Edentulism

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Survey Questions

NIDCR/CDC
Dental, Oral and Craniofacial
Data Resource Center

Q.MH18a, b, c, d, NHANES I, 1971–1975

a. Have you lost all your teeth from your upper jaw?

1 Yes
2 No

b. Do you have a plate for your upper jaw?

1 Yes
2 No

c. How long have you had your plate?

     1     Less than 1 year
     2     1-4 years
     3     5-9 years
     4     10-19 years
     5     20 or more years

d. Have you ever had a dental plate for your upper jaw?

1 Yes
2 No

e. How long has it been since you had any teeth to chew with in upper jaw?

     1     Less than 1 year
     2     1-4 years
     3     5-9 years
     4     10-19 years
     5     20 or more years

Q.MH19a, b, c, d, NHANES I, 1971–1975

a. Have you lost all your teeth from your lower jaw?

1 Yes
2 No

b. Do you have a plate for your lower jaw?

1 Yes
2 No

c. How long have you had your plate?

     1     Less than 1 year
     2     1-4 years
     3     5-9 years
     4     10-19 years
     5     20 or more years

d. Have you ever had a dental plate for your lower jaw?

1 Yes
2 No

e. How long has it been since you had teeth to chew with in your lower jaw?

     1     Less than 1 year
     2     1-4 years
     3     5-9 years
     4     10-19 years
     5     20 or more years

Q.MH20, NHANES I, 1971–1975

Do you usually wear your plate(s) while eating?

1 Yes
2 No

Q.MH21, NHANES I, 1971–1975

Do you usually wear your plate(s) when not eating?

1 Yes
2 No

Q.MH22, NHANES I, 1971–1975

Do you usually use denture powder or cream to help keep plate(s) in place?

1 Yes
2 No

Q.MH23, NHANES I, 1971–1975

Do you think you need a new plate or that the one(s) you have need(s) refitting?

     1     No
     2     Yes, one
     3     Yes, both
     9     DK

Q.1, Dentist's Exam, NHANES III, 1988–1994

Do you have (a) denture(s) or (a) plates(s) for your (upper/lower) jaw?

Edentulous in upper jaw

1 Yes
2 No

Edentulous in lower jaw

1 Yes
2 No

Q.2, Dentist's Exam, NHANES III, 1988–1994

Do you usually wear your (upper/lower) denture(s) plate?

Edentulous in upper jaw

     1     All the time
     2     Only when awake
     3     Only occasionally
     4     Don't wear them

Edentulous in lower jaw

     1     All the time
     2     Only when awake
     3     Only occasionally
     4     Don't wear them

Q.3, Dentist's Exam, NHANES III, 1988–1994

During the past year, have you had problems with your dentures(s) (plate)?

     Edentulous in upper jaw
     1     Yes
     2     No

     Edentulous in lower jaw
     1     Yes
     2     No

Q.5, Dentist's Exam, NHANES III, 1988–1994

How long has it been since you had any natural teeth to chew with in your (upper/lower) jaw?

     Edentulous in upper jaw
     1     Less than 1 year
     2     1-4 years
     3     5-9 years
     4     10-19 years
     5     20 or more years
     Edentulous in lower jaw
     1     Less than 1 year
     2     1-4 years
     3     5-9 years
     4     10-19 years
     5     20 or more years

Q. ME09, SIPP TM Wave 6, 9, 12, 1996; TM Waves 3, 6, 2001

[Have you/has he/has she] lost any of [your/his/her] permanent adult teeth?

1 Yes
2 No

Q. ME10, SIPP TM Wave 6, 9, 12, 1996; TM Waves 3, 6, 2001

[Have you/has he/has she] lost all of [your/his/her] permanent adult teeth?
1 Yes
2 No

Q.N7a, b, c, NHIS, 1983

a. Is there anyone in the family who has lost ALL of his or her teeth?
1 Yes
2 No

b. Who is this? ________

c. Anyone else?
1 Yes
2 No

Q.N8a, b, c, d, NHIS, 1983

a. Does _______ have false teeth?
1 Yes
2 No

b. Does _______ have an upper plate, a lower plate, or both?
     1     Upper
     2     Lower
     3     Both

c. Does _______ usually wear ______ plate(s) while eating?
1 Yes
2 No

d. Does _______usually wear ______ plate(s) when not eating?
1 Yes
2 No

Q.6a, b, c, NHIS 1986

a. Is there anyone in the family who has lost ALL of his or her natural teeth?
1 Yes
2 No

b. Who is this?

