Thousands of young children are to benefit from a new £1.5m programme aimed at transforming the dental health of under 5s across Greater Manchester.

Launched by us, the fresh initiative will see supervised toothbrushing introduced in schools and nurseries plus dental care incorporated into health visitor checks in areas where particularly large numbers of young children suffer from tooth decay.

More than 1 in 3 five year olds across Greater Manchester experience tooth decay – well above the England national average of 25%. In some local areas the number of young children affected reaches more than half. This has resulted in over 15,000 tooth extractions being carried out on local children in the past four years – 60% more than the national rate for England.

The programme comes as a new national Public Health England (PHE) campaign is supporting families to cut back on sugar by encouraging parents and carers to ‘make a swap when you next shop’. Making simple everyday swaps can reduce children’s sugar intake from some yoghurts, sugary drinks and breakfast cereals by half – while giving them healthier versions of the foods and drinks they enjoy.

Last week PHE released figures which show that nationally children have already exceeded the maximum sugar intake for an 18 year old by the time they reach their tenth birthday.

We’re targeting four areas in Greater Manchester with its latest campaign – Salford, Rochdale, Bolton and Oldham – after they have each been identified by the NHS and Public Health England as among the country’s top national priority areas for improving children’s oral health.

Currently around half of all 5 year olds in Salford and Oldham (51%) start school with tooth decay – above the national average for England (25%). Likewise in Rochdale and Bolton levels of decay are 44 % and 41% respectively.

Working with local schools and nurseries in each area, the new Partnership programme aims to reach 90% of under 5’s in each area through activities including the following:

  • introducing daily supervised toothbrushing in schools and nurseries for children aged 2 to 5 years
  • training a network of dedicated ‘dental champions’, supported by expert external staff, to lead the way in improving dental care in early years settings
  • distributing toothbrush/toothpaste packs through health visitor checks
  • encouraging families to make dental visits in the first year of each child’s life
  • improving access to quality dental services for those aged under 5.

Each activity aims to tackle the widespread impacts of high sugar diets and make regular toothbrushing the norm.

Claire Stevens, paediatric dentistry consultant at Manchester Foundation Trust and children’s oral health lead with the Partnership said: “This new initiative is aiming to tackle the very real problems we face in Greater Manchester with large numbers of young children experiencing significant tooth decay often before they even reach school age.

“Such problems can cause pain, sleepless nights and missed days of school for many children. Across Greater Manchester, this is adding to the daily challenges faced by many of our least well-off families and putting additional pressures on the NHS. Our new £1.5 million oral health programme will tackle these impacts and will hopefully play a vital role in our ambition of giving all of our children the best start in life.”

Having a tooth removed is now the most common reason for young children in Greater Manchester to be admitted to hospital. As well as causing pain, sleepless nights and days of missed school and work for children and their families, each extraction costs the NHS around £1,000. This adds up to a total bill of £20 million every year for treating preventable tooth decay in children across the region.

The Dental Check by One campaign, run by the British Society of Paediatric Dentistry, encourage all parents to ensure that children have their first dental check up by the age of one to help avoid future problems as they get older.



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