1. Kathy Phipps, DrPH Data Coordinator ASTDD

2. Why is this topic important?

3. The Graying of America Number of people 65+ in the United States 200636 million 203072 million Proportion of the population 65+ 200012% 203020% Proportion of the population 85+ 19801% 20303%

4. PROJECTED 2029

5. The Graying of America Life expectancy 80 year old white male is now expected to live another 8 years 90 year old white male is expected to live another 4 years

6. Decline in Edentulism Decrease in edentulism 1985-8641% had no natural teeth 200421% had no natural teeth

7. People are Living Longer with Teeth But having teeth doesn’t always mean healthy teeth …

8. Edentulism is Still an Issue

10. OH Surveillance & Older Adults Many states have voiced an interest in monitoring oral disease among older adults How do we monitor oral health in older adults? BRFSS Number of teeth Dental visit Teeth cleaning Other non-clinical surveys? Clinical surveys?

11. Sampling Issues Where do we find seniors?

12. Sampling Issues Almost impossible to obtain a statewide representative sample of older adults May need to opt for convenience sample What population group? The oldest old? Institutionalized adults? At risk adults?

13. Results will Vary by Group

14. Other Surveillance Issues What oral health indicators are most important for older adults? How do you measure periodontitis without an invasive procedure? Are clinical surveys necessary or can we collect questionnaire data only?

15. BSS for Older Adults Joint effort between ASTDD’s Healthy Aging Committee Data Committee Outside experts Anticipated completion data – early 2010 Primary contacts: Sangeeta Wadhawan Kathy Phipps

16. BSS Materials Will Include… Suggestions for population groups Clinical indicators Non-clinical indicators Questionnaire Examiner training video

17. State Experiences