c. Anyone else?
1 Yes
2 No

Q.4a, b, c, d, e, f, g, h, NHIS, 1989

a. Is there anyone in the family who has lost ALL of his or her upper (permanent) natural teeth?
     1     Yes
     2     No

b. Who is this?

c. Anyone else?
     1     Yes
     2     No

d. Does ______have an upper denture or plate?
     1     Yes
     2     No

e. Is there anyone in the family who has lost ALL of his or her lower (permanent) natural teeth?
     1     Yes
     2     No

f. Who is this?

g. Anyone else?
     1     Yes
     2     No

h. Does _______ have and lower denture or plate?
     1     Yes
     2     No

Q.Z3, NHIS, 1990

Have you lost any of your permanent teeth, both upper and lower?

1 Yes
2 No

Q.P2, NHIS, 1991; 1993

Have you lost ALL of your UPPER natural teeth?

1 Yes
2 No

Q.P3, NHIS, 1991; 1993

Have you lost ALL of your LOWER natural teeth?

1 Yes
2 No

Q.ACN.451, NHIS, 1997

Have you lost all of your ……upper natural (permanent) teeth? …lower natural (permanent) teeth?

     1     Yes
     2     No
     7     Refused
     9     DK

Q.ACN.451, NHIS, 1998; 1999; 2000; 2001; 2002; 2003; 2004; 2005; 2006; 2007

Have you lost all of your upper and lower natural (permanent) teeth?

     1     Yes
     2     No
     7     Refused
     9     DK

Q.SAQ.31, NMES, 1987

The following question asks about the number of adult teeth you have lost. Do not count as "lost" missing wisdom teeth, "baby" teeth, or teeth which were pulled for orthodontia (straightening the teeth). Have you lost…

     1     All of your adult teeth
     2     Some of your adult teeth
     3     None of your adult teeth

Q.SAQ.32, NMES, 1987

Are any of your missing teeth replaced by full or partial dentures, false teeth, bridges or dental plates?

1 Yes
2 No

Q.HA40, MEPS NHC, 1996

Please tell me which of the following items describe the condition of {SP}'s dental health on or around {ref date}. Did {she/he}have:?

     Debris in mouth
     Dentures or removable bridge
     Some/all natural teeth lost
     Inflamed, swollen, or bleeding gums; oral abscesses, ulcers, or rashes
     None checked
     DK

Q.AP18a, b, MEPS HC, 1996; 1997; 1998; 1999

a. (Do/Does) (person) wear dentures?

     1      Yes
     2      No
     -7     Ref
     -8     DK

b. (Have/Has) (person) lost all of (person)'s adult teeth?

     1      Yes
     2      No
     -7     Ref
     -8     DK

Q.AP18B, MEPS HC, 2000; 2001; 2002; 2003; 2004; 2005

(Have/Has) (person) lost all of (person)'s upper and lower natural (permanent) teeth?

     1      Yes
     2      No
     -7     Ref
     -8     DK

Q.HE00A, MEPS HC, 2001

Has anyone in the family lost all of his or her adult teeth? Do not count as 'lost', missing wisdom teeth, 'baby' teeth, or teeth which were pulled for orthodontia (straightening the teeth).

     1      Yes
     2      No
     -7     Ref
     -8     DK

Q.3, BRFSS, Module 9, 1995; Module 8, 1996; Module 5, 1997; Module 6, 1998;

How many of your permanent teeth have been removed because of tooth decay or gum disease?
Do not include teeth lost for other reasons, such as injury or orthodontics.

     1     5 or fewer
     2     6 or more but not all
     3     All
     8     None
     7     DK/Not sure
     9     Refused

Q.2, BRFSS, Section 6, 1999; Module 6, 2000; Module 6, 2001; Section 7, 2002; Module 2, 2003; Section 11, 2004; Module 2, 2005; Section 6, 2006

How many of your permanent teeth have been removed because of tooth decay or gum disease?
Do not include teeth lost for other reasons, such as injury or orthodontics.
[Include teeth lost due to "infection".]

