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Healthy Teeth, Happy Smiles Information for foster carers and looked after children June 2017

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Page 1: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

Healthy Teeth, Happy Smiles Information for foster carers and looked after childrenJune 2017

Page 2: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

Healthy Teeth , Happy Smiles

This booklet is to help provide information about looking after the mouth and teeth for foster carers and Looked after Children (LAC) in Hammersmith & Fulham Council, Royal Borough of Kensington and Chelsea and Westminster City Council.

It covers the following topics:

Healthy eating 1

Help to prevent tooth decay - tooth brushing and toothpastes 3

Visiting the dentist 4

Helping children with special needs 5

Common dental problems 6

Managing tooth injuries and fractures 7

Orthodontic treatment 7

Help to quit smoking 8

Where do I go for more information 9

Page 3: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

1Healthy Teeth , Happy Smiles

Eating a healthy and balanced diet will help your child keep healthy and also reduce their chances of tooth decay.

Eating lots of food and having drinks that contain sugars, especially between meals increases the risk of tooth decay. Try to keep these to mealtimes.

Chocolates, pastries, cakes, biscuits, breakfast cereals, squashes, fizzy drinks, fruit juices and smoothies all contain sugars that can cause tooth decay. Dried fruits and honey have sugar that causes tooth decay too.

Encourage your child to:

• Eat lots of fruit and vegetables (at least five portions of a variety every day)

• Eat starchy foods, such as bread, rice, potatoes, and pasta, choosing wholegrain varieties whenever possible

• Eat meat, fish, eggs, beans and other non-dairy sources of protein

• Eat some milk and dairy foods

• Drink water and milk which are the best drinks rather than fizzy drinks and acidic fruit juices

Healthy eatingYou can help your child to:

• Cut down on the amount and the number of times a day that they eat and drink sugary foods and drinks (best limited to meal times)

• Avoid sugary food and drinks before bed time when the protective effects of saliva are reduced

• Introduce your child to a cup from the age of six months old and only put water and milk in it

• Discourage feeding from a bottle from one year or avoid giving your child a bottle to go to bed with

• Check the sugar content on food labels and opt for low sugar options

• Choose healthy snacks for children from the sugar swaps website: http://www.nhs.uk/Change4Life/Pages/sugar-swap-ideas.aspx

Page 4: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

Healthy Teeth , Happy Smiles

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Results

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Drink

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let’s get

sugar smart

We’re all eating too

much sugar

· While some kids look fine on the outside,

too much sugar can lead to the build-up of

harmful fat on the inside that we can’t see

· This fat can cause serious diseases in the

future such as type 2 diabetes

· Eating too much sugar can also cause

tooth decay

Sugar’s lurking everywhere

There are surprisingly large amounts of sugar lurking in everyday foods and drinks.

Watch out for all sugars

· added by manufacturers (such as fructose,

sucrose, glucose and high fructose corn syrup)

· added at home (on cereal, hot drinks and

whilst cooking)

· honey, syrups, fruit juice concentrates and nectars

· in fruit juices (they do count

towards your 5-a-day but

limit the amount to 150ml

per day)

Many foods and drinks can easily take your kids up to

or over the maximum daily recommendations. It’s all too easy to eat too much sugar

You might be surprised by how much there is in everyday foods and drinks:

1. Mix together the flour, mixed spice, egg, grated carrot, yoghurt and milk

2. Stir in the sultanas or raisins

3. Heat a frying pan over a medium heat. Add 2-3 drops of oil. Cook large spoonfuls

of batter in batches, turning over after 1-2 minutes to cook the other side

Carrot and Sultana Drop Scones

Search Change4Life for more recipes and tips

on how to take control of sugar

Find the sugar

with our

Sugar Smart app

1. Download the Change4Life Sugar

Smart app for free from the App

Store or Google Play

2. Scan the foods in your fridge,

cupboard and when you shop

3. See for yourself the amount of total

sugar in everyday food and drinks

What’s the maximum daily amount

of sugar we can have?

