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Dental Health

 This is the JSNA chapter on Oral Health. Theme chapters summarises implications for commissioning, who is at risk and why, the level of need in the population, service provision and use, unmet needs, what works in terms of evidence, community views and priorities, any related equality impact assessments, unmet service needs/gaps and recommendations for further needs assessment work. 

The 2013 Children’s Dental Health (CDH) Survey, commissioned by the Health and Social Care Information Centre, is the fifth in a series of national children’s dental health surveys that have been carried out every ten years since 1973.

The 2013 survey provides statistical estimates on the dental health of 5, 8, 12 and 15 year old children in England, Wales and Northern Ireland, using data collected during dental examinations conducted in schools on a random sample of children by NHS dentists and nurses. The survey measures changes in oral health since the last survey in 2003, and provides information on the distribution and severity of oral diseases and conditions in 2013.

The survey oversampled schools with high rates of free school meal eligibility to enable comparison of children from lower income families* (children eligible for free school meals in 2013) with other children of the same age, in terms of their oral health, and related perceptions and behaviours*.

The 2013 survey dental examination was extended so that tooth decay (dental caries) could be measured across a range of detection thresholds. This reflects the way in which the detection and management of tooth decay has evolved towards more preventive approaches to care, rather than just providing treatment for disease. This survey provides estimates for dental decay across the continuum of caries, including both restorative and preventive care needs*.

Complementary information on the children's experiences, perceptions and behaviours relevant to their oral health was collected from parents and 12 and 15 year old children using self-completion questionnaires. The self-completion questionnaire for older children was introduced for the 2013 survey.

You can access this resource by clicking here:

The report looks at indicators of health in people in fluoridated and non-fluoridated areas. The report covers a wide number of topics and health areas and provides further reassurance that water fluoridation is a safe and effective public health measure. PHE continues to keep the evidence base under review and will use this report as part of an ongoing dialogue with local authorities before publishing a further report within the next four years. The full report and executive summary are attached and they can also been downlaoded from

This summary report and associated tables present the results of standardised dental examinations of five year old children from across England during the 2011/12 school year. The tables provide details of total five year old population, sample size, number of children examined, along with weighted values for a number of dental and oral health indicators. Data and associated confidence intervals are presented at upper and lower tier local authority level.

The main report is attached. Please visit the website to view and download all associated tables and reports:

This is the Decayed, Missing and Filled Teeth JSNA Indicator Sheet from the Child and Maternal Health section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.


  • In general, children aged both 5 and 12 years old in Bolton have worse dental health than is average for England;
  • Bolton seems to perform considerably worse for 5 year olds;
  • Over 45% of 5 year olds and just under 40% of 12 year olds in Bolton have decay experience. In both cases Bolton is higher than England and higher than is average for its statistical peer group;
  • In Bolton, 2.9% of 5 year olds have evidence of sepsis, which is again higher than England and higher than is average for its peer group;
  • Bolton is one of the poorer performing districts in the Greater Manchester connurbation for the dental health of its 5 year olds.

Results of the Dental Survey 2007/08 in 5 year olds at Local Authority level.

An excel spreadsheet providing results of the 2008/09 Dental Survey of 12 year olds by Local Authority.

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