Childsmile Development Session
SDCEP Oral Health Guidance
Quality Education for a Healthier Scotland
Learning Outcomes
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Address and improve delivery skills in the key oral health messages
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Identify the up to date SDCEP guidance caries prevention by age and
become competent in delivering this advice to families
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Reflect on the impact communication has with building rapport with
families and supporting positive health behaviour change
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Summarise positive interaction when working with children
Session Outline
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Icebreaker
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Myths and stories
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Key oral health messages
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Standard/Enhanced prevention
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Action planning
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Policy
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Putting into practice
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Behaviour management
Ice breaker
Muddled Messages
Myths and Stories
Write down on a sticky note one story or myth about oral health you
have come across and place on flipchart.
Feedback & confer
What are the Key Oral Health Messages?
Tooth
brushing
Diet
Fluoride
Dentist
Advice giving
Key oral health messages in more detail
Caries Prevention Reminder by Age
Key Oral Health Message
Reduce the consumption and especially the frequency of intake of
foods and drinks containing sugar
Childsmile programme manual
Stephan curve
Childsmile programme manual
Eatwell plate
A range of suitable Snacks and
drinks from the eat well plate
Key Oral Health Message
Visit the dentist regularly or as advised for oral examinations.
Childsmile programme manual
Dental Visits
What Does SDCEP Say?
•Manage Pain
•Caries Prevention
•Manage Caries
Children should visit the dentist at least
every six months
Adults at least once a year unless advised otherwise
by the dentist
Benefits of dental visit
Acclimatisation
Opportunity to Promote Key Oral Health Messages
•Other Settings/Organisations
•Collaboration/ Partnership Working
Key Oral Health Message
Participate in Public Health programmes, which improve oral
health such as Childsmile
Childsmile programme manual
Evidence based guidance
Fluoride and ways of administering
Discuss with group the questions below
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•
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What is fluoride?
What ways can you administer fluoride?
What are the advantages and disadvantages?
Key Oral Health Message
Brush teeth thoroughly twice a day with fluoride toothpaste;
containing at least 1000ppm. Spit, don’t rinse.
Childsmile programme manual
Specific advice
Tooth brushing
Size of
tooth brush
Amount of
tooth paste
Length of time
Positioning
What’s it all about?
•
•
Discuss your oral health session and what is involved
Is there opportunity to provide preventative advice?
Standard Prevention/ Enhanced Prevention
Standard
Enhanced
ALL children
For children
assessed as at
increased caries
risk
Scottish Dental Clinical Effectiveness Programme
Prevention and management of dental caries
Defining Needs and Developing a personal care plan
Assessing the child

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parent/carer motivation
Patient history
Clinical examination
Caries risk assessment
 Managing pain
 Caries prevention
 Providing additional support
Scottish Dental Clinical Effectiveness Programme
Motivating and Action planning
Randomised controlled trial of a one-minute intervention changing
oral self-care behaviour
Sniehotta F, Soars VA and Dombrowski S
Group Work
0-1 years
Caries
Prevention
Summary
4-5 years
2-3 years
More Resources
Care Checklist
Prevention Log
SDCEP and Childsmile
Toothbrushing Chart
Food diaries
Group work - Session Planning
When setting an Action plan for a parent - consider the following
Imagine your parent;
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Does not know much about looking after teeth
Does not know why baby teeth are important
Does not want to force her 2 year old to brush (she doesn’t like it)
Thinks electric tooth brushes are better
Thinks baby Ribena is a healthy thirst quencher
 Feedback
 Questions
Things to consider when working with families
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•
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Communication Techniques
Benefits of action planning (Parent )
Changing Behaviours
Non compliance with the Action plan
•
What options do you have if there is doubt about this?
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The getting it right for every child approach
www.scotland.gov.uk/gettingitright
Putting it into practice
Case study scenario
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What are the challenges?
In what ways can you gain parents confidence when working with their
child?
Behave Project
Verbal and non-verbal behaviours
Instruction
Information giving
Praise
Behavioural
management
Building
Rapport
Relaxation
Giving control
Scottish Dental Clinical Effectiveness Programme
Building rapport
•
•
Good patient care
Maintain effective communication
Giving control
•
Rehearse a signal to stop
Relaxation
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•
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Why relaxation?
Anxiety – What is it?
Relaxation breathing technique for children
Summarise
•Key oral health messages
•Standard/enhanced care
•Action planning
•Non compliance with action plan
•Building on your communication skills
•Ways of working with children
Evaluation & Further Information
Next step
Introduction to Brief Interventions CPD course
http://www.nes.scot.nhs.uk/education-and-training/bydiscipline/dentistry/areas-of-education/oral-healthimprovement/childsmile-cpd.aspx
Resource List
SDECP guidance
www.Scottishdental.org
Oral Health and Nutrition Guidance for Professionals
www.healthscotland.com
Childsmile
www.child-smile.org
Relaxation