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7 to 13 years

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Most Common Diseases & Conditions:


Tooth decay (dental caries)

Tooth decay in a 7-13 year old child

Bleeding gums (gingivitis)

Bleeding gums (gingivitis) in a 7-13 year old child

Tooth wear (erosion, attrition)

Tooth wear (erosion/attrition) in a 7-13 year old child

Major Risk Factors Which Contribute to Problems:


  • Diet – sugar containing food and drink
  • Poor oral hygiene
  • Low or no fluoride
  • Starting to use tobacco and/or alcohol

Everyone in this Age Group Should Aim for:


  • Eat a healthy diet
  • Practice good oral hygiene
  • Use fluoride toothpaste
  • Spit out after brushing but don’t rinse
  • Avoid/stop tobacco
  • Avoid alcohol
  • Regular dental care

PHE Delivering Better Oral Health 2021

A lot of life changes occur around 7 and 13 years. Pre teen hormones, changing schools, friendships/peer pressure, independence afterschool activities, sport etc. All these things have a relationship to oral health and wellbeing.

  • Inside the mouth – Baby Teeth Still Matter, Mixed dentition – little teeth, big teeth and straight teeth. Colour, shape and size of teeth – white spots, chalky teeth and tooth surface flaws. Gums and ulcers. Bacteria, plaque biofilm, cavities, gum health and tooth wear (erosion, attrition).
  • Lifestyle, Health and Wellbeing –  General health. Medicines and supplements. Trauma. Dummy/Thumb Sucking.  Pre-puberty and hormones. Mental health and wellbeing.
  • Oral hygiene – Toothbrushing – what to use, when and how. Adult support. Power v manual toothbrushes. Toothpaste – fluoride.  Cleaning between teeth – when to start and what to use. Extra protection. Making plaque seen to help clean – disclosing.
  • Diet and Nutrition – Healthy diet for oral and overall health. Mealtimes. Grazing. Snacks and Drinks, Fussy eaters. Allergies. Sugar  – choices and swaps.
  • Professional dental care – Monitoring developing teeth and jaws. Access, frequency, treatment and special care. Preventive care.  Anxiety and dental treatment.

Inside the mouth

Mixed dentition – little teeth and big teeth. Baby Teeth Still Matter. During this time baby teeth are replaced by permanent teeth. It is a time of great change in the mouth. As the permanent teeth erupt into the mouth the roots of the baby teeth shrink and eventually the baby tooth falls out. Often its not a straightforward upgrade. Sometimes baby teeth don’t fall out before the permanent tooth erupts which can make cleaning difficult. Lift the lip and have a look. Children/pre teens are likely to struggle to clean thoroughly at this time. Adults need to help with oral hygiene to prevent gum inflammation and cavities in the permanent tooth due to food and bacteria gathering around the area.

Tooth colour – you may notice as the permanent teeth erupt they look yellow and not as sparkly white as baby teeth. When you see baby and permanent teeth side by side they often look different colours. This is quite normal and is because

Lifestyle, Health and Wellbeing – Medicines and supplements, Trauma, Dummy/Thumb Sucking, Tooth Decay, Gum health, Grinding and tooth wear, Chalky teeth, Pre-puberty

Oral hygiene – When, What to use, How to and Adult Supervision, Extra protection

Diet and Nutrition – Mealtimes, Snacks and Drinks, Fussy eaters, Allergies

Professional dental care – When, Why, Preventive therapy

Living Life To The Full

Worried about going to the dentist? We recommend visiting LLTTF which has advise and tips to make visiting the dentist a better experience.

Mouths Matters

Oral Environment

  • Baby Teeth Still Matter
  • Mixed dentition   – little teeth and big teeth

Diet and Nutrition

  • Mealtimes, Snacks and Drinks
  • Fussy eaters
  • Allergies

Lifestyle, Health and Wellbeing

  • Dummy/Thumb Sucking
  • Tooth Decay
  • Gum health
  • Grinding and tooth wear
  • Hypomineralistaion – chalky teeth
  • Medicines and supplements
  • Trauma – Accidents happen
  • Pre-puberty

Oral Hygiene – When, What to use, How to and Adult Supervision

Dental Visits

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