Ten years of Designed to Smile in Wales

Iomhair, Aoife Nic; Wilson, Mary E.; Morgan, Maria Zeta

doi:10.1038/s41407-020-0285-1

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…Also, the development of General Dental Services as is the case in Wales [43]. School toothbrushing promotion is yet another example of targeting specific sub-groups such as Childsmile in Scotland [99] and Design to Smile in Wales [100]. Within clinical practice, the development of General Dental Services as is the case in Wales is yet another example of an integrated approach [43].…”

Section: Discussionmentioning

confidence: 99%

Exploring the Views of Dentists and Dental Support Staff Regarding Multiple Caries in Children

Richards

Filipponi

Coll

et al. 2021

Oral

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This paper explores the reasons for multiple caries in children from the viewpoint of clinical practice, namely General Dental Practitioners (GDPs) and their teams, to identify obstacles to reducing inequalities in caries experience. The context of the research is the distribution of dental caries in UK communities where disease prevalence correlates with deprivation and these sub-groups are not attending for dental care on a regular basis. A focus group of dentists, along with individual interviews with dentists and dental support staff were chosen to explore the perceptions of GDPs, Dental Therapists, and Dental Nurses. The content analysis of the data highlighted six main themes. These included sugar, in terms of the amount, availability and the marketing of it; socioeconomic associations with dental caries experience; the dentists’ role; the National Health Service (NHS) dental contract in terms of time-constraints in meeting targets and finally, the management of the child with multiple caries. This research suggests that there are possible barriers to the delivery of equitable care to populations. These include availability and access to GDPs along with the perceptions held by GDPs. Training aimed to develop a targeted behavioural approach towards deprived sub-groups is required in order to avoid unintended social exclusion.

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Section: Discussionmentioning

confidence: 99%

Exploring the Views of Dentists and Dental Support Staff Regarding Multiple Caries in Children

Richards

Filipponi

Coll

et al. 2021

Oral

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“…A STP involves children brushing their teeth supervised by nursery/teaching staff at a convenient timepoint during the day. Programmes in nurseries and schools, have been rolled out as part of national oral health promotion programmes in Scotland (ChildSmile) (3,4) and Wales (Designed to Smile) (5). Evidence from Scotland has shown that STPs cost approximately £15-17 per child per annum and pay for themselves within three years through improvements in children's oral health and reduced need for dental treatment or the need for dental care under general anaesthetic (1).…”

Section: Introductionmentioning

confidence: 99%

A national survey of Supervised Toothbrushing Programmes in England

Gray-Burrows

Day

El-Yousfi

et al. 2023

Preprint

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Introduction: Supervised toothbrushing programmes (STP) are a cost-effective public health intervention reducing tooth decay and health inequalities in children. However, the uptake of STP in England is unknown. This study aimed to establish the current provision of STP across England and summarise the barriers and facilitators to their implementation. Methods: An online survey was sent to dental public health consultants, local authority (LA) oral health leads, and public health practitioners across England. Quantitative data was analysed using descriptive statistics. Barriers and facilitators were analysed using the Consolidated Framework for Implementation Research (CFIR). Results: Information was received for 141 LAs across England. Approximately half implemented a STP (N=68/141). Most STPs were commissioned by LAs (N=44/68) and adopted a targeted approach (N=54/68). Barriers to implementation were: (1) Funding; (2) Communication & Engagement; (3) Relative priority; (4) Logistics; (5) Capacity. Facilitators were: (1) Integrated & mandated public health approach; (2) Collaboration & Ongoing Support; (3) Clarity; (4) Flexibility; (5) Available resources; (6) Ownership & Empowerment. Conclusion: The current provision of STPs is varied, and although there are challenges to their implementation, there are also areas of good practice where these challenges have been overcome.

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“…Meanwhile, Designed to Smile, the programme in Wales to reduce dental decay in children, is ten-yearsold and is also bringing down dental decay. 15 In England, dentists look enviously at Scotland and Wales which both have national prevention programmes. This is deemed impossible in England because since 2012, public health has been the remit of local authorities.…”

mentioning

confidence: 99%

Why prevention must be targeted, creative and multi-faceted

Holland¹

2020

BDJ Team

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Ten years of Designed to Smile in Wales

Cited by 7 publications

References 4 publications

Exploring the Views of Dentists and Dental Support Staff Regarding Multiple Caries in Children

Exploring the Views of Dentists and Dental Support Staff Regarding Multiple Caries in Children

A national survey of Supervised Toothbrushing Programmes in England

Why prevention must be targeted, creative and multi-faceted

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