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Oral Health Data Details

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  • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-01a in that the age range was revised from "2 to 4" to "3 to 5" years.

      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-1.2 Reduce the proportion of children aged 6 to 9 years with 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.

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-01b in that the age range was revised from "6 to 8" to "6 to 9" years.

      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-1.3 Reduce the proportion of adolescents aged 13 to 15 years with dental caries experience in their permanent teeth

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 to 15 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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-01c in that the age range was revised from "15" to "13 to 15" years.

      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

    • OH-2.1 Reduce the proportion of children aged 3 to 5 years with untreated dental decay in their primary teeth

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      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. The measurement protocol described for Healthy People 2000 is still in use.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-02a in that the age range was revised from "2 to 4" to "3 to 5" years.

      Revision History

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

      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-2.2 Reduce the proportion of children aged 6 to 9 years with untreated dental decay 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.

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-02b in that the age range was revised from "6 to 8" to "6 to 9" years.

      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-2.3 Reduce the proportion of adolescents aged 13 to 15 years with untreated dental decay in their permanent teeth

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 with 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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-02c in that the age range was revised from "15" to "13 to 15" years.

      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

    • OH-3.1 Reduce the proportion of adults aged 35 to 44 years with untreated dental decay

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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-3.2 Reduce the proportion of adults aged 65 to 74 years with untreated coronal caries

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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-3.3 Reduce the proportion of adults aged 75 years and older with untreated root surface caries

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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

    • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use.

      Trend Issues: 
      In 2015, the 2009-2010 data were deleted and 2011-2012 data were replaced to correct a programming error and make the data trendable back to the baseline.
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-03 in that the age range was revised from "35 to 44" to "45 to 64" years.

      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-4.2 Reduce the proportion of adults aged 65 to 74 years who have lost all of their natural teeth

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 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 described for Healthy People 2000 is still in use.

      Trend Issues: 
      In 2015, the 2009-2010 data were deleted and 2011-2012 data were replaced to correct a programming error and make the data trendable back to the baseline.

      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-5 Reduce the proportion of adults aged 45 to 74 years with moderate or severe periodontitis

    About the Data

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

    Data Source: 
    National Health and Nutrition Examination Survey
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    percent
    Baseline (Year): 
    47.5 (2009–10)
    Target: 
    40.8
    Target-Setting Method: 
    Minimal statistical significance
    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 at least two permanent teeth, at 4 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.

    Trend Issues: 
    The gap between the 2001-04 and 2009-12 is due to the different examination protocol used in two data cycles. A half-mouth protocol was used in NHANES 2001-04 data, which underestimated the baseline in 2001-04, while a full mouth protocol was first used in 2009-12 data. For more information, please see: Eke PI, et al. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res. 2012 Oct;91(10):914-20. Epub 2012 Aug 30.
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 21-05b in that the diagnosis was revised from "destructive periodontal disease" to "moderate or severe periodontitis." In addition, the age range was revised from "35 to 44" to "45 to 74" years.

    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. In 2015, the numerator was revised from a half-mouth to a full-mouth periodontal examination protocol. As a result, the baseline was revised from 12.8 percent in 2001-2004 to 47.5 percent in 2009-2010. The target setting method was revised from "10 percent improvement" to "minimal statistical significance" to ensure that the target is a statistically significant difference from the baseline. The target was revised from 11.5 percent to 40.8 percent under the "minimal statistical significance" 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.
  • OH-6 Increase the proportion of oral and pharyngeal cancers detected at the earliest stage

    About the Data

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

    Data Source: 
    National Program of Cancer Registries
    Surveillance, Epidemiology, and End Results Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    percent
    Baseline (Year): 
    32.6 (2007)
    Target: 
    35.9
    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
    Data Collection Frequency: 
    Annual
    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.

    Caveats and Limitations: 
    In 2011, 2012, and 2013, the following state did not meet the USCS data quality criteria and was excluded: Nevada
    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 21-02a in that the diagnostic codes were revised from "ICD-9 codes 140-149" to "ICD-10 codes C00-C14."

