NIDCR/CDC
Dental, Oral and Craniofacial
Data Resource Center
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Dental Services by Type
Q.N2a, NHIS, 1983
[Earlier I was told _____________ went to the dentist during the 2-week period beginning Monday, (date) and ending Sunday, (date).] [Now I am going to read a list of dental services.] When ______ went to the dentist (the last time/the time before that), did ________ have: ] 1 An x-ray taken?
2 A tooth filled?
3 A tooth pulled?
4 Any other oral surgery?
5 A fluoride treatment?
6 Teeth cleaned?
7 Teeth straightened, that is, orthodontia?
8 Treatment for gums?
9 Work done on a complete denture?
10 Work done on a partial denture?
11 Work done on a bridge?
12 Work done on a crown or cap?
13 Work done on a root canal?
14 An examination?
15 Something else done?
Q.DV.R5.5, NMCES, 1977
Did (person) have any x-rays taken on this visit? 1 Yes
2 No
Q.DV.R5.6, NMCES, 1977
(Not counting the x-rays) What did (person) have done during this visit on (date)? what else did (person) have done on that visit? 1 Cleaning teeth
2 Examination
3 Straightening/braces (orthodontia)
4 Fillings #____
5 Extractions #____
6 Root Canals #____
7 Other (specify) ____________
Q.D6, NMES, 1987
Did (person) have any x-rays on this visit? 1 Yes
2 No
Q.D7, NMES, 1987
(Not counting the x-rays) What did (person) have done during this visit on (date)? what else did (person) have done during this visit? 1 Nothing else/x-rays only
2 Cleaning teeth
3 Examination
4 Orthodontia (bite adjustments, braces, retainers, other)
5 Fillings
6 Extractions
7 Root canals
8 Crowns
9 Bridges
10 Dentures
11 Repair of bridges, dentures, relinings, etc
91 Other specify ________
-8 DK
Q.DN04, MEPS HC, 1996; 1997; 1998; 1999; 2000; 2001
What did (person) have done during this visit? Probe: What else was done? 1 General exam, checkup or consultation
2 Cleaning, prophylaxis, or polishing
3 X-rays, radiographs, or bitewings
4 Fluoride treatment
5 Sealant (plastic coatings on back teeth)
6 Fillings
7 Inlays
8 Crowns or caps
9 Root canal
10 Periodontal scaling, root planing, or gum surgery
11 Periodontal recall visit (periodic or regular)
12 Extraction, tooth pulled
13 Implants
14 Abscess or infection treatment
15 Other oral surgery
16 Fixed bridges
17 Dentures or removable partial dentures
18 Relining or repair of bridges or dentures
19 Orthodontia, braces, or retainers
20 Bond, whiten, or bleach
21 Treatment for TMD or TMJ
99 Other
-7 Ref
-8 DK
Q.45l, NSAHC, 1986
What dental treatments did you/ [{ :B}] receive? 1 Checkup only
2 Checkup and cleaning
3 Emergency visit for fillings or extractions
4 Non-emergency visit for fillings or extractions
5 Gum treatment
6 Orthodontic (braces, straightening teeth)
7 Other
Q.DU7, MCBS, 1996; 1997; 1998; 1999; 2000; 2001; 2002; 2003;
2004; 2005
For (your/SP's) visit on (first/next visit date)/ what did (you/SP) have done? 1 X-rays taken
2 Cleaning teeth
3 Examination
4 Fillings
5 Extractions
6 Root canals
7 Crowns
8 Bridges, dentures, plates, etc. - either new ones or repair work
9 Orthodontia - bite adjustment, braces, retainers, etc.
10 Periodontia - e.g., treatment of gum disease
11 Bonding
91 Other (specify) ___________
-7 Ref
-8 DK
Q.DU8, MCBS, 1996; 1997; 1998; 1999; 2000; 2001; 2002; 2003;
2004; 2005
Were X-rays taken on this visit? 1 Yes
2 No
-7 Refused
-8 DK
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