The report aims to develop services for the future
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Health experts say research shows big variations in the number of children visiting dentists in their area.
Research by the County Durham and Tees Valley Public Health Network showed more than 50% of children were registered with a dentist.
But the report found those living in the poorest areas had the lowest uptake of dental services compared to those living in the wealthiest areas.
The aim is to now ensure children are given equal access to dental care.
'Reduce inequalities'
David Landes from the Durham and Tees Valley Public Health Network said: "In some of our wards we have got registration levels in the high 70s, 80s and even up to 90%.
"But what you find is that in the poorer areas registration levels tail off and we have got lower uptake - in the 40s.
"A lot of that is to down to where dental practices are situated and the wealth of the population."
The report says having more dental practices in the more deprived areas helps to reduce the inequalities.
From October 2005, Primary Care Trusts will have powers to negotiate local contracts for dental services to help ensure equal access and the report is aimed to be a guide for them.