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Dentists: Scotland’s deep oral health inequalities persist

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With new data showing Scotland’s oral health gap shows little sign of closing the British Dental Association has warned that decades of progress on children’s dental health risk going into reverse. 

The latest report of the National Dental Inspection Programme, published today, shows stark and persistent inequalities are widening between Scotland’s most deprived and most affluent communities. Just 68.1% of P7 children in the tenth most deprived areas were found to be decay free – compared to 89.7% in the tenth least deprived – a gap of 21.6% up from 20.1% in 2019.

Over four out of five Primary 7 children (81.9%) in 2023 had no obvious decay experience in their permanent teeth – up from barely half (52.9%) in 2005. The BDA celebrate the huge progress made in recent decades, but warn gains may not be sustainable given ongoing access problems and disruption to preventive programmes.

Earlier this year the BDA warned the Scottish Parliament’s COVID Recovery Committee, that Scotland has lost more than a year’s worth of NHS dentistry since lockdown, and levels of activity remain lightyears from pre-pandemic norms. 

Reform to the system NHS dentists work to is being rolled out from 1 November. While the BDA has secured some improvements, the Scottish Government was unwilling to make a decisive break from the discredited low margin/high volume model that has proved incompatible with work post-pandemic. There remain question marks as to whether the level of change will be sufficient to keep practices sustainable and narrow inequalities of both access and outcomes.

The BDA understands the pioneering Childsmile Programme is not universally accessible across all nurseries in Scotland and that some nurseries are expressing “hesitancy” to implement it in the COVID recovery period.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee, said:

“Our children are paying the price for the crisis in NHS dentistry hard won gains are going into reverse.

 “Certainly, there is no room complacency at Holyrood, as the oral health gap between rich and poor shows little sign of closing.

“It remains to be seen if coming reforms will be enough to bring this service back from the brink. The Scottish Government cannot pretend it is ‘Mission Accomplished’ for NHS dentistry.”

Image by svklimkin from Pixabay