Search for a smile · 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

Visit our website: www.nhsaaa.net

All our publications are available in other formats

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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

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IntroductionThis 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•Nutritionandoralhealth•Oralhealthquiz•

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.

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Curriculum for ExcellenceCurriculum 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.

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The seven principles

1. Challenge and enjoymentChildren 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. BreadthAll children and young people should have opportunities for a broad, suitably weighted range of experiences. This comprehensive resource allows children to learn about their oral health by:

Exploringtheimportanceoftoothbrushingthrough•aDVDIdentifyingsnacksthatcanbeharmfultotheiroral•healthandfindingoutmoreaboutfoodsthataretoothfriendlyParticipatinginaninteractivequizongeneraloral•healthandnutritionmessages

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3. ProgressionChildren 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. DepthThere 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.

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5. Personalisation and choiceThe 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. CoherenceTaken 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.

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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

www.ltscotland.org.uk/curriculumforexcellence/index.asp

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Nutrition and oral healthNutrition 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:

Plentyoffruitandvegetables•Plentyofbread,rice,potatoes,•pastaandotherstarchyfoods–choosewholegrainvarietieswhenyoucanSomemilkanddairyfoods•Somemeat,fish,eggs,beans•andothernon-dairysourcesofproteinJustasmallamountoffoodsanddrinkshighinfat•and/orsugar

The more often we eat sugary foods or take drinks containing sugar, the more likely we are to get tooth decay.

Avoidhavingsnacksanddrinksthatcontainsugar•betweenmealsLimitsweetsandpuddingsandhavethematmeal•timesonly

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Milkandwaterarethesafestdrinksforteeth•Sweetenedjuices,squashesandfizzydrinkscanall•causetoothdecay

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.

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ToothbrushingBrushing 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.

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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. Research 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 www.child-smile.org.uk and clicking on ‘Professionals’.

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Dental servicesEveryone should visit the dental surgery for a check up as often as recommended by their dentist. You can find a list of local dentists by visiting www.nhsaaa.net 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.HowcanIregisterwithmydentistasaNHSpatient?Call the Dental Management Team on 01292513848, Monday - Friday from 8.30am to 4.30pm or visit www.nhsaaa.net 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 01292513848.

For dental emergencies out-of-hours (after 5pm and at weekends), telephone NHS 24 on 08454 24 24 24.

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Oral health promotion resourcesYou 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) -Thisincludesaninflatabledentalchair,dentaluniformsforchildren,disposablehygienemasksandmirrors,andguidanceonhowtorunyourowndentalroleplaysession.Oral health board games • (ages 8 – 12 years) –Thesetofthreeboardgames,designedbyschools

acrossAyrshire,canbeusedtoenhancesessionsonpersonalhygieneandoralhealth.ExploreMolarMania,ToothAdventureandToothafied!

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Elliott goes to the dentist • (all ages and can also be used as a story book) – Designedbychildren,thiscomicbookisanidealwaytotalkaboutvisitingthedentistandwhatcanbeexpectedwhenyougetthere.Thecomiccanalsobeusedtorunadentalroleplaysession.The White Tooth Rap DVD • (ages 6 – 12 years) –

Writtenandproducedbychildren,theWhiteToothRapdemonstratestheeffectivenessofusinginnovativeapproachestopromotinggoodoralhealth.Watchasthechildrenperform

theirrap,andfollowthembehindthescenestoexplorethedifferentactivitiesundertakentoproducetheresource.Magical Mouths drama production • (ages 8 – 12 years) – Availableasadramascript,thiscanbeusedwithaclassofchildrentodeliverkeyoralhealthmessagesinafunandengagingway.Eachchildcantakeontheroleofadifferentcharacter

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from‘GrandpaCrest’to‘BobbyBadTeeth’andlearnmoreabouttheimportanceoflookingaftertheirteeth.Oral health promotion leaflets and display •boards (all ages) –canbeprovidedtosupportyoutopromotecampaignssuchasNationalSmileMonth.

