The 2023 Adult Oral Health Survey (AOHS), funded by the Department of Health and Social Care (DHSC), has revealed concerning trends in adult dental health in England. The study, the first comprehensive clinical survey since 2009, provides critical insights for policymakers, dental professionals, and the public.
King’s College London, part of the national academic consortium conducting the survey, highlighted contributions from Professor Jenny Gallagher, Professor Kirsty Hill, and Emeritus Professor Nigel Pitts.
Key Findings:
Teeth retention improves: Very few adults are now without natural teeth, and more are keeping their teeth into later life.
Tooth decay rises: Levels of tooth decay have increased, reversing improvements seen in previous decades and returning to rates last observed in 1998.
Dental attendance drops: Fewer adults attend regular check-ups, often seeking care only when problems arise, due to difficulty finding a dentist, affordability, and lack of perceived need.
Inequalities persist: Adults in deprived areas face higher levels of oral disease and pain, yet are less likely to access dental care.
The findings underscore the urgent need for a public health approach, investment in prevention, and collaborative action across communities, policymakers, and healthcare professionals.
King’s College London Perspective:
Professor Jenny Gallagher MBE, Newland-Pedley Professor of Oral Health Strategy, said: “Most people can expect to keep some teeth for life. However, 64% of adults show evidence of tooth decay—a largely preventable disease. Alarmingly, decay levels are now worse than in 2009, reversing previous progress.”
She emphasized that while dental teams are equipped to guide prevention, broader public health measures and improved access to care are essential to support healthy choices.
Public Health Advice:
Adults are encouraged to visit a dentist at least once every two years, or more often if recommended, following NICE guidance. Tooth decay and gum disease are largely preventable with proper daily self-care and routine dental visits, complemented by public health initiatives.