New research from UCL reveals alarming levels of tooth decay among adults in England, highlighting the need for improved dental care and public health initiatives
New research from UCL has revealed disturbing levels of tooth decay across England, with adults suffering from preventable dental issues. The study highlights the urgent need for improved dental care policies, better access to treatment, and greater public health awareness to tackle the growing crisis.
Tooth decay levels are gradually worsening in England
The latest Adult Oral Health Survey (AOHS), commissioned by the Government’s Office for Health Improvements and Disparities (OHID) – Department of Health and Social Care – shows that more than four in 10 people (41%) had obvious signs of tooth decay when examined, up from 28% in 2009 and similar to levels in 1998. This survey interviewed 2,285 people, and 1,619 individuals participated in an oral examination.
The researchers used the most sensitive measure of tooth decay, assessing enamel decay, and found that 64% had decay in one or more teeth. More than four in 10 people (42%) said their oral health affected their daily lives, up from 33% in 2009, while almost one in five (19%) had potentially urgent conditions, such as dental pain and deep decay. Regular attendance at the dentist has fallen.
Professor George Tsakos, based at UCL’s Department of Epidemiology and Public Health, who was one of the academics who worked on the survey, said: “These findings are deeply alarming. Earlier oral health gains have been reversed, and we are now back to the levels of untreated tooth decay last seen in 1998.
“More adults are reporting that the poor state of their teeth and mouth is affecting their quality of life, such as causing difficulty eating, than in previous surveys.
“The survey also shows that adults in more deprived areas are suffering disproportionately higher levels of oral disease, report levels of pain up to three times higher, and have a worse quality of life due to their oral health. At the same time, they are also finding it harder to get a dental appointment than those in more affluent areas.
“This presents a considerable public health challenge and is an area that we need to look at as a priority. Decay is caused by sugar, and we need prevention strategies that address this, such as the recent planned extension of the sugar levy to high-sugar drinks, including milk-based drinks.”
Four in ten are unable to find an NHS dentist
The researchers also found that 52% of participants would go to the dentist for a check-up, down from 61% in 2009, and 35% said they only go to the dentist when they are having problems. Furthermore, four in ten are unable to find a dentist, and 31% cannot afford to pay.
Dr Anja Heilmann (UCL Department of Epidemiology & Public Health), who also worked on the survey, said: “Prevention is key and must include all stages of life from childhood to older age as part of a wider public health strategy, because oral and general health belong together. For example, reducing sugar consumption not only prevents tooth decay, but also obesity and other health conditions.”