    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 2015, the baseline was slightly revised due to annual routine updating of SEER NPCR data, however the display value remained 32.5 percent (2007). There were no changes to the target or target setting method. In 2017, the baseline was slightly revised due to annual routine updating of SEER NPCR data, the display value was changed from 32.5 to 32.6 percent (2007). The target was revised from 35.8 to 35.9, in keeping with the target setting method (10% improvement).

    References

    Additional resources about the objective

    1. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2013 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; 2016.
  • 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.

    About the Data

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

    Data Source: 
    Medical Expenditure Panel Survey
    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

    Comparable Healthy People 2010 Objective: 
    Retained from HP2010 objective
    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 OR REGULAR)
      • 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
    Leading Health Indicator:
    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. The measurement protocol described for Healthy People 2000 is still in use.

      Age Adjustment Notes: 

      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 (percent poverty threshold): 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.
    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-8 Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year

    About the Data

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

    Data Source: 
    Medical Expenditure Panel Survey
    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

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    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 OR REGULAR)
      • 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
    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). The measurement protocol described for Healthy People 2000 is still in use.

    Changes Between HP2010 and HP2020: 
    This objective differs from Healthy People 2010 objective 21-12 in that the age range was revised from "persons under age 19 years" to "persons aged 2 to 18 years."

    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 original target-setting method.

    References

    Additional resources about the objective

    1. From MEPS 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-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

      About the Data

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

      Data Source: 
      Census of School-Based Health Centers
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      17.1 (2007–08)
      Target: 
      18.8
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of school-based health centers (SBHCs) with an oral health component which includes dental sealants

      Denominator: 

      Number of school-based health centers that completed a survey

      Comparable Healthy People 2010 Objective: 
      Retained from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2010-11 Census of School-Based Health Centers:

        [NUMERATOR:]

        Indicate which of the following services are provided to individuals by the health center (NOTE: Unless indicated, check off the services provided at your health center regardless of who provides the service.) [Select: Provide onsite; Provide through mobile unit; By referral only; Not provided or referred.]

        • Oral health education
        • Dental screenings (e.g. visual inspection)
        • Dental examination by a dentist
        • Dental examination by a dental hygienist
        • Dental sealants
        • Fluoride mouth rinse
        • Fluoride varnish
        • Fluoride supplements
        • Dental cleaning
        • General dental care (e.g. fillings, extractions)
        • Specialty care (e.g. orthodontics, oral surgery)
      Methodology Notes: 

        The School-Based Health Alliance conducts the Census of School-Based Health Centers (SBHCs). The census is a triennial national survey of school-based, school-linked, mobile health centers, and telehealth programs. This online survey provides the school-based health field with accurate, up-to-date data about SBHC demographics, staffing, services, policies, utilization, financing, prevention activities, and clinical policies.

        School-Based Health Centers that responded "Provide onsite" to "Dental sealants" were included in the numerator.

      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 2015, the baseline was revised to correct a programming error. The numerator should only include school-based health centers (on-site), not both school-based health centers and referral clinics (off-site). The baseline estimate was revised from 24.1 percent to 17.1 percent in 2007-2008. The target was adjusted from 26.5 percent to 18.8 percent to reflect the revised baseline using the original 10 percent improvement target-setting method. The data source name was revised from "School-Based Health Care Census (SBHCC), National Assembly on School-Based Health Care (NASBHC)" to "Census of School-Based Health Centers (CSBHC), School Based Health Alliance (SBHA)." The data source methodology was not revised.

      References

      Additional resources about the objective

    • OH-9.2 Increase the proportion of school-based health centers with an oral health component that includes dental care

      About the Data

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

      Data Source: 
      Census of School-Based Health Centers
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      6.4 (2007–08)
      Target: 
      7.0
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of school-based health centers (SBHCs) with an oral health component that includes fillings and extractions

      Denominator: 

      Number of school-based health centers that completed a survey

      Comparable Healthy People 2010 Objective: 
      Retained from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2010-11 Census of School-Based Health Centers:

        [NUMERATOR:]

        Indicate which of the following services are provided to individuals by the health center (NOTE: Unless indicated, check off the services provided at your health center regardless of who provides the service.) [Select: Provide onsite; Provide through mobile unit; By referral only; Not provided or referred.]

