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Oral H Ealth P Rofile Or Oral Health Profile: Blackburn with Darwen local authority al h ealth Blackburn with Darwen Published April 2021 Oral health of 5-year-old children p This profile describes the oral health of 5-year- rofile olds living in Blackburn with Darwen. 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 Blackburn with Darwen 210 5-year-olds (approximately 48.0% 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 Blackburn with Darwen, other local authorities in the North West and England. 2.6 Average filled teeth 55 2.4 Average missing (due to decay) teeth 50 2.2 Average decayed teeth 45 2.0 % with decay experience 40 1.8 1.6 35 1.4 30 1.2 25 1.0 20 0.8 Meannumber of teeth 15 0.6 10 0.4 Did not 0.2 participate 5 0.0 0 Bury Prevalence Prevalence of experience of dentaldecay (%) Brent Wirral Bolton Wigan Halton Sefton Salford Harrow Oldham Trafford Cumbria Newham Liverpool Stockport Rochdale Knowsley Blackpool Hounslow Tameside Redbridge St. Helens ENGLAND Warrington Lancashire Manchester Cheshire East Cheshire NORTH WEST Tower Hamlets Tower Cheshire West and… Cheshire with Darwen Blackburn Local authority 1 Oral Health Profile: Blackburn with Darwen local authority Table 1: Experience of dental decay in 5-year-olds in Blackburn with Darwen, other local authorities in the North West and England. Mean number of teeth Mean number of teeth Prevalence with experience of with experience of of dental decay in children dental decay in all Local authority experience with any decay examined children of dental experience n (95% confidence decay (%) n (95% confidence intervals) intervals) 2.3 4.6 Blackburn with Darwen 50.9 (1.87 - 2.82) (3.94 - 5.29) 1.9 4.4 Oldham 43.2 (1.45 - 2.34) (3.63 - 5.16) 1.7 4.3 Rochdale 40.7 (1.30 - 2.19) (3.64 - 4.93) 1.6 4.2 Salford 39.0 (1.25 - 2.01) (3.48 - 4.88) 1.8 4.6 Manchester 38.3 (1.43 - 2.10) (3.98 - 5.24) 1.4 3.7 Liverpool 37.0 (1.05 - 1.69) (3.09 - 4.33) 1.3 3.8 Knowsley 35.4 (0.93 - 1.75) (2.94 - 4.63) 1.4 3.9 Bury 35.2 (1.07 - 1.66) (3.35 - 4.44) 1.1 3.4 Blackpool 33.4 (0.74 - 1.56) (2.50 - 4.35) 1.0 3.1 Tameside 33.1 (0.75 - 1.31) (2.52 - 3.71) 1.1 3.5 Bolton 32.7 (0.84 - 1.45) (2.83 - 4.18) 1.0 3.2 Wigan 31.9 (0.79 - 1.26) (2.70 - 3.74) 1.2 3.8 NORTH WEST 31.7 (1.14 - 1.25) (3.65 - 3.89) 1.2 3.8 Lancashire 30.4 (1.06 - 1.25) (3.59 - 4.02) 1.0 3.4 Sefton 29.4 (0.67 - 1.30) (2.61 - 4.10) 1.0 3.8 Halton 27.0 (0.72 - 1.36) (3.01 - 4.67) 2 Oral Health Profile: Blackburn with Darwen local authority Mean number of teeth Mean number of teeth Prevalence with experience of with experience of of dental decay in children dental decay in all Local authority experience with any decay examined children of dental experience n (95% confidence decay (%) n (95% confidence intervals) intervals) 1.0 3.9 Trafford 26.0 (0.72 - 1.32) (3.05 - 4.77) 0.8 3.1 Warrington 24.3 (0.52 - 1.01) (2.43 - 3.85) 0.8 3.2 Cumbria 24.2 (0.67 - 0.86) (2.89 - 3.43) 0.8 3.4 ENGLAND 23.4 (0.78 - 0.81) (3.36 - 3.44) Cheshire West and 0.6 2.6 22.7 Chester (0.41 - 0.78) (2.07 - 3.19) 0.7 3.1 Stockport 22.0 (0.43 - 0.94) (2.21 - 3.99) Cheshire East Did Not Participate St. Helens Did Not Participate Wirral Did Not Participate 3 Oral Health Profile: Blackburn with Darwen local authority Table 2. Measures of oral health among 5-year-olds in Blackburn with Darwen, it’s statistical neighbours,i the North West and England. Statistical Statistical Blackburn with neighbour within neighbour North England Darwen North West: comparator 1: West Bolton Walsall Prevalence of experience of dental 