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Oral Health Profile: Essex local authority
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ealth Essex Published December 2020
Oral health of 5-year-old children p
This profile describes the oral health of 5-year- rofile olds living in Essex. It uses data from the National Dental Epidemiology Programme 2019 survey of 5-year-old children1.
The profile is designed to help local government and health services improve the oral health and wellbeing of children and tackle
health inequalities.
In Essex 2,519 5-year-olds (approximately 50.1% of those sampled) were examined at school by trained and calibrated examiners using the national standard method2.
Figure 1: Prevalence of experience of dental decay and mean number of teeth with experience of dental decay in 5-year-olds in Essex, other local authorities in the East of England and England.
2.0 45 Average filled teeth 1.8 Average missing (due to decay) teeth 40 Average decayed teeth 1.6 % with decay experience 35 1.4 30 1.2 25 1.0 20 0.8 15 0.6
Meannumber ofteeth 10 0.4 Did not 5 0.2 participate
0.0 0
Prevalence Prevalence ofexperience ofdental decay (%)
Luton
Essex
Suffolk
Norfolk
Bedford
Sea
Thurrock
Central
EAST EAST OF
ENGLAND ENGLAND
Bedfordshire
Hertfordshire
Peterborough Southend-on-
Area Cambridgeshire
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Oral Health Profile: Essex local authority
Table 1: Experience of dental decay in 5-year-olds in Essex, other local authorities in the East of England and England.
Mean number of teeth Mean number of teeth with experience of Prevalence of with experience of dental decay in children experience of dental decay in all Local authority with any decay dental decay examined children experience (%) n (95% confidence n (95% confidence intervals) intervals) 1.4 3.7 Peterborough 37.7 (1.05 - 1.75) (3.03 - 4.38) 1.5 4.1 Luton 36.8 (1.16 - 1.84) (3.39 - 4.75) 1.0 4.2 Bedford 24.7 (0.73 - 1.33) (3.40 - 4.92) 0.8 3.3 Thurrock 23.6 (0.53 - 1.06) (2.63 - 4.07) 0.8 3.4 England 23.4 (0.78 - 0.81) (3.36 - 3.44) 0.6 2.9 Essex 20.4 (0.54 - 0.66) (2.73 - 3.15) 0.6 2.8 Southend-on-Sea 20.3 (0.34 - 0.80) (2.06 - 3.56) 0.6 3.3 East of England 19.0 (0.60 - 0.67) (3.21 - 3.48) 0.7 4.0 Norfolk 17.3 (0.60 - 0.78) (3.67 - 4.33) 0.5 3.2 Cambridgeshire 16.7 (0.44 - 0.63) (2.79 - 3.61) 0.5 3.2 Suffolk 15.7 (0.42 - 0.58) (2.85 - 3.52) 0.4 2.8 Central Bedfordshire 14.5 (0.19 - 0.61) (1.81 - 3.74)
Hertfordshire Did not participate
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Oral Health Profile: Essex local authority
Table 2. Measures of oral health among 5-year-olds in Essex, it’s statistical neighbours,i the East of England and England.
Statistical Statistical neighbour within neighbour East of Essex East of England: England comparator 1: England Central Kent Bedfordshire Prevalence of experience of dental 20.4% 14.5% 19.9% 19.0% 23.4% decay Mean number of teeth with experience of 0.6 0.4 0.7 0.6 0.8 dental decay Mean number of teeth with experience of decay in those with 2.9 2.8 3.3 3.3 3.4 experience of dental decay Mean number of decayed teeth in 2.3 1.7 2.4 2.6 2.7 those with experience of dental decay Proportion with active 17.7% 11.0% 16.4% 16.3% 20.4% decay Proportion with experience of tooth 1.4% 0.7% 2.2% 1.8% 2.2% extractionii Proportion with dental 0.4% 1.0% 0.1% 0.7% 1.0% abscess Proportion with teeth 2.1% 1.7% 2.0% 2.5% 3.3% decayed into pulp
Proportion with decay 2.2% 3.0% 2.4% 3.5% 5.2% affecting incisorsiii
Proportion with high levels of plaque present 1.2% 0.0% 0.2% 0.5% 1.2% on upper front teethiv i generated by the children's services statistical neighbour benchmarking tool, the neighbour within the East of England has “Very Close” comparator characteristics and the national neighbour 1 has “Extremely Close” comparator characteristics3. ii experience of extraction of one or more teeth on one or more occasions. iii dental decay involving one or more surfaces of upper anterior teeth. iv indicative of poor tooth brushing habits.