        • Oral health education
        • Dental screenings (e.g. visual inspection)
        • Dental examination by a dentist
        • Dental examination by a dental hygienist
        • Dental sealants
        • Fluoride mouth rinse
        • Fluoride varnish
        • Fluoride supplements
        • Dental cleaning
        • General dental care (e.g. fillings, extractions)
        • Specialty care (e.g. orthodontics, oral surgery)
      Methodology Notes: 

        The School-Based Health Alliance conducts the Census of School-Based Health Centers (SBHCs). The census is a triennial national survey of school-based, school-linked, mobile health centers, and telehealth programs. This online survey provides the school-based health field with accurate, up-to-date data about SBHC demographics, staffing, services, policies, utilization, financing, prevention activities, and clinical policies.

        School-Based Health Centers that responded "Provide onsite" to "General dental care (e.g. fillings, extractions)" were included in the numerator.

      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 2015, the baseline was revised to correct a programming error. The numerator should only include school-based health centers (on-site), not both school-based health centers and referral clinics (off-site). The baseline estimate was revised from 10.1 percent to 6.4 percent in 2007-2008. The target was adjusted from 11.1 percent to 7.0 percent to reflect the revised baseline using the original 10 percent improvement target-setting method. The data source name was revised from "School-Based Health Care Census (SBHCC), National Assembly on School-Based Health Care (NASBHC)" to "Census of School-Based Health Centers (CSBHC), School Based Health Alliance (SBHA)." The data source methodology was not revised.

      References

      Additional resources about the objective

    • OH-9.3 Increase the proportion of school-based health centers with an oral health component that includes topical fluoride

      About the Data

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

      Data Source: 
      Census of School-Based Health Centers
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      20.6 (2007–08)
      Target: 
      22.7
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of school-based health centers (SBHCs) 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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2010-11 Census of School-Based Health Centers:

        [NUMERATOR:]

        Indicate which of the following services are provided to individuals by the health center (NOTE: Unless indicated, check off the services provided at your health center regardless of who provides the service.) [Select: Provide onsite; Provide through mobile unit; By referral only; Not provided or referred.]

        • Oral health education
        • Dental screenings (e.g. visual inspection)
        • Dental examination by a dentist
        • Dental examination by a dental hygienist
        • Dental sealants
        • Fluoride mouth rinse
        • Fluoride varnish
        • Fluoride supplements
        • Dental cleaning
        • General dental care (e.g. fillings, extractions)
        • Specialty care (e.g. orthodontics, oral surgery)
      Methodology Notes: 

        The School-Based Health Alliance conducts the Census of School-Based Health Centers (SBHCs). The census is a triennial national survey of school-based, school-linked, mobile health centers, and telehealth programs. This online survey provides the school-based health field with accurate, up-to-date data about SBHC demographics, staffing, services, policies, utilization, financing, prevention activities, and clinical policies.

        School-Based Health Centers that responded "Provide onsite" to "Fluoride mouth rinse," "Fluoride varnish," or "Fluoride supplements" were included in the numerator.

      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 2015, the baseline was revised to correct a programming error. The numerator should only include school-based health centers (on-site), not both school-based health centers and referral clinics (off-site). The baseline estimate was revised from 29.2 percent to 20.6 percent in 2007-2008. The target was adjusted from 32.1 percent to 22.7 percent to reflect the revised baseline using the original 10 percent improvement target-setting method. The data source name was revised from "School-Based Health Care Census (SBHCC), National Assembly on School-Based Health Care (NASBHC)" to "Census of School-Based Health Centers (CSBHC), School Based Health Alliance (SBHA)." The data source methodology was not revised.

      References

      Additional resources about the objective

  • 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

      About the Data

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

      Data Source: 
      Uniform Data System
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      66.6 (2007)
      Target: 
      73.3
      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
      Data Collection Frequency: 
      Annual
      Methodology Notes: 

        The baseline and target for this objective was revised in 2017 due to a change in the methodology Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC) used to track this measure in their Agency reporting. The 2007 baseline was revised from 75.0% to 62.7%. In keeping with the original target setting method (10% improvement), the target was revised from 83.0% to 69.0%.

        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.