Children are eating 3 times more sugar

than the maximum recommended amount –

the biggest source is sugary drinks

See the sugar inside, download the Change4life Sugar Smart app

Makes: 8 – Total cooking time: 15 mins

100g wholemeal self-raising flour

1/4 tsp ground mixed spice

1 large egg

80g grated carrot

4 tbsp low fat, lower sugar plain yoghurt

100ml semi-skimmed milk

30g sultanas or raisins

1 tsp vegetable oil

*free and intrinsic sugar

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Sugary drinks have no place in a child’s daily diet

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Eating an even bigger bowl = more sugar

low fatlower sugar

yoghurt

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Results

9 sugar

cubes

JuiceDrink

sugaryyoghurt

let’s get sugar smart

We’re all eating too much sugar

· While some kids look fine on the outside,

too much sugar can lead to the build-up of

harmful fat on the inside that we can’t see

· This fat can cause serious diseases in the

future such as type 2 diabetes

· Eating too much sugar can also cause

tooth decay

Sugar’s lurking everywhere

There are surprisingly large amounts of sugar lurking in everyday foods and drinks.

Watch out for all sugars

· added by manufacturers (such as fructose,

sucrose, glucose and high fructose corn syrup)

· added at home (on cereal, hot drinks and

whilst cooking)

· honey, syrups, fruit juice concentrates and nectars

· in fruit juices (they do count

towards your 5-a-day but

limit the amount to 150ml

per day)

Many foods and drinks can easily take your kids up to or over the maximum daily recommendations.

It’s all too easy to eat too much sugar You might be surprised by how much there is in everyday foods and drinks:

1. Mix together the flour, mixed spice, egg, grated carrot, yoghurt and milk

2. Stir in the sultanas or raisins

3. Heat a frying pan over a medium heat. Add 2-3 drops of oil. Cook large spoonfuls

of batter in batches, turning over after 1-2 minutes to cook the other side

Carrot and Sultana Drop Scones

Search Change4Life for more recipes and tips

on how to take control of sugar

Find the sugar with our Sugar Smart app

1. Download the Change4Life Sugar

Smart app for free from the App

Store or Google Play

2. Scan the foods in your fridge,

cupboard and when you shop

3. See for yourself the amount of total

sugar in everyday food and drinks

What’s the maximum daily amount of sugar we can have?

Children are eating 3 times more sugar

than the maximum recommended amount –

the biggest source is sugary drinks

See the sugar inside, download the Change4life Sugar Smart app

Makes: 8 – Total cooking time: 15 mins

100g wholemeal self-raising flour 1/4 tsp ground mixed spice 1 large egg 80g grated carrot 4 tbsp low fat, lower sugar plain yoghurt 100ml semi-skimmed milk 30g sultanas or raisins 1 tsp vegetable oil

*free and intrinsic sugar

let’s get sugar smart

sugar smartsugar smart

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row

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once

rtina

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p 5m

illion

Jan

16

(GN

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Results

9 sugar

cubes

You don’t need to worry about the sugar in plain milk, plain yoghurts and whole fruit and veg as this isn’t added sugar.

JuiceDrink

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218307_SugarSwaps_Concertina_Leaflet_Plan_A ◊ PHE ◊ G1 ◊ CMYK ◊ PF:09 ◊ 16.11.15 ◊ RJ

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7 sugar cubes max

years

From 11 years

low fat

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years

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cubes max 6 sugar

cubes max

7 sugar cubes max

years

From 11 years

Sugary drinks have no place in a child’s daily diet

30 gram bowlSugary cere

alEating an even bigger bowl = more sugar

low fat

lower sugar

yoghurt

JuiceDrink

Results

9 sugar

cubes

JuiceDrink

sugaryyoghurt

let’s get

sugar smart

We’re all eating too

much sugar

· While some kids look fine on the outside,

too much sugar can lead to the build-up of

harmful fat on the inside that we can’t see

· This fat can cause serious diseases in the

future such as type 2 diabetes

· Eating too much sugar can also cause

tooth decay

Sugar’s lurking everywhere

There are surprisingly large amounts of sugar lurking in everyday foods and drinks.

Watch out for all sugars

· added by manufacturers (such as fructose,

sucrose, glucose and high fructose corn syrup)

· added at home (on cereal, hot drinks and

whilst cooking)

· honey, syrups, fruit juice concentrates and nectars

· in fruit juices (they do count

towards your 5-a-day but

limit the amount to 150ml

per day)

Many foods and drinks can easily take your kids up to

or over the maximum daily recommendations.

