The information available centrally shows that in 2003-04 the average number of decayed, missing or filled teeth among five-year-olds in the area of North Peterborough primary care trust is 1.78. This compares with 0.9 in South Peterborough, 1.21 in the Norfolk, Suffolk and Cambridgeshire strategic health authority area and 1.49 in England as a whole. People living in some parts of Eastern England receive the benefits to oral health from a seam of naturally occurring fluoride in water which runs from Hartlepool in Durham to Chelmsford in Essex. Peterborough however does not receive either natural or artificially fluoridated water.
The proposal to provide patients with statements of conformity for dental appliances is currently under negotiation in the Council of Ministers working group that is reviewing the Medical Devices Directive 93/42/EC. Once the revisions have been agreed and incorporated into the directive the changes will be implemented into United Kingdom law within the laid down timescale for transposition.
The manufacturer of any custom-made dental appliance should ensure that it complies with the requirements of the Medical Devices Regulations before placing the device on the United Kingdom (UK) market. Where the manufacturer is based outside the European Community this would include appointing an authorised representative to register on their behalf with the member state competent authority where they have their registered place of business. The Medicines and Healthcare products Regulatory Agency conducts an annual programme of inspections of custom-made appliance manufacturers and authorised representatives based in the UK selected at random.