      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: 
      The baseline and target for this objective was revised in 2017 due to a change in the methodology used to track this measure. The 2007 baseline was revised from 75.0% to 62.7%. In keeping with the original target setting method (10% improvement), the target was revised from 83.0% to 69.0%. Due to a programming error, the baseline and target needed to be revised a second time. The new baseline is 66.6% and the new target is 73.3%.

      References

      Additional resources about the objective

      1. Health Resources and Services Administration. Uniform Data System.
    • OH-10.2 Increase the proportion of local health departments that have oral health prevention or care programs

      About the Data

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

      Data Source: 
      Annual Synopses of State and Territorial Dental Public Health Programs
      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
      Questions Used to Obtain the National Baseline Data: 

        From the 2008 Synopsis of State and Territorial Dental Public Health Programs:

        [NUMERATOR:]

        Directors of dental programs were asked to record the number of local health departments (city, county, etc.) that had a dental program during FY 2006-07 that offered:

        • Educational services only
        • Preventive services (topical fluorides, sealants, etc.)
        • Preventive & restorative services
      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.
      2. National Association of County and City Health Officials. National Profile of Local Health Departments. 2009.
  • OH-11 Increase the proportion of patients who receive oral health services at Federally Qualified Health Centers (FQHCs) each year

    About the Data

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

    Data Source: 
    Uniform Data System
    Changed Since the Healthy People 2020 Launch: 
    No
    Measure: 
    percent
    Baseline (Year): 
    17.5 (2007)
    Target: 
    33.3
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    The number of patients receiving dental care in Federally Qualified Health Centers (FQHCs) increased 170 percent during the decade ending in 2010. This growth rate for dental patients was higher than that for all FQHC patients combined. At the current growth rate, a 90 percent increase is expected in the number of FQHC patients receiving dental care during this decade.
    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.
  • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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.
    • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-08a in that the age range was revised from "8" to "6 to 9" years.

      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-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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      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 described for Healthy People 2000 is still in use. 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.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-08a in that the age range was revised from "14" to "13 to 15" years.

      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-13 Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water

    About the Data: National

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

    Data Source: 
    Water Fluoridation Reporting System
    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. Public Health Service Recommendations for the recommended concentration of fluoride in drinking water have been recently updated in 2015 from a range of 0.7 to 1.2 mg/L based on ambient average temperature to a uniform 0.7 mg/L. However, water fluoridation is a state activity, and water systems apply the definition of optimal concentration determined by the state in which they operate.

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Water Fluoridation Reporting System
    Measure: 
    percent
    Numerator: 

    Number of persons receiving optimally fluoridated water from public water systems

    Denominator: 

    Number of persons served by public water systems

    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. Public Health Service Recommendations for the recommended concentration of fluoride in drinking water have been recently updated in 2015 from a range of 0.7 to 1.2 mg/L based on ambient average temperature to a uniform 0.7 mg/L. However, water fluoridation is a state activity, and water systems apply the definition of optimal concentration determined by the state in which they operate.

    References

    Additional resources about the objective

    1. Calculating Fluoridation Statistics.
    2. Engineering and administrative recommendations for water fluoridation, 1995. MMWR 1995;44(RR–13):1–40.
    3. U.S. Department of Health and Human Services Federal Panel on Community Water Fluoridation. U.S. Public Health Service Recommendation for Fluoride Concentration in Drinking Water for the Prevention of Dental Caries. Public Health Reports 2015;130(4):318-331.
    4. Water Fluoridation Statistics.
  • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      10.5 (2011–12)
      Target: 
      13.2
      Target-Setting Method: 
      Minimal statistical significance
      Target-Setting Method Justification: 
      The baseline estimates for OH-14 were small enough that a 10 percent improvement over the baseline would not have result in a statistically significant increase over the baseline. Therefore, we used the Minimal Statistical Significance target setting method.
      Numerator: 

      Number of adults aged 18 years and over who received information from a dentist or dental hygienist focusing on reducing tobacco use or on smoking cessation in the past year

      Denominator: 

      Number of adults aged 18 years and over who were eligible for the dental health perception and quality of life related questions

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2011-2012 National Health and Nutrition Examination Survey Oral Health Questionnaire:

        [NUMERATOR:]

        In the past 12 months, did a dentist, hygienist or other dental professional have a direct conversation with {you/SP} about the benefits of giving up cigarettes or other types of tobacco to improve {your/SP’S} dental health?

