Table of Contents

Locator Record

Title: Oral Health - Dentition (OHXDEN_F )
Contact Number: 1-866-441-NCHS
Years of Content: 2009 - 2010
First Published: April, 2012
Revised: NA
Access Constraints: None
Use Constraints: None
Geographic Coverage: National
Subject:Examination data on oral health topics.
Record Source: NHANES 2009 - 2010
Survey Methodology: NHANES 2009 - 2010 is a stratified multistage probability sample of the civilian non-institutionalized population of the U.S.
Medium: NHANES Web site; SAS transport files

Component Description

NHANES is critical for monitoring oral health status, risk indicators for disease, and access to preventive and treatment services. This component will address public health significance in areas of surveillance, prevention, treatment, dental care utilization, health policy, evaluation of Federal health programs, standardization of new methods, and oral health disparities.

Oral health data from NHANES will be used for:

The oral health examination section (OHX) provides information on a number of oral health topics. These topic areas and related target population groups in the OHX section include:

 

Eligible Sample

All survey participants 3-19 and 30 years and older were eligible for the oral health examination. Participants aged 30 years and older were eligible for the periodontal evaluation if they had at least one tooth (excluding third molars) and did not meet any of the health exclusion criteria. Medical health-screening questions were asked to the participants by the oral health examiners prior to beginning to oral health examination in accordance with approved study protocols for the prevention of infective endocarditis.

 

Protocol and Procedure

All examiners for 2009-10 oral health examination were dental hygienists registered in at least one U.S. state. In 2009-10, the basic screening exam construct is similar to the assessment conducted in 2005-08. The dental fluorosis assessment was limited to the upper six anterior teeth. The 2009-10 periodontal examination was a full-mouth, six-site per tooth assessment.

 

Quality Assurance & Quality Control

The quality of data in this survey is controlled by (1) an intense training period for the health technologists who were assigned to conduct the oral health examinations with calibration of OH examiners prior to the beginning of the survey, (2) periodic monitoring and recalibration of OH examiners, and (3) periodic retraining of OH examination teams. The reference examiner will visit each team three times per year to observe field operations and to replicate 20 to 25 OH examinations during each visit. The purpose of these “expert replications” is to determine if the field examiners are maintaining the examination standards achieved during training and to measure the degree of deviation, if any, from those standards. If the inter-rater correlation is not within acceptable limits, retraining is conducted on site and future monitoring of the field examiner intensified. An annual retraining session for each dental examiner also is conducted by the reference examiner to reinforce existing protocols and to accommodate protocol updates as needed. All OH training, calibration, and field replicate exams were conducted by the NHANES survey expert dentist.

Automated data collection procedures for the survey were introduced in NHANES 1999. In the mobile examination centers (MECs), data for the oral health component are recorded directly onto a computerized data collection form. The system is integrated centrally and it allows for ongoing monitoring of much of the data. As part of an on-going quality control practice, all data are reviewed systematically for logical inconsistencies and examiner error. Internal quality control data review indicates that data quality is acceptable.

 

Data Processing and Editing

Frequency counts were checked, "skip" patterns were verified, and the reasonableness of responses to the questions was reviewed.

 

Analytic Notes

The oral health data is released in three separate data files as follows:

Oral health data from these 3 files can be linked using the unique survey participant identifier, SEQN. In addition to the oral health examination data, oral health questionnaire data can be found in the oral health section of the NHANES 2009–2010 Home Interview Files (OHQ). These data may be linked using the unique survey participant identifier, SEQN. Although these data were collected as part of the household questionnaire, if they are merged with the MEC exam data, exam sample weights should be used for the analyses. Please refer to the Analytic Guidelines on the NHANES website for further details on the use of sample weights and other analytic issues. The Analytic Guidelines are available on the NHANES website.

If data from this release is combined with oral health data data from previous data cycles for analysis, users should understand that methodological differences (in data collection) may exist among similar, earlier assessments and this may bias the analysis conducted.

At the time of this first release of the NHANES 2009-2010 oral health data, the 2009-2010 dental fluorosis data was not available for release because of ongoing data review.