It’s all too easy to eat too much sugar

You might be surprised by how much there is in everyday foods and drinks:

1. Mix together the flour, mixed spice, egg, grated carrot, yoghurt and milk

2. Stir in the sultanas or raisins

3. Heat a frying pan over a medium heat. Add 2-3 drops of oil. Cook large spoonfuls

of batter in batches, turning over after 1-2 minutes to cook the other side

Carrot and Sultana Drop Scones

Search Change4Life for more recipes and tips

on how to take control of sugar

Find the sugar

with our

Sugar Smart app

1. Download the Change4Life Sugar

Smart app for free from the App

Store or Google Play

2. Scan the foods in your fridge,

cupboard and when you shop

3. See for yourself the amount of total

sugar in everyday food and drinks

What’s the maximum daily amount

of sugar we can have?

Children are eating 3 times more sugar

than the maximum recommended amount –

the biggest source is sugary drinks

See the sugar inside, download the Change4life Sugar Smart app

Makes: 8 – Total cooking time: 15 mins

100g wholemeal self-raising flour

1/4 tsp ground mixed spice

1 large egg

80g grated carrot

4 tbsp low fat, lower sugar plain yoghurt

100ml semi-skimmed milk

30g sultanas or raisins

1 tsp vegetable oil

*free and intrinsic sugar

let’s get

sugar smart

sugar smartsugar smart

© C

row

n co

pyrig

ht 2

016.

C4L

431

suga

r sm

art c

once

rtina

leafl

et,1

p 5m

illion

Jan

16

(GN

S)

Results

9 sugar

cubes

You don’t need to worry about the sugar in plain milk, plain

yoghurts and whole fruit and veg as this isn’t added sugar.

JuiceDrink

218307_SugarSwaps_Concertina_Leaflet_Plan_A ◊ PHE ◊ G1 ◊ CMYK ◊ PF:10 ◊ 16.11.15 ◊ RJ

218307_SugarSwaps_Concertina_Leaflet_Plan_A ◊ PHE ◊ G1 ◊ CMYK ◊ PF:09 ◊ 16.11.15 ◊ RJ

218307_SugarSwaps_Concertina_Leaflet_Plan_A ◊ PHE ◊ G1 ◊ CMYK ◊ PF:08 ◊ 13.11.15 ◊ AS

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5 sugar cubes max

6 sugar cubes max

9 sugar cubes

5 sugar cubes

over 5 sugar cubes*

7 sugar cubes max

years From 11 years

low fatlower sugaryoghurt

years

5 sugar cubes max

6 sugar cubes max7 sugar cubes max

years From 11 years

Sugary drinks have no place in a child’s daily diet

30 gram bowl

Sugary cereal

Eating an even bigger bowl

= more sugar

low fatlower sugar

yoghurt

JuiceDrink

Results

9 sugar cubes

JuiceDrink

sugaryyoghurt

let’s get sugar smart

We’re all eating too much sugar · While some kids look fine on the outside, too much sugar can lead to the build-up of harmful fat on the inside that we can’t see

· This fat can cause serious diseases in the future such as type 2 diabetes · Eating too much sugar can also cause

tooth decay

Sugar’s lurking everywhere There are surprisingly large amounts of sugar lurking in everyday foods and drinks.

Watch out for all sugars· added by manufacturers (such as fructose, sucrose, glucose and high fructose corn syrup)

· added at home (on cereal, hot drinks and whilst cooking)

· honey, syrups, fruit juice concentrates and nectars

· in fruit juices (they do count towards your 5-a-day but limit the amount to 150ml per day)

Many foods and drinks can easily take your kids up to

or over the maximum daily recommendations.

It’s all too easy to eat too much sugar

You might be surprised by how much there is in everyday foods and drinks:

1. Mix together the flour, mixed spice, egg, grated carrot, yoghurt and milk

2. Stir in the sultanas or raisins3. Heat a frying pan over a medium heat. Add 2-3 drops of oil. Cook large spoonfuls

of batter in batches, turning over after 1-2 minutes to cook the other side

Carrot and Sultana Drop Scones

Search Change4Life for more recipes and tips on how to take control of sugar

Find the sugar with our Sugar Smart app

1. Download the Change4Life Sugar Smart app for free from the App Store or Google Play

2. Scan the foods in your fridge, cupboard and when you shop3. See for yourself the amount of total

sugar in everyday food and drinks

What’s the maximum daily amount of sugar we can have?