        • Yes
        • No
        • Refused
        • Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        This objective is tracked using the Oral Health Questionnaire component of the National Health and Nutrition Examination Survey, collected since 1999. All survey participants aged 1 year and older were eligible for the dental health perception and quality of life related questions, however data for this objective focus on adults aged 18 and over. Persons who responded "Yes" to the survey question "In the past 12 months, did a dentist, hygienist or other dental professional have a direct conversation with {you/SP} about the benefits of giving up cigarettes or other types of tobacco to improve {your/SP’S} dental health?" were counted in the numerator.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 18-24, 25-44, 45-64, 65+
        • Sex: 18-24, 25-44, 45-64, 65+
        • Race/Ethnicity: 18-24, 25-44, 45-64, 65+
        • Educational Attainment: 18-24, 25-44, 45-64, 65+
        • Family Income (percent poverty threshold): 18-24, 25-44, 45-64, 65+
        • Country of Birth: 18-24, 25-44, 45-64, 65+
        • Disability Status: 20-24, 25-44, 45-64, 65+
        • Health Insurance Status: 18-24, 25-44, 45-64
        • Marital Status: 20-24, 25-44, 45-64, 65+
        • Veteran Status: 18-24, 25-44, 45-64, 65+
        • Obesity Status: 20-24, 25-44, 45-64, 65+

      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 2015, this objective moved to measurable status. The objective statement is "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." The baseline statement is "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 2011-2012 (age adjusted to the year 2000 standard population)." The target is 13.2 percent under the minimal statistical significance target setting method. The data source is the National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.
    • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      23.3 (2011–12)
      Target: 
      28.6
      Target-Setting Method: 
      Minimal statistical significance
      Target-Setting Method Justification: 
      The baseline estimates for OH-14 were small enough that a 10 percent improvement over the baseline would not have result in a statistically significant increase over the baseline. Therefore, we used the Minimal Statistical Significance target setting method.
      Numerator: 

      Number of adults aged 18 years and over who received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year

      Denominator: 

      Number of adults aged 18 years and over who were eligible for the dental health perception and quality of life related questions

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2011-2012 National Health and Nutrition Examination Survey Oral Health Questionnaire:

        [NUMERATOR:]

        In the past 12 months, did a dentist, hygienist or other dental professional have a direct conversation with {you/SP} about the importance of examining {your/his/her} mouth for oral cancer?

        • Yes
        • No
        • Refused
        • Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        This objective is tracked using the Oral Health Questionnaire component of the National Health and Nutrition Examination Survey, collected since 1999. All survey participants aged 1 year and older were eligible for the dental health perception and quality of life related questions, however data for this objective focus on adults aged 18 and over. Persons who responded "Yes" to the survey question "In the past 12 months, did a dentist, hygienist or other dental professional have a direct conversation with {you/SP} about the importance of examining {your/his/her} mouth for oral cancer?" were counted in the numerator.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 18-24, 25-44, 45-64, 65+
        • Sex: 18-24, 25-44, 45-64, 65+
        • Race/Ethnicity: 18-24, 25-44, 45-64, 65+
        • Educational Attainment: 18-24, 25-44, 45-64, 65+
        • Family Income (percent poverty threshold): 18-24, 25-44, 45-64, 65+
        • Country of Birth: 18-24, 25-44, 45-64, 65+
        • Disability Status: 20-24, 25-44, 45-64, 65+
        • Health Insurance Status: 18-24, 25-44, 45-64
        • Marital Status: 20-24, 25-44, 45-64, 65+
        • Veteran Status: 18-24, 25-44, 45-64, 65+
        • Obesity Status: 20-24, 25-44, 45-64, 65+
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-07 in that the data source was revised from the National Health Interview Survey to the National Health and Nutrition Examination Survey. In addition, the denominator was revised from adults aged 40 and over to adults aged 18 and over.

