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Oral Health Data Details

OH-1 Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
33.3 (1999-2004)
Target
30.0
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 3 to 5 years with coronal caries or presence of fillings observed in at least one primary tooth
Denominator
Number of children aged 3 to 5 years with at least one primary tooth present and valid coronal caries codes for at least one primary tooth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Caries experience is defined as the presence of either untreated or treated (restored or filled) tooth decay. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This measure is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
54.4 (1999-2004)
Target
49.0
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 6 to 9 years with coronal caries or presence of filling observed in at least one primary tooth or permanent tooth, or evidence of a missing tooth due to caries
Denominator
Number of children aged 6 to 9 years with valid coronal caries codes for at least one primary or permanent tooth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Caries experience is defined as the presence of either untreated or treated (restored or filled) tooth decay. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is measured using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
53.7 (1999-2004)
Target
48.3
Target-Setting Method
10 percent improvement
Numerator
Number of adolescents aged 13 to15 years with coronal caries or presence of filling observed in at least one permanent tooth, or evidence of a missing permanent tooth due to caries
Denominator
Number of adolescents aged 13 to 15 years of age with valid coronal caries codes for at least one permanent tooth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Caries experience is defined as the presence of either untreated or treated (restored or filled) tooth decay. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.
OH-2 Reduce the proportion of children and adolescents with untreated dental decay

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
23.8 (1999-2004)
Target
21.4
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 3 to 5 years with coronal caries that have not been restored observed in at least one primary tooth
Denominator
Number of children aged 3 to 5 years with valid coronal caries codes for at least one primary tooth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Untreated dental decay is defined as the presence of untreated caries. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
28.8 (1999-2004)
Target
25.9
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 6 to 9 years with coronal caries that have not been restored observed in at least one primary or permanent tooth
Denominator
Number of children aged 6 to 9 years with at least one primary or permanent tooth present and valid coronal caries codes for at least one primary or permanent tooth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Untreated dental decay is defined as the presence of untreated caries. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
17.0 (1999-2004)
Target
15.3
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 13 to 15 years coronal caries that have not been restored observed in at least one permanent tooth
Denominator
Number of persons aged 13 to 15 years with at least one permanent tooth present and valid coronal caries codes for at least one permanent tooth
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Untreated dental decay is defined as the presence of untreated caries. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.
OH-3 Reduce the proportion of adults with untreated dental decay

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
27.8 (1999-2004)
Target
25.0
Target-Setting Method
10 percent improvement
Numerator
Number of adults aged 35 to 44 years with coronal caries that have not been restored in at least one permanent tooth
Denominator
Number of adults aged 35 to 44 years with at least one permanent tooth present and valid coronal caries codes for at least one permanent tooth
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Untreated dental decay is defined as the presence of untreated caries. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
17.1 (1999-2004)
Target
15.4
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 65 to 74 years with coronal caries that have not been restored observed in at least one permanent tooth
Denominator
Number of adults aged 65 to 74 years with at least one permanent tooth present and valid coronal caries codes for at least one permanent tooth
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Untreated dental decay is defined as the presence of untreated caries. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
37.9 (1999-2004)
Target
34.1
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 75 and older with coronal or root caries that have not been restored observed in at least one tooth
Denominator
Number of adults aged 75 and older who have at least one permanent tooth present and valid codes for coronal or root caries on at least one tooth
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Untreated dental decay is defined as the presence of untreated caries. Caries is the disease that causes tooth decay and can lead to cavities in teeth. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. Data on missing primary teeth are not captured by NHANES. Indicators of caries in primary teeth omit missing teeth to avoid potential misclassification of teeth lost to natural exfoliation as missing due to caries.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.
OH-4 Reduce the proportion of adults who have ever had a permanent tooth extracted because of dental caries or periodontal disease

