Dr. Nigel Carter OBE Chief Exicutive at Oral Health Foundation | Official website
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Patient Daily | Dec 10, 2025

Tooth decay among English adults returns to rates last seen in late 1990s

Tooth decay among adults in England has increased significantly, reaching levels similar to those seen in the late 1990s, according to new national data. The Adult Oral Health Survey 2023 reports that 41% of adults show clear signs of tooth decay, a notable rise from 28% recorded in 2009. When early enamel decay is considered, almost two-thirds of adults (64%) have some indication of dental decay.

This survey provides the first comprehensive overview of adult oral health in England in over a decade. Conducted approximately every ten years, the survey is commissioned by the Department of Health and Social Care and was led for its latest edition by the National Centre for Social Research with contributions from dental experts at various universities.

Dr Nigel Carter, chief executive of the Oral Health Foundation, commented on the findings: “These figures are a stark warning that England is heading backwards on oral health. To see levels of decay returning to those last recorded in the late 1990s is simply unacceptable and entirely preventable. We urgently need national action to make healthier choices easier, improve access to dental care, and address the widening inequalities that are leaving millions behind. Unless we act now, we risk a generation living with worse oral health than their parents and grandparents.”

The Oral Health Foundation has called for immediate steps to reverse this trend and highlighted concerns about growing disparities affecting millions across England.

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