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Oral Health Profile: Essex local authority
Figure 2: Prevalence of experience of dental decay in 5-year-olds in Essex, by local authority Index of Multiple Deprivation (IMD) 2019 quintiles. 35
30
25
20
15
10
5
Prevalence Prevalence ofexperience ofdental decay (%) 0 Most deprived Second most Third most deprived Second least Least deprived deprived deprived
IMD 2019 quintiles (within local authority) Error bars represent 95% confidence limits
Figure 3: Slope index of inequality in the prevalence of experience of dental decay in 5-year- olds in the East of England. 40 SII = 21.6% 35
30
25
20
15
10
Prevalence Prevalence ofexperience ofdental decay (%) 5
0 Most 2 3 4 5 6 7 8 9 Least deprived deprived IMD 2019 national deciles Error bars represent 95% confidence limits 4
Oral Health Profile: Essex local authority
Figure 4: Prevalence of experience of dental decay in 5-year-olds in Essex local authorities, the East of England and England, by year.
45
40
35
30
25
20
15
10 Prevalence Prevalence ofexperience ofdental decay (%) 5
0 Castle Chelmsfor Epping East of Basildon Braintree Brentwood ChelmsfordColchester Harlow Maldon Rochford Tendring Uttlesford Essex England Point d Forest England England 2008 35.5 16.0 27.2 23.7 23.0 20.4 30.9 30.0 25.5 20.5 25.2 17.1 24.3 24.8 30.9 2012 No data No data No data 18.1 No data 21.2 24.9 22.4 No data 15.5 26.8 15.5 20.6 23.0 27.9 2015 16.1 16.5 15.6 19.8 14.5 18.5 17.4 15.4 10.6 12.9 21.0 10.5 16.0 20.3 24.7 2017 17.7 14.1 17.1 15.4 13.5 20.1 10.8 10.9 11.4 9.7 21.5 7.4 14.5 18.0 23.3 2019 34.3 7.3 33.4 19.2 21.0 21.4 17.5 25.0 11.3 21.8 18.6 9.7 20.4 19.0 23.4
Error bars represent 95% confidence limits
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Oral Health Profile: Essex local authority
Table 3: Experience of dental decay in 5-year-olds in the East of England, by ethnic group.
Ethnic group Number of Prevalence of Mean number of teeth Prevalence of children experience of with experience of dental decay examined dental decay dental decay among affecting incisors (N) (%) children with any (%) experience of dental decay n (95% CI) Asian/Asian 4.2 336 37.2 12.8 British (3.59 - 4.75) 4.4 Mixed 233 24.0 8.6 (3.54 - 5.28) Other ethnic 4.4 48 20.8 6.3 background (2.37 - 6.43) 3.4 White 4,546 18.7 2.8 (3.17 - 3.56) 3.1 Not provided 3,118 17.6 3.2 (2.84 - 3.26) Black/Black 3.3 139 17.3 3.6 British (2.24 - 4.43) 3.3 East of England 8,420 19.0 3.5 (3.21 - 3.48)
Figure 5: Prevalence of experience of dental decay in 5-year-olds in the East of England, by ethnic group.
45
40
35
30
25
20
dental decay dental (%) decay 15
10 Prevalence Prevalence ofexperience of
5
0 Asian/Asian Mixed Other ethnic White Not provided Black/Black British background British Ethnic group
Error bars represent 95% confidence limits 6
Oral Health Profile: Essex local authority
Figure 6: Prevalence of experience of dental decay in 5-year-olds in Essex, by lower-tier local authority, 2019.
Braintree Uttlesford (7.3%) (9.7%) Tendring Colchester (18.6%) (21.4%)
Harlow (25.0%) Percentage with experience Chelmsford of dental decay Epping (21.0%) Forest Maldon (17.5%) (11.3%) Brentwood (33.4%) Rochford Basildon (21.8%) (34.3%) Castle Point (19.2%)
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Oral Health Profile: Essex local authority
Figure 7: Prevalence of experience of dental decay in 5-year-olds in Brentwood, by middle layer super output area, 2019.
001 002 (30.0%)
005 006 (23.8%) (52.9%) 004 003 (52.2%) (22.7%)
007 (33.3%)
009 008 (19.0%) Percentage with experience of (38.1%) dental decay
Data not available
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Oral Health Profile: Essex local authority
Figure 8: Prevalence of experience of dental decay in 5-year-olds in Castle Point, by ward, 2017.
