On this page: About the National Data | Methodology | History | References
About the National Data
Data
Baseline: 44.5 percent of adults aged 45 years and over had moderate and severe periodontitis in 2015-16
Target: 39.3 percent
Numerator
Number of adults aged 45 and over with moderate or severe periodontitis.
Denominator
Number of dentate adults (those who have teeth) aged 45 and over. Based on the number of teeth present from a clinical examination. Adults with no teeth are not included.
Target-setting method
Minimal statistical significance
Target-setting method details
Minimal statistical significance, assuming the same standard error for the target as for the baseline.
Target-setting method justification
Trend data were not available for this objective. The standard error was used to calculate a target based on minimal statistical significance, assuming the same standard error for the target as for the baseline. This method was used because it was a statistically significant improvement from the baseline.
Methodology
Questions used to obtain the national baseline data
(For additional information, please visit the data source page linked above.)
From the 2015 through 2016 National Health and Nutrition Examination Survey:
Numerator:
Questions come from the NHANES questionnaire and include:- Do you think you might have gum disease?
- Overall, how would you rate the health of your teeth and gums?
- Have you ever had treatment for gum disease such as scaling and root planing, sometimes called "deep cleaning?"
- Have you ever been told by a dental professional that you lost bone around your teeth?
- Aside from brushing your teeth with a toothbrush, in the last seven days, how many times did you use dental floss or any other device to clean between your teeth?
Methodology notes
The Centers for Disease Control - American Academy for Periodontology (CDC-AAP) case definitions for moderate and severe periodontitis have been published elsewhere.
History
Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Changes between HP2020 and HP2030
This objective differs from Healthy People 2020 objective OH-5 in that objective OH-5 tracks persons aged 45 to 64 years, while this objective tracks persons aged 45 years and over.
References
Additional resources about the objective
- Miller K, Eke PI, Schoua-Glusberg A. Cognitive Evaluation of Self-Report Questions for Surveillance of Periodontitis. J Periodontol. 2007 Jul;78 Suppl 7S:1455-1462. doi: 10.1902/jop.2007.060384. PMID: 29539087.
- Page RC, Eke PI. Case definitions for use in population-based surveillance of periodontitis. J Periodontol. 2007 Jul;78(7 Suppl):1387-99. doi: 10.1902/jop.2007.060264. PMID: 17608611.
- Eke PI, Dye B. Assessment of self-report measures for predicting population prevalence of periodontitis. J Periodontol. 2009 Sep;80(9):1371-9. doi: 10.1902/jop.2009.080607. PMID: 19722785.
- Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA. Accuracy of NHANES periodontal examination protocols. J Dent Res. 2010 Nov;89(11):1208-13. doi: 10.1177/0022034510377793. Epub 2010 Sep 21. PMID: 20858782.
- Eke PI, Wei L, Thornton-Evans GO, Borrell LN, Borgnakke WS, Dye B, Genco RJ. Risk Indicators for Periodontitis in US Adults: NHANES 2009 to 2012. J Periodontol. 2016 Oct;87(10):1174-85. doi: 10.1902/jop.2016.160013. Epub 2016 Jul 1. PMID: 27367420.
- Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA, Genco RJ. Periodontitis in US Adults: National Health and Nutrition Examination Survey 2009-2014. J Am Dent Assoc. 2018 Jul;149(7):576-588.e6. doi: 10.1016/j.adaj.2018.04.023. PMID: 29957185; PMCID: PMC8094373.
