Title page
Contents
About Public Health England 2
Executive summary 4
Introduction 6
Section 1. Methods 7
Methodological evaluation 8
Section 2. Results 10
Participation in the survey 10
Questionnaire findings 12
Characteristics of the sample population 12
Impacts of oral health 13
Denture wearing 16
Dental attendance 19
Clinical findings 22
Edentulousness and numbers of standing teeth 22
Presence of fixed and removable tooth replacements 25
Presence of calculus 26
Posterior functional contacts 27
Presence, type and status of dentures 29
Presence of current pain and PUFA conditions 33
Treatment need, urgency and setting 34
Section 3. Implications of results 37
Variations in health 37
Putting this information to use 37
Section 4. References 39
Appendix 1. Summary tables 40
Appendix 2. Survey questionnaire 44
Table 1. Characteristics of participants 12
Table 2. Ability to recall words by age group 12
Table 3. Self-reported impacts of specific oral health problems and frequency of occurrence in the previous year 14
Table 4. Experience of painful aching in the mouth by participant characteristic 15
Table 5. Interruption of meals or avoidance of eating with others by age group 15
Table 6. Discomfort eating any foods by participant characteristic 16
Table 7. Reported trouble pronouncing words by participant characteristic 16
Table 8. Participants self-conscious or embarrassed by their dental condition by participant characteristic 16
Table 9. Responses to the question 'Do you have a denture, even if you don't wear it?' by participant characteristic 17
Table 10. Responses to the question 'Are you content with the fit of your denture(s)?' by participant characteristic 18
Table 11. Responses to the question 'Is/are your denture(s) comfortable?' by participant characteristic 18
Table 12. Responses to the question 'Are you limited in your choice of foods because of your denture(s)?' by participant characteristic 19
Table 13. Responses to the question 'Roughly how long has it been since you last saw a dentist?' by participant characteristic 20
Table 14. Reasons given in response to the question 'What are the reasons why you have not seen a dentist in the last 2 years?' by participant characteristic 21
Table 15. Edentulousness and numbers of natural teeth by participant characteristic 23
Table 16. Numbers of missing natural teeth and replacements by participant characteristic 26
Table 17. Presence of visible calculus in dentate participants, by participant characteristic which showed differences 27
Table 18. Posterior functional contacts by participant characteristic 28
Table 19. Partial dentures by participant characteristic 30
Table 20. Full denture use by participant characteristic 32
Table 21. Dentures by participant characteristic 33
Table 22. Presence of current pain and PUFA conditions by participant characteristic 34
Table 23. Percentage of participants with various treatment needs 35
Table 24. Need for urgent treatment, by participant characteristic which showed differences 35
Table 25. Setting for the provision of treatment which would best meet the needs of the volunteer 36
Figure 1. Flow chart of responses 11
Figure 2. Proportion of different services delivered at home 13
Figure 3. Breakdown of 'other' reasons for not having seen a dentist the previous two years 22
Figure 4. Prevalence of edentulousness by age group for survey of mildly dependent older people (MDOP) and adult dental health survey (ADHS) 24
Figure 5. Prevalence of 21 or more teeth by age group 24
Figure 6. Average number of remaining natural teeth by age group 25
Appendix 1. Dental Public Health Epidemiology Programme for England, Oral Health Survey of mildly dependant older people 2016, upper tier local authority (LA) 41