     1     1 to 5
     2     6 or more but not all
     3     All
     8     None
     7     DK/Not sure
     9     Refused

Q.14b, c, d, e, f, g, NNHS-3, 1995

b. Has…lost ALL of (his/her) upper permanent natural teeth?
     Yes
     No
     DK

c. Does….have an upper denture or plate?
     Yes
     No
     DK

d. Has…lost ALL of (his/her) lower permanent natural teeth?
     Yes
     No
     DK

e. Does….have a lower denture or plate?
     Yes
     No
     DK

f. How often does….wear the dentures?
     All the time
     Usually
     About half the time
     Seldom
     Never
     DK

g. Does….usually wear dentures when eating?
     Yes
     No
     DK

Q.HHCS-3.12, NHHCS, 1996; 1998

Which of these aids does…currently use? PROBE: Any other aids?

     00     No aids used
     01     Beside commode
     02     Brace
     03     Cane
     04     Crutches
     05     Dentures (full or partial)
     06     Eyeglasses (including contact lenses)
     07     Hearing aid
     08     Hospital bed
     09     Orthotics
     10     Shower chair
     11     Walker
     12     Wheel chair - Manually operated
     13     Wheel chair - Motorized
     14     Other - Specify _________________

Q.HHCS-5.12, NHHCS, 1996

The last time service was provided prior to (discharge on date of discharge/death), which of these aids did…regularly use? PROBE: Any other aids?

Q.HHCS-5.11, NHHCS, 1998; 2000

During the 30 days prior to (discharge/death), which of these aids or special devices did she/he regularly use? PROBE: Any other aids?

     00     No aids used
     01     Beside commode
     02     Blood glucose monitor
     03     Cane, crutches
     04     Dentures (full or partial)
     05     Elevated/raised toilet seat
     06     Enteral feeding equipment
     07     Eyeglasses (including contact lenses)
     08     Geri-chairs, lift chairs, other specialized chairs
     09     Grab bars
     10     Hearing aid
     11     Hospital bed
     12     IV therapy equipment
     13     Mattress, special (eggcrate, foam, air, gel, etc.)
     14     Orthotics, including braces
     15     Overbed table
     16     Oxygen (including oxygen concentrator)
     17     Other respiratory therapy equipment
     18     Shower chair/Bath bench
     19     Transfer equipment
     20     Walker
     21     Wheel chair - Manually operated (including scooter)
     22     Wheel chair - Motorized
     23     Other - Specify ___________

Q.HHCS-3.11, NHHCS, 2000

During the last 30 days/Since admission, which of these aids or special devices did she/he regularly use? PROBE: Any other aids?

     00     No aids used
     01     Beside commode
     02     Blood glucose monitor
     03     Cane, crutches
     04     Dentures (full or partial)
     05     Elevated/raised toilet seat
     06     Enteral feeding equipment
     07     Eyeglasses (including contact lenses)
     08     Geri-chairs, lift chairs, other specialized chairs
     09     Grab bars
     10     Hearing aid
     11     Hospital bed
     12     IV therapy equipment
     13     Mattress, special (eggcrate, foam, air, gel, etc.)
     14     Orthotics, including braces
     15     Overbed table
     16     Oxygen (including oxygen concentrator)
     17     Other respiratory therapy equipment
     18     Shower chair/bath bench
     19     Transfer equipment
     20     Walker
     21     Wheel chair - manually operated (including scooter)
     22     Wheel chair - motorized
     23     Other - Specify ___________

Q.HA40, MCBS, 1997; 1998; 1999; 2000; 2001; 2002; 2003; 2004; 2005

Please tell me which of the following items describe the condition of {SP}'s dental health on or around {ref date}. Did {she/he} have:?

     Debris in mouth
     Dentures or removable bridge
     Some/all natural teeth lost
     Broken, loose or carious teeth
     Inflamed, swollen or bleeding gums; oral abscesses, ulcers, or rashes
     None checked
     DK

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