 

References

Codebook and Frequencies

SEQN - Respondent sequence number

Variable Name:
SEQN
SAS Label:
Respondent sequence number
English Text:
Respondent sequence number.
Target:
Both males and females 3 YEARS - 19 YEARS

OHDEXSTS - Overall Oral Health Exam Status

Variable Name:
OHDEXSTS
SAS Label:
Overall Oral Health Exam Status
English Text:
Overall Oral Health Exam Status
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Complete 7145 7145
2 Partial 44 7189
3 Not Done 1000 8189
. Missing 0 8189

OHDDESTS - Dentition Status Code

Variable Name:
OHDDESTS
SAS Label:
Dentition Status Code
English Text:
Dentition Status Code
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Complete 7187 7187
2 Partial 1 7188
3 Not Done 1001 8189
. Missing 0 8189

OHX01TC - Tooth Count: #1

Variable Name:
OHX01TC
SAS Label:
Tooth Count: #1
English Text:
Tooth Count: Upper right 3rd molar (3M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 1028 1028
3 Dental Implant 0 1028
4 Tooth not present 6118 7146
5 Permanent dental root fragment present 41 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX02TC - Tooth Count: #2

Variable Name:
OHX02TC
SAS Label:
Tooth Count: #2
English Text:
Tooth Count: Upper right 2nd molar (2M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 4009 4009
3 Dental Implant 5 4014
4 Tooth not present 3114 7128
5 Permanent dental root fragment present 59 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX03TC - Tooth Count: #3

Variable Name:
OHX03TC
SAS Label:
Tooth Count: #3
English Text:
Tooth Count: Upper right 1st molar (1M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 5159 5159
3 Dental Implant 9 5168
4 Tooth not present 1947 7115
5 Permanent dental root fragment present 72 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX04TC - Tooth Count: #4

Variable Name:
OHX04TC
SAS Label:
Tooth Count: #4
English Text:
Tooth Count: Upper right 2nd bicuspid/2nd primary molar (2B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1564 1564
2 Permanent tooth present 4388 5952
3 Dental Implant 10 5962
4 Tooth not present 1155 7117
5 Permanent dental root fragment present 70 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX05TC - Tooth Count: #5

Variable Name:
OHX05TC
SAS Label:
Tooth Count: #5
English Text:
Tooth Count: Upper right 1st bicuspid/1st primary molar (1B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1352 1352
2 Permanent tooth present 4469 5821
3 Dental Implant 7 5828
4 Tooth not present 1289 7117
5 Permanent dental root fragment present 70 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX06TC - Tooth Count: #6

Variable Name:
OHX06TC
SAS Label:
Tooth Count: #6
English Text:
Tooth Count: Upper right cuspid (C)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1514 1514
2 Permanent tooth present 4847 6361
3 Dental Implant 4 6365
4 Tooth not present 781 7146
5 Permanent dental root fragment present 41 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX07TC - Tooth Count: #7

Variable Name:
OHX07TC
SAS Label:
Tooth Count: #7
English Text:
Tooth Count: Upper right lateral incisor (LI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 906 906
2 Permanent tooth present 5257 6163
3 Dental Implant 7 6170
4 Tooth not present 965 7135
5 Permanent dental root fragment present 52 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX08TC - Tooth Count: #8

Variable Name:
OHX08TC
SAS Label:
Tooth Count: #8
English Text:
Tooth Count: Upper right central incisor (CI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 719 719
2 Permanent tooth present 5523 6242
3 Dental Implant 8 6250
4 Tooth not present 905 7155
5 Permanent dental root fragment present 32 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX09TC - Tooth Count: #9

Variable Name:
OHX09TC
SAS Label:
Tooth Count: #9
English Text:
Tooth Count: Upper left central incisor (CI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 711 711
2 Permanent tooth present 5504 6215
3 Dental Implant 13 6228
4 Tooth not present 925 7153
5 Permanent dental root fragment present 34 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX10TC - Tooth Count: #10

Variable Name:
OHX10TC
SAS Label:
Tooth Count: #10
English Text:
Tooth Count: Upper left lateral incisor (LI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 901 901
2 Permanent tooth present 5259 6160
3 Dental Implant 5 6165
4 Tooth not present 975 7140
5 Permanent dental root fragment present 47 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX11TC - Tooth Count: #11

