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Child hospital admissions caused by decay going unchallenged

We have warned that new data on hospital tooth extractions among 0 to 19 year olds understates the level of demand, given huge backlogs and only partial recovery of elective services.

Official Statistics - Hospital tooth extractions in 0 to 19 year olds 2022

While numbers remain well below pre-COVID levels for now, the data confirms that tooth decay remains the most common reason for hospital admissions in children aged between 6 and 10 years – and that rates for children and young people living in the most deprived communities are nearly 3.5 times that of those living in the most affluent.

The BBC reported in August that 91% of dental practices in England were unable to take on new adult NHS patients, with 79% unable to take on new child patients. We are deeply concerned that ongoing and severe access problems, together with disruption to public health programmes and lockdown diets will widen these deep oral health inequalities. Nearly 50m NHS dental appointments have been lost in England since lockdown, with dentists now reporting typical patients presenting with higher levels of need.

The Health and Social Care Committee is set to begin receiving oral evidence next month on the crisis in NHS dentistry in England. The Government is failing to deliver on much-needed reform and investment. This week it was revealed that during this unprecedented access crisis over 10% of the service’s already inadequate £3bn budget is set to be handed back. Dental practices are struggling to hit government targets owing to widespread recruitment problems, with a growing exodus from the NHS.

BDA Chair Eddie Crouch said: “Tooth decay is still going unchallenged as the number one reason for hospital admissions among young children.

“Decay and deprivation are going hand in hand, and this inequality is set to widen.

“None of this is inevitable. This government needs to be willing to take off the gloves when it comes to fighting a wholly preventable disease.”