The Ultimate Guide to Brushing Teeth — for Babies & Children

The Ultimate Guide to Brushing Teeth — for Babies & Children

It’s important for children to start their teeth cleaning regime right from the moment their first tooth appears. Good oral hygiene is important for teeth, health, and ultimately self-confidence when they’re a little older. It’s therefore essential for children to get used to cleaning teeth properly and visiting their dentist right from their early years.

When & How To Brush Baby/Toddler Teeth

Start brushing your baby’s teeth as soon as they get their first tooth. On average, this is usually around 6 months although it does vary. Here is a good approach:

  1. How to brush your baby or child's teethFacing a mirror, sit your baby on your lap, facing away from you, with the back of their head against your chest or shoulder. The mirror in front of you both will allow the baby or toddler to learn from you and for you to clearly see what you’re doing. Sitting them with their head backing onto your chest will allow a stable head position when you come to brush. Toddlers a little older can perhaps stand in front of you instead, but otherwise the same approach usually works nicely.
  2. Using a small toothbrush, a ‘finger brush’ or, if they only have one or two teeth, even a piece of clean gauze wrapped around your finger, apply a small smear of age-appropriate* toothpaste if it’s for a baby or toddler up to 3, or a pea-sized amount for children aged over 3.
  3. You can then begin the process of brushing your baby’s teeth. Small, gentle, circular motions around all teeth and gums is a good approach when starting. Because of the view in the mirror, they will gradually learn how to do it themselves. You can also help to guide their hands initially when they first start trying themselves.
  4. For the 3-6-year-olds who have a pea-sized amount, encourage them to spit out any toothpaste and foam etc. There’s no need to rinse, because the fluoride in the toothpaste will work better without washing it completely away.
  5. Repeat their teeth brushing twice a day with one instance ideally being just before they go to bed. This ensures that their teeth are clean all night rather than allowing any build-up of plaque during the night hours when they’re asleep.
  6. Continue helping them until you can ensure that they’re able to brush their teeth properly, unaided. This could take them up to the age of 7 or more.

Teeth brushing can be made more fun for your child. For example, with music, by singing a song to your baby/toddler, making it part of a game, cleaning your own teeth at the same time or using a fun timer.

There’s a Phone App for Brushing Teeth!

Brush DJ teeth brushing phone app

The NHS even recommends a teeth brushing phone app that parents & carers can download — called ‘Brush DJ’ in the phone app stores (available for IOS and Android). It’s free (correct at time of writing), plays 2 minutes of fun music while the child’s teeth are brushed — and a whole lot more. Developed by a dentist, the timer’s purpose is to teach the child that it’s not a race — quite the opposite in fact. Ideally they need to give every tooth and gum area individual attention to ensure everything is very well cleaned. 2 minutes is a good benchmark for the whole teeth brushing exercise, so the app is ideal. It gives useful information, for example about cleaning in between teeth, and allows users to set reminders for dentist visits and suchlike.

* Toothpaste Type & Fluoride Content

Some parents may be aware of some negative information circulating about fluoride. For those who are really concerned, there are fluoride-free toothpaste options. However, in contrast, the UK’s NHS recommends¹ using fluoride toothpaste and suggests the following guidelines:

Up to 3 years of age:Use children’s fluoride toothpaste containing no less than 1,000ppm of fluoride (check label) or family toothpaste containing between 1,350ppm and 1,500ppm of fluoride.Use only a smear
Children 3 to 6 years of age:Use children’s fluoride toothpaste containing no less than 1,000ppm of fluoride (check label) or family toothpaste containing 1,350ppm to 1,500ppm of fluoride.Use a pea-sized amount
Children aged 7 years & over:Use fluoride toothpaste containing 1,350ppm to 1,500ppm of fluoride (check label).Use a pea-sized amount

Safety Considerations

  • Always supervise babies and toddlers — they will need your help when they’re very young.
  • Don’t allow your baby or toddler to play with the toothbrush when it’s not being used. They should also not walk or run around with it, particularly with it in their mouth, as this would be a huge safety risk.
  • Discourage your child from swallowing or eating the toothpaste and never allow them to lick paste from the tube.