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
76.4 (1999-2004)
Target
68.8
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 45 to 64 years with a clinical confirmation of less than 28 natural teeth present (tooth loss due to caries or periodontal disease), exclusive of third molars
Denominator
Number of persons aged 45 to 64 years with valid codes for 28 permanent teeth exclusive of 3rd molars
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The case definition is "tooth lost due to caries or periodontal diseases"; however, because cause of tooth loss is not feasible to identify, the presence of less than 28 natural teeth (excluding third molars) is used as a proxy. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
24.0 (1999-2004)
Target
21.6
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 65 to 74 years and older with a clinical confirmation of having lost all their natural teeth, including third molars
Denominator
Number of persons aged 65 to 74 years
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

The case definition is "lost all teeth due to caries or periodontal diseases"; however, because cause of tooth loss is not feasible to identify, the absence of 32 natural teeth (including third molars) is used as a proxy. This indicator is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
12.8 (2001-2004)
Target
11.5
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 45 to 74 years with a clinical diagnosis of moderate or severe periodontitis
Denominator
Number of persons aged 45 to 74 years with two of 28 possible permanent teeth present (exclusive of third molars), and valid periodontal probing measurements for two permanent teeth, at 2 interproximal sites on each tooth.
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The Centers for Disease Control - American Academy for Periodontology (CDC-AAP) case definitions for moderate and severe periodontitis have been published elsewhere. This case definition considers measures of pocket depth (PD) and attachment loss (AL) from interproximal sites. Moderate periodontitis is defined as having two or more interproximal sites with >4 mm clinical AL not on the same tooth or two or more interproximal sites with PD = 5 mm also not on the same tooth. Severe periodontitis is defined as having two or more interproximal sites with >6 mm AL not on the same tooth, and one or more interproximal sites with >5mm PD.

This indicator measures the percentage of the population aged 45 to 74 years with moderate or severe periodontitis and is measured using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 2001. The measurement protocol has been described.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2012, the original baseline was revised from 12.7 to 12.8 percent to correct programming errors. The target was adjusted from 11.4 to 11.5 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Roy C and Eke PI. Case definition for use in population-based surveillance of periodontitis. J Periodontol. 78 (7):1387 – 1399. 2007.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Program of Cancer Registries (NPCR); Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (CDC/NCCDPHP)
Surveillance, Epidemiology, and End Results Program (SEER); National Institutes of Health, National Cancer Institute (NIH/NCI)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
32.5 (2007)
Target
35.8
Target-Setting Method
10 percent improvement
Numerator
Number of diagnosed incident cancer cases in localized stage of the oral cavity and pharynx (ICD-10 codes C00-C14)
Denominator
Number of diagnosed incident cancer cases of the oral cavity and pharynx (ICD-10 codes C00-C14)
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The data source is the United States Cancer Statistics (USCS) report which uses the combined data from the NCI Surveillance, Epidemiology and End Results (SEER) registry data and the CDC National Program of Cancer Registries. Together, these registries cover more than 96% of the U.S. population.

References

Additional resources about the objective.

  1. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010. Available at: http://www.cdc.gov/uscs.
OH-7 Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Medical Expenditure Panel Survey (MEPS); Agency for Healthcare Research and Quality (AHRQ)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
44.5 (2007)
Target
49.0
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 2 years or older who report having had a dental visit in the past 12 months
Denominator
Number of persons aged 2 years or older
Questions Used to Obtain the National Baseline Data

From the 2007 Medical Expenditure Panel Survey:

[NUMERATOR:]

What type of dental care provider did [PERSON] see during this visit?

[PROBE:] Any other type of dental care person? [CODE ALL THAT APPLY.]

  1. GENERAL DENTIST
  2. DENTAL HYGIENIST
  3. DENTAL TECHNICIAN
  4. DENTAL SURGEON
  5. ORTHODONTIST
  6. ENDODONTIST
  7. PERIODONTIST
  8. OTHER

What did [PERSON] have done during this visit?

[PROBE:] What else was done? [CODE ALL THAT APPLY.]

