Disadvantaged primary school pupils at the government’s first wave of new breakfast clubs can expect to be trained in toothbrushing, as well as fed. Data showing that a fifth of all five-year-olds in England have experienced tooth decay persuaded ministers to make improved oral health part of the early years and reception class curriculum. But the prevalence of decay is not evenly spread across the country. And research showing how much worse the situation is for children in deprived areas is in line with other findings about widening health inequalities.

New analysis from the Local Government Association highlights the differing availability of dental care across council areas – a situation sometimes described as a dental divide. It found no specific correlation between the numbers of NHS dentists and young children with tooth decay. But it adds to a body of research showing that people in poorer areas are generally less well provided for. In Middlesbrough, for example, there are just 10 NHS dental practices per 100,000 people, while in wealthy Richmond upon........

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