Kathy Phipps, DrPHData Coordinator

ASTDD

Why is this topic important?

The Graying of AmericaNumber of people 65+ in the United States

2006 36 million2030 72 million

Proportion of the population 65+2000 12%2030 20%

Proportion of the population 85+1980 1%2030 3%

PROJECTED

2029

The Graying of AmericaLife expectancy

80 year old white male is now expected to live another 8 years90 year old white male is expected to live another 4 years

Decline in EdentulismDecrease in edentulism

1985-86 41% had no natural teeth2004 21% had no natural teeth

People are Living Longer with TeethBut having teeth doesn’t always mean healthy teeth …

Edentulism is Still an Issue

OH Surveillance & Older AdultsMany states have voiced an interest in monitoring oral

disease among older adultsHow do we monitor oral health in older adults?

BRFSS Number of teeth Dental visit Teeth cleaning

Other non-clinical surveys?Clinical surveys?

Sampling IssuesWhere do we find seniors?

Sampling IssuesAlmost impossible to obtain a statewide representative

sample of older adultsMay need to opt for convenience sample

What population group? The oldest old? Institutionalized adults? At risk adults?

Results will Vary by Group

Other Surveillance IssuesWhat 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?

BSS for Older AdultsJoint effort between ASTDD’s

Healthy Aging CommitteeData CommitteeOutside experts

Anticipated completion data – early 2010Primary contacts:

Sangeeta WadhawanKathy Phipps

BSS Materials Will Include…Suggestions for population groupsClinical indicatorsNon-clinical indicatorsQuestionnaireExaminer training video

State Experiences