A quarter century of changes in oral health in the United States

B A White; D J Caplan; J A Weintraub

doi:10.1002/j.0022-0337.1995.59.1.tb02917.x

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A quarter century of changes in oral health in the United States

Journal article

Peer reviewed

A quarter century of changes in oral health in the United States

B A White, D J Caplan and J A Weintraub

Journal of dental education, Vol.59(1), pp.19-57

01/1995

DOI: 10.1002/j.0022-0337.1995.59.1.tb02917.x

PMID: 7884071

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Abstract

This paper provides an overview of the oral health status of Americans since the 1960s. Data from seven national surveys, conducted between 1960 and 1987, have been presented. Estimates of coronal and root caries, periodontal diseases, and tooth loss were reviewed. In addition, data on edentulism and oral cavity and pharyngeal cancer were included. Although the purpose of this paper is descriptive rather than analytical, some important trends have been noted: The number of children who were free from dental caries increased dramatically between 1963 and 1987. By 1987, almost one-half of school children between the ages of 5 and 17 were caries-free. Among those children with dental decay, the number of teeth affected has also declined. The oral health of adults also improved during the 27-year period included in this review. In particular, the mean number of missing teeth and the percentage of edentulous adults have declined substantially. Trends in periodontal diseases were difficult to determine due to changes in the measures of periodontal diseases utilized in the surveys. In the most recent survey of employed U.S. adults, approximately 44 percent were found to have gingivitis and slightly more than 13 percent had periodontal pockets 4-5 mm in depth. Approximately 30,000 new cases of oral cavity and pharyngeal cancer were diagnosed in 1993, resulting in approximately 8,000 deaths. African Americans have higher incidence and mortality rates than white Americans and also have a much lower five-year survival rate.

United States - epidemiology

Humans

Middle Aged

Mouth, Edentulous - epidemiology

Child, Preschool

Infant

Tooth Diseases - epidemiology

Tooth Loss - epidemiology

Mouth Neoplasms - epidemiology

Mouth Diseases - epidemiology

Dental Caries - epidemiology

Adolescent

Pharyngeal Neoplasms - epidemiology

Adult

Aged

Oral Health

Health Status

Child

Periodontal Diseases - epidemiology

Details

Title: Subtitle: A quarter century of changes in oral health in the United States
Creators: B A White - Division of Epidemiology and Oral Disease Prevention, National Institute of Dental Research, Bethesda, MD
D J Caplan
J A Weintraub
Resource Type: Journal article
Publication Details: Journal of dental education, Vol.59(1), pp.19-57
Publisher: United States
DOI: 10.1002/j.0022-0337.1995.59.1.tb02917.x
PMID: 7884071
ISSN: 0022-0337
eISSN: 1930-7837
Language: English
Date published: 01/1995
Academic Unit: Preventive and Community Dentistry
Record Identifier: 9983917777102771

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