Children are eating 3 times more sugar than the maximum recommended amount – the biggest source is sugary drinks

See the sugar inside, download the Change4life Sugar Smart app

Makes: 8 – Total cooking time: 15 mins100g wholemeal self-raising flour 1/4 tsp ground mixed spice 1 large egg

80g grated carrot 4 tbsp low fat, lower sugar plain yoghurt 100ml semi-skimmed milk 30g sultanas or raisins 1 tsp vegetable oil

*free and intrinsic sugar

let’s get sugar smart

sugar smartsugar smart

© C

row

n co

pyrig

ht 2

016.

C4L

431

suga

r sm

art c

once

rtina

leafl

et,1

p 5m

illion

Jan

16

(GN

S)

Results

9 sugar cubes

You don’t need to worry about the sugar in plain milk, plain

yoghurts and whole fruit and veg as this isn’t added sugar.

JuiceDrink

Page 5: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

3Healthy Teeth , Happy Smiles

How you can help to prevent decay

Tooth brushing also removes plaque and helps the gums stay healthy.

Get into a routine of brushing your child’s teeth – best time for brushing is last thing at night and in the morning

Brushing can start as soon as the first baby tooth comes through, usually from about six months.

Toothpastes containing fluoride are the best toothpastes to use to prevent tooth decay.

You should use toothpastes containing different amounts of fluoride depending on the age of your child. This information is found on the side of the tube of toothpaste.

For children aged:

0-3 years

use a tiny smear of fluoride toothpaste with no less than 1,000ppm* of fluoride

3-6 years

use a pea-sized amount of toothpaste containing more than 1,000ppm* of fluoride

7 years and above

use fluoride toothpaste with 1,350 to 1,500ppm* of fluoride

* ppm = parts per million

It is best to help and supervise your child to brush their teeth until they are at least aged seven years old to make sure that they brush thoroughly and that they do not eat or lick the toothpaste from the tube.

Encourage children to spit out the extra toothpaste and not to rinse out with water or mouthwash after brushing. This helps the fluoride stay on the teeth for longer.

Children can use an electric or ordinary toothbrush. It is important that children brush their teeth effectively twice a day for at least two minutes regardless of what toothbrush they use.

An electric toothbrush that rotates may be better for children with special needs or for children who have problems using their hands.

It is best to change your child’s toothbrush every three months or when the bristles become splayed, whichever happens first.

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Page 6: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

4 Healthy Teeth , Happy Smiles

Visiting the dentist

Check by One

It is advised that all children have their first dental check-up as soon as their first teeth have come through into the mouth (usually from six months).

Remember dental treatment is FREE for children and young people under 18 years from NHS dental practices.

The dentist should see your child and give you advice about how to look after their teeth, and let you know how often you should take them to the dentist – this will be at least once a year.

Regular dental check-ups help your child get used to visiting the dental clinic and feel more confident about letting the dentist check their teeth.

We know that many teenagers are anxious about visiting the dentist and may miss appointments. If your child’s dentist refuses to book further appointments for them, please contact the Community Dental Service (see page 7). They will work closely with you and your child, their social worker and health team, to make sure that they can get the dental care they need.

Fluoride varnish

Fluoride varnish is a concentrated fluoride gel which is painted onto children’s teeth by a dental professional.

There is strong evidence that it reduces tooth decay in children (both in preventing the development and its progress), which we know affects many children locally.

The Department of Health recommends that every child aged three and over receives fluoride varnish at least twice a year.

Fluoride varnish does not replace tooth brushing with fluoride toothpaste but is an additional preventative measure, which should be used in combination with brushing teeth twice a day with fluoride toothpaste and controlling the amount and frequency of sugary food and drink that is consumed.

Unlike fluoride toothpaste, fluoride varnish cannot be bought and used at home: it can only be applied by a dentist, dental therapist or trained dental nurse. It is available free of charge from NHS Dentists – just ask the dentist next time you visit.

Page 7: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

5Healthy Teeth , Happy Smiles

The best way to help your child if they have special needs is to keep their teeth and mouth healthy to prevent dental problems from occurring.

Some children with special needs may not be able to let you know if their mouth or teeth are hurting. You may want to look out for signs of any dental problems.

Your child’s dentist can help you make a dental care plan. This could include advice about how to brush their teeth which may be difficult for both you and your child; how to limit the damage from their medication and

diet, and how to help them to feel happy and comfortable when visiting the dentist.