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Visit the dentist often1.

Use a dry toothbrush2.

Brush your teeth twice a 3. day

Brush for two minutes4.

Spit, don’t rinse5.

Carefully brush every 6. surface

Use a small headed 7. toothbrush

Use a pea sized amount 8. of fluoride toothpaste

Keep sugary snacks and 9. drinks to mealtimes

Always show o� your 10. nice smile

Oral health

Top ten tips for

teeth

For more information contact the

Oral Health Promotion Team on

01294 323455

DenturesInformation for you

Visit our website: www.nhsayrshireandarran.com


4



Oral health advice for teenagers

4Visit our website: www.nhsayrshireandarran.comAll our publications are available in other formats

Oral health and smokingInformation for you

4



Gum disease, erosion and sensitivityInformation for you

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Key oral health promotion messages

Choosehealthysnacksanddrinksbetweenmeals•Brushyourteethtwiceaday(afterbreakfastandat•nightafteryourlastmeal,snackordrink)Visitthedentistregularlyforcheckups•

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Class-based activitiesYou can borrow resources to support class-based activities from the Oral Health Promotion Team. Contact details at the back of the folder.

ActivityPass the bagPlease refer to section one of the DVD - ‘Tiny tots top ten tips for teeth’

Description and preparationThis activity is suitable for a 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.•

AimsTo increase awareness and understanding of oral health and encourage open discussion.

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ObjectivesExpress 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 requiredBag (available on loan from the Oral Health Promotion •Team)

Suitable music and music player•

Guidance notesPlease use the leaflets in the appendices section to help highlight these messages with each item:

ToothbrushUsed to remove germs from our teeth and gums.•

Q.Doesanyoneknowthenameofthegerms?A.Plaque(encouragethepupilstosaytheword).

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 for a third time at school.

ToothpasteUsed to help remove plaque from our teeth and gums.•

Q.Itcontainsaveryimportantingredientthatisverygood forourteeth-doesanyoneknowwhatitiscalled?

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A.Fluoride.Encouragethepupilstosaytheword.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 sweetsQ.Wholikessweets?(Allraisehands,includingstaff) Sweetstasteniceandweallenjoyeatingthem.Does anyoneknowwhatingredientisinsweetstomakethem tastesonice?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.Whatwouldhappentoourteethifweatetoomuch sugartoooften?A.Soreteeth,toothdecay,fillingsandsoon.

To keep our teeth and bodies healthy - try to keep sugar •foods and drinks to mealtimes only.

BananaThis contains lots of goodness for our bodies. •

It is also a safe snack for teeth.•Q.Whatotherfoodsarehealthyforourbodies?A.Fruits,vegetables,waterandmilk.

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Dental mirrorQ.Doesanyonerecognisethis?Wherewouldweexpectto seethisitem?A.Dentalsurgeryordentist.

Q.WhydoyouthinktheDentistneedstousethis?A.Toseealltheteeth-especiallytheonesatthetop,right attheveryback.Ithelpsthedentistcountallyourteeth andhelpsthemdecideifyouhavebeenbrushingwell enough.Q.Doyouallvisitthedentist?A.It’simportanttovisitthedentisteverysixmonthsto haveyourteethchecked.

Dental maskStaff member puts on the mask Q.Doesanyonerecognisethis?Wherewouldweexpectto seethisitem?A.Dentalsurgery/dentist/dentalnurse/dentalhygienistQ.Whydoyouthinkthedentistwouldwearthis?A.Tostopgermsspreading.Thedentistmayhaveasore throatorcold(orviceversa)andbecausetheywork veryclosetoyourface-it’simportanttopreventgerms fromspreading.

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.Howdoeseveryonefeelaboutvisitingthedentist? Explorefeelingsandthoughtsrelatingtothesights, soundsandsmells.