      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 2015, this objective moved to measurable status. The objective statement is "Increase the proportion of adults who received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year." The baseline statement is "23.3 percent of adults have received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year in 2011-2012 (age adjusted to the year 2000 standard population)." The target is 28.6 percent under the minimal statistical significance target setting method. The data source is the National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.
    • 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

      About the Data

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

      Data Source: 
      National Health and Nutrition Examination Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      5.7 (2011–12)
      Target: 
      7.3
      Target-Setting Method: 
      Minimal statistical significance
      Target-Setting Method Justification: 
      The baseline estimates for OH-14 were small enough that a 10 percent improvement over the baseline would not have result in a statistically significant increase over the baseline. Therefore, we used the Minimal Statistical Significance target setting method.
      Numerator: 

      Number of adults aged 18 years and older who were tested or referred for glycemic control from a dentist or dental hygienist in the past year

      Denominator: 

      Number of adults aged 18 years and over who were eligible for the dental health perception and quality of life related questions

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2011-2012 National Health and Nutrition Examination Survey Oral Health Questionnaire:

        [NUMERATOR:]

        In the past 12 months, did a dentist, hygienist or other dental professional have a direct conversation with {you/SP} about the dental health benefits of checking {your/his/her} blood sugar?

        • Yes
        • No
        • Refused
        • Don't know
      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        This objective is tracked using the Oral Health Questionnaire component of the National Health and Nutrition Examination Survey, collected since 1999. All survey participants aged 1 year and older were eligible for the dental health perception and quality of life related questions, however data for this objective focus on adults aged 18 and over. Persons who responded "Yes" to the survey question "In the past 12 months, did a dentist, hygienist or other dental professional have a direct conversation with {you/SP} about the dental health benefits of checking {your/his/her} blood sugar?" were counted in the numerator.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment Groups:

        • Total: 18-24, 25-44, 45-64, 65+
        • Sex: 18-24, 25-44, 45-64, 65+
        • Race/Ethnicity: 18-24, 25-44, 45-64, 65+
        • Educational Attainment: 18-24, 25-44, 45-64, 65+
        • Family Income (percent poverty threshold): 18-24, 25-44, 45-64, 65+
        • Country of Birth: 18-24, 25-44, 45-64, 65+
        • Disability Status: 20-24, 25-44, 45-64, 65+
        • Health Insurance Status: 18-24, 25-44, 45-64
        • Marital Status: 20-24, 25-44, 45-64, 65+
        • Veteran Status: 18-24, 25-44, 45-64, 65+
        • Obesity Status: 20-24, 25-44, 45-64, 65+

      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 2015, this objective moved to measurable status. The objective statement is "Increase the proportion of adults who were tested or referred for glycemic control from a dentist or dental hygienist in the past year." The baseline statement is "5.7 percent of adults were tested or referred for glycemic control from a dentist or dental hygienist in the past year in 2011-2012 (age adjusted to the year 2000 standard population)." The target is 7.3 percent under the minimal statistical significance target setting method. The data source is the National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.
  • 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

      About the Data

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

      Data Source: 
      Annual Synopses of State and Territorial Dental Public Health Programs
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      number
      Baseline (Year): 
      35 (2013)
      Target: 
      39
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      States (including the District of Columbia) that have a system for recording children with cleft lips, palates, and other craniofacial anomalies

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2013 Annual Synopses of State and Territorial Dental Public Health Programs:

        [COUNT:]

        Does your state have a system for recording children with cleft lips, palates, and other craniofacial anomalies?

        • Yes
        • No
      Data Collection Frequency: 
      Annual
      Methodology Notes: 

        The Association of State and Territorial Dental Directors (ASTDD) collects information through a questionnaire that is distributed to all State Dental Directors and the DC. Each Director completes the questionnaire annually and a summary of the report is placed on the ASTDD website (www.astdd.org). The survey contains a number of questions that focus on the state dental program components and the data collection efforts and monitoring of oral health surveillance measures.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-15 in that objective 21-15 tracked States that recorded and referred children with cleft lips and palates. For Healthy People 2020, objective 21-15 was split into two objectives: OH-15.1, which tracks States that have a system for recording children with cleft lips and palates, and OH-15.2, which tracks States that have a system for referring children with cleft lips and palates.