Children with special needs may find it difficult to cope with dental treatment. As a result your child’s dentist may recommend that they see a specialist in the Community Dental Service or Hospital. You can also contact the Community Dental Service directly to make a dental appointment:

Community and Specialist Dental Service, Central London Community Healthcare NHS Trust email [email protected] or call 020 7534 6529

Helping a child with special needs to look after

their dental health

Page 8: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

6 Healthy Teeth , Happy Smiles

Dental Problems - How do I know if my child has

dental problems?

‘Look and see’ - signs to look out for when you check your child’s face, mouth, teeth and gums when brushing their teeth:

• Inside the mouth – black/brown marks on the teeth, discoloured teeth, loose teeth, broken or sharp teeth, redness or swelling around the teeth or tongue and inside mouth, ulcers, “gumboils” (swellings with a yellow discharge), bad breath, food stuck between or inside teeth

• Red/swollen gums and gums that bleed when brushed, tartar which forms where teeth meet the gum

• Outside the mouth - swelling and/or redness around the face

• Food and stains left on teeth and gums after brushing (for unsupervised older children)

• Not enough space for teeth to come through or very crowded teeth, or front teeth that stick out a long way

• You can also look out for any changes in your child’s behaviour such as waking up at night, poor concentration at school, loss of appetite, avoiding certain foods (e.g. hard or very cold food), only eating on one side of the mouth, avoiding tooth brushing, grinding or clenching their teeth together (especially when they sleep).

Encourage your child to talk about their dental problems. If you are worried, please contact your child’s dentist for more advice

Do they have any of the following problems:

• Discomfort or sensitivity when eating, drinking or brushing their teeth

• Painful or sore mouth or teeth - this may be at night or during day

• Ulcers, lumps, sore patches in their mouth

• Swollen, red or sore face

• Bad taste in their mouth or bad breath

• Bleeding gums when they brush

• Stained or discoloured teeth

• Loose, broken or sharp teeth

• Unhappiness about the look of their teeth

• Children with special needs may not be able to tell you their teeth are causing them pain, discomfort or distress. You may see a change in their behaviour, have difficulty sleeping, biting objects or people or they may be pulling at their mouth

Page 9: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

7Healthy Teeth , Happy Smiles

First check to see if there are any signs of concussion, nausea or double vision. If there are signs, take them to the nearest Accident and Emergency department.

If the tooth is broken and is still inside their mouth, find the broken piece, keep it safe and take it and your child to the dentist as soon as possible.

If the tooth has come out of the mouth completely and the tooth is:

• A baby tooth - Keep the tooth, get your child to bite on a dry handkerchief to stop the bleeding and take them to the dentist

• An adult (permanent) tooth and you feel comfortable about putting it back in the mouth

- Gently rinse the tooth in cold water, but do not brush or scrub it

- Put the tooth back into the space in the mouth where it came out from

- Ask your child to bite lightly on the tooth, then go to see a dentist immediately

• An adult (permanent tooth) and you are not comfortable about putting it back in the mouth - safely store the tooth in milk, do not rinse the tooth in tap water and go and see a dentist immediately

It’s very common for children to have crowded and crooked teeth - about one in three children need orthodontic treatment (braces).

If you think that your child may need braces ask about this when you take them to visit their regular dentist. The dentist will examine them and if needed, refer them to see a specialist orthodontist. The orthodontist will take a closer look, give you advice and provide orthodontic treatment, if they think your child needs it.

The orthodontist will also check your child’s diet and tooth brushing to make sure their mouth is clean before starting orthodontic treatment. This is because eating lots of sugar and not brushing your teeth properly when you wear braces can damage your teeth and gums.

Most children who need orthodontic treatment have fixed ‘train-track’ braces to straighten their teeth. This treatment usually takes 12 months to two years. During their orthodontic treatment your child will also need to see the orthodontist regularly to check and adjust their brace.

They will also need to take extra care to keep their teeth and gums healthy whilst wearing the brace and receive advice how to do this. They may require an additional toothbrush with a small head to clean around the braces and also a fluoride mouth rinse to use at another time to brushing eg. after their lunch

They may also have to have teeth taken out (extracted) to make more room for the teeth as they move. The orthodontist will let you know if this needs to be done.

What should I do if my child

has injured their front

tooth?

Orthodontic treatment

Page 10: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

8 Healthy Teeth , Happy Smiles

Many foster carers are trying to help their LAC to quit smoking. You are not alone.

