Improving the Oral Health of Children Developing best practice in the acute hospital setting James Robinson Equality and Inclusion Facilitator Alison Fenwick Dental Therapist Royal Hospital for Sick Children Lothian University Hospitals Edinburgh, Scotland, UK

Scotland’s Dental Health Inspection 2003 Dental Health Service Research Unit, University of Dundee Degree of Dental Health by Health Board

Each year over 250,000 teeth are extracted from Scottish school children Dental extraction is the largest single reason for children receiving general anaesthesia in hospital By age 14 years 68% of Scottish school children have decay in their adult teeth

Dental health has shown no sign of improvement Number of decayed, missing., filled teeth

Scotland’s Dental Health Inspection 2003 Dental Health Service Research Unit, University of Dundee Based on 98% of 10,080 children surveyed Dental health shows clear linkages with deprivation levels

Actions to improve dental health Great deal of effort to encourage good dental health Scottish Intercollegiate Guidelines Network Community based Schools

Best practice statement for oral health care in hospital setting Joint effort to encourage and support action by hospital staff Brings together staff from the three Scottish Children’s hospitals Edinburgh Glasgow Aberdeen Children’s unit of a major teaching hospital, Dundee Children’s unit of a district general hospital, Livingston University of Dundee, Dental Health Service Research Unit Public health practitioners

Best practice statement for oral health care in hospital setting

Screening programme as part of admission procedure

Best practice statement for oral health care in hospital setting Encouraging good oral hygiene

Encouraging healthier drink choices Best practice statement for oral health care in hospital setting

Encouraging healthier eating choices Best practice statement for oral health care in hospital setting

Encouraging family members to use alternative rewards and gifts NHS Grampian ‘Toothnology’ campaign Best practice statement for oral health care in hospital setting

Our Goal Best practice statement for oral health care in hospital setting