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Toothache Causes and Treatment

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I II III III manual IV V

nonmanual

Social class

Figure 5 Percentage of children aged 1.5-4.5years with caries across social-class groups in the UK, calculated from data presented in Hinds and Gregory (1995). Social class I has the highest income, social class V has the lowest.

I II III III manual IV V

nonmanual

Social class

Figure 5 Percentage of children aged 1.5-4.5years with caries across social-class groups in the UK, calculated from data presented in Hinds and Gregory (1995). Social class I has the highest income, social class V has the lowest.

manipulation as a means of reducing the remaining burden of this disease. The weakness of this argument is that predictable changes in caries prevalence at a population level have rarely been seen except under conditions of extreme dietary change, such as during war time. These changes all occurred before the advent of the widespread use of fluoride. When the food supply of fermentable carbohydrates is severely restricted, changes in the frequency of consumption may occur to a degree that is sufficient to alter caries risk when fluoride is not used. Where fluoride toothpaste and oral hygiene are adequate, even such extreme changes in diet are unlikely to alter caries experience materially. In addition, attempts to use dietary manipulation to reduce the risk of caries in free-living populations have proved unsuccessful.

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