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Chronic disease
SP1-48 Reductions in dental caries in 3-year-old children in greater Glasgow and Clyde
  1. A D McMahon1,
  2. Y Blair2,
  3. D R McCall2,
  4. L M D Macpherson1
  1. 1Glasgow University Dental School, Glasgow, Scotland, UK
  2. 2NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK

Abstract

The objective of this study was to examine dental inspection data from 3-year-old children in Greater Glasgow and Clyde, Scotland, over 4 years to assess oral health trends during a period of implementation of a national child dental health improvement programme (Childsmile). Dental inspections of 3-year-old children in Greater Glasgow and Clyde were undertaken in the academic years 2006/7, 2007/8 (the baseline years), 2008/9 and 2009/10 (post intervention). The number of decayed, missing and filled teeth was calculated (d3mft), together with the percentage d3mft>0. The study also examined the effect of socioeconomic status using the Scottish Index of Multiple Deprivation (SIMD). In total, 10 022 children were inspected (19% of the population). The weighted percentage of children with caries experience was 26% in 2006/7, 25% (2007/8), reducing to 18% (2007/8) and 17% (2009/10). When compared to the first baseline year of 2006/7, the OR was 0.91 for 2007/8 (0.79–1.06, p=0.221), 0.63 for 2008/9 (0.55–0.72, p<0.001), and 0.50 for 2009/10 (0.43–0.58, p<0.001). The weighted mean d3mft was 1.1 in 2006/7, 1.0 in 2007/8 (p=0.869), 0.6 in 2008/9 (p<0.001) and 0.4 in 2009/10 (p<0.001). Caries reductions were seen in all socioeconomic groups. This study demonstrates that it is possible to impact upon the prevalence and morbidity of dental caries across the socioeconomic spectrum in a population. The dental health of young children in the NHS Greater Glasgow and Clyde Board area has improved significantly in recent years.

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