Transcript Slide 1

ORAL HEALTH STATUS,
UNITED STATES
Copyright© 2007 by the American Dental
Education Association
Oral Health Status, United States
American Dental Education Association
Dental Caries Prevalence in Primary Teeth Among Children
2 to 11 Years of Age, 1988 - 1994 and 1999 - 2002
1999 - 2002
Percentage
50

41% of children 2 to 11 years of age
had caries in their primary teeth

28% of children 2 to 5 years of age
had caries in their primary teeth

49% of children 6 to 11 years of age
had caries in their primary teeth

No significant change in prevalence
was noted from 1988-1994 to 19992002
40
30
20
10
0
1988-1994
1999-2002
2 to 11 Years
2 to 5 Years
6 to 11 Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Dental Caries Prevalence in Primary Teeth Among Children2 to 11 Years
of Age by Selected Race/Ethnicity,1988 - 1994 and 1999 - 2002
60
1999 - 2002
Percentage
50

55% of Mexican American children had
caries in their primary teeth

43% of Black, non-Hispanic children
had caries in their primary teeth

33% of White, non-Hispanic children
had caries in their primary teeth

No significant change in prevalence
was noted from 1988-1994 to 19992002
40
30
20
10
0
1988-1994
1999-2002
Mexican American
Black, non-Hispanic
White, non-Hispanic
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Dental Caries Prevalence in Primary Teeth Among Children2 to 11 Years of Age
by Percentage of Federal Poverty Level (FPL),1988 - 1994 and 1999 - 2002
60
1999 – 2002
Percentage
50

31% of children from families with
incomes equal to or greater than 200%
of the FPL had dental caries

45% of children from families with
incomes from 100% to 199% of the
FPL had dental caries

55% of children from families with
incomes less than 100% of the FPL
had dental caries
40
30
20
10
0
1988-1994
1999-2002
<100% FPL
100% - 199% FPL
≥200% FPL
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed and Filled Surfaces (dfs) in Primary Teeth Among
Children 2 to 11 Years of Age, 1988 - 1994 and 1999 - 2002
1999 - 2002
Mean
4

Mean dfs among children 2 to 11 years
of age was 3.2

Mean dfs among children 2 to 5 years
of age was 2.4

Mean dfs among children 6 to 11 years
of age was 3.7

The slight increases in the mean dfs
figures noted from 1988-1994 to 19992002 were not statistically significant

Approximately 21% of children 2 to 11
years of age had untreated decay in
their primary teeth
3
2
1
0
1988-1994
2 to 11 Years
6 to 11 Years
1999-2002
2 to 5 Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed and Filled Surfaces (dfs) in Primary Teeth Among
Children 2 to 11 Years of Age by Selected Race/Ethnicity, 1988 - 1994 and
1999 - 2002
5
1999 - 2002
4
Mean
3

Mean dfs among Mexican American
children 2 to 11 years of age was 4.6

Mean dfs among black, non-Hispanic
children 2 to 11 years of age was 3.0

Mean dfs among white, non-Hispanic
children 2 to 11years of age was 3.1

No significant change in mean dfs by
race/ethnicity was noted from 19881994 to 1999-2002
2
1
0
1988-1994
1999-2002
Mexican American
Black, non-Hispanic
White, non-Hispanic
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed and Filled Surfaces (dfs) in Primary Teeth Among Children
2 to 11 Years of Age by Percentage of Federal Poverty Level (FPL),
1988 - 1994 and 1999 - 2002
6
1999 - 2002
5

Mean dfs among 2 to 11 year old
children from families with incomes
equal to or greater than 200% of the
FPL was 1.96

Mean dfs among 2 to 11 year old
children from families with incomes
between 100% and 199% of the FPL
was 3.75

Mean dfs among 2 to 11 year old
children from families with incomes
below 100% of the FPL was 5.22

While the mean dfs figures have
increased since 1988-1994, the
increases were not statistically
significant
Mean
4
3
2
1
0
1988-1994
1999-2002
< 100% FPL
100%-199% FPL
≥200% FPL
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Dental Caries Prevalence in Permanent Teeth Among Children and Adolescents
6 to 19 Years of Age, 1988 - 1994 and 1999 - 2002
80
1999 - 2002
70