St. St. Peter’s George’s (18.2%) (22.6%) Cedar Victoria Hall (15.4%) (17.9%) Appleton (15.0%)
St. Mary’s Boyce (7.5%) St. James
Canvey Island Winter Gardens Canvey (21.9%) Island Canvey Island West North Canvey Island Central (18.2%) Canvey Island East (23.5%) Canvey Island South (14.3%)
Percentage with experience of dental decay
Data not available
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Oral Health Profile: Essex local authority
Figure 9: Prevalence of experience of dental decay in 5-year-olds in Harlow, by ward, 2017.
Old Harlow Mark Hall (12.5%) (13.0%)
Little Parndon and Netteswell Hare Street (15.6%) (5.7%)
Church Langley Toddbrook Bush Fair (9.7%) Great (10.5%) Harlow Parndon Common (12.0%) (7.1%)
Sumners Staple Tye and (20.7%) Kingsmoor Percentage with experience of (16.7%) dental decay
Data not available
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Oral Health Profile: Essex local authority
Figure 10: Prevalence of experience of dental decay in 5-year-olds in Maldon, by middle layer super output area, 2017.
002 001
003 004 (9.1%) (25.0%) 003 005 (9.1%) (7.7%)
006 (15.6%)
007 (9.5%)
008 (12.5%)
Percentage with experience of dental decay
Data not available
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Oral Health Profile: Essex local authority
Figure 11: Prevalence of experience of dental decay in 5-year-olds in Rochford, by middle layer super output area, 2017.
001 002 (0.0%) (8.0%) 004 006 (14.3%) 003 (8.0%) (8.2%) 005 (13.6%) 007 010 008 009 (10.7%) (15.4%) (14.3%)
Percentage with experience of dental decay
Data not available
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Oral Health Profile: Essex local authority
Figure 12: Prevalence of experience of dental decay in 5-year-olds in Uttlesford, by middle layer super output area, 2019.
001 (5.3%)
002 (15.2%) 003 (2.4%) 004 (16.7%)
005 (13.2%)
006 (3.8%) 008 (18.2%) 007 (4.3%)
009 (0.0%)
Percentage with experience of dental decay
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Oral Health Profile: Essex local authority
Summary
In Essex average levels of dental decay are lower than the average for England, however, within Essex there are areas where there are higher than average levels of experience of dental decay. At lower-tier local authority level, children living in Brentwood and Basildon have the highest levels of experience of dental decay. Within Brentwood, the highest levels of experience of dental decay are clustered around the middle super output areas of Brentwood 004 and 006.
The small sample sizes in some areas mean it is not possible to provide information at ward level. Future surveys could be commissioned to provide larger samples to facilitate local analysis. Commissioning High Quality Information to Support Oral Health Improvement: A toolkit about dental epidemiology for local authorities, commissioners and partners is available to support the commissioning of oral health surveys4.
Public health interventions can improve child oral health at a local level. Local authorities improving oral health: commissioning better oral health for children and young people is available to support local authorities to commission oral health improvement programmes for children and young people aged up to 19 years5.
If further local analysis is required, please contact the national dental public health team: [email protected]
References
1. Public Health England (2020). National Dental Epidemiology Programme for England: oral health survey of 5-year-olds 2019 [Online]. Available at: https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2019 [Accessed 29 May 2020].
2. Pine, C.M., Pitts, N.B. and Nugent, Z.J. (1997a). British Association for the Study of Community Dentistry (BASCD) guidance on the statistical aspects of training and calibration of examiners for surveys of child dental health. A BASCD co-ordinated dental epidemiology programme quality standard. Community Dental Health 14 (Supplement 1):18-29.
3. Children's services statistical neighbour benchmarking tool [online]. Available at: www.gov.uk/government/publications/local-authority-interactive-tool-lait [Accessed 29 May 2020].
4. Public Health England (2016). Commissioning high quality information to support oral health improvement. A toolkit about dental epidemiology for local authorities, commissioners and partners [Online]. Available at: 14
Oral Health Profile: Essex local authority
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/ file/773332/Commissioning_High_Quality_Information_to_Support_Oral_Health_Improvement. pdf
5. Public Health England (2014). Local authorities improving oral health: commissioning better oral health for children and young people [Online]. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachme nt_data/file/321503/CBOHMaindocumentJUNE2014.pdf
More information is available at www.gov.uk/government/collections/oral-health Please send any enquiries to [email protected]
PHE publications gateway number: GW-1530 © Crown Copyright, 2020. You may re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence
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