      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 2015, this objective moved to measurable status. The objective statement is "Increase the number of States and the District of Columbia that have a system for recording cleft lips and cleft palates." The baseline statement is "35 states had a system for recording cleft lips and cleft palates in 2013." The target is 39 states (including the District of Columbia) under the 10 percent improvement target setting method. The data source is the Annual Synopses of State and Territorial Dental Public Health Programs, ASTDD.
    • 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

      About the Data

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

      Data Source: 
      Annual Synopses of State and Territorial Dental Public Health Programs
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      number
      Baseline (Year): 
      31 (2013)
      Target: 
      34
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      States (including the District of Columbia) with a system for referring children with cleft lips, palates, and other craniofacial anomalies

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2013 Annual Synopses of State and Territorial Dental Public Health Programs:

        [COUNT:]

        Does your state have a system for referring children with cleft lips/palates to rehabilitative teams?

        • Yes
        • No
      Data Collection Frequency: 
      Annual
      Methodology Notes: 

        The Association of State and Territorial Dental Directors (ASTDD) collects information through a questionnaire that is distributed to all State Dental Directors and the DC. Each Director completes the questionnaire annually and a summary of the report is placed on the ASTDD website (www.astdd.org). The survey contains a number of questions that focus on the state dental program components and the data collection efforts and monitoring of oral health surveillance measures.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-15 in that objective 21-15 tracked States that recorded and referred children with cleft lips and palates. For Healthy People 2020, objective 21-15 was split into two objectives: OH-15.1, which tracks States that have a system for recording children with cleft lips and palates, and OH-15.2, which tracks States that have a system for referring children with cleft lips and palates.

      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 2015, this objective moved to measurable status. The objective statement is "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." The baseline statement is "31 states had a system for referral for cleft lips and cleft palates to rehabilitative teams in 2013." The target is 34 states (including the District of Columbia) under the 10 percent improvement target setting method. The data source is the Annual Synopses of State and Territorial Dental Public Health Programs, ASTDD.
  • OH-16 Increase the number of States and the District of Columbia that have an oral and craniofacial health surveillance system

    About the Data

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

    Data Source: 
    Annual Synopses of State and Territorial Dental Public Health Programs
    Changed Since the Healthy People 2020 Launch: 
    No
    Measure: 
    number
    Baseline (Year): 
    32 (2009)
    Target: 
    51
    Target-Setting Method: 
    Total coverage
    Target-Setting Method Justification: 
    Thirty-two States currently have a surveillance system. The standard calls for all States to have a system to monitor oral health status, access to care, and infrastructure capacity. This standard is very likely to be accomplished during this decade.
    Numerator: 

    Number of States or the District of Columbia with surveillance data for at least six of the nine possible surveillance databases

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
    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?
    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. The data systems are as follows:

      • Statewide oral health surveys
      • Behavioral Risk Factor Surveillance System (BRFSS), CDC/NCCDPHP
      • Water Fluoridation Reporting System (WFRS), CDC/NCCDPHP
      • Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP
      • Pregnancy risk data
      • State cancer registries/Surveillance, Epidemiology, and End Results (SEER), NIH/NCI
      • Orofacial cleft data
      • Medicaid dental claims data, HCFA
      • Annual Synopses of State and Territorial Dental Public Health Programs, Association of State and Territorial Dental Directors (ASTDD)

      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

    • 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

      About the Data

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

      Data Source: 
      Annual Synopses of State and Territorial Dental Public Health Programs
      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)

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      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)

      Methodology Notes: 

        The Association of State and Territorial State Dental Directors fields an annual survey, the Synopsis of State and Territorial Dental Public Health Programs. 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. A health agency is considered to have a public health dental program directed by a dental professional with public health training if the dental program director is (1) a dentist, dental hygienist, or dental assistant and (2) has at least a master or higher public health related degree.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-17a in that the measure was revised from a count to a proportion.
    • 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

      About the Data

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

      Data Source: 
      Indian Health Service, Division of Oral Health
      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

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

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

        [NUMERATOR:]

        Please provide a count, based on the regional offices within IHS, that have a “public health dental program directed by a dental professional.”

      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. A health program is considered to have a public health dental program director by a dental professional with public health training if that dental program director has formal public health training (MPH, MSPH, MSHA, PhD, DrPH).

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 21-17b in that the measure was revised from a count to a proportion.