Variable Name:
OHX11TC
SAS Label:
Tooth Count: #11
English Text:
Tooth Count: Upper left cuspid (C)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1519 1519
2 Permanent tooth present 4827 6346
3 Dental Implant 5 6351
4 Tooth not present 796 7147
5 Permanent dental root fragment present 40 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX12TC - Tooth Count: #12

Variable Name:
OHX12TC
SAS Label:
Tooth Count: #12
English Text:
Tooth Count: Upper left 1st bicuspid/1st primary molar (1B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1357 1357
2 Permanent tooth present 4454 5811
3 Dental Implant 6 5817
4 Tooth not present 1291 7108
5 Permanent dental root fragment present 79 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX13TC - Tooth Count: #13

Variable Name:
OHX13TC
SAS Label:
Tooth Count: #13
English Text:
Tooth Count: Upper left 2nd bicuspid/2nd primary molar (2B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1554 1554
2 Permanent tooth present 4414 5968
3 Dental Implant 14 5982
4 Tooth not present 1145 7127
5 Permanent dental root fragment present 60 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX14TC - Tooth Count: #14

Variable Name:
OHX14TC
SAS Label:
Tooth Count: #14
English Text:
Tooth Count: Upper left 1st molar (1M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 5138 5138
3 Dental Implant 9 5147
4 Tooth not present 1973 7120
5 Permanent dental root fragment present 67 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX15TC - Tooth Count: #15

Variable Name:
OHX15TC
SAS Label:
Tooth Count: #15
English Text:
Tooth Count: Upper left 2nd molar (2M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 4044 4044
3 Dental Implant 2 4046
4 Tooth not present 3070 7116
5 Permanent dental root fragment present 71 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX16TC - Tooth Count: #16

Variable Name:
OHX16TC
SAS Label:
Tooth Count: #16
English Text:
Tooth Count: Upper left 3rd molar (3M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 1047 1047
3 Dental Implant 1 1048
4 Tooth not present 6104 7152
5 Permanent dental root fragment present 35 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX17TC - Tooth Count: #17

Variable Name:
OHX17TC
SAS Label:
Tooth Count: #17
English Text:
Tooth Count: Lower left 3rd molar (3M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 1305 1305
3 Dental Implant 0 1305
4 Tooth not present 5837 7142
5 Permanent dental root fragment present 45 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX18TC - Tooth Count: #18

Variable Name:
OHX18TC
SAS Label:
Tooth Count: #18
English Text:
Tooth Count: Lower left 2nd molar (2M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 3954 3954
3 Dental Implant 8 3962
4 Tooth not present 3160 7122
5 Permanent dental root fragment present 65 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX19TC - Tooth Count: #19

Variable Name:
OHX19TC
SAS Label:
Tooth Count: #19
English Text:
Tooth Count: Lower left 1st molar (1M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 4788 4788
3 Dental Implant 14 4802
4 Tooth not present 2331 7133
5 Permanent dental root fragment present 54 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX20TC - Tooth Count: #20

Variable Name:
OHX20TC
SAS Label:
Tooth Count: #20
English Text:
Tooth Count: Lower left 2nd bicuspid/2nd primary molar (2B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1559 1559
2 Permanent tooth present 4641 6200
3 Dental Implant 7 6207
4 Tooth not present 930 7137
5 Permanent dental root fragment present 50 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX21TC - Tooth Count: #21

Variable Name:
OHX21TC
SAS Label:
Tooth Count: #21
English Text:
Tooth Count: Lower left 1st bicuspid/1st primary molar (1B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1382 1382
2 Permanent tooth present 4923 6305
3 Dental Implant 3 6308
4 Tooth not present 846 7154
5 Permanent dental root fragment present 33 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX22TC - Tooth Count: #22

Variable Name:
OHX22TC
SAS Label:
Tooth Count: #22
English Text:
Tooth Count: Lower left cuspid (C)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1349 1349
2 Permanent tooth present 5335 6684
3 Dental Implant 1 6685
4 Tooth not present 486 7171
5 Permanent dental root fragment present 16 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX23TC - Tooth Count: #23

Variable Name:
OHX23TC
SAS Label:
Tooth Count: #23
English Text:
Tooth Count: Lower left lateral incisor (LI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 757 757
2 Permanent tooth present 5854 6611
3 Dental Implant 4 6615
4 Tooth not present 561 7176
5 Permanent dental root fragment present 11 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX24TC - Tooth Count: #24