Take Children to the Dentist Early On

Take children to the dentist from an early ageIt’s important to get children used to visiting the dentist and for this to be a positive experience. Dentists can highlight any potential problems early on and regular visits will also ensure that children realise the importance of teeth cleaning and oral hygiene as they grow. Starting early is also more like to avoid the possibility of them being nervous about visiting the dentist (if you are nervous yourself, try not to let this show as it could project the fear onto your child). NHS dental treatment is free for UK children. Find a dentist here.

Go Easy on Sugar

Natural sugars are found in things like fruit, fruit juice, honey and even in whole milk. Added sugars are types of sugar that have been added as ingredients to foods by manufacturers. These can include sucrose, glucose, dextrose, maltose, fructose, hydrolysed starch, inverted sugar syrup, raw sugar, brown sugar, cane sugar, muscovado sugar and so on.

Sugar and tooth decay go hand-in-hand

Avoid sugary drinksSugar and tooth decay go hand-in-hand, especially if too much sugar is in the diet and/or if toothbrushing isn’t regular and thorough. The amount of potential decay is also made worse the longer sugar stays on the teeth. Cutting down on sugar intake will help limit the problem, as will a good tooth brushing regime. Here’s what parents and carers of babies and young children can do:

  • Avoid giving little ones drinks with added sugars. Milk and water are usually best.
  • Check labels and ingredients so you know your child’s food and drink is not laced with sugars. That includes pre-prepared baby foods.
  • Encourage them to eat savoury foods rather than sugary ones.
  • Avoid giving children sweets and biscuits, except as occasional treats. Ask friends and family members to do the same.
  • If you give your little one fruit juice, limit it to once in the day (150ml) as part of their ‘five a day’ and, better still, dilute it with water (1 part fruit juice to 10 parts water).
  • Limit any sweet food and drink to meal times.
  • Brushing teeth after sweet foods and drinks is a good habit to get into.
  • If you need to buy medicine for your baby or child, as the pharmacist if a sugar-free version is available.
  • If your child needs a drink at night, only give formula or breast milk, or water. Sugar contained in milk is less likely to cause tooth decay so does not need to be avoided.
  • Avoid the use of bottles and valved bottles (from the age of 6 months) when giving children fruit juice or squash. Free-flowing alternatives like beakers mean any sugar or acid contained in the drink is less likely to bathe the teeth in sugar for so long. Acids found in fruit juice or squash can also harm teeth, by the way.

Getting it Right – the Benefits for Your Child

Children should be brushing their own teeth from about the age of 7Getting the approach right means healthier teeth and gums, fresher breath, better looking teeth, more self-confidence and potentially better health overall as the child grows up. Setting good teeth cleaning and tooth hygiene habits early on means children are more likely to continue the good work as they grow into adulthood. This includes regular, fear-free visits to the dentist for check-ups.

Little Cedars Nursery, Streatham

This guide was brought to you by Little Cedars Nursery. We are an outstanding nursery and pre-school in Streatham, near Balham, Tooting and Furzedown in London SE16. We have just a few spaces available at time of writing so, if you are looking for high quality nurseries or childcare in this area, please get in touch:

FREE Food, Milk & Vitamins! A Guide to the Healthy Start Scheme

FREE Food, Milk & Vitamins! A Guide to the Healthy Start Scheme

Healthy eating is also yummy!Are you pregnant, or a parent with a child under four? If so, your family may be eligible for free healthy food, milk and vitamin supplements. In England, some of these free items are available under the ‘Healthy Start’ scheme, which we’ll explain in this quick-start guide.

At time of writing, the free items are available through vouchers that can be redeemed in any of the 21,000 or so physical shops, supermarkets and pharmacies that have signed up to accept them. Each voucher is currently worth £3.10 and you can get 1 every week if you are pregnant or have a child aged between 1 and 4 years of age, or 2 vouchers per week if your child is under 1.

LATEST UPDATE: the NHS has also begun testing a new alternative where money is paid into your account instead of supplying vouchers. This beta test is running right now, on an invitation-only basis via a letter from the NHS. Hopefully it’ll be rolled out country-wide if successful. If so, it could cure the current issue whereby vouchers cannot be used to pay for food, vitamins and milk online. Clearly, that’s a significant issue in view of the pandemic and the move to shopping more online.

So, what free stuff can you get?

Vouchers are redeemable in thousands of shops, supermarkets & pharmaciesEligible individuals can get the following, absolutely free:

  • Cow’s milk;
  • Infant formula milk;
  • Fruit;
  • Vegetables;
  • Pulses;
  • Free vitamin supplements for breastfeeding mums;
  • Free vitamin drops for young children (6 months to 4 years).

Free milk

This must be plain cow’s milk that’s also pasteurised, sterilised, UHT or long-life.

  • It can be skimmed, semi-skimmed or whole milk.
  • It can’t be flavoured, coloured, evaporated, condensed, powdered (except for infant formula milk), sold as a milkshake, vitamin-enriched or have anything else added to it.
  • It can’t be anything other than cow’s milk, for example soya milk, almond milk, oat milk, rice milk, goat or sheep’s milk etc.).

Free infant formula milk

Fruit, vegetables & milkThe infant formula milk:

  • must state that it’s a nutritionally complete stage one formula milk that’s suitable for use from birth.
  • mustn’t be ‘follow-on’ milk.
  • must be based on cow’s milk. You can’t get formula milk based on soya milk, almond milk, oat milk, rice milk, goat’s milk etc.

Free fruit & vegetables

The free fruit and vegetables:

  • can include any that are fresh, frozen or tinned.
  • can include any that are supplied loose, packaged, sliced, chopped, mixed, whole or supplied in water.
  • can include fruit in fruit juice.
  • can’t include any that have had fat, oil, salt, sugar or flavouring added.
  • can’t include any that have been dried, pre-cooked or made into things like smoothies.

Free pulses

The pulses, including things like lentils, beans, peas and chickpeas:

  • can include any that are fresh, dried or tinned.
  • can’t include any that have had fat, oil, salt, sugar or flavouring added.

Free vitamin supplements

Free vitamin supplements for pregnant women and children aged up to 4 years oldThese free vitamin supplements are important for pregnant women, breastfeeding mums, babies and young children because many are deficient in them at this stage in their lives.

For children aged up to 4, they are in drop form and contain vitamin A, vitamin C and vitamin D. They are suitable for vegetarians and do not contain milk, eggs, gluten, soya or peanuts. Each bottle should last for 8 weeks. Note that children who are consuming 500ml per day of nutritionally complete formula milk do not need the additional vitamin supplements.

For pregnant women and nursing mums, the supplements are in tablet form and contain vitamin C, vitamin D and folic acid. They are suitable for vegetarians and vegans and do not contain colouring, flavouring or preservatives. They also contain no gluten, wheat, salt, egg or fish. Eligible mothers are supplied with 8 weeks’ worth of tablets at a time.

The vitamin supplements are distributed to stockists by the NHS and are ‘Healthy Start’ branded. Only this brand is available free under the Healthy Start scheme.

Eligibility

Families can save a little on their shopping bills with Healthy Start couponsIn order to be eligible for Healthy Start vouchers, you need:

  • to be 10 or more weeks’ pregnant and/or
  • to have 1 or more children under 4.

Eligibility also requires that you must* be in receipt of at least one of the following:

  • Income Support;
  • Income-based Jobseeker’s Allowance;
  • Income-related Employment & Support Allowance;
  • Pension Credit;
  • Universal Credit (only for families earning £408 each month, or less, from employment);
  • Working Tax Credit (only for families receiving the 4 week ‘run-on’ payment after they’ve stopped qualifying for it);
  • Child Tax Credit (only for families with an income of £16,190 or less per annum).
    * Except if you’re under 18.

How to apply for the vouchers

Currently, most people need to apply for Healthy Start vouchers, by filling in an application form. Download the application form here, print it out and fill it in. It will also need to be signed by your registered doctor, health visitor, midwife or health professional. Then it will need to be posted (free) to the following address:

The Healthy Start scheme means free food, milk & vitamins for families

Freepost RRTR-SYAE-JKCR
Healthy Start Issuing Unit
PO Box 1067
Warrington
WA55 1EG

Call the Healthy Start helpline if you have any queries (0345 607 6823).

Childcare services in Streatham, London SW16

We hope that this guide is useful to pregnant ladies and parents of babies or under-fives. We are an outstanding nursery in Streatham, London SW16, offering exceptionally high quality childcare services for babies, toddlers and preschoolers within this age group. If you’d like to learn more about our nursery, please call 020 8677 9675 or send us a message here. We’ll answer any questions and would be happy to book you in for a nursery visit if you are considering a nursery place here for your baby or child. We’re convenient for those looking for nurseries near Streatham Hill, Streatham Common, Streatham Park, Upper Tooting, Tooting Bec, Tooting Common, Furzedown & Balham.

Fighting Obesity in Under-5s

Fighting Obesity in Under-5s

Sugar is one of the main causes of childhood obesityFollowing on from our post last month about healthy eating for under-fives, we thought we’d take a look at what can be done when eating has got a bit out of control in that age group. Childhood obesity has become a hot topic in recent times. Even the UK Government has weighed in with various initiatives being launched in the fight against it.

The shocking statistics

Childhood obesity is important to address because the National statistics are quite shocking:

  • Almost a third of children aged between 2 and 15 are either overweight or obese;
  • Children are becoming obese at ever-younger ages;
  • Once obese, children are remaining so for longer;
  • Obesity doubles the risk of premature death;
  • Once adulthood is reached, the chance of obese people developing Type 2 Diabetes is SEVEN times greater.
  • Obese people suffer more from heart disease and depression.

The link between background and obesity

Statistics from studies show that children living in deprived areas are most at risk from developing weight problems. Low-income families are affected the worst and in fact the risk of obesity in five year olds in low-income families is twice that of their more affluent counterparts. By the time they reach the age of eleven, the risk increases to three times for the children from poorer backgrounds.

What can parents do to help?

The positive impact of exercise on childrenLast month we published an excellent article about healthy eating for under-fives. There is lots of useful information there about children eating the right food types, correct portion sizes and much more — take a look. However, remaining at a healthy weight is not only about eating a healthy diet.

Parents can also help by ensuring that their children get regular exercise. This can be done through lifestyle choices that can be instilled into children from a very early age. For example, playing sports, gym exercise, walking, hiking and other physical activities. Indeed, research shows that building an active lifestyle that also involves healthy eating choices is one that can stick with the children even into adulthood.

The positive impact of exercise

Ensuring children get enough exercise is incredibly important in the fight against childhood, and indeed adult, obesity. After all, usually at the heart of obesity is a mismatch between the energy taken in as food/drink and the energy expended via physical activity.

Exercise is a key component of healthy living for under-fivesHowever, regular exercise has many other potential benefits aside from the management of physical weight and body mass. These include:

  • Stronger muscles and bones;
  • Natural fitness and agility;
  • A better quality of sleep;
  • Less likelihood of developing Type 2 Diabetes, heart disease, depression etc.;
  • Evidence also suggests that academic performance is also likely to improve with regular exercise and involvement in sports etc.

Each year, the NHS spends more on the treatment of obesity and diabetes than it spends on the police, fire service and judicial system put together.

What is the Government doing to help fight childhood obesity?

The Government has a ten year plan to fight childhood obesityThe Government launched its ten year ‘Plan for Action’ to fight childhood obesity back in 2017 and has continued to expand the scheme since then. This initiative was timely in light of the strain that obesity puts on the NHS, made only worse by the arrival of the coronavirus pandemic in 2020. As well as raising awareness of the issues surrounding childhood obesity, measures include things like the so-called ‘sugar tax’, where soft drinks are subject to a levy in order to persuade manufacturers to move towards healthier, reduced-sugar alternatives (a 20% reduction in sugar is a key aim). A similar campaign is being applied to sugar in foods, particularly those that appeal to children. For example, biscuits, confectionery, breakfast cereal, cakes, ice cream and suchlike. The aim is to eventually set caps on the amount of sugar and/or calories per 100g of product. Public Health England (‘PHE’) will monitor manufacturers’ responses to their campaigns and will apply additional “incentives” to improve should they be found wanting as time progresses.

