Young Healthwatch Newcastle Dental care research 27 April 2016 How - - PowerPoint PPT Presentation

Young Healthwatch Newcastle

Dental care research

27 April 2016

How often do you go to the dentist?

63% 12.5% 9% 7.5% 8%

Every 6 months Every 12 months 12 month plus Never Other

What stops you going to the dentist?

Scared (26) Motivation (48) Nothing (71) Making appointments (15)

Attitude of dentist (11)

Price (7)

Do you know what dental care you are entitled to?

41% 59% Yes No

What information would you like?

• How to make appointments
• Opening times
• What dentists are available
• Cost
• What am I entitled to
• Information about treatment
• Pain relief
• If you can have braces, other options
• Emergency appointments, tooth ache

How would you like to get this information?

Email

27% 27%

Leaflet Social media

26%

Text

20%

NHS dentist availability

Source: Which?

https://press.which.co.uk/whichpressreleases/nhs-dentists-not-

• ffering-nhs-appointments/

Source: NHS Choices

www.nhs.uk/Service-Search/Dentists/LocationSearch/3

Adult dental attendance UK

Source: Adult Dental Health Survey 2009

http://www.hscic.gov.uk/catalogue/PUB01086/adul-dent-heal-surv-summ-them-the6-2009-rep8.pdf

Tooth decay in the news

How sugar causes decay

3 meals per day 3 meals plus sugary snacks

http://www.sugi-dc.com/ippan

What causes teeth to decay?

Plaque bacteria feed on sugar taken into the mouth and produce ACID as an by product. This only takes a few minutes to begin.(count to 60)

PLAQUE + SUGAR = ACID

Acid dissolves the enamel of the tooth, making a microscopic hole. If this happens frequently, a cavity is formed, and decay is established.

ACID + TOOTH = DECAY

However ACID + TOOTH = EROSION

Pea size –2 years +

Brushing teeth

Sugary foods as part of a meal reduces damage to teeth

A little about sugar

categorised into three main groups (Committee On Medical Aspects of Food Policy 1994 COMA now Scientific Advisory Committee on Nutrition)

Extrinsic sugars

• not inside the cell

Total sugars

Intrinsic sugars inside the cell

• eg. Raw fruit

Non-milk extrinsic sugars (NMES) Milk sugars Table sugar – discretionary sugar

Recipe sugar – added by cook or manufacture

Fruit juices, pulps, puree, honey

Sugars shown in the shaded boxes can harm teeth should only be 10% (12-15tsp) now 5%!

Free sugars 2/3rds of sugar intake

Check out the label

2nd is sucrose 3rd glucose syrup Acidity regulators, citric acid Per 100ml sugars =10g

• r 2 ½ teaspoons

Per 500ml = 52g (57%)

• r 12 ½ teaspoons of

sugar

Carbohydrate 5.4gms in 100ml 27gms in 500ml 6¾ tsp in bottle 90 grapes in this bunch or 8 in a portion

• ne portion of

raisins (85) 30grams 7½ tsp of sugar

Are they as healthy as they appear?

Level teaspoon = 4.2grams; 16 calories; heaped teaspoon is twice as much; empty calories no nutritional value

Added sugar should only be 10% of daily consumption (12-15 tsp)

The evidence for action

The Scientific Advisory Committee on Nutrition (SACN) concluded / recommended average population maximum intake of sugar should be halved from10% : it should not exceed 5% of total dietary energy. sugar sweetened drinks consumed by both adults and children should be reduced

The SACN report singles out sugary drinks as the number one source of free sugars in children and teenagers diets, and recommends their consumption is minimised.

Sugar tax: What is the UK's most sugary drink? By Justin Parkinson BBC News Magazine 17 March 2016

• From 2018 Government to tax soft drink manufacturers

who put large amounts of sugar in their products.

• The UK loves soft drinks.
• Altogether people got through 14.8 billion liter's last

year, or 232.9 liter's each.

• concern over obesity, imposing a tax on
• soft drinks with more than 5g of sugar per 100ml.
• a higher rate for those with more than 8g per 100ml.

Suggests tax will add 18p or 24p per litre,

• r about 6p or 8p to a standard 330ml can

Fruit juice and milk-based drinks are exempt

Tobacco products hidden from view; proof of age before purchase; need to know the name and Brand of tobacco product before cabinet door can be opened

Life style ‘choices’ are regulated….

Not allowed to smoke cigarettes inside public buildings (work places, schools shops/shopping centres, public transport) Discouraged from smoking in

• wn homes and driving in own

car; particularly when young children are present

Wide variety of alcohol containing drinks on display

• taxed by Government
• can only be bought by adults over 18 years old

Alcohol

Ref: www.drinkaware.co.uk

Guidance on amount of alcohol

• men & women the same
• 3 units per day
• 2 alcohol free days a week

A pint of cider (568ml) can have 6 teaspoons of sugar

about the same as a can (330ml) of fizzy drink

Signs about drinking alcohol in some public areas attached to street lamp posts near shopping or community centres

YOU ARE IN A DESIGNATED PUBLIC PLACE If you continue to drink alcohol in this area when asked not to do so by a police officer or fail to surrender any alcohol to a police officer in this area you may be arrested and would be liable on conviction to a fine Maximum fine £500

Alcohol and tobacco (smoking and chewing) are the main risk factors for mouth cancer. If the two are combined the risk is much greater. Individuals who smoke 2 or more packets of cigarettes and drink 4 or more units of alcohol (2 pints of beer

• r 2½ small glasses of wine) per day,

have a 35 times increased risk of oral cancer compared with those who do not smoke or drink more than 2 units of alcohol a day (1 pint of beer or 1½ small glasses of wine).

Alcohol and tobacco

An ulcer or sore on your lips, tongue or in your mouth

Sweet drinks

• widely available
• any one can buy them
• can drink them at any time,

any where

• don’t have a nutritional

benefit

• are high in calories

high risk factor for tooth decay and obesity

What should/can be done to reduce the risk to health? Should high sugar drinks and foods have the same restrictions as tobacco and alcohol?