Children’s Dentistry

Daily Hygiene, Brushing TeethWe are the main provider of NHS dentistry within the Lymm area and we treat in excess of 1500 children. Children are treated free of charge under NHS but Private Options are available if requested.

We provide a friendly, happy environment for kids full of colourings, balloons and story books to read whilst waiting to be seen.

We follow government guidelines on prevention by doing regular check-ups, fluoride varnish applications and fissure sealants. Oral health promotion is reinforced on every visit by use of visual aids such as models to make it more interesting.

This is how we will treat your children and what advice we will be giving you:

Children 0-3 years

  • Breast feeding provides the best nutrition for babies
  • From six months of age infants should be introduced to drinking from a cup, and from age one year feeding from a bottle should be discouraged
  • Sugar should not be added to weaning foods
  • Parents should brush or supervise tooth brushing
  • Use only a smear of toothpaste containing no less than 1,000 ppm fluoride
  • As soon as teeth erupt in the mouth brush them twice daily
  • The frequency and amount of sugary food and drinks should be reduced and, when consumed it should be limited to mealtimes.
  • Sugars should not be consumed more than four times per day
  • Sugar-free medicines should be used

Children 3-6 years

  • Brush last thing at night and on one other occasion
  • Brushing should be supervised by an adult
  • Use a pea-sized amount of toothpaste containing 1,350–1,500 ppm fluoride
  • Spit out after brushing and do not rinse
  • The frequency and amount of sugary food and drinks should be reduced and, when consumed, limited to mealtimes. Sugars should not be consumed more than four times per day
  • Sugar-free medicines should be used
  • Fluoride varnish should be applied to all child patients 3 and above twice a year

Children 3-6 years giving particular cause for concern we will

  • We will apply fluoride varnish to teeth 3–4 times yearly (2.2% F–)
  • Reduce recall interval
  • Investigate diet and assist to adopt good dietary practice
  • Ensure medication is sugar free or given to minimise cariogenic effect
  • Parents will be made aware of the cariogenicity of sugar and glucose polymers supplements and ways of minimising their risk

Children 7 and above should

  • Brush twice daily
  • Brush last thing at night and on one other occasion
  • Use fluoridated toothpaste (1,350 ppm fluoride or above)
  • Spit out after brushing and do not rinse
  • The frequency and amount of sugary food and drinks should be reduced and, when consumed, limited to mealtimes.
  • Sugars should not be consumed more than four times per day
  • We will apply fluoride varnish to teeth twice yearly (2.2% F–)

Children 7 and above and giving concern (eg those likely to develop caries, those undergoing orthodontic treatment, those with special needs)

  • All advice above plus
  • Use a fluoride mouth rinse daily (0.05% NaF) at a different time to brushing
  • Fissure seal permanent molars with resin sealant
  • Apply fluoride varnish to teeth 3–4 times yearly (2.2% F–)
  • For those 8+ years with active caries we will prescribe daily fluoride rinse
  • For those 10+ years with active caries we will prescribe 2,800 ppm toothpaste
  • For those 16+ years with active disease we will prescription of 5,000 ppm toothpaste
  • Investigate diet and assist adoption of good dietary practice

To learn more about dental health for children, see the British Society of Paediatric Dentistry

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  • Childrens Dentistry

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