Information about dental and oral health is collected at a regional level. The most recent adult data for the East of England indicates that oral health is improving in adults of working age particularly among the younger age group up to 45 years. However for those who do have decay or gum problems, disease can be very extensive and for many people in older middle age, dental needs can be very complex. The vulnerable and socio-economically disadvantaged groups are more likely to be at risk of poor dental and oral health. Adults who smoke, use alcohol, are binge drinkers or are obese are more likely to suffer from periodontal disease and mouth cancer.