Oral health for infant school age (4 to 7)                                
                                                        
    		
					
	
    		
			Key health professional involved here: 
	- School nurses
 
	- Teaching staff
 
		 
	
    		
			Looking after teeth and gums
Key messages:
	- Oral health is part of the national curriculum in Key Stage 1 science and in Relationships Education, Relationships, and Sexual Education (RSE) and Health Education
 
	- Tooth decay can cause pain, infection, sleepless nights, time off nursery/school and time off work for parents/carers.  
 
	- Small children often need a general anaesthetic to have decayed teeth removed, which can be an unpleasant experience and is not without risk
 
	- Tooth decay is still the most common reason for hospital admissions in the 6-10 year old age group
 
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			Toothbrushing
Key messages:
	- Children aged 3 and over should use a pea-sized amount of toothpaste containing more than 1000ppm fluoride
 
	- Use a toothpaste containing 1350-1500ppm fluoride for maximum prevention.  Most ‘own brand’ supermarket toothpastes are suitable and more affordable
 
	- Brush all the surfaces of the teeth and gumline in small circles for around 2 minutes, twice a day - just before bedtime and at another time that fits in with your routine
 
	- Spit out the toothpaste and do not rinse!
 
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			Visiting the dentist:
Key Messages
	- Adults should have a regular check-up at the dentist at least once every 2 years, and children at least once a year
 
	- NHS dental treatment is free for children under 18 or under 19 and in qualifying full-time education
 
	- Some adults can also get free NHS dental treatment
 
	- Going to the dentist regularly helps the child become familiar with the dental environment, and enables the dentist to pick up on any problems as early as possible
 
	- The dentist can paint fluoride varnish on children’s teeth to protect them from tooth decay.  All children over 3 should have it applied at least twice a year, and it may also be used for younger children at high risk of tooth decay.  Parents/carers should ask their dentist about fluoride varnish
 
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			Diet: 
Key messages:
	- Reduce the amount and frequency of having foods and drinks that contain sugar, only give sweet foods including dried fruit at mealtimes
 
	- Squashes sweetened with sugar, fizzy drinks, soft drinks and juice drinks have no place in a child’s daily diet
 
	- Limit the amount of fruit juice and/or smoothies your child drinks to a maximum of 150 mls (one portion) in total per day and drink it with meals to reduce the risk of tooth decay
 
	- Always ask for sugar-free medicines
 
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