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Get the nation smiling

National Smile Month is probably the UK’s best known oral health awareness campaign – and it isn’t just for dentists

According to oral health charity the British Dental Health Foundation (BDHF), a toothbrush is top of the list of items people couldn’t do without when going on holiday. With summer on its way, and the gradual trickle of people popping into pharmacy for travel advice turning into a steady stream, why not turn your inevitable conversations about holiday essentials into a health promotion opportunity by taking part in National Smile Month? The initiative is the UK’s largest and longest running oral health campaign, and focuses on imparting three key messages to the general public:

  • Brush teeth last thing at night and on at least one other occasion per day using a fluoride toothpaste
  • Cut down on sugary foods and drinks
  • Visit the dentist regularly (at least once a year or as recommended by a healthcare professional).

Tony Newton, president and chair of the BDHF, which organises the annual campaign, comments: “You only have to walk down the high street to see that oral health remains a problem in our society.” This statement conveys just why pharmacy should get involved in something that – at first glance – appears more relevant to the dental profession: not everyone is registered with a dental practice, let alone attends regular appointments. Yet again, the accessibility and convenience of pharmacy has a crucial role to play in conveying the healthy living message.

Added benefits

While pharmacies that participate in National Smile Month, which this year runs from 18 May-18 June, could have a considerable impact in helping people manage issues such as bad breath, gum disease and tartar build-up, the benefits go much further. The trouble many people have finding an NHS dentist and horror stories about how much private dental treatment can cost have been well documented in the media. Yet many people neglect their oral health without considering the huge bill – whether to the NHS or the individual – that may be lying in wait, months or years down the line.

There is also a growing body of evidence that the repercussions of poor oral health are not confined to the mouth. Sobering statistics that have come to light in recent years include the fact that people with gum disease are almost twice as likely to have coronary artery disease – which increases the risk of events such as heart attacks – as those without, and are also at higher risk of developing diabetes and early-stage Alzheimer’s disease.

In addition, pregnant women with gum disease are more likely to have premature and low birthweight babies. As the BHDF’s Tony Newton says: “More and more general health problems are being linked to poor oral health.”

 

Simple solutions 

Problem: A quarter of adults don’t brush their teeth the recommended twice a day, and 10 per cent of adults admit they regularly forget.

Solution: Brushing teeth with a fluoride-containing toothpaste twice a day is essential, as is using floss or interdental brushes to clean between the teeth. An antibacterial mouthwash can help to control gum disease.

Problem: Over a quarter of five-year-old children have visible dental decay.

Solution: Start them young! As soon as the first tooth appears, parents should start brushing with a smear of fluoride-containing toothpaste. Children should be encouraged to have a go at brushing as soon as they are keen and able, however they will need to be supervised until they are around seven years old.

Problem: Older people may find that they lack the manual dexterity to brush their teeth thoroughly.

Solution: An electric toothbrush – ideally one with an oscillating and pulsating head – is more effective at removing plaque than a manual toothbrush, and is particularly useful for those with limited movement.

Problem: One in seven adults who have ever been to the dentist suffer from extreme dental anxiety.

Solution: Dentists and dental staff are hugely sympathetic to such concerns and will do everything they can to make people feel comfortable – but they aren’t telepathic and need to be told. Children should be taken to the dentist from an early age so that they get used to the experience and are less likely to become anxious as they get older.

Problem: Dietary advice is so confusing, it is difficult to know what to eat and drink for good health.

Solution: The widely held view that a diet high in fruit and vegetables – and therefore rich in vitamins and minerals – is good for overall health is also relevant for oral health. Sugar-free sweets and gum, particularly those containing xylitol, which can reduce tooth decay, are good options for anyone with a sweet tooth. Drinks-wise, still water and milk are best. Juice is best reserved for mealtimes.

 

Get involved

If your pharmacy is interested in helping to improve the oral health of your local community, sign up for National Smile Month at: www.nationalsmilemonth.org/register. All registrants will receive a pack containing a campaign guide and materials, fundraising details and a resource catalogue.

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