National Oral Health Surveillance System (NOHSS)

National Oral Health Surveillance System (NOHSS) is a collaborative effort between CDC’s Division of Oral Health and the Association of State and Territorial Dental Directors (ASTDD). NOHSS is designed to monitor the burden of oral disease, use of the oral health care delivery system, and the status of community water fluoridation on both a national and state level.

NOHSS is designed to track oral health surveillance indicators based on data sources and surveillance capacity available to most states. The Council of State and Territorial Epidemiologists (CSTE) and the National Association of Chronic Disease Directors (NACDD) were instrumental in developing the framework for chronic disease surveillance indicators, including these oral health indicators.  

Data for NOHSS indicators are updated in the Oral Health Data website as new data become available.

Data for NOHSS indicators can be found under the following topics in Oral Health Data.

For more information about the history and development of NOHSS, see:

Malvitz DM, Barker LK, Phipps KR. Development and status of the National Oral Health Surveillance System. Prev Chronic Dis 2009;6(2):A66.

For CSTE position statements describing the NOHSS indicators, visit the CSTE websiteexternal icon.
CSTE Position statements with oral health indicators: