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The third edition reviews current evidence and builds on earlier guidance about fluoride toothpaste concentrations, twice-daily brushing advice, and the routine use of fluoride varnish to control dental caries. 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We do this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. Weare an executive agency of the Department of Health, and are a distinct delivery organisation with operational autonomy to advise and support government, local authorities and the NHSin a professionally independent manner.  \nPublic Health England Wellington House 133-155 Waterloo Road  \nLondon SE1 8UG  \nTel: 020 7654 8000  \n[www.gov.uk/phe](www.gov.uk/phe)[ ](www.gov.uk/phe)[Twitter: @PHE_uk](Twitter: @PHE_uk)  \n[Facebook: www.facebook.com/PublicHealthEngland](Facebook: www.facebook.com/PublicHealthEngland)  \n© Crown copyright 2017  \nYou may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3 .0. To view this licence, visit OGL or [email psi@nationalarchives.gsi.gov.uk. Where we have identified any third party copyright](email psi@nationalarchives.gsi.gov.uk. Where we have identified any third party copyright)[ ](email psi@nationalarchives.gsi.gov.uk. Where we have identified any third party copyright)[information you will need to obtain permission from the copyright holders concerned.](information you will need to obtain permission from the copyright holders concerned.)[ ](information you will need to obtain permission from the copyright holders concerned.)[Figures 4.1 and 4.2 reproduced from The Scientific Basis of Oral Health Education](Figures 4.1 and 4.2 reproduced from The Scientific Basis of Oral Health Education)[ ](Figures 4.1 and 4.2 reproduced from The Scientific Basis of Oral Health Education)(7th edition), with kind permission of Dr R S Levine and BDJ Books.  \nPublished March 2017  \nPHE gateway number: 2016224  \nThis document is available in other formats on request. Please call 020 8327 7018  \nor email [publications@phe.gov.uk](publications@phe.gov.uk)  \nDelivering better oral health: an evidence-based toolkit for prevention  \nContents  \nAbout Public Health England  \nForeword 1  \nIntroduction to third edition 2  \nThe prevention toolkit 4  \nSection 1 Summary guidance for primary dental care teams 6  \nSection 2 Principles of toothbrushing for oral health 17  \nSection 3 Increasing fluoride availability 19  \nFluoridation of water and milk 19  \nToothpaste – list of current products by fluoride concentration level 22  \nFluoride varnish 28  \nPrescribing high concentration fluoride toothpaste 30  \nPrescribing additional fluoride – tablets and rinses 30  \nSection 4 Healthy eating advice 32  \nDietary advice to prevent dental caries 32  \nGeneral good dietary practice guidelines 34  \nDiet diary 38  \nSection 5 Sugar-free medicines 42  \nSection 6 Improving periodontal health 44  \nSection 7 Smoking and tobacco use 51  \nSection 8 Alcohol misuse and oral health 63  \nSection 9 Prevention of erosion 69  \nSection 10 Helping patients to change their behaviour 74  \nSection 11 Supporting references 79  \nAcknowledgements 98  \nDelivering better oral health: an evidence-based toolkit for prevention 1  \nForeword  \nIt is well recognised that oral health has an important role in the general health and well-being of individuals and it is of concern that significant inequalities in oral health exist across England.  \nThe risk factors for many general health conditions are common to those that affect oral health, namely smoking, alcohol misuse and a poor diet. It is therefore important that all clinical teams make every contact count and support patients to make healthier choices. By doing this not only will patients’ oral health benefit but their general health will be at lower risk as well. Clinical dental teams","cbCaijrBz2sXsGtu","https://ap.wps.com/l/cbCaijrBz2sXsGtu","pdf",4383441,100,"English","# Foreword\n## Introduction to third edition\n# The prevention toolkit\n## Section 1 Summary guidance for primary dental care teams\n## Section 2 Principles of toothbrushing for oral health\n## Section 3 Increasing fluoride availability\n## Section 4 Healthy eating advice\n## Section 5 Sugar-free medicines\n## Section 6 Improving periodontal health\n## Section 7 Smoking and tobacco use\n## Section 8 Alcohol misuse and oral health\n## Section 9 Prevention of erosion\n## Section 10 Helping patients to change their behaviour\n## Section 11 Supporting references\n# Acknowledgements","[{\"question\":\"What is the purpose of the third edition prevention toolkit?\",\"answer\":\"It provides updated, evidence-based guidance so dental teams can deliver modern preventive treatments and support equitable access to improved preventive advice and care.\"},{\"question\":\"Which fluoride-related measures are emphasized for caries prevention?\",\"answer\":\"The toolkit highlights appropriate fluoride toothpaste concentrations, clear advice on twice-daily brushing, the role of fluoride varnish in clinical activity, and guidance to spit out after brushing rather than rinsing away fluoride.\"},{\"question\":\"What topics are covered beyond fluoride for improving oral health?\",\"answer\":\"It includes healthy eating and dietary practice guidance, sugar-free medicines, periodontal health improvement, smoking and tobacco use, alcohol misuse, prevention of erosion, and techniques to help patients change behaviour.\"}]","Delivering better oral health - Third edition - an evidence-based toolkit for prevention | PDF",1789929331,252]