DBOH Toolkit - Providing Prevention

• Age 0-3 - DBOH recommendations - diet:

  • Breastfeeding provides the best nutrition for babies
  • From six months of age infants should be introduced to drinking from a free-flow cup, and from age 1 feeding from a bottle should be discouraged
  • Sugar should not be added to weaning foods or drinks
  • The frequency and amount of sugary food and drinks should be reduced
  • Sugar-free medicines should be recommended
• Age 0-3 - DBOH recommendations - oral hygiene:

  • Parents/carers should brush or supervise toothbrushing
  • As soon as teeth erupt in the mouth brush them twice daily with a fluoridated toothpaste
  • Brush last thing at night and on one other occasion
  • Use fluoridated toothpaste containing no less than 1,000ppm fluoride
  • It is good practice to use only a smear of toothpaste
• Age 3-6 - DBOH recommendations - diet:

  • The frequency and amount of sugary food and drinks should be reduced
  • Sugar-free medicines should be recommended
  • Investigate diet and assist adoption of good dietary practice in line with the Eatwell Guide
  • Where medication is given frequently or long term, liaise with medical practitioner to request it is sugar-free, or used to minimise cariogenic effects
• Age 3-6 - DBOH recommendations - oral hygiene - low risk:

  • Brush at least twice daily, with a fluoridated toothpaste
  • Brush last thing at night and at least on one other occasion
  • Brushing should be supervised by a parent/carer
  • Use fluoridated toothpaste containing more than 1,000ppm fluoride
  • It is good practice to use only a pea size amount
  • Spit out after brushing and do not rinse, to maintain fluoride concentration levels
• Age 3-6 - DBOH recommendations - oral hygiene - high risk:

  • Brush at least twice daily, with a fluoridated toothpaste
  • Brush last thing at night and at least on one other occassion
  • Brushing should be supervised by a parent/carer
  • Use fluoridated toothpaste containing 1,350-1,500ppm fluoride
  • It is good practice to use only a smear or pea size amount
  • Spit out after brushing and do not rinse, to maintain fluoride concentration levels
  • Apply fluoride varnish to teeth two times a year (2.2% NaF-)
  • Apply fluoride varnish to teeth two or more times a year (2.2% NaF-)
• Age 7+ DBOH recommendations - diet:

  • Investigate diet and assist to adopt good dietary practice in line with the Eatwell Guide
  • The frequency and amount of sugary food and drinks should be reduced
• Age 7+ DBOH recommendations - oral hygiene - low risk:

  • Brush at least twice daily, with a fluoridated toothpaste
  • Brush last thing at night and at least on one other occassion
  • Use fluoridated toothpaste (1,350-1,500ppm fluoride)
  • Spit out after brushing and do not rinse, to maintain fluoride concentration levels
• Age 7+ DBOH recommendations - oral hygiene - high risk:

  • Brush at least twice daily, with a fluoridated toothpaste
  • Brush last thing at night & at least one other time
  • Use fluoridated toothpaste (1,350-1,500ppm fluoride)
  • Spit out after brushing & don't rinse, to maintain fluoride concentration levels
  • Use a fluoridated mouth rinse daily (0.05% NaF) at a different time to brushing
  • For those aged 10+ with active caries prescribe 2,800ppm fluoride toothpaste
  • For those 16+ with active disease prescribe either 2,800ppm or 5,000ppm fluoride toothpaste
  • Fissure seal permanent molars with resin