Healthy People 2010 Objectives for Oral Health-AADR MOU

21-1. Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth.

21-1a. Reduce the proportion of young children with dental caries experience in their primary teeth.

Target: 11 percent.

Baseline: 18 percent of children aged 2 to 4 years had dental caries experience in 1988-94.

21-1b. Reduce the proportion of children with dental caries experience in their primary and permanent teeth.

Target: 42 percent.

Baseline: 52 percent of children aged 6 to 8 years had dental caries experience in 1988-94.

21-1c. Reduce the proportion of adolescents with dental caries experience in their permanent teeth.

Target: 51 percent.

Baseline: 61 percent of adolescents aged 15 years had dental caries experience in 1988-94.

21-2. Reduce the proportion of children, adolescents, and adults with untreated dental decay.

21-2a. Reduce the proportion of young children with untreated dental decay in their primary teeth.

Target: 9 percent.

Baseline: 16 percent of children aged 2 to 4 years had untreated dental decay in 1988-94.

21-2b. Reduce the proportion of children with untreated dental decay in primary and permanent teeth.

Target: 21 percent.

Baseline: 29 percent of children aged 6 to 8 years had untreated dental decay in 1988-94.

21-2c. Reduce the proportion of adolescents with untreated dental decay in their permanent teeth.

Target: 15 percent.

Baseline: 20 percent of adolescents aged 15 years had untreated dental decay in 1988-94.

21-2d. Reduce the proportion of adults with untreated dental decay.

Target: 15 percent.

Baseline: 27 percent of adults aged 35 to 44 years had untreated dental decay in 1998-94.

21-3. Increase the proportion of adults who have never had a permanent tooth extracted because of dental caries or periodontal disease.

Target: 42 percent.

Baseline: 31 percent of adults aged 35 to 44 years had never had a permanent tooth extracted because of dental caries or periodontal disease in 1988- 94.

21-4. Reduce the proportion of older adults who have had all their natural teeth extracted.

Target: 20 percent.

Baseline: 26 percent of adults aged 65 to 74 years had lost all their natural teeth in 1997.

21-5. Reduce periodontal disease.

Objective	Reduction in Periodontal Disease in Adults Aged 35 to 44 Years	1988–94 Baseline	2010 Target
		Percent
21-5a.	Gingivitis	48	41
21-5b.	Destructive periodontal disease	22	14

21-6. Increase the proportion of oral and pharyngeal cancers detected at the earliest stage.

Target: 50 percent.

Baseline: 35 percent of oral and pharyngeal cancers (stage I, localized) were detected in 1990-95.

21-7. Increase the proportion of adults who, in the past 12 months, report having had an examination to detect oral and pharyngeal cancers.

Target: 20 percent.

Baseline: 13 percent of adults aged 40 years and older reported having had an oral and pharyngeal cancer examination in 1998 (age adjusted to the year 2000 standard population).

21-8. Increase the proportion of children who have received dental sealants on their molar teeth.

Objective	Increase in Children Receiving Dental Sealants on Their Molar Teeth	1988–94 Baseline	2010 Target
		Percent
21-8a.	Children aged 8 years	23	50
21-8b.	Adolescents aged 14 years	15	50

21-9. Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water.

Target: 75 percent.

Baseline: 62 percent of the U.S. population was served by community water systems with optimally fluoridated water in 1992.

21-10. Increase the proportion of children and adults who use the oral health care system each year.

Target: 56 percent.

Baseline: 44 percent of persons aged 2 years and older in 1996 visited a dentist during the previous year.

21-11. Increase the proportion of long-term care residents who use the oral health care system each year.

Target: 25 percent.

Baseline: 19 percent of all nursing home residents received dental services in 1997.

21-12. Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year.

Target: 57 percent.

Baseline: 20 percent of children and adolescents under age 19 years at or below 200 percent of the Federal poverty level received any preventive dental service in 1996.

21-13. (Developmental) Increase the proportion of school-based health centers with an oral health component.

21-14. Increase the proportion of local health departments and community-based health centers, including community, migrant, and homeless health centers, that have an oral health component.

Target: 75 percent.

Baseline: 34 percent of local jurisdictions and health centers had oral health components in 1997.

21-15. Increase the number of States and the District of Columbia that have a system for recording and referring infants and children with cleft lips, cleft palates, and other craniofacial anomalies to craniofacial anomaly rehabilitative teams.

Target: All States and the District of Columbia.

Baseline: 23 States and the District of Columbia had systems for recording and referring children with craniofacial anomalies in 1997.

21-16. Increase the number of States and the District of Columbia that have an oral and craniofacial health surveillance system.

Target: All States and the District of Columbia.

Baseline: No States or the District of Columbia had oral and craniofacial health surveillance systems in 1999.

21-17. (Developmental) Increase the number of Tribal, State (including the District of Columbia), and local health agencies that serve jurisdictions of 250,000 or more persons that have in place an effective public dental health program directed by a dental professional with public health training.

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