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Oral Health

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Oral Health of Children and Adolescents

OH-1 Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth
OH-1.1 Reduce the proportion of children aged 3 to 5 years with dental caries experience in their primary teeth
Baseline: 33.3 percent of children aged 3 to 5 years had dental caries experience in at least one primary tooth in 1999-2004
Target: 30.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-01a.
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OH-1.2 Reduce the proportion of children aged 6 to 9 years with dental caries experience in their primary or permanent teeth
Baseline: 54.4 percent of children aged 6 to 9 years had dental caries experience in at least one primary or permanent tooth in 1999-2004
Target: 49.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 21-01b.
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OH-1.3 Reduce the proportion of adolescents aged 13 to 15 years with dental caries experience in their permanent teeth
Baseline: 53.7 percent of adolescents aged 13 to 15 years had dental caries experience in at least one permanent tooth in 1999-2004
Target: 48.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-01c.
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OH-2 Reduce the proportion of children and adolescents with untreated dental decay
OH-2.1 Reduce the proportion of children aged 3 to 5 years with untreated dental decay in their primary teeth
Baseline: 23.8 percent of children aged 3 to 5 years had untreated dental decay in at least one primary tooth in 1999-2004
Target: 21.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-02a.
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OH-2.2 Reduce the proportion of children aged 6 to 9 years with untreated dental decay in their primary or permanent teeth
Baseline: 28.8 percent of children aged 6 to 9 years had untreated dental decay in at least one primary or permanent tooth in 1999-2004
Target: 25.9 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-02b.
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OH-2.3 Reduce the proportion of adolescents aged 13 to 15 years with untreated dental decay in their permanent teeth
Baseline: 17.0 percent of adolescents aged 13 to 15 years had untreated dental decay in at least one permanent tooth in 1999-2004
Target: 15.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-02c.
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Oral Health of Adults

OH-3 Reduce the proportion of adults with untreated dental decay
OH-3.1 Reduce the proportion of adults aged 35 to 44 years with untreated dental decay
Baseline: 27.8 percent of adults aged 35 to 44 years had untreated dental decay in at least one permanent tooth in 1999-2004
Target: 25.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-02d.
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OH-3.2 Reduce the proportion of adults aged 65 to 74 years with untreated coronal caries
Baseline: 17.1 percent of adults aged 65 to 74 years had untreated coronal caries in at least one permanent tooth in 1999-2004
Target: 15.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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OH-3.3 Reduce the proportion of adults aged 75 years and older with untreated root surface caries
Baseline: 37.9 percent of adults aged 75 years and over had untreated root surface caries in at least one permanent tooth in 1999-2004
Target: 34.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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OH-4 Reduce the proportion of adults who have ever had a permanent tooth extracted because of dental caries or periodontal disease
OH-4.1 Reduce the proportion of adults aged 45 to 64 years who have ever had a permanent tooth extracted because of dental caries or periodontal disease
Baseline: 76.4 percent of adults aged 45 to 64 years had ever had a permanent tooth extracted because of dental caries or periodontal disease in 1999-2004
Target: 68.8 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-03.
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OH-4.2 Reduce the proportion of adults aged 65 to 74 years who have lost all of their natural teeth
Baseline: 24.0 percent of adults aged 65 to 74 years had lost all of their natural teeth in 1999-2004
Target: 21.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-04.
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OH-5 Reduce the proportion of adults aged 45 to 74 years with moderate or severe periodontitis
Revised

This objective was revised. See Revision History for Details.

Baseline: 47.5 percent of adults aged 45 to 74 years had moderate or severe periodontitis in 2009–10
Target: 40.8 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-05b.
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Revision History: This objective was revised. Read more about the revision history.
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OH-6 Increase the proportion of oral and pharyngeal cancers detected at the earliest stage
Revised

This objective was revised. See Revision History for Details.