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Q.Isthereanythingthatyoudon’tlikeaboutvisitingthe dentist?Q.Whatdoyoulikebestaboutvisitingthedentist? (Explore)A.Thedentistanddentalnursewanttohelpyouenjoy yourvisitandifyou’reworriedaboutanything-it’s importantyoutellthemastheywillbeabletohelp.

Helpful tipsIt 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.

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ActivityTiny tots top ten tips for teethPlease 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.

AimTo increase awareness of oral health messages and engage with the whole school using a fun approach.

ObjectivesIdentify 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 requiredAn 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)

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PreparationIdentify 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’:•

Performer1(PF1) - reads out explanation and point to tip on pull up banner.Performer2(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!•

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Script cardsToptipnumberonePF1 - 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 threePF1 - 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 toothbrushPF1 - “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 toothbrushRemember this prop is required to be passed to relevant pupils for top tip number eight.

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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,

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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

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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 cueProps: Smiles sign

Helpful tips1. 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.

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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 by

From class

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ActivityGuess the sugarsPlease refer to section two on DVD - ‘Snack chat’Description and preparationThis activity is ideally suited for a 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).

AimTo increase awareness of amounts of sugar in certain foods and drinks and relate this information to general and oral health.

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ObjectivesIdentify amount of sugar in certain food and drink.1. Discuss the oral health risks associated with frequency of 2. sugars.Choose healthy snacks. 3.

Resources requiredOne 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•

sear

chfo

r a

sear

chfo

r a

MIS12-032-GD Last reviewed: February 2012

Prod

uct l

ist a

nd g

uida

nce

note

s

Prod

uct

numbe

rPr

oduc

tTe

aspo

ons

Pointsto

con

side

r

1Ca

n of

fizz

y ju

ice

(330

g)8

Freq

uent

ly c

onsu

min

g su

gar c

an le

ad to

toot

h de

cay.

Th

ese

drin

ks h

ave

very

litt

le n

utrit

iona

l val

ue.

To re

duce

the

risk

of to

oth

deca

y an

d er

osio

n - k

eep

drin

ks th

at c

onta

in s

ugar

s an

d ac

ids

to m

ealti

mes

on

ly a

nd a

lway

s us

e a

stra

w.

2Ca

rton

of f

resh

fr

uit j

uice

(fr

om c

once

ntra

te)

(200

ml)

5Th

is c

an b

e a

heal

thy

optio

n es

peci

ally

as

it ca

n co

unt

as o

ne o

f you

r ‘fiv

e a

day’

com

pare

d to

fizz

y dr

inks

but

it

also

con

tain

s su

gars

and

aci

ds.

Freq

uent

ly c

onsu

min

g su

gar c

an le

ad to

toot

h de

cay.

Fi

zzy

drin

ks c

an a

lso

cont

ain

acid

s. Ac

ids

will

not

lead

to

toot

h de

cay

but c

an c

ause

the

toot

h su

rfac

e to

di

ssol

ve o

r ero

de. T

his

is c

alle

d to

oth

eros

ion.

To re

duce

the

risk

of to

oth

deca

y an

d er

osio

n, k

eep

drin

ks th

at c

onta

in s

ugar

s an

d ac

ids

to m

ealti

mes

on

ly a

nd a

lway

s us

e a

stra

w.

32

sear

chfo

r a

sear

chfo

r a


3Pa

cket

of

Toot

y fr

ootie

s(5

0g)

8Fr

eque

ntly

con

sum

ing

suga

r ca

n le

ad to

toot

h de

cay.

Th

ese

swee

ts a

lso

cont

ain

acid

s. Ac

ids

will

not

lead

to

toot

h de

cay

but c

an c

ause

the

toot

h su

rfac

e to

di

ssol

ve o

r ero

de.

