Focus Area 21: Oral Health Progress Review

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Focus Area 21 Oral HealthProgress Review

• March 17, 2004

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The Burden of Oral Disease

• Estimated new cases of oral/pharyngeal cancers in
  U.S. will affect 28,000 persons in 2004
• Profound disparities exist in disease levels and
  receipt of care
• 100 million Americans lack dental insurance

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Progress

• Reduction in decay among U.S. teens in the 1990s
  (NHANES 1988-94 to 1999-2000) saved more than 30
  million teeth from decay and almost 3 billion in
  treatment costs

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Oral Health Objectives
21-1 Dental caries experience
21-8 Dental sealants
Children 2-4 years Children 6-8 years
Adolescents 15 years
Children 8 years Adolescents 14 years
21-9 Community water fluoridation
21-2 Untreated dental decay
21-10 Use of oral health care system
Children 2-4 years Children 6-8 years
Adolescents 15 years Adults 35-44 years
21-11 Use of oral health system by long-
term care facilities residents
21-12 Dental services of for low-income
children
21-3 No permanent tooth loss
21-13 School-based health centers with
oral health components
21-4 Complete loss
21-5 Periodontal diseases
21-14 Health centers with oral health
service components
21-6 Early detection of oral and
pharyngeal cancers
21-15 Referral for cleft lip or palate
21-7 Annual exams for oral and
pharyngeal cancers
21-16 Oral and craniofacial State-based
surveillance system
21-17 Tribal, State local programs
Improving
Cannot assess (limited data)
Getting worse
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Oral Health Objectives
Oral Health Objectives
21-1 Dental caries experience
21-8 Dental sealants
Children 2-4 years Children 6-8 years
Adolescents 15 years
Children 8 years Adolescents 14 years
21-9 Community water fluoridation
21-2 Untreated dental decay
21-10 Use of oral health care system
Children 2-4 years Children 6-8 years
Adolescents 15 years Adults 35-44 years
21-11 Use of oral health system by long-
term care facilities residents
21-12 Dental services of for low-income
children
21-3 No permanent tooth loss
21-13 School-based health centers with
oral health components
21-4 Complete loss
21-5 Periodontal diseases
21-14 Health centers with oral health
service components
21-6 Early detection of oral and
pharyngeal cancers
21-15 Referral for cleft lip or palate
21-7 Annual exams for oral and
pharyngeal cancers
21-16 Oral and craniofacial State-based
surveillance system
21-17 Tribal, State local programs
Improving
Cannot assess (limited data)
Getting worse
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Oral Health Objectives
21-1 Dental caries experience
21-8 Dental sealants
Children 2-4 years Children 6-8 years
Adolescents 15 years
Children 8 years Adolescents 14 years
21-9 Community water fluoridation
21-2 Untreated dental decay
21-10 Use of oral health care system
Children 2-4 years Children 6-8 years
Adolescents 15 years Adults 35-44 years
21-11 Use of oral health system by long-
term care facilities residents
21-12 Dental services of for low-income
children
21-3 No permanent tooth loss
21-13 School-based health centers with
oral health components
21-4 Complete loss
21-5 Periodontal diseases
21-14 Health centers with oral health
service components
21-6 Early detection of oral and
pharyngeal cancers
21-15 Referral for cleft lip or palate
21-7 Annual exams for oral and
pharyngeal cancers
21-16 Oral and craniofacial State-based
surveillance system
21-17 Tribal, State local programs
Improving
Cannot assess (limited data)
Getting worse
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Oral Health Objectives
Oral Health Objectives
21-1 Dental caries experience
21-8 Dental sealants
Children 2-4 years Children 6-8 years
Adolescents 15 years
Children 8 years Adolescents 14 years
21-9 Community water fluoridation
21-2 Untreated dental decay
21-10 Use of oral health care system
Children 2-4 years Children 6-8 years
Adolescents 15 years Adults 35-44 years
21-11 Use of oral health system by long-
term care facilities residents
21-12 Dental services of for low-income
children
21-3 No permanent tooth loss
21-13 School-based health centers with
oral health components
21-4 Complete loss
21-5 Periodontal diseases
21-14 Health centers with oral health
service components
21-6 Early detection of oral and
pharyngeal cancers
21-15 Referral for cleft lip or palate
21-7 Annual exams for oral and
pharyngeal cancers
21-16 Oral and craniofacial State-based
surveillance system
21-17 Tribal, State local programs
Improving
Getting worse
Cannot assess (limited data)
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Highlighted Objectives
21-1 Dental caries experience in
