One in three UK children from deprived backgrounds suffer with tooth decay

Dentists warn we're "failing" our most vulnerable

Young child is taught about healthy brushing
Author: Mick Coyle, Faye TryhornPublished 7th Dec 2020
Last updated 7th Dec 2020

One in three children across the UK living in poverty are suffering from tooth decay.

Figures reveal the rate is more than twice as bad as those children from less deprived areas, where one in seven has oral problems.

Dentists are warning unhealthy diets and food insecurity are causing serious issues for our most deprived, and warned that more needs to be done to protect "our most vulnerable".

Paediatric Dentist and spokesperson for the British Society of Paedeatric Dentistry (BSPD) Claire Stevens, told us she sees the issues poverty is causing first hand:

"I saw a child this week and the family had not bought toothpaste, because they thought they'd save a few pennies. Actually, the delivery of fluoride is the most important part of the brushing."

"I've had families who say 'Can I wait to see you because I need to save up for the bus fare?' There are things we can do to support that, but that's how tight it is for some families."

Paediatric Dentist Claire Stevens

Latest figures for Wiltshire, released in March this year, suggest one in eight children starting primary school in the county had tooth decay.

The dental health of 235 children in Wiltshire, aged 5, was surveyed by Public Health England, with tooth decay found in 13% of cases.

THE BIGGER PICTURE

The British Society of Paediatric Dentistry says we need to change the way we think about oral health, starting with more holistic ways of looking at a child's needs.

Claire Stevens from the BSPD said:

"Yesterday, 90% of my work was social work and support, identifying the barriers for parents to provide good measures at home for their child."

BSPD’s call for measures to support families comes as Marcus Rashford's campaign for free holiday-time meals captures the public's imagination, something the BSPD fully support.

They say poor diet, food insecurity and lack of public health information are all factors that can add to the risk a child will suffer teeth problems in their early years.

They also warn of the impact tooth decay can have on a child's development that goes way beyond what's happening in their mouths.

Claire says:

"Children from deprived backgrounds are much more likely to have tooth decay, and they're much more likely to have toothache, something that can have a negative impact on their school life because, let's be clear, its not a case of 'They're baby teeth, they're going to fall out anyway' the implications can be really significant. It can impact on their ability to eat, to sleep, to be school ready, and we really need to be taking this seriously.

"Children's oral health is everybody's business."

IS THE SUGAR TAX WORKING?

The BSPD is also calling for clearer food labelling so parents know what it is they are giving their children. They also want to see further sugar reduction in food and drinks frequently consumed by children.

This echoes calls from the Royal College of Surgeons who are calling for a greater national effort to tackle the issue of tooth decay in young people including:

  • 1) Urgently identifying a ‘new home’ for oral health work, in the wake of the planned changes at Public Health England
  • 2) Extension of the successful ‘Soft Drinks Industry Levy’ to milkshakes and other sugary milky drinks
  • 3) Introducing a national supervised tooth brushing scheme in England, based on the successful ‘Designed to Smile’ programme in Wales and ‘Childsmile’ scheme in Scotland

Faculty Dean, Mr Matthew Garrett said:

“It is likely that lockdown will have had a damaging effect on children’s oral health too, with reduced access to routine dental treatment, and disrupted routines which could undermine tooth brushing habits.

“At the moment oral health has been left out in the cold with Public Health England having been scrapped, without replacements for all its functions.

“We look forward to working with government to resolve this, and we are seeking a renewed commitment to sugar taxes and supervised brushing. Only these measures will bring about a radical reduction in the number of children suffering from preventable tooth decay.”

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