"Dental problems can be a major cause for concern amongst seafarers. We often see claims arising from dental problems that require urgent medical treatment and even repatriation of crew. On an individual basis these claims may not in the higher claim cost bracket, however, they often result in repatriation of crew, which has a further impact on the safe manning of the ship and other delays to ship operation.

"Seafarers are frequently at sea for long periods of time and are therefore unable to attend regular dental check ups ashore; this may lead to dental problems developing unchecked.

"Long working hours and minimal physical exercise can result in the excessive consumption of highly caffeinated and very sugary drinks, unhealthy snacking and high levels of nicotine inhalation. In these circumstances, if oral health is neglected, gum disease, tooth decay and toothache can readily occur.

"Toothache, whether mild or severe, may be further aggravated without surgical intervention. Onboard most ships there will only be pain relief treatment available, which will give short-term relief but will not fix the underlying problem. This can have a detrimental effect on the seafarers' performance, concentration and wellbeing, not to mention a significant impact on sleep, eating and other daily activities.

"Symptoms of periodontal disease are seldom noticed until the disease is at an advanced stage. These symptoms include persistent bad breath, swollen gums, bleeding or tender gums, painful chewing and loose or sensitive teeth.

"Good dental hygiene is extremely important to ensure your teeth are not at risk. Effective cleaning removes dental plaque and tartar from the teeth, preventing cavities, gingivitis, gum

disease, tooth decay and periodontal disease.

Encouraging and reminding seafarers to take the correct steps to avoid dental problems will not only ensure their own wellbeing, but will also reduce costs for members, and will improve the safety of the ship by helping to maintain a full complement of crew."

- End -

For further details, please contact:

Carolyn Monchouguy/ Ed Hooper/ Helen Cotton

Four Broadgate

+44 (0) 20 3697 4200

Notes to Editors

UK P&I

The UK P&I Club is a leading provider of P&I insurance and other services to the international shipping community. Established in 1865 the UK P&I Club insures over 235 million tonnes of owned and chartered shipping through its international offices and claims network. 'A (Stable)' rated by Standard & Poor's with free reserves and hybrid capital of $571m the UK P&I Club is renowned for its specialist skills and expertise which ensure 'best in class' underwriting, claims handling and loss prevention services.

The UK P&I Club is managed by Thomas Miller, an independent and international insurance, professional and investment services provider.

Thomas Miller

Thomas Miller is an independent and international provider of insurance, professional and investment services.

Founded in 1885, Thomas Miller's origins are in the provision of management services to mutual organisations, particularly in the international transport and professional indemnity sectors; where today they manage a large percentage of the foremost insurance mutuals. Thomas Miller also manages insurance facilities for all the self-employed barristers in England & Wales, as well as trustees of pension schemes, patent agents and housing associations.

Principal activities include:

• Management services for transport and professional indemnity insurance mutuals
• Investment management for institutions and private clients
• Professional services including legal services, claims and captive management
• Managing General Agency