Baseline: 32.6 percent of oral and pharyngeal cancers were diagnosed at the localized stage (stage 1) in 2007 oral and pharyngeal cancers were diagnosed at the localized stage (stage 1) in
Target: 35.9 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Program of Cancer Registries (NPCR), CDC/NCCDPHP; Surveillance, Epidemiology, and End Results Program (SEER), NIH/NCI
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Healthy People 2010 The HP2010 objective with the same definition was 21-06.
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Revision History: This objective was revised. Read more about the revision history.
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Access to Preventive Services

OH-7 Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year
LHI

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

Baseline: 44.5 percent of persons aged 2 years and over had a dental visit in the past year in 2007 (age adjusted to the year 2000 standard population)
Target: 49.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Medical Expenditure Panel Survey (MEPS), AHRQ
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Healthy People 2010 The HP2010 objective with the same definition was 21-10.
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OH-8 Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year
Revised

This objective was revised. See Revision History for Details.

Baseline: 30.2 percent of children and adolescents aged 2 to 18 years at or below 200 percent of the Federal poverty level received a preventive dental service during the past year in 2007
Target: 33.2 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Medical Expenditure Panel Survey (MEPS), AHRQ
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Healthy People 2010 The HP2010 objective with the same definition was 21-12.
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Revision History: This objective was revised. Read more about the revision history.
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OH-9 Increase the proportion of school-based health centers with an oral health component
OH-9.1 Increase the proportion of school-based health centers with an oral health component that includes dental sealants
Revised

This objective was revised. See Revision History for Details.

Baseline: 17.1 percent of school-based health centers with an oral health component included dental sealants in 2007–08
Target: 18.8 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Census of School-Based Health Centers (CSBHC), School Based Health Alliance (SBHA)
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Healthy People 2010 The HP2010 objective with the same definition was 21-13a.
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OH-9.2 Increase the proportion of school-based health centers with an oral health component that includes dental care
Revised

This objective was revised. See Revision History for Details.

Baseline: 6.4 percent of school-based health centers with an oral health component included fillings and extractions in 2007–08
Target: 7.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Census of School-Based Health Centers (CSBHC), School Based Health Alliance (SBHA)
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 21-13b.
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Revision History: This objective was revised. Read more about the revision history.
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OH-9.3 Increase the proportion of school-based health centers with an oral health component that includes topical fluoride
Revised

This objective was revised. See Revision History for Details.

Baseline: 20.6 percent of school-based health centers with an oral health component included fluoride rinses, varnish, or supplements in 2007–08
Target: 22.7 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Census of School-Based Health Centers (CSBHC), School Based Health Alliance (SBHA)
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OH-10 Increase the proportion of local health departments and Federally Qualified Health Centers (FQHCs) that have an oral health program
OH-10.1 Increase the proportion of Federally Qualified Health Centers (FQHCs) that have an oral health care program
Revised

This objective was revised. See Revision History for Details.

Baseline: 66.6 percent of FQHCs had an oral health care component in 2007
Target: 73.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Uniform Data System (UDS), HRSA/BPHC
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Healthy People 2010 The HP2010 objective with the same definition was 21-14.
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Revision History: This objective was revised. Read more about the revision history.
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OH-10.2 Increase the proportion of local health departments that have oral health prevention or care programs
Baseline: 25.8 percent of local health departments had an oral health prevention or care program in 2008
Target: 28.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses), Association of State and Territorial Dental Directors (ASTDD)
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OH-11 Increase the proportion of patients who receive oral health services at Federally Qualified Health Centers (FQHCs) each year
Baseline: 17.5 percent of patients at FQHCs received oral health services in 2007
Target: 33.3 percent
Target-Setting Method: Projection/trend analysis
Data Sources:
Uniform Data System (UDS), HRSA/BPHC
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Oral Health Interventions

OH-12 Increase the proportion of children and adolescents who have received dental sealants on their molar teeth
OH-12.1 Increase the proportion of children aged 3 to 5 years who have received dental sealants on one or more of their primary molar teeth
Baseline: 1.4 percent of children aged 3 to 5 years received dental sealants on one or more of their primary molars in 1999-2004
Target: 1.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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OH-12.2 Increase the proportion of children aged 6 to 9 years who have received dental sealants on one or more of their permanent first molar teeth
Baseline: 25.5 percent of children aged 6 to 9 years received dental sealants on one or more of their first permanent molars in 1999-2004
Target: 28.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-08a.
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OH-12.3 Increase the proportion of adolescents aged 13 to 15 years who have received dental sealants on one or more of their permanent molar teeth
Baseline: 19.9 percent of adolescents aged 13 to 15 years received dental sealants on one or more of their first permanent molars and one or more second permanent molars in 1999-2004
Target: 21.9 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-08b.
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OH-13 Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water
Baseline: 72.4 percent of the U.S. population served by community water systems received optimally fluoridated water in 2008
Target: 79.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Water Fluoridation Reporting System (WFRS), CDC/NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 21-09.
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OH-14 Increase the proportion of adults who receive preventive interventions in dental offices
OH-14.1 Increase the proportion of adults who received information from a dentist or dental hygienist focusing on reducing tobacco use or on smoking cessation in the past year
Revised

This objective was revised. See Revision History for Details.