children 21-3 No permanent tooth loss in
adults 21-6 Early detection of oral and
pharyngeal cancers 21-8 Sealants 21-10
Use of oral health care system 21-12 Dental
services of for low-income children 21-14
Health centers with oral health services
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Highlighted Objectives
21-1 Dental caries experience in
children 21-3 No permanent tooth loss in
adults 21-6 Early detection of oral and
pharyngeal cancers 21-8 Sealants 21-10
Use of oral health care system 21-12 Dental
services of for low-income children 21-14
Health centers with oral health services 5-15
Dental visits among persons with diabetes
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Adolescents 12-18 Years Who Ever Had Caries in
Permanent Teeth, 1988-94
Percent
2010 Target
1988-94
Male
Female
Total
Black
Mexican American
White
Note Target is for adolescents 15 years old.
Black and white exclude persons of Hispanic
origin. Persons of Mexican-American origin may be
any race. Source National Health and Nutrition
Examination Survey, NCHS, CDC.
Obj. 21-1c
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Adolescents 12-18 Years Who Ever Had Caries in
Permanent Teeth, 1988-94 and 1999-2000
Percent
1999-2000
2010 Target
1988-94
Male
Female
Total
Black
Mexican American
White
Note Target is for adolescents 15 years old.
Black and white exclude persons of Hispanic
origin. Persons of Mexican-American origin may be
any race. Source National Health and Nutrition
Examination Survey, NCHS, CDC.
Obj. 21-1c
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Children 2-4 Years Who Have Ever Had Caries in
Primary Teeth, 1988-94
Percent
1988-94
2010 Target
Male
Female
Total
Black
Mexican American
White
Note Black and white exclude persons of Hispanic
origin. Persons of Mexican-American origin may be
any race. Source National Health and Nutrition
Examination Survey, NCHS, CDC.
Obj. 21-1a
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Children 2-4 Years Who Have Ever Had Caries in
Primary Teeth, 1988-94 and 1999-2000
Percent
1999-2000
1988-94
2010 Target
Male
Female
Total
Black
Mexican American
White
Note Black and white exclude persons of Hispanic
origin. Persons of Mexican-American origin may be
any race. Source National Health and Nutrition
Examination Survey, NCHS, CDC.
Obj. 21-1a
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Early Childhood Caries (ECC) in American
Indian/Alaska Native Children 0-4 Years
1991
Note from Niendorff Jones, JPHD 2000 60 245.
Data are for IHS service areas. Source 1991
Patient Survey, IHS.
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Early Childhood Caries (ECC) in American
Indian/Alaska Native Children 0-4 Years
Less than 2 of all U.S. children 1-2 years in
1988-94 had ECC
1991
Note from Niendorff Jones, JPHD 2000 60 245.
and Kaste et al., JPHD 1999 59 199. Source
1991 Patient Survey, IHS National Health and
Nutrition Examination Survey, NCHS, CDC.
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Dental Sealants
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Dental Sealants 1988-94
1988-94
1988-94
Percent
2010 Targets
Total
Black
Mexican American
White
Total
Black
Mexican American
White
6-11 Years
12-18 Years
Note Targets are for children 8 years and 14
years. Black and white exclude persons of
Hispanic origin. Persons of Mexican-American
origin may be any race. Source National Health
and Nutrition Examination Survey, NCHS, CDC.
Obj. 21-8
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Dental Sealants 1988-94 and 1999-2000
1988-94
1988-94
1999-2000
1999-2000
Percent
2010 Targets
Total
Black
Mexican American
White
Total
Black
Mexican American
White
6-11 Years
12-18 Years
Note Targets are for children 8 years and 14
years. Black and white exclude persons of
Hispanic origin. Persons of Mexican-American
origin may be any race. Source National Health
and Nutrition Examination Survey, NCHS, CDC.
Obj. 21-8
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No Permanent Tooth Loss in Adults 35-44 Years
1988-94
Percent
1988-94
2010 Target
Male
Female
Total
Black
Mexican American
White
Note Black and white exclude persons of
Hispanic origin. Persons of Mexican-American
origin may be any race. Source National Health
and Nutrition Examination Survey, NCHS, CDC.
Obj. 21-3
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No Permanent Tooth Loss in Adults 35-44 Years
1988-94 and 1999-2000
Percent
1999-2000
1988-94
2010 Target
Male
Female
Total
Black
Mexican American
White
Note Black and white exclude persons of
Hispanic origin. Persons of Mexican-American
origin may be any race. Source National Health
and Nutrition Examination Survey, NCHS, CDC.
Obj. 21-3
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Early Detection of Oral and Pharyngeal Cancers
1990-95
1990-95
Percent
2010 Target
Male
Female
Total
Black