50.9% 32.7% 27.1% 31.7% 23.4% decay Mean number of teeth with experience of 2.3 1.1 0.8 1.2 0.8 dental decay Mean number of teeth with experience of decay in those with 4.6 3.5 2.9 3.8 3.4 experience of dental decay Mean number of decayed teeth in 3.5 3.3 2.4 3.0 2.7 those with experience of dental decay Proportion with active 47.7% 32.3% 23.8% 29.0% 20.4% decay Proportion with experience of tooth 5.3% 0.4% 1.6% 2.9% 2.2% extractionii Proportion with dental 1.3% 0.0% 0.1% 1.2% 1.0% abscess Proportion with teeth 10.6% 4.4% 3.0% 5.5% 3.3% decayed into pulp Proportion with decay 14.0% 7.4% 5.8% 7.7% 5.2% affecting incisorsiii Proportion with high levels of plaque present 4.6% 0.0% 1.2% 2.2% 1.2% on upper front teethiv i generated by the children's services statistical neighbour benchmarking tool, the neighbour within the North West has “Close” comparator characteristics and the national neighbour 1 has “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. 4 Oral Health Profile: Blackburn with Darwen local authority Figure 2: Prevalence of experience of dental decay in 5-year-olds in Blackburn with Darwen, by local authority Index of Multiple Deprivation (IMD) 2019 quintiles. 80 75 70 65 60 55 50 45 40 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 North West. 50 45 SII = 34.4% 40 35 30 25 20 15 10 Prevalence Prevalence of experience ofdecay dental (%) 5 0 Most 2 3 4 5 6 7 8 9 Least deprived deprived IMD 2019 national deciles Error bars represent 95% confidence limits 5 Oral Health Profile: Blackburn with Darwen local authority Figure 4: Prevalence of experience of dental decay in 5-year-olds in Blackburn with Darwen, the North West and England, by year. 65 60 55 50 45 40 35 30 25 20 15 10 Prevalence Prevalence of experience of dentaldecay (%) 5 0 Blackburn with Darwen North West EnglandEngland 2008 51.3 38.1 30.9 2012 41.1 34.8 27.9 2015 55.7 33.4 24.7 2017 42.6 33.9 23.3 2019 50.9 31.7 23.4 Error bars represent 95% confidence limits 6 Oral Health Profile: Blackburn with Darwen local authority Table 3: Experience of dental decay in 5-year-olds in the North West, 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) Other ethnic 5.0 78 67.9 30.8 background (4.05 - 5.98) Asian / Asian 4.7 803 50.4 20.0 British (4.39 - 5.07) 3.8 Not provided 97 41.2 9.3 (2.59 - 4.96) Black / Black 3.9 200 38.5 12.5 British (3.25 - 4.62) 3.4 Mixed 223 32.3 9.0 (2.74 - 4.10) 3.4 White 6,753 26.7 4.9 (3.25 - 3.51) 3.8 North West 8,154 31.7 7.7 (3.65 - 3.89) Figure 5: Prevalence of experience of dental decay in 5-year-olds in the North West, by ethnic group. 80 70 60 50 40 decay decay (%) 30 20 10 Prevalence Prevalence of experience of dental 0 Other ethnic Asian / Asian Not provided Black / Black Mixed White background British British Ethnic group Error bars represent 95% confidence limits 7 Oral Health Profile: Blackburn with Darwen local authority Table 4: Prevalence and severity of experience of dental decay in 5-year-olds in Blackburn with Darwen, by locality. Mean number of Mean number of teeth Prevalence of teeth with with experience of experience of experience of dental dental decay in children Locality dental decay decay in all with any decay (%) examined children experience n (95% CI) n (95% Cl) 3.2 5.0 East 63.6 (1.67 - 4.69) (3.23 - 6.77) 2.0 3.9 West 52.6 (1.48 - 2.60) (3.11 - 4.65) 2.8 6.3 North 45.2 (1.58 - 4.09) (4.44 - 8.09) 1.1 3.4 Darwen & Rural 32.7 (0.48 - 1.73) (2.00 - 4.75) Summary In Blackburn with Darwen average levels of dental decay are higher than the average for England.
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