Chew

y sw

eets

stic

k to

the

groo

ves

and

ridge

s on

our

ba

ck te

eth

and

can

be v

ery

diffi

cult

to re

mov

e. It

is

com

mon

to s

ee th

ese

surf

aces

dec

ay.

Thes

e sw

eets

hav

e ve

ry li

ttle

nut

ritio

nal v

alue

. To

redu

ce th

e ris

k of

toot

h de

cay

and

eros

ion

- kee

p sw

eets

as

trea

ts o

r to

mea

ltim

es o

nly.

33

2se

arch

for a

sear

chfo

r a


4Pa

cket

of H

arib

o (1

00g)

16Fr

eque

ntly

con

sum

ing

suga

r can

lead

to to

oth

deca

y.

Thes

e sw

eets

als

o co

ntai

n ac

ids.

Acid

s w

ill n

ot le

ad

to to

oth

deca

y bu

t can

cau

se th

e to

oth

surf

ace

to

diss

olve

or e

rode

.Ch

ewy

swee

ts s

tick

to th

e gr

oove

s an

d rid

ges

on o

ur

back

teet

h an

d ca

n be

ver

y di

fficu

lt to

rem

ove.

It is

co

mm

on to

see

thes

e su

rfac

es d

ecay

. Th

ese

swee

ts h

ave

very

litt

le n

utrit

iona

l val

ue.

To re

duce

the

risk

of to

oth

deca

y an

d er

osio

n, k

eep

drin

ks th

at c

onta

in s

ugar

s an

d ac

ids

to m

ealti

mes

5

Chee

se0

Chee

se is

a g

ood

sour

ce o

f cal

cium

whi

ch is

im

port

ant f

or s

tron

g te

eth

and

bone

s.Ch

eese

can

neu

tral

ise

your

mou

th a

fter

eat

ing

som

ethi

ng s

ugar

y or

aci

dic.

Due

to th

e hi

gh fa

t con

tent

, it i

s re

com

men

ded

to e

at

smal

l qua

ntiti

es.

34

2se

arch

for a

sear

chfo

r a


6Bo

ttle

of l

ow s

ugar

Fr

uit s

hoot

(200

ml)

1/2

Freq

uent

ly c

onsu

min

g su

gar c

an le

ad to

toot

h de

cay.

Th

ese

drin

ks a

lso

cont

ain

acid

s. Ac

ids

will

not

lead

to

toot

h de

cay

but c

an c

ause

the

toot

h su

rfac

e to

di

ssol

ve o

r ero

de. T

his

is c

alle

d to

oth

eros

ion.

Thes

e dr

inks

hav

e ve

ry li

ttle

nut

ritio

nal v

alue

. To

redu

ce th

e ris

k of

toot

h de

cay

and

eros

ion

- kee

p dr

inks

that

con

tain

sug

ars

and

acid

s to

mea

ltim

es

only

and

alw

ays

use

a st

raw

.A

lthou

gh th

is d

rink

cont

ains

low

am

ount

s of

sug

ar

and

far l

ess

than

it’s

coun

terp

art,

it is

impo

rtan

t to

keep

this

as

a tr

eat o

r at m

ealti

mes

onl

y.Th

ere

are

othe

r var

ietie

s of

Fru

it Sh

oot -

pro

duct

s 9-

16.

35

2se

arch

for a

sear

chfo

r a


7Sc

hool

bar

(20

g)2

Freq

uent

ly c

onsu

min

g su

gar c

an le

ad to

toot

h de

cay.

Th

ese

swee

ts a

lso

cont

ain

acid

s. Ac

ids

will

not

lead

to

toot

h de

cay

but c

an c

ause

the

toot

h su

rfac

e to

di

ssol

ve o

r ero

de.

Chew

y sw

eets

stic

k to

the

groo

ves

and

ridge

s on

our

ba

ck te

eth

and

can

be v

ery

diffi

cult

to re

mov

e. It

is

com

mon

to s

ee th

ese

surf

aces

dec

ay.