Hispanic
White
Note Data are for Stage 1 (localized) tumors,
excluding Kaposi Sarcoma tumors. Black and
white exclude persons of Hispanic origin. Persons
of Hispanic origin may be any race. Source
Surveillance, Epidemiology, and End Results
Program, NIH, NCI.
Obj. 21-6
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Early Detection of Oral and Pharyngeal Cancers
1990-95 and 1996-2000
1996-2000
1990-95
Percent
2010 Target
Male
Female
Total
Black
Hispanic
White
Note Data are for Stage 1 (localized) tumors,
excluding Kaposi Sarcoma tumors. Black and
white exclude persons of Hispanic origin. Persons
of Hispanic origin may be any race. Source
Surveillance, Epidemiology, and End Results
Program, NIH, NCI.
Obj. 21-6
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Receipt of Preventive Services by Low Income
Children
1996
2010 Target 57
Note Data are for children under 19 years. Low
income is less than 200 of poverty level.
Preventive services include examinations,
cleaning, x-rays, fluoride treatments and sealant
applications. Source Medical Expenditure Panel
Survey, AHRQ.
Obj. 21-12
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Receipt of Preventive Services by Low Income
Children
1996
2000
2010 Target 57
Note Data are for children under 19 years. Low
income is less than 200 of poverty level.
Preventive services include examinations,
cleaning, x-rays, fluoride treatments and sealant
applications. Source Medical Expenditure Panel
Survey, AHRQ.
Obj. 21-12
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Annual Dental Visits 1996
1996
Percent
2010 Target
White
Black
Hispanic
Total
Race/ethnicity
Note Data are for ages 2 years and over, age
adjusted to the 2000 standard population. Black
and white exclude persons of Hispanic origin.
Persons of Hispanic origin may be any race.
Source Medical Expenditure Panel Survey, AHRQ.
Obj. 21-10
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Annual Dental Visits 1996
1996
Percent
2010 Target
White
Black
With
Hispanic
Without
Total
Race/ethnicity
Disability status
Note Data are for ages 2 years and over, age
adjusted to the 2000 standard population. Black
and white exclude persons of Hispanic origin.
Persons of Hispanic origin may be any race.
Source Medical Expenditure Panel Survey, AHRQ.
Obj. 21-10
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Annual Dental Visits 1996 and 2000
2000
1996
Percent
2010 Target
White
Black
With
Hispanic
Without
Total
Race/ethnicity
Disability status
Note Data are for ages 2 years and over, age
adjusted to the 2000 standard population. Black
and white exclude persons of Hispanic origin.
Persons of Hispanic origin may be any race.
Source Medical Expenditure Panel Survey, AHRQ.
Obj. 21-10
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(No Transcript)
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Community Health Centers with Onsite Dental
Services
Number
Health Centers
Dental Services at Center
2001
1999
2002
1997
2000
1998
Obj. 21-14
Source Bureau of Primary Health Care, HRSA.
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Community Health Centers with Onsite Dental
Services
Number
Percent
Health Centers
Dental Services at Center
2010 Target
2001
1999
2002
1997
2000
1998
Obj. 21-14
Source Bureau of Primary Health Care, HRSA.
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Annual Dental Visits for Personswith Diabetes
2002
Percent
Persons with diabetes
2010 Target
Rural
Urban
Total
Black
Hispanic
White
100-199
200
Race/ethnicity
Poverty level ()
Urbanicity
Note Data are for ages 2 years and over, age
adjusted to the 2000 standard population. Black
and white exclude persons of Hispanic origin.
Persons of Hispanic origin may be any race.
Source National Health Interview Survey, NCHS,
CDC.
Obj. 5-15
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Annual Dental Visits for Personswith and without
Diabetes 2002
Percent
Persons with diabetes
Persons without diabetes
2010 Target
Rural
Urban
Total
Black
Hispanic
White
100-199
200
Race/ethnicity
Urbanicity
Poverty level ()
Note Data are for ages 2 years and over, age
adjusted to the 2000 standard population. Black
and white exclude persons of Hispanic origin.
Persons of Hispanic origin may be any race.
Source National Health Interview Survey, NCHS,
CDC.
Obj. 5-15
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Annual Dental Visits for Personswith and without
Diabetes 1997-2002
Percent
2010 Target
Persons without diabetes
Persons with diabetes
Note Data are for ages 2 years and over, age
adjusted to the 2000 standard population.
Source National Health Interview Survey, NCHS,
CDC.
Obj. 5-15
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Progress review data and slides can be found on
the web at
http//www.cdc.gov/nchs/hphome.htm
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12 IHS Service Areas