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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
Data:
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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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Revision History: This objective was revised. Read more about the revision history.
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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
Data:
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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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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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