42% of this age group had caries in
their permanent teeth

20% of children 6 to 11 years of age
had caries in their permanent teeth

50% of adolescents 12 to 15 years of
age years had caries in their
permanent teeth

68% of adolescents 16 to 19 years of
age years had caries in their
permanent teeth

Caries prevalence in permanent teeth
decreased slightly among children and
adolescents 6 to 19 years of age
between 1988-1994 and 1999-2002
Percentage
60
50
40
30
20
10
0
1988-1994
1999-2002
6 to 19 Years
6 to 11 Years
12 to 15 Years
16 to 19Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Dental Caries Prevalence in Permanent Teeth Among Children and
Adolescents 6 to 19 Years of Age by Selected Race/Ethnicity,
1988 - 1994 and 1999 - 2002
60

Percentage
50
40
30
20

10
0
1988-1994
1999-2002
1999 - 2002
Mexican American children and
adolescents 6 to 19 years of age had a
higher prevalence of dental caries in
their permanent teeth than nonHispanic Black or White children and
adolescents
The decline in caries prevalence for
non-Hispanic Black and White children
and adolescents 6 to 19 years of age
between 1988-1994 and 1999-2002
was statistically significant
Mexican American
Black, non-Hispanic
White, non-Hispanic
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Dental Caries Prevalence in Permanent Teeth Among Children and Adolescents
6 to 19 Years of Age by Federal Poverty Level (FPL),
1988 - 1994 and 1999 - 2002
60

Percentage
50
40
1999 - 2002
Children and adolescents from families
with incomes equal to or greater than
200% of the FPL had a lower caries
experience (36%)
30

20
10
0
1988-1994
1999-2002
The percent of decline (22.5%) in
caries prevalence for children and
adolescents from families with incomes
equal to or greater than 200% of the
FPL between 1988-1994 and 19992002 was statistically significant
<100% FPL
100%-199% FPL
≥200% FPL
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed, Missing, and Filled Surfaces (DMFS)
in Permanent Teeth Among Children and Adolescents
6 to 19 Years of Age, 1988 - 1994 and 1999 - 2002
8
Mean
7

6

5
4

3

2
1

0
1988-1994
1999-2002
6 to 19 Years
6 to 11 Years
12 to 15 Years
16 to 19 Years

1999 - 2002
Mean DMFS among this age group
was 2.7
Mean DMFS among children 6 to 11
years of age was 0.6
Mean DMFS among adolescents 12 to
15 years of age was 2.8
Mean DMFS among adolescents 16 to
19 years of age was 5.8
Mean DMFS was lower in 1999-2002
than in 1988-1994, with the largest
reduction among adolescents 16 to 19
years of age
Approximately 14 percent of this age
group (6 to 19) had untreated tooth
decay
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed, Missing, and Filled Surfaces (DMFS) in Permanent
Teeth Among Children and Adolescents 6 to 19 Years of Age by Selected
Race/Ethnicity, 1988 - 1994 and 1999 - 2002
4
1999 – 2002

Mean
3
2
Overall, the declines in DMFS by
selected race/ethnicity were slight, with
the differences being statistically
insignificant
1
0
1988-1994
1999-2002
Mexican American
Black, non-Hispanic
White, non-Hispanic
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed, Missing, and Filled Surfaces (DMFS) in Permanent
Teeth Among Children and Adolescents 6 to 19 Years of Age by Federal
Poverty Level (FPL), 1988 - 1994 and 1999 - 2002
4

Mean
3

2
1
1999 - 2002
The declines in DMFS by percentage
of FPL were slight
The decline was largest and
statistically significant for children and
adolescents from families with incomes
equal to or greater than 200 percent of
the FPL
0
1988-1994
1999-2002
<100% FPL
100%-199% FPL
≥200% FPL
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Prevalence of Coronal Caries Among Dentate Adults
20 Years of Age or Older, 1988 - 1994 and 1999 - 2002
100
Percentage