  • DIAGNOSTIC OR PREVENTATIVE
    • (1) GENERAL EXAM, CHECKUP OR CONSULTATION
    • (2) CLEANING, PROPHYLAXIS, OR POLISHING
    • (3) X-RAYS, RADIOGRAPHS, OR BITEWINGS
    • (4) FLUORIDE TREATMENT
    • (5) SEALANT (PLASTIC COATINGS ON BACK TEETH)
  • RESTORATIVE OR ENDODONTIC
    • (6) FILLINGS
    • (7) INLAYS
    • (8) CROWNS OR CAPS
    • (9) ROOT CANAL
  • PERIODONTIC (GUM TREATMENT)
    • (10) PERIODONTAL SCALING, ROOT PLANING, OR GUM SURGERY
    • (11) PERIODONTAL RECALL VISIT (PERIODIC ORREGULAR)
  • ORAL SURGERY
    • (12) EXTRACTION, TOOTH PULLED
    • (13) IMPLANTS
    • (14) ABSCESS OR INFECTION TREATMENT
    • (15) OTHER ORAL SURGERY
  • PROSTHETICS
    • (16) FIXED BRIDGES
    • (17) DENTURES OR REMOVABLE PARTIAL DENTURES
    • (18) RELINING OR REPAIR OF BRIDGES OR DENTURES
  • ORTHODONTICS
    • (19) ORTHODONTIA, BRACES, OR RETAINERS
    • (20) BOND, WHITEN, OR BLEACH
    • (21) TREATMENT FOR TMD OR TMJ
    • (22) OTHER
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Leading Health Indicator
Oral Health
Methodology Notes

MEPS data for oral health provide information on the nature of the dental visit. Subjects are interviewed on five different occasions over 15 months, so that they do not need to recall details of dental care received more than 3 months beforehand. In addition, MEPS subjects are also asked for specific information about care received at each visit.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 2-17, 18-44, 45-54, 55-64, 65-74, 75+
  • Sex: 2-17, 18-44, 45-54, 55-64, 65-74, 75+
  • Race/Ethnicity: 2-17, 18-44, 45-54, 55-64, 65-74, 75+
  • Educational Attainment: 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Family Income: 2-17, 18-44, 45-54, 55-64, 65-74, 75+
  • Disability Status: 2-17, 18-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: 2-17, 18-44, 45-54, 55-64, 65-74, 75+
  • Health Insurance Status: 2-17, 18-44, 45-54, 55-64
  • Marital Status: 18-44, 45-54, 55-64, 65-74, 75+
  • Obesity Status: 20-39, 40-59, 60+

References

Additional resources about the objective.

  1. From MEPS 2007. See http://www.meps.ahrq.gov/mepsweb for details
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Medical Expenditure Panel Survey (MEPS); Agency for Healthcare Research and Quality (AHRQ)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
30.2 (2007)
Target
33.2
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 2 to 18 years at or below 200 percent of the Federal poverty level who received a preventive dental visit during the last year
Denominator
Number of persons aged 2 to 18 years at or below 200 percent of the Federal poverty level
Questions Used to Obtain the National Baseline Data

From the 2007 Medical Expenditure Panel Survey:

[NUMERATOR:]

What type of dental care provider did [PERSON] see during this visit?

[PROBE:] Any other type of dental care person? [CODE ALL THAT APPLY.]

  1. GENERAL DENTIST
  2. DENTAL HYGIENIST
  3. DENTAL TECHNICIAN
  4. DENTAL SURGEON
  5. ORTHODONTIST
  6. ENDODONTIST
  7. PERIODONTIST
  8. OTHER

What did [PERSON] have done during this visit?

[PROBE:] What else was done? [CODE ALL THAT APPLY.]

