New York State Community Health Indicator Reports - About Oral Health

Indicator/Contact for information Data Source Definition
Percentage of children with caries experience, untreated caries, dental sealants, dental insurance, dental visit in last year, and taking fluoride tablets. In addition to the estimate for the 3rd grade population, rates were generated for both high and low socioeconomic strata (SES) children

Contact: Jay Kumar , Bureau of Dental Health at (518) 474-1961
Bureau of Dental Health, Oral Health Survey of 3rd grade children a The Oral Health Survey of 3rd Grade Children was conducted over the three-year period, 2009-2011. A representative sample of schools was selected in each county. The sampling scheme was based on the concept of stratified random sampling of clusters. Counties and socioeconomic status of the school formed two levels of stratification. Samples were selected separately for New York City and Upstate counties. The New York State Education Department Profiles of Schools and New York City Board of Education enrollment records were used for constructing the sampling frame. In upstate counties, schools with 3rd grade children were categorized into two socioeconomic strata (SES) based on the percent of children in the free or reduced school lunch program. In New York City, 10 strata consisting of public and nonpublic school by 5 boroughs were constructed to draw the sample. After obtaining permission from the schools, parents were contacted for obtaining consent for participation in a dental screening. Consent forms, along with a questionnaire, were distributed in the classrooms. Parents were encouraged to complete the questionnaire and return the signed consent form even if they did not want the child to participate in the screening. A trained dental hygienist or a dentist conducted the screening in the school using a mirror, explorer and light source, with the patient seated in a comfortable chair. Only those children with written permission were screened.These screenings were in accordance with the guide Basic Screening Surveys: An Approach to Monitoring Community Health. Although NYC data was used in calculating the state totals, we do not yet have permission to provide NYC borough-level rates.
Percentage of adults who had a dentist visit within the past year, crude and adjusted rates.**

Contact: BRFSS Coordinator at (518) 473-0673
Expanded BFSS c The percentage of respondents who reported that their last dentist visit was within the past 12 months.
Percentage of Medicaid enrollees with at least one dental visit within the last year
Percentage of Medicaid enrollees with at least one preventive dental visit within the last year
Percentage of Medicaid enrollees (aged 2-20 years) who had at least one dental visit within the last year

Contact: Jay Kumar , Bureau of Dental Health at (518) 474-1961
Bureau of Dental Health, Oral Health Survey of 3rd grade children a Percentage of Medicaid enrollees with at least one dental visit within the last year
Percentage of Medicaid enrollees with at least one preventive dental visit within the last year
Percentage of Medicaid enrollees (aged 2-20 years) who had at least one dental visit within the last year
Oral Cancers -
Age-adjusted incidence rate per 100,000**
Age-adjusted mortality rate per 100,000**
Mortality per 100,000 (aged 45-74 years)

New York State Cancer Registryat (518) 474-2255
New York State Cancer Registry Oral cancer case rates that are age-adjusted to produce incidence rates per 100,000
Deaths rates due to oral cancer used to produce age-adjusted mortality rates per 100,000
Crude oral cancer mortality rates per 100,000 (aged 45-74 years)
Caries Outpatient Visit Rate per 10,000 - Age 3-5 Years

Contact: Jay Kumar , Bureau of Dental Health at (518) 474-1961
SPARCS Outpatient Data b
NYSDOH Bureau of Biometrics and Health Statistics
The number of outpatient visits due to dental caries in children aged 3 to 5 per 10,000 population in that age group. The ICD-9 codes used for caries are 521.0 and 522.4. Only visits with caries as the primary diagnosis are included.

Data Notes:

a Centers for Disease Control and Prevention
The New York State Department of Health (DOH) has entered into a collaborative agreement with the Centers for Disease Control and Prevention to establish a surveillance system for monitoring oral health status, risk factors, workforce, and the use of dental services. To collect data on tooth decay ordental caries in children, DOH assisted each county in conducting a survey of 3rd grade children. The survey of 3rd grade children is designed for fulfilling many of the requirements of the National Oral Health Surveillance System (NOHSS). The objectives of this survey were to determine the following oral health indicators.
b Statewide Planning and Research Cooperative System-SPARCS:
Information about hospitalizations is collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge that indicates the primary reason for the hospitalization. There are also up to 14 other diagnosis codes recorded to further describe the hospitalization. Statistics presented in these tables are based on the primary diagnosis unless otherwise noted. This data system does not include information about events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Numbers and rates are based on the number of hospitalizations that occurred and not the number of individuals who were hospitalized.
c Expanded BRFSS:
A telephone-based survey of adults 18 years of age or older conducted by the New York State Department of Health. The survey is based on the National Behavioral Risk Factor Surveillance System (BRFSS), conducted by the Centers for Disease Control and Prevention and collects information on self-reported health-related behaviors in New York State counties. The most recent survey was conducted between July 2008 and June 2009 and collected data that represented New York City and each of the 57 counties outside of New York City. Indicator data (where available) for the individual counties of Bronx, Kings, New York, Queens and Richmond are from the 2009 New York City Community Health Survey. The New York City Community Health Survey (CHS) is a telephone survey conducted by the New York City Department of Health and Mental Hygiene that is also based on the BRFSS.

Indicators:

Caries experience reflects history of tooth decay
Indicates that opportunities for primary prevention may have been missed.
Untreated Caries reflects the presence of a cavity
Indicates that treatment has not been obtained in a timely manner.
Dental Sealants
Indicates presence of dental sealants is a reflection of use of preventive services. Sealants are plastic coatings applied to decay-susceptible tooth surfaces (the pits and fissures) in 6 to 15 year-old children.
Dental Visits in Last One Year
Reflects the visit to a dentist or dental clinic at least once in the past year.
Use of Fluoride Tablet
Reflects the use of fluoride tablets or drops on a regular basis. Fluoride tablets or drops are prescribed to those children living in non-fluoridated areas.
Dental Insurance
Self reported coverage that pays for visits to a dentist or a dental clinic. Includes Medicaid and Child Health Plus coverage.

** The standard population used for age adjustment was the 2000 U.S. population.