Variable Name:
OHX24TC
SAS Label:
Tooth Count: #24
English Text:
Tooth Count: Lower left central incisor (CI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 599 599
2 Permanent tooth present 5990 6589
3 Dental Implant 1 6590
4 Tooth not present 589 7179
5 Permanent dental root fragment present 8 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX25TC - Tooth Count: #25

Variable Name:
OHX25TC
SAS Label:
Tooth Count: #25
English Text:
Tooth Count: Lower right central incisor (CI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 592 592
2 Permanent tooth present 5993 6585
3 Dental Implant 4 6589
4 Tooth not present 589 7178
5 Permanent dental root fragment present 9 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX26TC - Tooth Count: #26

Variable Name:
OHX26TC
SAS Label:
Tooth Count: #26
English Text:
Tooth Count: Lower right lateral incisor (LI)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 773 773
2 Permanent tooth present 5826 6599
3 Dental Implant 4 6603
4 Tooth not present 572 7175
5 Permanent dental root fragment present 12 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX27TC - Tooth Count: #27

Variable Name:
OHX27TC
SAS Label:
Tooth Count: #27
English Text:
Tooth Count: Lower right cuspid (C)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1341 1341
2 Permanent tooth present 5350 6691
3 Dental Implant 3 6694
4 Tooth not present 473 7167
5 Permanent dental root fragment present 20 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX28TC - Tooth Count: #28

Variable Name:
OHX28TC
SAS Label:
Tooth Count: #28
English Text:
Tooth Count: Lower right 1st bicuspid/1st primary molar (1B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1361 1361
2 Permanent tooth present 4938 6299
3 Dental Implant 5 6304
4 Tooth not present 852 7156
5 Permanent dental root fragment present 31 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX29TC - Tooth Count: #29

Variable Name:
OHX29TC
SAS Label:
Tooth Count: #29
English Text:
Tooth Count: Lower right 2nd bicuspid/2nd primary molar (2B)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 1547 1547
2 Permanent tooth present 4658 6205
3 Dental Implant 10 6215
4 Tooth not present 919 7134
5 Permanent dental root fragment present 53 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX30TC - Tooth Count: #30

Variable Name:
OHX30TC
SAS Label:
Tooth Count: #30
English Text:
Tooth Count: Lower right 1st molar (1M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 4849 4849
3 Dental Implant 17 4866
4 Tooth not present 2258 7124
5 Permanent dental root fragment present 63 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX31TC - Tooth Count: #31

Variable Name:
OHX31TC
SAS Label:
Tooth Count: #31
English Text:
Tooth Count: Lower right 2nd molar (2M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 3985 3985
3 Dental Implant 5 3990
4 Tooth not present 3133 7123
5 Permanent dental root fragment present 64 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHX32TC - Tooth Count: #32

Variable Name:
OHX32TC
SAS Label:
Tooth Count: #32
English Text:
Tooth Count: Lower right 3rd molar (3M)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Primary tooth (deciduous) present 0 0
2 Permanent tooth present 1258 1258
3 Dental Implant 1 1259
4 Tooth not present 5892 7151
5 Permanent dental root fragment present 36 7187
9 Could not assess 0 7187
. Missing 1002 8189

OHXIMP - Dental implant present

Variable Name:
OHXIMP
SAS Label:
Dental implant present
English Text:
Tooth Count: Ever had a tooth replaced with a surgical implant?
English Instructions:
Do you have a tooth replaced with a surgical implant?
Target:
Both males and females 30 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 80 80
2 No 4051 4131
. Missing 4058 8189

OHXDECAY - Dental decay present

Variable Name:
OHXDECAY
SAS Label:
Dental decay present
English Text:
Dental decay present
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 532 532
2 No 2526 3058
9 Could not assess 3 3061
. Missing 5128 8189

OHXREST - Dental restoration present

Variable Name:
OHXREST
SAS Label:
Dental restoration present
English Text:
Dental restoration present
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 1166 1166
2 No 1893 3059
9 Could not assess 2 3061
. Missing 5128 8189

OHXSEAL - Dental sealant present

Variable Name:
OHXSEAL
SAS Label:
Dental sealant present
English Text:
Dental sealant present
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 947 947
2 No 2111 3058
9 Could not assess 3 3061
. Missing 5128 8189