  • DIAGNOSTIC OR PREVENTATIVE
    • (1) GENERAL EXAM, CHECKUP OR CONSULTATION
    • (2) CLEANING, PROPHYLAXIS, OR POLISHING
    • (3) X-RAYS, RADIOGRAPHS, OR BITEWINGS
    • (4) FLUORIDE TREATMENT
    • (5) SEALANT (PLASTIC COATINGS ON BACK TEETH)
  • RESTORATIVE OR ENDODONTIC
    • (6) FILLINGS
    • (7) INLAYS
    • (8) CROWNS OR CAPS
    • (9) ROOT CANAL
  • PERIODONTIC (GUM TREATMENT)
    • (10) PERIODONTAL SCALING, ROOT PLANING, OR GUM SURGERY
    • (11) PERIODONTAL RECALL VISIT (PERIODIC ORREGULAR)
  • ORAL SURGERY
    • (12) EXTRACTION, TOOTH PULLED
    • (13) IMPLANTS
    • (14) ABSCESS OR INFECTION TREATMENT
    • (15) OTHER ORAL SURGERY
  • PROSTHETICS
    • (16) FIXED BRIDGES
    • (17) DENTURES OR REMOVABLE PARTIAL DENTURES
    • (18) RELINING OR REPAIR OF BRIDGES OR DENTURES
  • ORTHODONTICS
    • (19) ORTHODONTIA, BRACES, OR RETAINERS
  • ADDITIONAL PROCEDURES
    • (20) BOND, WHITEN, OR BLEACH
    • (21) TREATMENT FOR TMD OR TMJ
    • (22) OTHER
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

MEPS data for oral health provide information on the nature of the dental visit. Subjects are interviewed on five different occasions over 15 months, so that they do not need to recall details of dental care received more than 3 months beforehand. In addition, MEPS subjects are also asked for specific information about care received at each visit. This indicator defines a preventive dental visit as one in which the patient received a dental sealant, a fluoride treatment or a dental prophylaxis (professional tooth cleaning by a dental hygienist or dentist).

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2012, the original baseline was revised from 26.7 to 30.2 percent when children aged 0-1 years were excluded from the objective statement and to correct an error in coding the upper age limit. The target was adjusted from 29.4 to 33.2 percent to reflect the revised baseline using the orginal target-setting method.

References

Additional resources about the objective.

  1. From MEPS 2007. See http://www.meps.ahrq.gov/mepsweb for details
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.
OH-9 Increase the proportion of school-based health centers with an oral health component

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School-Based Health Care Census (SBHCC); National Assembly on School-Based Health Care (NASBHC)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
24.1 (2007-2008)
Target
26.5
Target-Setting Method
10 percent improvement
Numerator
Number of school-based health centers with an oral health component which includes dental sealants
Denominator
Number of school-based health centers that completed a survey
Questions Used to Obtain the National Baseline Data

From the 2007-08 School-based Health Care Census:

[NUMERATOR:]

Indicate which of the following oral health services are provided onsite. [Indicate Onsite, Offsite by referral, Not provided or referred.]

  1. Oral health education
  2. Dental screenings
  3. Dental examination (by a dentist)
  4. Dental sealants
  5. Fluoride mouthrinse
  6. Fluoride varnish
  7. Fluoride supplements
  8. Dental cleaning
  9. General dental care (fillings, extractions)
  10. Specialty dental care (orthodontics, root canal)
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

The National Assembly of School-Based Health Care has fielded a triennial survey of school-based health care since 1998. The survey requests information on staffing, service population and health services provided onsite, offsite or by referral.

References

Additional resources about the objective.

  1. National Assembly of School-Based Health Care. http://www.nasbhc.org

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School-Based Health Care Census (SBHCC); National Assembly on School-Based Health Care (NASBHC)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
10.1 (2007-2008)
Target
11.1
Target-Setting Method
10 percent improvement
Numerator
Number of school-based health centers with an oral health component that includes fillings and extractions
Denominator
Number of school-based health centers that completed a survey
Questions Used to Obtain the National Baseline Data

From the 2007-08 School-based Health Care Census:

[NUMERATOR:]

Indicate which of the following oral health services are provided onsite. [Indicate Onsite, Offsite by referral, Not provided or referred.]

