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Oral H Ealth P Rofile Or Oral Health Profile: Essex local authority al h 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 Average missing (due to decay) teeth 1.8 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 of teeth 10 0.4 Did not 5 0.2 participate 0.0 0 Prevalence Prevalence of experience of dentaldecay (%) Luton Essex Suffolk Norfolk Bedford Sea Thurrock Central EAST OF ENGLAND ENGLAND Bedfordshire Hertfordshire Peterborough Southend-on- Area Cambridgeshire 1 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 2 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. 3 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 of experience of dentaldecay (%) 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 of experience of dentaldecay (%) 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 of experience of dentaldecay (%) 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 5 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 of experience 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%) 7 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 8 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 9 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 10 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.
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