Key Points
-
Highlights that there has been little change in reported attendance patterns since the 2003 survey.
-
Highlights oral health inequalities in the survey population that require continued action.
-
Notes that family deprivation negatively influenced dental attendance for regular check-ups.
-
Emphasises that most parents reported overall satisfaction with the last dental practice their child had visited.
Abstract
Background The 2013 Children's Dental Health survey is the fifth in a series of national surveys.
Aims This paper describes children's reported use of dental services, their experience of receiving dental treatment and parental satisfaction with services.
Methodology A representative sample of children (aged 5, 8, 12 and 15 years) in England, Wales and Northern Ireland were invited to participate in dental examinations. Older children and all parents were invited to complete a questionnaire about oral health behaviours and attitudes.
Results Over 80% of 12- and 15-year-olds reported attending for a check-up. According to parents, 9 in 10 children of all ages had visited a dentist in the last year and 9 in 10 parents reported they were satisfied with the last dental practice their child had visited. There was some variation by country with respect to children's experiences of fillings and extractions.
Conclusions There has been little change in the reported attendance patterns of children since the 2003 survey. Family deprivation (measured by children's eligibility for free school meals) negatively influenced dental attendance for regular check-ups, attendance within the last 12 months and the likelihood of having experienced difficulties accessing NHS dental services for children.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Todd J E . Children's dental health in England and Wales 1973. London: HMSO, 1975.
Freeman R . Reforming NHS dentistry. Br Med J 2008; 336: 1202–1203.
Department of Health. NHS dental services in England: An independent review led by Professor Jimmy Steele. London: Department of Health, 2009.
Department of Health. Dental Contract Reform: Prototypes. Overview document. London: Department of Health, 2015.
National Institute for Health and Care Excellence. Clinical Guideline 19. Dental checks: intervals between oral health reviews. 2004. Available online at https://www.nice.org.uk/guidance/cg19 (accessed July 2015).
Public Health England. Delivering Better Oral Health: an evidence-based toolkit for prevention. Third edition. 2014. Available online at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/367563/DBOHv32014OCTMainDocument_3.pdf (accessed August 2015).
Marmot M . Fair society, healthy lives: strategic review of health inequalities in England post-2010. Available online at http://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review (accessed August 2015).
Public Health England. Local authorities improving oral health: commissioning better oral health for children and young people. 2014. Available online at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/321503/CBOHMaindocumentJUNE2014.pdf (accessed August 2015).
Anderson T, Thomas C, Ryan R, Dennes M, Fuller E . Children's Dental Health Survey 2013. Technical Report- England, Wales and Northern Ireland. Health and Social Care Information Centre, 2015.
StataCorp. Stata Statistical Software: Release 11. 11 Ed. College Station, TX StatCorp LP, 2009.
Tsakos G, Hill K, Chadwick B, Anderson T . Children's Dental Health Survey 2013. Report 1: Attitudes, Behaviours and Children's Dental Health. England, Wales and Northern Ireland, 2013. London: Health and Social Care Information Centre, 2015.
Department of Health. Consent for school inspections and dental epidemiological surveys. Gateway Reference 6673. 2006. Available online at http://webarchive.nationalarchives.gov.uk/20070402085944/http://dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4135529 (accessed July 2015).
White D A, Morris A J, Hill K B, Bradnock G . Consent and school-based surveys. Br Dent J 2007; 202: 715–717.
Dyer T A, Marshman Z, Merrick D, Wyborn C, Godson J H . School-based epidemiological surveys and the impact of positive consent requirements. Br Dent J 2008; 205: 589–592.
Acknowledgements
The authors wish to thank the children and young people who took part in the research as well as their parents and guardians. In addition, the authors express gratitude to the dental examining teams, field workers from the Office for National Statistics, staff in the schools visited and the individuals involved in the consortium for their invaluable contributions. The 2013 CDHS was commissioned by the Health and Social Care Information Centre (HSCIC) and the research was carried out by a consortium led by the Office for National Statistics. We particularly extend our thanks to Tom Anderson of the ONS Social Survey Division and the wider ONS research team.
Author information
Authors and Affiliations
Corresponding author
Additional information
Refereed Paper
Rights and permissions
About this article
Cite this article
Holmes, R., Porter, J., Devapal, L. et al. Patterns of care and service use amongst children in England, Wales and Northern Ireland 2013. Br Dent J 221, 509–514 (2016). https://doi.org/10.1038/sj.bdj.2016.781
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.bdj.2016.781
This article is cited by
-
Trends and inequalities in realised access to NHS primary care dental services in England before, during and throughout recovery from the COVID-19 pandemic
British Dental Journal (2023)
-
Providing sealants at the general anaesthetic assessment visit for children requiring caries-related dental extractions under general anaesthetic: a pilot randomised controlled trial
British Dental Journal (2021)
-
Outcomes and costs of pre-school and school-based fluoride varnish pilots
British Dental Journal (2017)