  1. Oral health education
  2. Dental screenings
  3. Dental examination (by a dentist)
  4. Dental sealants
  5. Fluoride mouthrinse
  6. Fluoride varnish
  7. Fluoride supplements
  8. Dental cleaning
  9. General dental care (fillings, extractions)
  10. Specialty dental care (orthodontics, root canal)
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

The National Assembly of School-Based Health Care has fielded a triennial survey of school-based health care since 1998. The survey requests information on staffing, service population and health services provided onsite, offsite or by referral.

References

Additional resources about the objective.

  1. National Assembly of School-Based Health Care. http://www.nasbhc.org

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School-Based Health Care Census (SBHCC); National Assembly on School-Based Health Care (NASBHC)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
29.2 (2007-2008)
Target
32.1
Target-Setting Method
10 percent improvement
Numerator
Number of school-based health centers with an oral health component that includes fluoride mouth rinse, fluoride varnish, or fluoride supplements
Denominator
Number of school-based health centers that completed a survey
Questions Used to Obtain the National Baseline Data

From the 2007-08 School-based Health Care Census:

[NUMERATOR:]

Indicate which of the following oral health services are provided onsite. [Indicate Onsite, Offsite by referral, Not provided or referred.]

  1. Oral health education
  2. Dental screenings
  3. Dental examination (by a dentist)
  4. Dental sealants
  5. Fluoride mouthrinse
  6. Fluoride varnish
  7. Fluoride supplements
  8. Dental cleaning
  9. General dental care (fillings, extractions)
  10. Specialty dental care (orthodontics, root canal)
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

The National Assembly of School-Based Health Care has fielded a triennial survey of school-based health care since 1998. The survey requests information on staffing, service population and health services provided onsite, offsite or by referral.

References

Additional resources about the objective.

  1. National Assembly of School-Based Health Care. http://www.nasbhc.org
OH-10 Increase the proportion of local health departments and Federally Qualified Health Centers (FQHCs) that have an oral health program

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Uniform Data System (UDS); Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
75.0 (2007)
Target
83.0
Target-Setting Method
10 percent improvement
Numerator
Number of Federally Qualified Health Centers that have an oral health component
Denominator
Number of Federally Qualified Health Centers
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

A Federally Qualified Health Center with an oral health component is defined by HRSA as a Health Center that has at least 0.5 FTE Dentists and/or sees 500 patients or more per year. This measure is tracked using the HRSA Uniform Data System. The Uniform Data System (UDS) tracks a variety of information, including patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, and revenues. UDS data are collected from grantees and reported at the grantee, state, and national levels.

References

Additional resources about the objective.

  1. Health Resources and Services Administration. Uniform Data System. Available at: http://www.hrsa.gov/data-statistics/health-center-data/index.html

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses); Association of State and Territorial Dental Directors (ASTDD)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
25.8 (2008)
Target
28.4
Target-Setting Method
10 percent improvement
Numerator
Number of local health departments and community- based health centers that have an oral health component (see Comments)
Denominator
Number of local health departments and community-based health centers
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Local Health Departments may offer oral health services such as health education, preventive services or treatment services, or no oral health services. This objective tracks the proportion of local health departments that offer preventive or treatment services for oral health. Local health departments that offer only oral health education services are not included in the numerator. The Association of State and Territorial State Dental Directors fields an annual survey, the Synopsis of State and Territorial Dental Public Health Programs that asks State Dental Directors to report the number of local health departments operating in the state and the number that offer oral health education, preventive services or restorative services. The Synopses collects data for the prior completed fiscal year, for example, the 2009 Synopsis reflect responses for the period of July 1, 2007-June 30, 2008 for most states. National Association of County and City Health Officials conducts periodic profiles of local health departments and reports the number of local health departments in the nation and state.

References

Additional resources about the objective.