The Government’s anti-obesity initiative also aims to develop a ‘nutrient profile’ model for food, to make healthy options more accessible in the public sector and to provide support towards the cost of healthy meals for those who need it most. Along with this, at least one hour’s exercise per day is now given as an official guideline for children of primary school age and older. Schools and early years settings are also receiving Government support with greater coordination of high quality sport and physical activity programmes being rolled out. Guidelines have also been announced to discourage the display of unhealthy foods at checkouts and to avoid them being included in any buy-one-get-one-free deals in supermarkets. There is now also talk of a ban on the advertising of junk food on TV or online before 9pm. You can learn more about what the Government is doing to tackle childhood obesity on their website.

What nurseries and schools can do

Some of the outdoor nursery equipment at Little Cedars, StreathamAt Little Cedars Nursery in Streatham, we take physical development of children very seriously, so physical education is something that all children have available to them. All children are encouraged to be active, and interactive, so as to remain fit and to be able to hone their physical and motor skills. Indeed, this is a core element of the Early Years Foundation Stage (EYFS) framework that forms the basis of our curriculum.

We have excellent playing and learning equipment including extensive outdoor play areas at the nursery. These give children ample opportunities for physical activity of various kinds — and they’re also great fun! As well as helping to keep children naturally fit and healthy, the physical activity also helps them to learn new skills including hand-eye coordination, balance and so on.

Healthy eating is, of course, also part of our DNA at the setting. All food is freshly prepared by our in-house chef and uses only high quality, fresh ingredients. We serve 3 well-balanced meals and 2 healthy snacks to children attending all day, along with fresh water that’s available any time.

Are you looking for nursery places in or around Streatham?

If you’re looking for a suitable nursery for your baby or toddler in or around London SW16, we would love to hear from you. Little Cedars is a nursery and pre-school in Aldrington Road, Streatham, so is very convenient if you need high quality childcare close to Streatham, Streatham Park, Tooting Bec, Tooting Common, Furzedown and Balham. We offer childcare for babies aged 3 months right up to pre-school children aged 5. Call 020 8677 9675 for further information, email us here or book a visit here. We look forward to hearing from you!

This article is for general guidance only. Always seek professional medical advice if you are concerned about your baby or child’s health and wellbeing.

Healthy Eating for Under-Fives — A Complete Guide

Healthy Eating for Under-Fives — A Complete Guide

Healthy eating for under fives - a complete guideWith families living busy lives these days, it’s not always easy to provide the very best nutritious meals for children. This is compounded by an abundance of ready meals and convenience food available in shops and advertised everywhere. However, healthy, balanced diets are incredibly important for children in their early years. Adopting a healthy diet early on can mean that some diseases associated with later life can be avoided. Healthy food also has other beneficial effects on growing children including sustained energy levels, improved cognitive activity, the evening out of a child’s moods, help with mental wellbeing and maintaining a healthy weight.

What should children be eating as part of a healthy lifestyle?

As a rough guide, toddlers need three meals per day plus two or three snacks. They also need to drink six to eight drinks per day.

“Experience of a variety of different foods at an early age increases acceptance of new foods, and provides a more diverse diet with the range of nutrients, vitamins and minerals needed for health.” (Public Health England)

Young children need a balanced diet, i.e. one that gives them all the elements that they need to remain healthy and thrive. There are four main food groups that form a good basis of healthy living. A rough guide is to try and include something from each food group in every meal, or within their snacks. The four core food groups are:

  • STARCH, which is found in bread, potato, rice cereal and pasta. Starch provides the energy children need as well as Vitamin B and calcium. You can choose wholegrain versions of these food types if you wish to introduce more fibre and nutrients, but this should only be introduced gradually.
  • FRUITS & VEGETABLES. These will provide a source of Vitamin C as well as many other nutrients. A rough guide is about 5 hand-sized portions of fruit and vegetables per day. Fresh is great, but it can also be canned, dried or frozen.
  • DAIRY, which can include cheese, yogurt and milk. Full fat versions are best for toddlers but semi-skimmed options can be given from the age of 2. A rough guide is about 3 portions a day.
  • PROTEIN, which is typically found in meat, fish, nuts, pulses and eggs. You can also use pulses like tofu and soya. These foods provide iron and zinc. Also try and give children an oily fish now and then, like salmon or fresh tuna. Try to include roughly two portions a day of the foods in the protein group.

