Utility of State-Based Basic Screening Survey Reports for National Oral Health Surveillance in Older Adults

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A flowchart describes how potential BSSs were identified and screened for inclusion criteria. Twenty-five states were identified for possible BSS data using reference documents from ASTDD and Oral Health America. Of those, 8 were excluded for lack of information (Alaska, Delaware, Indiana, Kentucky, Nebraska, Oregon, Rhode Island, and Virginia). Two additional state reports were identified through internet searches. One BSS report was excluded because the mean age of its sample population was <65 years (Indian Health Service). For Aim 1, 18 BSS reports were chosen (Arkansas, California, Connecticut, Florida, Georgia, Iowa, Kansas [2012], Maryland, Michigan [2014–2015], Minnesota, New Hampshire, North Carolina, North Dakota [2016], Texas, Vermont, Washington [2016], Wisconsin, and West Virginia [2012]). Seven BSS reports were excluded because they reported community-dwelling adults only. 11 BSS reports were included in Aim 2 (Arkansas, California, Connecticut, Georgia, Kansas, Maryland, Minnesota, North Carolina, North Dakota, Vermont, and Wisconsin).

Figure 1. Process for identifying reports from the Basic Screening Survey (BSS) for older adults that met inclusion criteria. ASTDD, Association of State and Territorial Dental Directors.

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Figure 2. Prevalence of oral health indicators among older adults in long-term care (LTC) facilities as reported in state basic screening surveys. Abbreviations: BSS, basic screening survey; NA, not applicable; NHANES, National Health and Nutrition Examination Survey; NR, not reported.

Prevalence of oral health indicators among older adults in long-term care (LTC) facilities as reported in state basic screening surveys. Abbreviations: BSS, basic screening survey; NA, not applicable; NHANES, National Health and Nutrition Examination Survey; NR, not reported.

State	Untreated Decay, %	Periodontal Disease, %	Urgent Need for Dental Care, %	Edentulism, %	Has Upper Denture, %	Has Lower Denture, %	Has No Functional Occlusal Contacts, %
Arkansas	49	14	3	43	52	43	NR
California	48	27	7	35	NR	NR	40
Connecticut	53	10	4	37	51	36	43
Georgia	28	33	5	27	4	32	NR
Kansas	34	NR	4	33	44	35	NR
Maryland	39	43	21	NR	NR	NR	NR
Minnesota	41	6	3	25	NR	NR	NR
North Carolina	49	18	12	29	NR	NR	34
North Dakota	23	20	NR	32	41	22	NR
Vermont	48	57	8	39	19	28	43
Wisconsin	46	39	NR	32	NR	NR	32
Median	46	24	5	32	42	33	40
NHANES	16	NA	NA	17	NA	NA	NA

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