  1. Association of State and Territorial Dental Directors. Synopses of State and Territorial Dental Public Health Programs. 2009. http://www.astdd.org
  2. National Association of County and City Health Officials. National Profile of Local Health Departments. 2009. Available at: http://www.naccho.org/topics/infrastructure/profile/resources/2008report/upload/NACCHO_2008_ProfileReport_post-to-website-2.pdf

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Uniform Data System (UDS); Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
17.5 (2007)
Target
33.3
Target-Setting Method
Projection/trend analysis
Numerator
Number of patients of FQHCs that receive oral health services each year
Denominator
Number of patients that receive any health service (including oral health services) at FQHCs each year
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

This is a measure to track the increase in access to oral health services in Federally Qualified Health Centers. This measure is tracked using the HRSA Uniform Data System. The Uniform Data System (UDS) tracks a variety of information, including patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, and revenues. UDS data are collected from grantees and reported at the grantee, state, and national levels.

References

Additional resources about the objective.

  1. Health Resources and Services Administration. Uniform Data System. Available at: http://www.hrsa.gov/data-statistics/health-center-data/index.html
OH-12 Increase the proportion of children and adolescents who have received dental sealants on their molar teeth

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
1.4 (1999-2004)
Target
1.5
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 3 to 5 years with a clinical confirmation of dental sealants applied to one or more primary 1st or 2nd molars
Denominator
Number of children aged 3 to 5 years with at least one primary molar present and valid sealant codes for the occlusal surface of at least one primary molar
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

This objective is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. A description of the clinical protocol used to confirm evidence of protective dental sealants has been published by NCHS. The teeth included in the measurement protocol for each age group differ. For ages 3 to 5, primary molars are included – due to eruption patterns, this includes 1st and 2nd primary molars For ages 6 to 9, only first permanent molars are tracked. For ages 13 to 15, both 1st and 2nd permanent molars are tracked, and to be included in the numerator sealants must be present on both a 1st molar and on a 2nd molar.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
25.5 (1999-2004)
Target
28.1
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 6 to 9 with a clinical confirmation of dental sealants applied to one or more first permanent molars
Denominator
Number of children aged 6 to 9 with at least one permanent first molar present and valid sealant codes for at least one permanent first molar
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

This objective is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. A description of the clinical protocol used to confirm evidence of protective dental sealants has been published by NCHS. The teeth included in the measurement protocol for each age group differ. For ages 3 to 5, primary molars are included – due to eruption patterns, this includes 1st and 2nd primary molars For ages 6 to 9, only first permanent molars are tracked. For ages 13 to 15, both 1st and 2nd permanent molars are tracked, and to be included in the numerator sealants must be present on both a 1st molar and on a 2nd molar.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
19.9 (1999-2004)
Target
21.9
Target-Setting Method
10 percent improvement
Numerator
Number of adolescents aged 13 to 15 years with a clinical confirmation of dental sealants applied to one or more 1st permanent molars and one or more 2nd permanent molars
Denominator
Number of adolescents aged 13 to 15 with at least one permanent first molar and one permanent second molar and valid sealant codes for at least one permanent first molar and one permanent 2nd molar
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

This objective is tracked using the Oral Health Examination component of the Continuous National Health and Nutrition Examination Survey, collected since 1999. The measurement protocol has been described. A description of the clinical protocol used to confirm evidence of protective dental sealants has been published by NCHS. The teeth included in the measurement protocol for each age group differ. For ages 3 to 5, primary molars are included – due to eruption patterns, this includes 1st and 2nd primary molars For ages 6 to 9, only first permanent molars are tracked. For ages 13 to 15, both 1st and 2nd permanent molars are tracked, and to be included in the numerator sealants must be present on both a 1st molar and on a 2nd molar.

References

Additional resources about the objective.