Did you know… Two-thirds of young people in England start smoking before the age of 18

Smokers who start smoking at a young age are 50% more likely to die at an early age

Smoking can affect:

• Your skin and appearance

• Your teeth, gums and breath

• Your breathing, asthma and hearing

Understanding about why young people smoke

Cigarettes contain Nicotine which is very addictive. Smoking at a young age can affect how the brain develops. This can mean that young people have a life-long craving for cigarettes and make it more difficult to stop smoking without extra support. Some young people smoke to cope with stress. It may be a good time to talk about issues that may be worrying them if they start smoking or seem to be smoking more. Stopping smoking can also make young people feel more stressed. They may need extra support during this time.

Kick-It is the free stop smoking service for residents of five London boroughs:

• London Borough of Hammersmith & Fulham

• Royal Borough of Kensington and Chelsea

• City of Westminster

Kick-It provides free, evidence-based service for all smokers who would like support in giving up. All of our clients receive six weeks of one-to-one support from a specialist stop smoking advisor who will tailor their support to each individual, as we recognise that everyone is different. Stop smoking support can also be provided in pharmacies and Gps. For further details please call 020 3434 2500 or email [email protected]

How can I help my foster child to quit smoking?

Getting help to stop smoking

Looking for an NHS dentist in Westminster:

• There are plenty of NHS dentists locally taking new patients

• If you do not have a dentist, simply call any NHS Dentist and ask for new NHS patient appointment

• Unlike GPs, dentists do not have catchment area, so you are free to go to any NHS dentist of your choice in any area.

• Look at NHS choices website: http://www.nhs.uk/pages/home.aspx

Where can I go for more information?

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9Healthy Teeth , Happy Smiles

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Urgent treatment out of hours:

111

1 The Convent Garden Dental Clinic

48 Chandos Place, London WC2N 4HS

020 7836 1847

9 Bayswater Dental Surgery

129 Queensway, London W2 4SJ

020 7229 0863

17 Marble Arch Medical and Dental Centre

215-217 Edgware Road, London W2 1ES

020 7723 5424

27 Soho Dental Care 2nd floor, 1 Frith Street,

London W1D 3HZ 020 7534 6622

2 Leicester Square Dental Clinic

24B Lisle Street, London WC2H 7BA

020 7437 8520

10 Porchester Dental Practice

11 Porchester Gardens, London W2 4DB

020 7727 3650

18 Inspire Dental Health 500 Edgware Road,

London W2 1EJ 020 7723 3091

28 Imperial College Dental Surgery

Watts Way, Princes Gardens,

London SW7 1NA 020 7589 6623

3 Harrow Road Dental Surgery

349 Harrow Road, London W9 3RA

020 7286 8900

11 Queensway Dental Care 4a Queensway,

London W2 3RX 020 7229 4033

19 mydentist 392 Edgware Road,

London W2 1ED 020 7723 9555

29 Belgrave Dental Practice 42a Buckingham Palace

Road, London SW1W 0RE 020 7834 4312

4 Dr Leung Dental Surgery 2 Walterton Road,

London W9 3PN 020 7286 3346

12 Queensway Dental Practice

82 Queensway, London W2 3RL

020 7229 6248

20 Maison Smile 234 Edgware Road,

London W2 1DW 020 7725 9930

30 Lupus Street Dental Practice

141-145 Lupus Street, London SW1V 3HD 020 7834 8081

5 W9 Dental Health 176 Shirland Road,

London W9 3JE 020 7289 6222

13 Hyde Park Dental Practice 61 Bayswater Road,

London W2 3PH 020 7706 1112

21 Dr Alia Faki Dental Practice

62 Gloucester Place, London W1U 8HW

020 7224 3566

31 Mckennell Dental Practice

21 Churton Street, London SW1V 2LY

020 7834 8802

6 Pearl Dental Practice 318 Kilburn Lane,

London W9 3EF 020 8969 1406

14 Paddington Dental Practice

17 Craven Road, London W2 3BP

020 7723 6106

22 Marylebone Dental Practice

61 Paddington Street, London W1U 4JD

020 7935 2980

32 The London Dental Studio

27-29 Warwick Way, London SW1V 1QT

020 7630 0782

7 Dental Design Studio 243 Maida Vale,

London W9 1QJ 020 7624 6127

15 Cambridge Court Dental Centre

4 Sussex Gardens, London W2 1UL

020 7262 3334

23 James Street Dental Practice

18 James Street, London W1U 1EQ

020 7629 2164

33 Wilton Dental Practice 63a Wilton Road,

London SW1V 1DE 020 7834 6361

8 Archangel Dental Clinic 8 Westbourne Grove,

London W2 5RA 020 7229 6622

16 Staff Dental Clinic, St Mary Hospital

Praed Street, London W2 1NY

020 7886 1295

24 Nigel Meyer & Associates Dental Practice

11 South Molton Street, London W1K 5QL

020 7499 1225

34 Victoria Dental Centre 330 Vauxhall Bridge Road,

London SW1V 1AA 020 7834 6161

25 Crescent Dental Clinic 57 Crawford Street,

London W1H 4JL 020 7723 2255

35 Gentle Dental Care Chapter Chambers,

12 Chapter Street, London SW1P 4NR

020 7834 1882

26 A.J Weiss Dental Surgery 21 Wimpole Street,

London W1G 8GG 020 7637 4421

36 Pimlico Dental Care 124a Regency Street,

London SW1P 4AP 020 7233 5600

37 Westminster House Dental Practice

11-13 Horseferry Road, London SW1P 2AH

020 7976 5251

38 Church Street Dental Practice

69 Church Street, London NW8 8EU

020 7724 6191

39 Shindler L J Dental Practice

34 Finchley Road, London NW8 6ES

020 7722 3090

40 Marylebone House Dental Practice

152 Marylebone Road, London NW1 5PN

020 7935 3811

41 Queens Park Health Centre Dental Surgery

164 Dart Street, London W10 4LD

020 8960 9007

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10 Healthy Teeth , Happy Smiles

Tips for children up to three years

Tips for children aged three and above

Feeding babies and infants Breastfeeding is good for babies.

From six months, infants should be introduced to drinking from a cup.

It is advised that sugar is not added to weaning foods - this may encourage a sweet tooth and also cause tooth decay.

Feeding toddlers It is advised that the frequency and amount

of sugary foods and drinks is reduced and limited to mealtimes.

Water and milk are the best drinks.

Tooth brushing Start brushing your baby’s teeth as soon as

the first tooth comes through.

Use a smear of toothpaste containing no less than 1,000 ppm fluoride. This information can be found on the toothpaste tube/box.

Help with your child’s tooth brushing (up to at least the age of seven).

Food It is advised that the frequency and amount

of sugary foods and drinks is reduced and limited to mealtimes.

Water and milk in a cup are the best drinks for teeth.

Tooth brushing Use a pea-sized amount of toothpaste

containing 1,350-1,500 ppm fluoride. This information can be found on the toothpaste tube/box.

Spit out after brushing and do not rinse.

Brush twice a day - last thing at night and on one other occasion (morning).

Help with your child’s tooth brushing(up to at least the age of seven).

A smear

Pea-sized

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11Healthy Teeth , Happy Smiles

Examples of food that may cause tooth decay

Good dental health is important for general health and wellbeing

Chocolates and sweets

Cakes and biscuits

Buns, pastries, fruit pies

Sponge puddings and other puddings

Table sugar

Sugary breakfast cereals

Jams, preserves, honey

Ice cream

Fruit in syrup

Dried fruits

Sugary soft drinks

Sugary milk-based drinks

Syrups and sweet sauces

Tips for tooth-friendly snacks Breadsticks

Vegetable sticks

Fresh fruit

Rice and corn cakes

Homemade popcorn (no salt or sugar)

Milk

Water

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12 Healthy Teeth , Happy Smiles

Contact details:

For urgent dental treatment out of hours call 111.

For referrals to the Community Specialist Dental Services call 020 7534 6529 or email [email protected]

You can record your children’s dentist and orthodontist details here:

Child’s name Dentist’s contact details Orthodontist’s contact details

Page 15: Healthy Teeth, Happy Smiles · Healthy Teeth, Happy Smiles 3 How you can help to prevent decay Tooth brushing also removes plaque and helps the gums stay healthy. Get into a routine

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June 2017

Authors and contributors

This resource has been produced by the Public Health Department for Hammersmith & Fulham Council, Royal Borough of Kensington and Chelsea, and Westminster City Council.

Acknowledgements

We would like to thank everyone who has contributed to this resource, in particular Tower Hamlets Council, the Oral Health Promotion Team from the Central London Community Healthcare NHS Trust and Mytime Active. ©

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