MANCHESTER: Experts from The University of Manchester have identified innovative strategies to combat tooth decay in children, a condition affecting nearly half of all five-year-olds in England. The research emphasizes the importance of engaging families in oral health practices to create lasting behavioral changes.
The findings, detailed in an article by Policy@Manchester, highlight that untreated tooth decay—known as dental caries—leads to severe pain and often requires hospital-based dental extractions under general anesthesia. The issue disproportionately affects children in high-need areas, underscoring the urgent need for targeted interventions.
Family-centered interventions show promising results
Three groundbreaking projects led by the university’s Dental Health Unit, in collaboration with Manchester’s Oral Health Improvement Team and funded by the Medical Research Council, have demonstrated significant benefits:
BRIC (Bedtimes Routines Intervention for Children):
This initiative co-designed a text-based messaging system with parents to promote healthier bedtime habits, including tooth brushing and reduced sugar intake. The results showed a 16% increase in nighttime brushing, a 24% reduction in sugary snacks, and overall improvements in family well-being.
Leapfrog program:
Implemented in six primary schools in areas with the highest rates of tooth decay, this school-based program provided children with toothbrushes, educational activities, and text message reminders. The intervention significantly increased the number of children brushing twice daily.
HeRo (Healthy Routines, Healthy Teeth):
This ongoing community-based project delivers hygiene kits and behavior change support to families of newborns in underserved areas, promoting early adoption of oral health habits.
Key recommendations for policymakers
The researchers outlined actionable principles for policymakers aiming to improve children's oral health:
Co-design and co-development: Engaging communities from the outset ensures that interventions are tailored to local needs.
Sustained behavior change: Evidence-based approaches must recognize the time required to form lasting habits, supported by adequate funding.
Technology integration: Digital tools should be thoughtfully implemented, considering their application and impact on specific populations.
School-based programs: Initiatives must be easy for teachers to adopt and incorporate into daily classroom activities.
Dr. George Kitsaras, a lead researcher, stressed, “Positive habit formation takes time and consistent support. Collaborative efforts with parents, schools, and communities are essential to address this pressing health issue.”
Towards healthier smiles
The findings not only spotlight the severity of childhood dental caries but also provide a roadmap for creating healthier routines at home and in schools. By prioritizing tailored, evidence-backed approaches, health leaders can make meaningful progress toward reducing tooth decay and improving the overall well-being of young children.
