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 Every 12 12 month Never Other months months plus
What stops you going to the dentist? Nothing (71) Motivation (48) Scared (26) Making appointments (15) Attitude of dentist (11) Price (7)
Do you know what dental care you are entitled to? 59% 41% 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% Leaflet 27% Social media 26% Text 20%
NHS dentist availability Source: NHS Choices Source: Which? www.nhs.uk/Service-Search/Dentists/LocationSearch/3 https://press.which.co.uk/whichpressreleases/nhs-dentists-not- offering-nhs-appointments/
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 3 meals plus sugary snacks day 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
Brushing teeth Pea size –2 years +
Sugary foods as part of a meal reduces damage to teeth
A little about sugar Sugars shown in the shaded boxes can harm teeth Intrinsic sugars should only be 10% (12-15tsp) inside the cell now 5%! eg. Raw fruit Fruit juices, pulps, puree, honey Total Recipe sugar sugars Non-milk – added by cook or extrinsic sugars manufacture (NMES) Extrinsic sugars Table sugar - not inside the cell – discretionary Milk sugar sugars Free sugars 2/3rds of sugar intake categorised into three main groups (Committee On Medical Aspects of Food Policy 1994 COMA now Scientific Advisory Committee on Nutrition)
Check out the label 2nd is sucrose 3rd glucose syrup Acidity regulators, citric acid Per 100ml sugars =10g or 2 ½ teaspoons Per 500ml = 52g (57%) or 12 ½ teaspoons of sugar
Are they as healthy as they appear? 90 grapes in this bunch or 8 in a portion Carbohydrate one portion of raisins (85) 5.4gms in 100ml 30grams 27gms in 500ml 7½ tsp of suga r 6¾ tsp in bottle 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 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. 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
• 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, or about 6p or 8p to a standard 330ml can Fruit juice and milk-based drinks are exempt Sugar tax: What is the UK's most sugary drink? By Justin Parkinson BBC News Magazine 17 March 2016
Life style ‘choices’ are regulated…. 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
Not allowed to smoke cigarettes inside public buildings (work places, schools shops/shopping centres, public transport) Discouraged from smoking in own homes and driving in own car; particularly when young children are present
Alcohol Wide variety of alcohol containing drinks on display - taxed by Government - can only be bought by adults over 18 years old
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 Ref: www.drinkaware.co.uk
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 An ulcer or sore on your lips, Alcohol and tobacco (smoking and tongue or in your mouth 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 or 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).
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?
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