  1. Dye BA, Barker, LK, Selwitz RH, Lewis BG, Wu T, Fryar CD, et al. Overview and quality assurance for the National Health and Nutrition Examination Survey (NHANES) oral health component, 1999–2002. Community Dent Oral Epidemiol 35:140–51. 2007.
  2. Vargas, C.; Schober, S.; and Gift, H. Operational definitions for year 2000 objectives: Priority area 13, Oral Health. Healthy People 2000 Statistical Notes, No. 12. Hyattsville, MD: National Center for Health Statistics (NCHS), 1997.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Water Fluoridation Reporting System (WFRS); Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (CDC/NCCDPHP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
72.4 (2008)
Target
79.6
Target-Setting Method
10 percent improvement
Numerator
Number of persons receiving optimally fluoridated water from public water systems
Denominator
Number of persons served by public water systems
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

CDC produces a biennial report in collaboration with state oral health and drinking water programs. Details of the calculation of fluoridation statistics are available from CDC. Recommendations for the optimal concentration of fluoride in drinking water have been published by CDC. However, water fluoridation is a state activity, and water systems apply the definition of optimal concentration determined by the state in which they operate. A description of the protocol used to characterize a community as optimally fluoridated has been published by NCHS.

References

Additional resources about the objective.

  1. Calculating Fluoridation Statistics. Available at: http://www.cdc.gov/fluoridation/fact_sheets/engineering/wf_statistics.htm
  2. Engineering and administrative recommendations for water fluoridation, 1995. MMWR 1995;44(RR–13):1–40. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/00039178.htm or http://www.cdc.gov/mmwr/PDF/rr/rr4413.pdf
  3. Water Fluoridation Statistics. Available at: http://www.cdc.gov/fluoridation/statistics.htm
OH-14 (Developmental) Increase the proportion of adults who receive preventive interventions in dental offices

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Proposed - Number of persons aged 35 to 50 years who report having received information from a dentist or dental hygienist on quitting smoking or stopping tobacco use to improve their dental health in the past 12 months
Denominator
Proposed - Number of persons aged 35 to 50 years who responded to the preventive services question
Questions Used to Obtain the National Baseline Data

[Proposed QUESTIONS]

From the National Health and Nutrition Examination Survey:

[NUMERATOR:]

In the past 12 months, has a dentist, dental hygienist or other dental professional spoken with you about...

...quitting cigarette smoking or stopping using tobacco to improve your dental health?

  • YES
  • NO

...having your blood sugar checked to improve your dental health?

  • YES
  • NO

...looking inside your mouth to check for oral cancer?

  • YES
  • NO
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A person will be defined as having had an oral and pharyngeal cancer test in the past 12 months if he/she responded "yes" to the first question and " within past year" to the second question.

References

Additional resources about the objective.

  1. Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Proposed - Number of persons aged 35-50 years who report having had a dental professional look inside their mouth to check for oral cancer in the past 12 months
Denominator
Proposed - Number of persons aged 35-50 years who responded to the preventive services question
Questions Used to Obtain the National Baseline Data

[Proposed QUESTIONS]

From the National Health and Nutrition Examination Survey:

[NUMERATOR:]

In the past 12 months, has a dentist, dental hygienist or other dental professional spoken with you about...

...quitting cigarette smoking or stopping using tobacco to improve your dental health?

  • YES
  • NO

...having your blood sugar checked to improve your dental health?

  • YES
  • NO

...looking inside your mouth to check for oral cancer?

  • YES
  • NO
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

A person will be defined as having had an oral and pharyngeal cancer screening in the past 12 months if he/she responded "yes" to the oral cancer screening part of preventive services question.

References

Additional resources about the objective.

  1. Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Proposed -Number of persons aged 35 to 50 years who report having been tested or referred for glycemic control from a dentist in the past 12 months
Denominator
Proposed - Number of persons aged 35 to 50 years who responded to the preventive services question
Questions Used to Obtain the National Baseline Data

[Proposed QUESTIONS]

From the National Health and Nutrition Examination Survey:

[NUMERATOR:]

In the past 12 months, has a dentist, dental hygienist or other dental professional spoken with you about...

...quitting cigarette smoking or stopping using tobacco to improve your dental health?

  • YES
  • NO

...having your blood sugar checked to improve your dental health?

  • YES
  • NO

...looking inside your mouth to check for oral cancer?

  • YES
  • NO
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A person will be defined as having been tested or referred for glycemic control from a dentist in the past 12 months if he/she responded "yes" to the blood sugar part of the question.

