Supervised toothbrushing toolkit to tackle tooth decay in children

Share:

Researchers from the University of Sheffield, University of Leeds and Bradford Improvement Academy, have developed free online resources for NHS organisations, local government, schools, nurseries and parents, as part of the BRUSH project to better support existing and new toothbrushing programmes.

  • New toolkit for supervised toothbrushing programmes aims to address health inequalities caused by tooth decay 
  • A quarter of five-year-olds in England have tooth decay, this can rise up to 50 per cent in deprived areas of the country
  • Decay causes pain and suffering, as well as affecting what children eat, their speech, sleep, quality of life and attendance at nursery or school
  • In England, treatment of decay is the most common reason why young children (over 33,000 each year) are admitted to hospital, costing the NHS over £50 million every year

A new toolkit to increase supervised toothbrushing for younger children aims to address health equalities caused by tooth decay. 

Researchers from the University of Sheffield, University of Leeds and Bradford Improvement Academy, have developed free online resources for NHS organisations, local government,  schools, nurseries and parents, as part of the BRUSH project  to better support existing and new toothbrushing programmes.

A quarter of five-year-olds in England have tooth decay, this can rise up to 50 per cent in deprived areas of the country. The burden of tooth decay is significant, causing pain, as well as affecting what children eat, their speech, sleep, quality of life and attendance at nursery or school.

Treatment of decay is the most common reason why young children are admitted to hospital (33,000 each year), costing the NHS over £50 million annually. 

Co-lead of the study, Professor Zoe Marshman, Professor in Dental Public Health at the University of Sheffield, said: “One of the key ways to prevent tooth decay is toothbrushing with a fluoride toothpaste. Toothbrushing programmes in nurseries and early years at school are really important to complement toothbrushing at home. 

“We already know supervised toothbrushing programmes for young children are effective in reducing tooth decay, and easy for nurseries/schools to run. However, the uptake and maintenance of these programmes has been fragmented. 

“The new toolkit will make it easier for new toothbrushing programmes to be set up, meaning more children will be able to benefit from the programmes so less children suffer from tooth decay and its consequences.”

The BRUSH project was funded and supported by the NIHR Applied Research Collaboration South West Peninsula (PenARC) and conducted by researchers from the University of Sheffield and University of Leeds. The researchers worked with NIHR Applied Research Collaboration Yorkshire and Humber to understand how best to implement and evaluate supervised toothbrushing programmes.

Kristian Hudson, Implementation Specialist at the Improvement Academy, NIHR Applied Research Collaboration Yorkshire and Humber said: “Supervised toothbrushing programs will only have an impact if they are successfully implemented and sustained. We were therefore very careful in making sure our approach to the research used robust implementation science methods to discover what the key barriers and facilitators to implementation were. We asked many stakeholders about this including commissioners, trainers, headteachers, parents, and children. It’s been great to help the team with this and our findings will mean the toolkit is even more useful”.

Co-lead of the BRUSH study, Dr Kara Gray-Burrows Lecturer in Behavioural Science & Complex Intervention Methodology at the University of Leeds, said: “We know that there’s good practice and excellent resources out there, so our project was about bringing together all that’s already good and seeing what gaps there were.

“The toolkit is a central one-stop-shop sharing best practice and containing new materials we have developed to give organisations setting up these programmes, nurseries, schools, parents and children the relevant information and resources easily.”

Talking about the toothbrushing club at Tinsley Meadows Primary Academy in Sheffield, David Yates (Nursery Teacher ), said: “At first I did think, we’re going to do toothbrushing now and we’ve got 60 children, what if it is chaos and they’re all brushing each other’s hair or things like that! But they are really good at it, seem to enjoy and engage with it.”

For more information about the BRUSH study or to download the free resources please visit: https://www.supervisedtoothbrushing.com/ 

Related News

Ignore ‘Nanny State’ critics and expand sugar taxes, ban sale of energy drinks to under 16s, and roll out national supervised toothbrushing programmes in schools to tackle the crisis of tooth decay affecting millions of children – Child of the North/Centre for Young Lives report  

A new report published today by Child of the North and Anne Longfield’s Centre for Young Lives think tank, “An evidence-based plan for improving children’s oral health with and through...

Hard-hitting report exposes vast inequalities faced by women in the North of England

Women in the North of England live shorter lives, work more hours for less pay, are more likely to be an unpaid carer, and more likely to live in poverty...

Child health experts, including researchers from ARC Yorkshire & Humber, call on new government to urgently address inequalities in rising infant mortality

More babies are dying before their first birthday, with those in deprived areas, the North of England and Black and Asian ethnic groups the worst affected, according to new analysis...