Oral Health Surveillance: Past, Present, and Future Challenges
Author
: Eugenio D. Beltran-Aguilar, DMD, MPH, MS, DrPH; Dolores M. Malvitz, RDH, DrPH;
Publisher
: Blackwell Synergy
Summary :We reviewed and summarized the efforts in the United States to collect data
on oral diseases, conditions, and behaviors implemented at the national and state
level. The main characteristics of these efforts were: (1) systematic collection of
data from representative samples, mostly at the national level; (2) one-time or
sporadic experiences when data are collected at state and local levels; (3) use of
visual-tactile protocols implemented at the tooth-surface or tooth-site level for data
collection; (4) focus mainly on dental caries and periodontal diseases; and (5)
leap-time from data collection to publication of results. Using the definition of
surveillance in public health (the ongoing and systematic collection, analysis, and
interpretation of outcome-specific data for use in planning, implementing, and
evaluatingpublic health practice), we show there is an impending need to develop
new techniques to build up surveillance systems for oral diseases, conditions,
and behaviors at the national, state, and local levels. In the second part of this
review, we presenteda number of alternative techniques developed in the last 70
years to collect timely data for oral health. The main characteristics of these efforts
include: (1) focusing on data collection at state and local level; (2) integration into
existing and ongoing surveillance systems; (3) using visual-only protocols to
collect data on oral disease status; (4) focusing on a variety of diseases, conditions,
and behaviors; and (5) analyzing the data in a timely matter
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