Title page
Contents
About Public Health England 2
Executive summary 4
Section 1. Introduction 7
Section 2. Background 8
Section 3. Survey method 10
Section 4. Results 12
Participation in the survey 12
Prevalence of tooth decay at age five 12
Dental indicator for Public Health Outcomes Framework 14
Trends in prevalence of tooth decay over time 15
Severity of tooth decay at age five 18
Trends in tooth decay severity over time 20
Severity of tooth decay in children with experience of tooth decay 23
The average number of decayed, missing or filled teeth 26
The Care Index 27
Proportion of children with missing teeth due to tooth decay 28
Children with sepsis at the time of examination 28
Children with substantial amounts of plaque at the time of the examination 29
Health inequalities 30
Deprivation 30
Ethnicity 32
Section 5. Summary and putting this information to use 34
References 37
Appendix 1. Dental indicator for Public Health Outcomes Framework 40
Appendix 2. Ward tables for local authorities in South Yorkshire 41
Appendix 3. Ward tables for local authorities in West Yorkshire 48
Appendix 4. Ward tables for local authorities in North Yorkshire and Humber 56
Figure 1. Upstream/downstream: options for oral disease prevention 9
Figure 2. Percentage of five-year-old children with tooth decay experience by region, 2015 12
Figure 3. Percentage of five-year-old children with tooth decay experience in Yorkshire and The Humber by local authority, 2015 13
Figure 4. Map of percentage of five-year-old children with tooth decay experience in Yorkshire and The Humber by local authority, 2015 14
Figure 5. Percentage of five-year-old children with tooth decay experience in England and Yorkshire and The Humber, 2008, 2012 and 2015 15
Figure 6. Percentage of five-year-old children with tooth decay experience in South Yorkshire by local authority, 2008, 2012 and 2015 16
Figure 7. Percentage of five-year-old children with tooth decay experience in West Yorkshire by local authority, 2008, 2012 and 2015 16
Figure 8. Percentage of five-year-old children with tooth decay experience in North Yorkshire and Humber by local authority, 2008, 2012 and 2015 17
Figure 9. Average number of decayed, missing and filled teeth among five-year-old children by region, 2015 18
Figure 10. Average number of decayed, missing and filled teeth among five-year-old children in Yorkshire and The Humber by local authority, 2015 19
Figure 11. Map of the average number of decayed, missing and filled teeth among five-year-old children in Yorkshire and The Humber by local authority, 2015 20
Figure 12. Average number of decayed, missing and filled teeth among five-year-old children in England and Yorkshire and The Humber, 2008, 2012 and 2015 21
Figure 13. Average number of decayed, missing and filled teeth among five-year-old children in South Yorkshire by local authority, 2008, 2012 and 2015 22
Figure 14. Average number of decayed, missing and filled teeth among five-year-old children in West Yorkshire by local authority, 2008, 2012 and 2015 22
Figure 15. Average number of decayed, missing and filled teeth among five-year-old children in North Yorkshire and Humber by local authority, 2008, 2012 and 2015 23
Figure 16. Severity of tooth decay experience in five-year-old children with any tooth decay by region, 2015 24
Figure 17. Severity of tooth decay experience in five-year-old children with any tooth decay in Yorkshire and The Humber by local authority, 2015 25
Figure 18. The average number of decayed, missing or filled teeth among five-year-old children in Yorkshire and The Humber by local authority, 2015 26
Figure 19. Care Index among five-year-old children in Yorkshire and The Humber by local authority, 2015 27
Figure 20. Percentage of five-year-old children with experience of tooth decay who have missing teeth by region, 2015 28
Figure 21. Percentage of five-year-old children with evidence of sepsis by region, 2015 29
Figure 22. Percentage of five-year-old children with substantial amounts of plaque by region, 2015 30
Figure 23. Percentage of five-year-old children with tooth decay experience by national deprivation quintile score in Yorkshire and The Humber, 2015 31
Figure 24. Average number of decayed, missing and filled teeth by national deprivation quintile score in Yorkshire and The Humber, 2015 31
Figure 25. Percentage of five-year-old children with tooth decay experience by ethnic group in Yorkshire and The Humber, 2015 32
Figure 26. Average number of decayed, missing and filled teeth among five-year-old children in Yorkshire and The Humber by ethnic group, 2015 33
Table 1. Wards in Barnsley ranked by prevalence of tooth decay in five-year-old children, 2015 41
Table 2. Wards in Doncaster ranked by prevalence of tooth decay in five-year-old children, 2015 43
Table 3. Wards in Rotherham ranked by prevalence of tooth decay in five-year-old children, 2015 44
Table 4. Wards in Sheffield ranked by prevalence of tooth decay in five-year-old children, 2015 46
Appendix 3. Ward tables for local authorities in West Yorkshire 49
Table 1. Wards in Bradford ranked by prevalence of tooth decay in five-year-old children, 2015 49
Table 2. Wards in Calderdale ranked by prevalence of tooth decay in five-year-old children, 2015 51
Table 3. Wards in Kirklees ranked by prevalence of tooth decay in five-year-old children, 2015 52
Table 4. Wards in Leeds ranked by prevalence of tooth decay in five-year-old children, 2015 53
Table 5. Wards in Wakefield ranked by prevalence of tooth decay in five-year-old children, 2015 55
Table 1. Wards in East Riding of Yorkshire ranked by prevalence of tooth decay in five-year-old children, 2015 56
Table 2. Wards in Kingston upon Hull ranked by prevalence of tooth decay in five-year-old children, 2015 57
Table 3. Wards in North East Lincolnshire ranked by prevalence of tooth decay in five-year-old children, 2015 58
Table 4. Wards in North Lincolnshire ranked by prevalence of tooth decay in five-year-old children, 2015 60
Table 5. Wards in York ranked by prevalence of tooth decay in five-year-old children, 2015 62
Table 6. Wards in Craven ranked by prevalence of tooth decay in five-year-old children, 2015 63
Table 7. Wards in Hambleton ranked by prevalence of tooth decay in five-year-old children, 2015 64
Table 8. Wards in Harrogate ranked by prevalence of tooth decay in five-year-old children, 2015 65
Table 9. Wards in Richmondshire ranked by prevalence of tooth decay in five-year-old children, 2015 66
Table 10. Wards in Ryedale ranked by prevalence of tooth decay in five-year-old children, 2015 67
Table 11. Wards in Scarborough ranked by prevalence of tooth decay in five-year-old children, 2015 68
Table 12. Wards in Selby ranked by prevalence of tooth decay in five-year-old children, 2015 69
Figure 1. Percentage of five-year-old children with no obvious tooth decay experience in Yorkshire and The Humber by local authority, 2015 40
Appendix 2. Ward tables for local authorities in South Yorkshire 42
Figure 1. Map of percentage of five-year-old children with tooth decay experience in Barnsley, 2015 42
Figure 2. Map of percentage of five-year-old children with tooth decay experience in Rotherham, 2015 45
Figure 3. Map of percentage of five-year-old children with tooth decay experience in Sheffield, 2015 47
Appendix 3. Ward tables for local authorities in West Yorkshire 50
Figure 1. Map of percentage of five-year-old children with tooth decay experience in Bradford, 2015 50
Figure 2. Map of percentage of five-year-old children with tooth decay experience in Leeds, 2015 54
Appendix 4. Ward tables for local authorities in North Yorkshire and Humber 59
Figure 1. Map of percentage of five-year-old children with tooth decay experience in North East Lincolnshire, 2015 59
Figure 2. Map of percentage of five-year-old children with tooth decay experience in North Lincolnshire, 2015 61