To re

duce

the

risk

of to

oth

deca

y an

d er

osio

n - k

eep

swee

ts a

s tr

eats

or t

o m

ealti

mes

onl

y.

36

2se

arch

for a

sear

chfo

r a


8Ra

isin

s (4

0g)

5W

hile

drie

d fr

uits

like

apr

icot

s or

rais

ins

coun

t tow

ards

yo

ur fi

ve-a

-day

, onc

e fr

uit i

s dr

ied

it al

so b

ecom

es a

co

ncen

trat

ed s

ourc

e of

sug

ar.

The

cons

iste

ncy

of d

ried

frui

t is

very

stic

ky a

nd e

asily

st

icks

to th

e gr

oove

s an

d rid

ges

on o

ur b

ack

teet

h an

d ca

n be

ver

y di

fficu

lt to

rem

ove.

It is

com

mon

to

see

thes

e su

rfac

es d

ecay

. To

redu

ce th

e ris

k of

toot

h de

cay

and

eros

ion

- kee

p sw

eets

as

trea

ts o

r to

mea

ltim

es o

nly.

9Fr

uit s

hoot

(200

ml)

6Fr

eque

ntly

con

sum

ing

suga

r can

lead

to to

oth

deca

y.

Thes

e dr

inks

als

o co

ntai

n ac

ids.

Acid

s w

ill n

ot le

ad

to to

oth

deca

y bu

t can

cau

se th

e to

oth

surf

ace

to

diss

olve

or e

rode

. Thi

s is

cal

led

toot

h er

osio

nTh

ese

drin

ks h

ave

very

litt

le n

utrit

iona

l val

ue.

To re

duce

the

risk

of to

oth

deca

y an

d er

osio

n - k

eep

drin

ks th

at c

onta

in s

ugar

s an

d ac

ids

to m

ealti

mes

on

ly a

nd a

lway

s us

e a

stra

w.

Due

to th

e hi

gh s

ugar

con

tent

, it i

s im

port

ant t

o ke

ep

this

as

a tr

eat o

r at m

ealti

mes

onl

y.

37

2se

arch

for a

sear

chfo

r a


10N

utri-

Gra

in b

ar (

50g)

4Fr

eque

ntly

con

sum

ing

suga

r can

lead

to to

oth

deca

y.

Thes

e ba

rs c

an a

lso

cont

ain

acid

s. Ac

ids

will

not

lead

to

toot

h de

cay

but c

an c

ause

the

toot

h su

rfac

e to

di

ssol

ve o

r ero

de.

The

cons

iste

ncy

of th

ese

type

s of

bar

s is

ver

y st

icky

an

d ca

n ea

sily

stic

k to

the

groo

ves

and

ridge

s on

our

ba

ck te

eth

and

can

be v

ery

diffi

cult

to re

mov

e. It

is

com

mon

to s

ee th

ese

surf

aces

dec

ay.

To re

duce

the

risk

of to

oth

deca

y an

d er

osio

n- k

eep

thes

e ba

rs a

s tr

eats

or t

o m

ealti

mes

onl

y.Th

e am

ount

s of

sug

ars

cont

aine

d in

thes

e ty

pes

of

‘hea

lthy’

opt

ions

can

be

surp

risin

g.

38

2se

arch

for a

sear

chfo

r a


11Pa

cket

of M

onst

er

Mun

ch c

risps

(30g

)1/

4Fr

eque

ntly

con

sum

ing

suga

r can

lead

to to

oth

deca

y.

The

cons

iste

ncy

of th

ese

type

s of

cris

ps is

ver

y st

icky

an

d ca

n ea

sily

stic

k to

the

groo

ves

and

ridge

s on

our

ba

ck te

eth

and

can

be v

ery

diffi

cult

to re

mov

e. It

is

com

mon

to s

ee th

ese

surf

aces

dec

ay.

