16 / 10 / 2026

Sugar and children’s teeth: What parents need to know

Tooth decay is the most common reason young children in England are admitted to hospital, and yet it is almost entirely preventable. Sugar plays a big part, but it is not just about how much sugar children have. How often they have it matters even more. Here is a practical guide for parents.

How sugar causes decay

When we eat or drink something sugary, the bacteria in plaque feed on the sugar and produce acid. That acid attacks the enamel on the teeth for up to an hour afterwards. Saliva gradually neutralises the acid and helps teeth repair, but if sugar is eaten again and again throughout the day, teeth never get the chance to recover.
That is why frequent snacking and sipping on sugary drinks is so damaging, even in small amounts.

Hidden sugars

Sugar is not just in sweets and fizzy drinks. Look out for:

  • Fruit juices and smoothies
  • Flavoured milks and yoghurts
  • Cereal bars and some breakfast cereals
  • Dried fruit
  • Ketchup and sauces
  • Some baby and toddler snacks marketed as healthy

The drinks problem

Drinks are one of the biggest culprits because children often sip them over long periods. The best drinks for teeth are plain water and plain milk. If your child has juice, keep it to mealtimes and dilute it. Avoid putting anything other than milk or water in bottles or sippy cups, especially at bedtime.

Practical tips

  • Keep sweet things to mealtimes: Rather than spread across the day.
  • Choose tooth-friendly snacks: Cheese, vegetable sticks, plain crackers, fresh fruit.
  • Be label savvy: Anything ending in “-ose” is a sugar.
  • No sugary drinks before bed: After brushing, only water.
  • Be a role model: Children copy what they see.

Fluoride: Your best friend

Fluoride strengthens enamel and helps repair early damage. Brush your child’s teeth twice a day with fluoride toothpaste: a smear for under 3s, a pea-sized amount for 3 to 6-year-olds. Encourage them to spit, not rinse. From age three, fluoride varnish at the dentist gives extra protection.

Regular check-ups

Regular visits mean we can spot early signs of decay, when it can sometimes be reversed with fluoride and good habits. We may also recommend fissure sealants to protect back teeth.

Book a check-up

NHS dental care is free for under 18s. Call us on 01494 527 971 to check our availability or book a private children’s appointment.

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