29 per cent of five year old children in the Isle of Man have experienced tooth decay.
That's according to the findings of a new oral health study which examined over 200 children.
It's a similar result to England, where the level is around 28 per cent - and lower than the North West region where it is 35 per cent.
Active decay results in toothache, pain while eating and sleeplessness - all of which can impact behaviour, learning and development.
Carolyn Lewis is the clinical director of the Salaried Dental Service - she told us why dental health is so important at this young age:
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