95

90
85
1999 - 2002
Approximately 91% of dentate adults
had caries
The decline in prevalence was largest
and statistically significant among
adults 20 to 39 years of age, falling
from 93% to 87%
80
1988-1994
20 to 39 Years
1999-2002
40 to 59 Years
≥60 Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Prevalence of Coronal Caries Among Dentate Adults 20 Years of Age or Older
by Federal Poverty Level (FPL),1988 - 1994 and 1999 - 2002
100
Percentage

95
90

85
80
1988-1994
1999-2002
1999 - 2002
Dentate adults with family incomes
above 100% of FPL experienced slight
declines in caries prevalence between
1988-1994 and 1999-2002
Dentate adults with family incomes
above 100% of FPL experienced a
higher prevalence of caries than
dentate adults with family incomes at
or below 100% of FPL
<100% FPL
100%-199% FPL
≥200% FPL
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Prevalence of Untreated Tooth Decay Among Dentate Adults 20
Years of Age or Older, 1988 - 1994 and 1999 - 2002
1988-1994
1999-2002
All adults
28%
23%
Mexican American
41%
36%
Black, non-Hispanic
49%
41%
White, non-Hispanic
24%
18%
<100% FPL
49%
41%
100%-199% FPL
44%
35%
≥200% FPL
20%
16%

Prevalence of untreated tooth
decay declined between 19881994 and 1999-2002

Prevalence of untreated tooth
decay is lower in White, nonHispanic adults and in families
with incomes at or above 100%
of Federal Poverty Level (FPL)
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed, Missing, and Filled Teeth (DMFT) in the Crowns of
Permanent Teeth of Dentate Adults 20 Years of Age or Older,
1988 - 1994 and 1999 - 2002
1999 - 2002
28
24

Mean DMFT among this age group
was 11.67

Mean DMFT among adults 20 to 39
years of age was 7.1

Mean DMFT among adults 40 to 59
years of age was 12.9

Mean DMFT among adults equal to or
greater than 60 years of age was 17.6

Mean DMFTs were lower in 1999-2002
than in 1988-1994, with the largest
percent reduction among adults 20 to
39 years of age, declining almost 21%
Mean
20
16
12
8
4
0
1988-1994
1999-2002
20 to >60 Years
20 to 39 Years
40 to 59 Years
≥60 Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed, Missing, and Filled Teeth (DMFT) in the Crowns of
Permanent Teeth of Dentate Adults 20 Years of Age or Older by Race/Ethnicity,
1988 - 1994 and 1999 - 2002
16
14

There was a slight decline in the mean
DMFT for each of the racial/ethnic
groups between 1988-1994 and
1999-2002

White, non-Hispanic adults had a
slightly higher mean DMFS than Black,
non-Hispanic and Mexican American
adults
12
Mean
10
8
6
4
2
0
1988-1994
1999-2002
Mexican American
Black, non-Hispanic
White, non-Hispanic
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Decayed, Missing, and Filled Teeth (DMFT) in the Crowns of
Permanent Teeth of Dentate Adults 20 Years of Age or Older by Federal
Poverty Level (FPL), 1988 - 1994 and 1999 - 2002
16
14

Differences in mean DMFT are
statistically insignificant

Those with lower incomes are more
likely to be missing teeth
Mean
12
10
8
6
<100% FPL…5.5 missing teeth
4
≥200% FPL…2.9 missing teeth
2
0
1988-1994
1999-2002
<100% FPL
100%-199% FPL
≥200% FPL
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Mean Number of Permanent Teeth Among Dentate Adults
20 Years of Age or Older, 1989 - 1994 and 1999 - 2002
30

25
Mean
20
On average, adults retained one more
tooth from 1988-1994 to 1999-2002,
regardless of race/ethnicity or Federal
Poverty Level (FPL)
15
10
5
0
1988-1994
1999-2002
20 to 39 Years
40 to 59 Years
≥60 Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm
Oral Health Status, United States
American Dental Education Association
Prevalence of Edentulism Among Adults
20 Years of Age or Older, 1989 - 1994 and 1999 - 2002
35

Edentulism has significantly declined
from 1988-1994 to 1999-2002,
particularly in the 40 to 59 age group

Tooth loss and edentulism are not
inevitable aspects of aging
Percentage
30
25
20
15
10
5
0
1988-1994
1999-2002
20 to 39 Years
40 to 59 Years
≥60 Years
Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002,
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm