Opinion abstract


British Dental Journal 201, 197 - 198 (2006)
Published online: 26 August 2006 | doi:10.1038/sj.bdj.4813882

Subject Category: Dental public health

The 80-20 phenomenon (80:20 distribution of caries) – Myth or Fact?

C R Dugmore1

  1. Pasley Road Dental Clinic, Pasley Road, Eyres Monsell, Leicester, LE2 9BU

Correspondence to: C R Dugmore1 e-mail: christopher.dugmore@mrh-pct.nhs.uk

  • Clarifies the origin of the 80-20 phenomenon.
  • Evidence to support the 80-20 phenomenon is sought and challenged in this article.
  • Epidemiological data fail to support the assumption of 80-20 caries distribution in populations.
  • Dental professionals should cease to use the phrase '80 % of caries occurs in 20% of the population' as a descriptor of caries prevalence.


For the past decade the phrase '80% of caries experience is found in 20% of the population' has been repeated so frequently, including by respected academics, that it has become accepted as fact by many in the dental profession. But is it a true representation of the state of dental health in the UK population, or an unsubstantiated convenient statement? Epidemiological data do not support the assertion.

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