Baseline: 10.5 percent of adults have received information from the dentist or dental hygienist focusing on reducing tobacco use or on smoking cessation in the past year in 2011–12 (age adjusted to the year 2000 standard population)
Target: 13.2 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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OH-14.2 Increase the proportion of adults who received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year
Revised

This objective was revised. See Revision History for Details.

Baseline: 23.3 percent of adults have received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year in 2011–12 (age adjusted to the year 2000 standard population)
Target: 28.6 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 21-07.
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Revision History: This objective was revised. Read more about the revision history.
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OH-14.3 Increase the proportion of adults who were tested or referred for glycemic control from a dentist or dental hygienist in the past year
Revised

This objective was revised. See Revision History for Details.

Baseline: 5.7 percent of adults were tested or referred for glycemic control from a dentist or dental hygienist in the past year in 2011–12 (age adjusted to the year 2000 standard population)
Target: 7.3 perent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Monitoring, Surveillance Systems

OH-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 and cleft palates to craniofacial anomaly rehabilitative teams
OH-15.1 Increase the number of States and the District of Columbia that have a system for recording cleft lips and cleft palates
Revised

This objective was revised. See Revision History for Details.

Baseline: 35 States had a system for recording cleft lips and cleft palates in 2013
Target: 39 States (and the District of Columbia)
Target-Setting Method: 10 percent improvement
Data Sources:
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses), Association of State and Territorial Dental Directors (ASTDD)
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 21-15.
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OH-15.2 Increase the number of States and the District of Columbia that have a system for referral for cleft lips and cleft palates to rehabilitative teams
Revised

This objective was revised. See Revision History for Details.

Baseline: 31 States had a system for referral for cleft lips and cleft palates to rehabilitative teams in 2013
Target: 34 States (and the District of Columbia)
Target-Setting Method: 10 percent improvement
Data Sources:
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses), Association of State and Territorial Dental Directors (ASTDD)
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Healthy People 2010 The HP2010 objective with the same definition was 21-15.
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OH-16 Increase the number of States and the District of Columbia that have an oral and craniofacial health surveillance system
Baseline: 32 States had an oral and craniofacial health surveillance system in 2009
Target: 51 (50 States and the District of Columbia)
Target-Setting Method: Total coverage
Data Sources:
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses), Association of State and Territorial Dental Directors (ASTDD)
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Healthy People 2010 The HP2010 objective with the same definition was 21-16.
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Public Health Infrastructure

OH-17 Increase health agencies that have a dental public health program directed by a dental professional with public health training
OH-17.1 Increase the proportion of States (including the District of Columbia) and local health agencies that serve jurisdictions of 250,000 or more persons with a dental public health program directed by a dental professional with public health training
Baseline: 23.4 percent of States (including the District of Columbia) and local health agencies that served jurisdictions of 250,000 or more persons had a dental public health program directed by a dental professional with public health training in 2008
Target: 25.7 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Annual Synopses of State and Territorial Dental Public Health Programs (ASTDD Synopses), Association of State and Territorial Dental Directors (ASTDD)
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Healthy People 2010 The HP2010 objective with the same definition was 21-17a.
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OH-17.2 Increase the number of Indian Health Service Areas and Tribal health programs that serve jurisdictions of 30,000 or more persons with a dental public health program directed by a dental professional with public health training
Baseline: 11 Indian Health Service Areas and Tribal health programs that served jurisdictions of 30,000 or more persons had a dental public health program directed by a dental professional with public health training in 2010
Target: 12 programs
Target-Setting Method: 10 percent improvement
Data Sources:
Indian Health Service, Division of Oral Health, IHS/DOH
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Healthy People 2010 The HP2010 objective with the same definition was 21-17b.
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