References

Additional resources about the objective.

  1. Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.
OH-15 (Developmental) Increase the number of States and the District of Columbia that have a system for recording and referring infants and children with cleft lips and cleft palates to craniofacial anomaly rehabilitative teams

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses); Association of State and Territorial Dental Directors (ASTDD)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Not available
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses); Association of State and Territorial Dental Directors (ASTDD)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Not applicable
Comparable Healthy People 2010 Objective
Not applicable

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses); Association of State and Territorial Dental Directors (ASTDD)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
32 (2009)
Target
51
Target-Setting Method
Total coverage
Numerator
Number of States or the District of Columbia with surveillance data for at least six of the nine possible surveillance databases
Questions Used to Obtain the National Baseline Data

From the 2009 Annual Synopses of State and Territorial Dental Public Health Programs:

[NUMERATOR:]

Which of the following programs are funded, conducted or otherwise facilitated by your state or territorial dental health program? [For clarification, some program definitions are listed at the bottom of each page. Indicate which programs the state or territorial dental program supports by checking the "No" or "Yes" box then enter approximate number of individuals served annually by each program. If you do not have data on the number served by a program, please put "NA" in the "Number" box.]

  • Needs Assessments - do you have state specific oral health data from these sources? [Do not include open mouth surveys.]
    1. BRFSS
    2. Youth risk behavior surveys
    3. Pregnancy risk survey
  • Oral Health (open-mouth) Surveys [Do not include BRFSS or YRBS.]
  • System for recording and referring children with cleft lips, palates, and other craniofacial anomalies to rehabilitative teams
  • Do you have Medicaid dental claims data to help support or monitor your oral health program?
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The Association of State and Territorial Dental Directors fields the Synopses of State of Territorial Dental Public Health Programs annually and asks state dental directors to report their use of a range of data systems to monitor trends in oral health status, risk factors and utilization of health care. Data from the Synopses are complemented with data from CDC's Water Fluoridation Reporting System and National Program of Cancer Registries, and NIH's SEER program measured state participation in water fluoridation reports and cancer registries.

OH-17 Increase health agencies that have a dental public health program directed by a dental professional with public health training

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses); Association of State and Territorial Dental Directors (ASTDD)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
23.4 (2008)
Target
25.7
Target-Setting Method
10 percent improvement
Numerator
Number of State (including the District of Columbia) and local health Agencies that serve jurisdictions of 250,000 or more persons that have a public dental health program directed by a dental professional with public health training (out of 218)
Denominator
Number of State (including the District of Columbia) and local health Agencies that serve jurisdictions of 250,000 or more persons (218 at baseline)
Questions Used to Obtain the National Baseline Data

From the 2009 Annual Synopses of State and Territorial Dental Public Health Programs:

[NUMERATOR:]

How many State/Territorial and local health agencies in your State have a service population of 250,000 or more? [Include the State or Territory health program if the State or Territory population is 250,000 or more.]

How many of the agencies included in the response immediately above have a dental program? [To be counted, a program should have a separate budget.]

How many of the dental programs included in the response immediately above are directed by a dental professional? (i.e., dentist, hygienist, or dental assistant)

How many of the directors included in the response immediately above have a masters or higher public health related degree? (MPH, MSPH, MSHA, PhD, DrPH)

Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
11 (2010)
Target
12
Target-Setting Method
10 percent improvement
Numerator
Number of Indian Health Service Areas and Tribal Health programs that serve jurisdictions of 30,000 or more persons that have a public dental health program directed by a dental professional with public health training
Questions Used to Obtain the National Baseline Data

From the Indian Health Service, Division of Oral Health (2010):

[NUMERATOR:]

For your area, please respond to the following questions:

Is there anyone in the Area Office dental program with formal public health training? (If so, who and what degree); and

Is there anyone in the dental program of the service Units with formal public health training? (If so, who, and what degree?)

Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The listed questions were asked of each of the dental directors of Indian Health Service or local service units that serve at least 30,000 people.