Health & Wellbeing Service - Manchester

Oral Health Information 3-7 Year Olds


  • The frequency and amount of consumption of sugars in drinks and foods are the most important risk factors. (SBOHED)
  • Sugars –sweetened snacks and drinks should be avoided between meals and especially at bedtime. (SBOHED)
  • The frequency and amount of sugary food and drinks should be reduced and, when consumed, limited to mealtimes. (DBOH)
  • Sugar free Medicines should be recommended (DBOH)
  • These sugars do include any fruit based drinks even those with no added sugar and dried fruits (SBOHED)

Toothbrushing and Fluoride

  • Brush last thing at night and on one other occasion.
  • Brushing should still be supervised by an adult.
  • Use a pea-sized amount of toothpaste containing 1,350- 1,500ppm fluoride.
  • Spit out after brushing but do not rinse.  (DBOH 14)

Eruption Dates


Permanent (adult) Dentition in years (32 teeth in total)

Lower Upper
1st Incisor 6-7 7-8
2nd Incisor 7-8 8-9
Canine 9-10 11-12
1st Premolar 9-12 9-12
2nd Premolar 10-12 10-12
1st Molar 6-7 6-7
2nd Molar 10-12 11-13
3rd Molar 17-21 17-21

Enamel Fluorosis


To reduce the risk:

  • Parents should supervise brushing until a child is 7 yrs
  • Ensure correct amount and concentration for age
  • Brushing should be done twice a day
  • Spit out but not rinse out
  • Children should never be allowed to eat or lick the paste
  • If fluoride tabs or drops are used, should be given at a different time to brushing.
  • Greatest risk for incisor teeth is between 15 and 30 months of age. (SBOHED 09)

Children with Extra Needs


  • All the advice previously mentioned.
  • Dependent on age ensure the use of the correct amount and concentration of fluoride in toothpaste.
  • Ensure medication is sugar free.
  • Advise dietary supplements containing sugar and glucose polymers are given at mealtimes where possible and not last thing at night. (DBOH 14)

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