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Improve Oral Health

DHB Toolkit


Date of publication: January 2004

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Summary of publication


This toolkit is designed to assist district health boards to implement The New Zealand Health Strategy priority population health objective: to improve oral health.

The current pattern of dental disease in New Zealand has three noteworthy characteristics. First, tooth decay has reduced due to water fluoridation and the use of fluorides in other forms. Second, a concurrent attitudinal change has meant that more people choose to keep their teeth. Third, even though disease has fallen, large groups in the community still have high levels of disease.

District Health Boards (DHBs) need to work proactively with their communities and local councils to support the introduction of water fluoridation to those communities that do not currently receive fluoridated water.

The oral health of all New Zealanders, and of children in particular, would be enhanced with the implementation of appropriate preventive strategies.

Treatment services will never successfully tackle the underlying cause of oral disease. Oral health inequalities will only be reduced through effective preventive strategies and the implementation of effective and appropriate oral health promotion policies. A health promotion approach that recognises the importance of tackling the underlying social and environmental determinants of oral health is needed.

To be effective, individual prevention strategies also need to be delivered in ways appropriate to the priority groups of Māori, Pacific peoples and families with low socioeconomic status.

DHBs must begin improving access to the school dental service. A major focus is needed on enrolment, identification and more intensive care of children with a higher risk of developing dental caries. Guidelines have been developed for the school dental service to improve preventive, diagnostic and treatment services, and to make them more equitable.

Publicly funded oral health care has been extended to adolescents up to the age of 18 years. DHBs must work with oral health providers to increase the proportion of adolescents who access oral health services.
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The publication is available in Word format below:

  • Improve Oral Health Toolkit (Word, 370 KB)


Resources linked to from the toolkit are available below:

People’s use of services:
  • 2001 Census Population DHB by NZDEP01 (Warning, large file - Excel, 4 MB)
  • Projected Resident Population Aged 0-20 Years by Sex at 30 June 2002-2026 (2001 Base) (Warning, large file - Excel, 2 MB)

Health status:
  • Age 5 and Year 8 oral health data from the School Dental Service
  • Age 5 and Year 8 oral health data from the School Dental Services National Averages (Excel, 260 KB)
  • Adolescent Oral Health Service Utilisation data from DHBs 2001 - 2006

Diagnostic and treatment services:
  • Direct Placement Restorative Materials for Use in Posterior Teeth: The Current Options - Karl Lyons (PDF, 37 KB)

Adolescent Eligibility for Funded Oral Health Care:
  • Oral Health Agreement (Word, 419 KB)
  • National service specification - Oral Health Services for Adolescents (Word, 131 KB)
  • Oral Health Services Agreement - Provider Quality Specification Guidelines for Implementation (Word, 348 KB)
  • Oral Health Services Agreement - Operational Guidelines for Oral Health Services for Adolescents (Word, 176 KB)

Reporting on Child Oral Health Data:
  • Service Specification for Child Oral Health Services (Word, 170 KB)
  • Graph showing Performance versus Targets (Word, 357 KB)
  • Graphs showing Performance by fluoridation and ethnicity (Word, 191 KB)


Risk Assessment and Recall Intervals
  • Guidelines on Radiography (PDF, 158 KB)


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