How big is a portion?

How big is a portion?Make sure you give the correctly sized food portions. As a rule of thumb, one portion is generally about the size of the child’s cupped hand for things like rice, beans and other starchy foods of that nature. For proteins like meat and fish, the size of the palm of the child’s hand is about right. For cereal and fruit, an appropriate portion is about the size of the child’s fist. For a portion of one vegetable type, you can start something about the size of a child’s cupped hand but you do not need to limit it so much. For example, give them more vegetables if they are still hungry after eating everything on their plate and are asking for seconds.

Drinks

Don’t forget to make sure your child stays hydrated. Aim for 6 to 8 drinks per day. Water is best, but also include milk. Try to avoid sugary drinks, which can cause tooth decay and will be laden with calories.

Recognising when children are overweight

Our young children grow at different rates and come in all different shapes and sizes. It can therefore be difficult to gauge whether your child is overweight and the correct quantities of food are being given. Warning signs may include your child struggling to keep up with others when exercising or playing energetic games, wearing larger clothing that’s really meant for an older child, wanting portions better suited to someone older, or asking for more food once they’ve finished eating a reasonable sized meal.

If you are at all worried, seek professional advice. Your GP or health visitor should be able to advise you. On the flip-side, occasionally children’s diets may need boosting with extra vitamins. If you suspect this is the case for your child, also seek professional advice.

“Research shows children who stay a healthy weight tend to be fitter, healthier, better able to learn, and more self-confident.” (NHS)

The Impact of Childhood Obesity

A healthy saladChildhood obesity is a growing problem in the UK, with nearly a third of children aged two to fifteen being overweight or obese. What’s more, data shows that children are becoming overweight at ever-earlier ages and are generally eating less fruit, vegetables, oily fish and fibre than is recommended. The lack of a varied diet will leave children lacking in some essential vitamins and minerals. This is all of major concern. Obesity alone can lead to health issues in later life such as diabetes, heart problems, high blood pressure and even cancer. It may also lead to bullying and self-consciousness which may adversely affect a child’s self-esteem and mental wellbeing.

Apart from medical conditions, the main causes of obesity are a poor diet rich in sugar, fat and salt and children consuming more calories than they are burning up. This is not helped by the media, which is overrun with adverts promoting unhealthy food, and some children having too little exercise. So, parents, nurseries, educational settings and parents alike all need to play their part in ensuring that children eat what’s good for them, and in appropriate quantities.

How can nurseries & pre-schools help?

“Children’s food preferences and eating habits are formed early in life and the time that they spend in early years settings provides an ideal opportunity to shape healthy behaviours.” (Public Health England)

A child eating fruitLittle Cedars Day Nursery recognises the incredibly important impact of a healthy diet on the young. For this reason, the nursery is committed to delivering a very healthy, high quality eating programme to all children at the setting. High quality, fresh ingredients are used each day and are prepared by our own on-site chef. Children attending for a full day will receive 3 meals plus a snack during the morning and another during the afternoon. Water is also available to drink all day. Our chefs are also happy to provide vegetarian and vegan meals and to cater for any other dietary requirements.

Get in touch

If you’d like to know more about healthy eating for under-fives at our Streatham nursery in London SW16, call us on 020 8677 9675 or email us here. We’ll be happy to answer any questions. You can also book a visit to the nursery here if you’d like to see the nursery/pre-school in action during the working week — we’d love to show you around.

This article is for general guidance only. Always seek professional medical advice if you are concerned about your baby or child’s health and wellbeing.