stop the bottle by 1st Birthday
Only give water or milk between meals.
Any other drink should be offered in a
cup & diluted with water.
• All sugar free drinks will cause the above.
• Fluoride will not stop this from happening.
All preventable
Erosion & Sensitivity.
•
Children who do not drink water, milk or hot drinks will
suffer from the above in adulthood.
• All sugar free drinks will cause the above.
• Fluoride will not stop this from happening.
What we have done so far
• Brushing for life –
toothpaste scheme
• Good evidence base for
effectiveness of
toothpaste distribution
• Increased fluoride
content to 1000ppm or
above.
Change in fluoride advice
Universal
• Toothpaste, toothbrush and leaflet provided for
all children in their first year.
– Parents may need encouragement to use pack
– Support to use the paste responsibly
• Encourage early check up with a dentist
Other initiatives:
• Parent craft courses.
• Safe snack times in nursery & school
• Supported brushing time
• Include dental initiative in yearly action
plan. (often linked to Smile Month)
• Training for early years staff to enable
– Targeting of hard to reach families
– Regular support for parents making difficult
behaviour changes
13
Wiltshire
Primary Care Trust Dental Service
Oral Health
Best Practice Document
• www.dh.gov.uk
• Gateway ref:
8504
• Tel: 0300 123 1002
Goal