Alth

ough

thes

e cr

isps

con

tain

a lo

w a

mou

nt o

f sug

ar,

it is

impo

rtan

t to

keep

this

as

a tr

eat o

r at m

ealti

mes

on

ly.

12Pl

ain

popc

orn

0Pl

ain

popc

orn

is a

sug

ar fr

ee h

ealth

y sn

ack

- ide

al to

ea

t bet

wee

n m

eals

.M

ake

sure

to n

ot a

dd s

ugar

or s

alt.

39

2se

arch

for a

sear

chfo

r a


13Ca

n of

Die

t cok

e (3

30m

l)0

Die

t drin

ks d

o no

t con

tain

sug

ars

but s

till c

onta

in

acid

s.Ac

ids

will

not

lead

to to

oth

deca

y bu

t can

cau

se th

e to

oth

surf

ace

to d

isso

lve

or e

rode

. Thi

s is

cal

led

toot

h er

osio

n.Th

ese

drin

ks h

ave

very

litt

le n

utrit

iona

l val

ue.

To re

duce

the

risk

of to

oth

eros

ion

- kee

p dr

inks

that

co

ntai

n ac

ids

as a

trea

t or t

o m

ealti

mes

onl

y an

d al

way

s us

e a

stra

w.

40

2se

arch

for a

sear

chfo

r a


14Fr

uit s

hoot

wat

er w

ith

frui

t flav

ourin

g (3

00m

l)0

This

drin

k do

es n

ot c

onta

in s

ugar

but

stil

l con

tain

s ac

ids.

Acid

s w

ill n

ot le

ad to

toot

h de

cay

but c

an c

ause

the

toot

h su

rfac

e to

dis

solv

e or

ero

de. T

his

is c

alle

d to

oth

eros

ion.

Thes

e dr

inks

hav

e ve

ry li

ttle

nut

ritio

nal v

alue

. To

redu

ce th

e ris

k of

toot

h er

osio

n - k

eep

drin

ks th

at

cont

ain

acid

s as

a tr

eat o

r to

mea

ltim

es o

nly

and

alw

ays

use

a st

raw

.

41

2se

arch

for a

sear

chfo

r a


15M

ilky

Way

(21g

)3

Freq

uent

ly c

onsu

min

g su

gar c

an le

ad to

toot

h de

cay.

Th

is c

hoco

late

bar

is q

uite

che

wy

and

will

stic

k to

the

groo

ves

and

ridge

s on

our

bac

k te

eth

and

can

be v

ery

diffi

cult

to re

mov

e. It

is c

omm

on to

see

thes

e su

rfac

es

deca

y.

Thes

e ch

ocol

ate

bars

hav

e ve

ry li

ttle

nut

ritio

nal v

alue

. To

redu

ce th

e ris

k of

toot

h de

cay

- kee

p sw

eets

as

trea

ts o

r to

mea

ltim

es o

nly.

This

cho

cola

te b

ar w

as o

nce

mar

kete

d as

‘the

sw

eet

you

can

eat b

etw

een

mea

ls w

ithou

t rui

ning

you

r ap

petit

e’ –

but i

t’s im

port

ant t

o ke

ep th

is to

mea

ltim

es

to re

duce

the

risk

of to

oth

deca

y.

42

2se

arch

for a

sear

chfo

r a


16Fr

uit F

lake

s (2

5g)

3 1/

2W

hile

drie

d fr

uits

like

apr

icot

s or

rais

ins

coun

t tow

ards

yo

ur fi

ve-a

-day

, onc

e fr

uit i

s dr

ied

it al

so b

ecom

es a

co

ncen

trat

ed s

ourc

e of

sug

ar.

The

cons

iste

ncy

of d

ried

frui

t is

very

stic

ky a

nd e

asily

st

icks

to th

e gr

oove

s an

d rid

ges

on o

ur b

ack

teet

h an

d ca

n be

ver

y di

fficu

lt to

rem

ove.

