1. ORAL HEALTH STATUS, UNITED STATES Copyright© 2007 by the American Dental Education Association

2. 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  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 1999- 2002 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

3. 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 1999 - 2002  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 1999- 2002 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002 http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

4. 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 1999 – 2002  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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

5. 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 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 1999- 2002 were not statistically significant  Approximately 21% of children 2 to 11 years of age had untreated decay in their primary teeth Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

6. 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 1999 - 2002  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 1988- 1994 to 1999-2002 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

7. 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 1999 - 2002  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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

8. 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 1999 - 2002  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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

9. 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 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 non- Hispanic 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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

10. 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 1999 - 2002  Children and adolescents from families with incomes equal to or greater than 200% of the FPL had a lower caries experience (36%)  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 1999- 2002 was statistically significant Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

11. 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 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 http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

12. 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 1999 – 2002  Overall, the declines in DMFS by selected race/ethnicity were slight, with the differences being statistically insignificant Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

13. 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 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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

14. American Dental Education Association Prevalence of Coronal Caries Among Dentate Adults 20 Years of Age or Older, 1988 - 1994 and 1999 - 2002 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% Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

15. 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 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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Percentage Oral Health Status, United States

16. American Dental Education Association Prevalence of Untreated Tooth Decay Among Dentate Adults 20 Years of Age or Older, 1988 - 1994 and 1999 - 2002 1988-19941999-2002 All adults28%23% Mexican American41%36% Black, non-Hispanic49%41% White, non-Hispanic24%18% <100% FPL49%41% 100%-199% FPL44%35% ≥200% FPL20%16%  Prevalence of untreated tooth decay declined between 1988- 1994 and 1999-2002  Prevalence of untreated tooth decay is lower in White, non- Hispanic 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 http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Oral Health Status, United States

17. 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  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% Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

18. 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  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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

19. 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  Differences in mean DMFT are statistically insignificant  Those with lower incomes are more likely to be missing teeth <100% FPL…5.5 missing teeth ≥200% FPL…2.9 missing teeth Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

20. American Dental Education Association Mean Number of Permanent Teeth Among Dentate Adults 20 Years of Age or Older, 1989 - 1994 and 1999 - 2002  On average, adults retained one more tooth from 1988-1994 to 1999-2002, regardless of race/ethnicity or 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 http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Mean Oral Health Status, United States

21. American Dental Education Association Prevalence of Edentulism Among Adults 20 Years of Age or Older, 1989 - 1994 and 1999 - 2002  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 Source: National Health and Nutrition Examination Survey, 1988-1994 and 1999-2002, http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Oral Health Status, United States