This 6-year retrospective study investigated the dental visiting habit
s of 263 working class adolescents in Greater Manchester. The aims of
the study were to determine when young people were most likely to chan
ge their attendance patterns and to identify which subjects were most
likely to stop seeking routine care. The frequency and reasons for all
dental attendances made over a 6-year period were documented using cl
inical notes from general practices and community clinics. At the end
of the study period, when the subjects were 13-15 years old, 62% were
found to be maintaining an asymptomatic pattern of attendance, that is
attending for examinations in the absence of symptoms. Sixteen per ce
nt had symptoms or very rarely for check-ups. The number of subjects s
eeking routine care declined from the age of 9 years and those who con
tinued to attend for examinations did so with a reduced frequency than
when they were younger. It is concluded that encouragement to continu
e asymptomatic attendance should commence during the last years at pri
mary school (10-11 years of age), a strategy which could result in up
to 90% of the population of young adults retaining an asymptomatic den
tal attendance pattern.