It is

com

mon

to

see

thes

e su

rfac

es d

ecay

. To

redu

ce th

e ris

k of

toot

h de

cay

and

eros

ion

- kee

p sw

eets

as

trea

ts o

r to

mea

ltim

es o

nly.

The

amou

nts

of s

ugar

s co

ntai

ned

in th

ese

type

s of

‘h

ealth

y’ o

ptio

ns c

an b

e su

rpris

ing.

43

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Other points to mention

MilkMilk is a good source of calcium which is important for strong •teeth and bones.

Milk is safe to drink between meals for teeth.•

WaterWater is important for hydration which helps you to concentrate •well.

Water is safe to drink between meals for teeth.•

HelpfultipsEncourage pupils to highlight any answers they were surprised •by and if this activity will change what they eat as snacks.

Use ‘Sugar searchers’ as a follow-on activity. •

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Worksheet

Productnumber Teaspoonsofsugar Product1 92 53 84 165 06 1/27 28 59 610 411 1/412 013 014 015 416 3 1/2

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ActivitySugar searchers!Please refer to section 2 of the DVD - ‘Snack chat’Description and preparationThis activity is suitable for a class project or used as a whole school approach. Pupils will conduct a market research 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 research team – for •example, market researchers, 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.Research 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).

AimTo increase awareness of the amount of sugar in certain food and drink. To relate this information to general and oral health.

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ObjectivesIdentify amounts of sugar in certain food and drink.1. Discuss the oral health risks associated with frequency of 2. sugar.Choose healthy snacks. 3. Develop a healthy snack policy.4.

Resources requiredSnack 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)•

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Sugar searchers - 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 = 6.82. 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

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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:

18.2gmultipliedby2=36.4g.• This indicates there are 36.4g of sugar per 100g

36.4gdividedby4=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

Itemname Weightofitem

Amountofsugarin100g

Amountofsugarintheitem

Numberofteaspoonsinaitem

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Helpful tipsInvite 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 researching 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 searchers’! We hope you can come along and support our mission to improve our oral health!

When

Where

Please reply to by

From class

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Useful contacts and websitesThe Oral Health Promotion Team, Admin Building, Ayrshire Central Hospital, Kilwinning Road, Irvine KA12 8SS. Telephone01294323455

Childsmile, Cassillis House, Ailsa Hospital, Dalmellington Road, Ayr, KA6 6ABTelephone01292513998www.child-smile.org

Community Dietitians, Ayrshire Central Hospital, Kilwinning Road, Irvine, KA12 8SS. Telephone01294323137

Health Promotion Resources, Afton House, Ailsa Hospital, Dalmellington Road, Ayr, KA6 6AB. Telephone01292885925/885927

NHS Ayrshire & Arranwww.nhsaaa.net

Find us on Facebook at www.facebook.com/nhsaaa Follow us on Twitter @NHSaaa

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Health Promotion Resourceswww.healthinfoshop.scot.nhs.uk

National Smile Monthww.nationalsmilemonth.org

British Dental Health Foundationwww.dentalhealth.org.uk

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AppendicesAppendixA-Theeatwellplate•AppendixB-Laptopmegabitesleaflet•AppendixC-Toothbrushingtipsforchildren’steeth•leafletAppendixD-Samplesofinformationleafletsavailable•fromtheOralHealthPromotionTeamAppendixE-Oralhealthpromotionmedialoop(June•2011)AppendixF-HowtoaccessNHSdentistposter•

Developed by the Oral Health Promotion Team in partnership with the Public Health department.

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Last reviewed: February 2012Leaflet reference: MIS12-032-GD

All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your

choice.

0800 169 1441Tell 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 email us at: [email protected] or [email protected]. If you provide your contact details, we will acknowledge your comments and pass them to the appropriate departments for a response.

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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.

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Documents

Search for a smile · 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