WHO STEPwise approach to surveillance- Oral Health module. 2. Oral Health, Continued. Question. Response. Code. Do you use toothpaste to clean your teeth ...
Oral Health
Oral Health The next questions ask about your oral health status and related behaviours.
Response
Question
No natural teeth How many natural teeth do you have?
How would you describe the state of your teeth?
How would you describe the state of your gums?
Do you have any removable dentures?
1 to 9 teeth 10 to 19 teeth 20 teeth or more Don't know Excellent Very Good Good Average Poor Very Poor Don't Know Excellent Very Good Good Average Poor Very Poor Don't know Yes No
Code 1 If no natural teeth, go to O4 2 3 4 77 1 2 3 4 5 6 77 1 2 3 4 5 6 77 1 2 If No, go to O6
O1
O2
O3
O4
Which of the following removable dentures do you have? (RECORD FOR EACH) An upper jaw denture A lower jaw denture During the past 12 months, did your teeth or mouth cause any pain or discomfort?
How long has it been since you last saw a dentist?
What was the main reason for your last visit to the dentist?
Yes
1
No
2
Yes No Yes No Less than 6 months 6-12 months More than 1 year but less than 2 years 2 or more years but less than 5 years 5 or more years Never received dental care Consultation / advice Pain or trouble with teeth, gums or mouth Treatment / Follow-up treatment Routine check-up treatment Other Other (please specify)
How often do you clean your teeth?
WHO STEPwise approach to surveillance- Oral Health module
Never Once a month 2-3 times a month Once a week 2-6 times a week Once a day Twice or more a day
1 2 1 2 1 2 3 4 5 6 If Never, go to O9 1 2 3 4 5 If Other, go to O8other
└─┴─┴─┴─┴─┘ 1 If Never, go to O13a 2 3 4 5 6 7
O5a O5b O6
O7
O8
O8other
O9
1
Oral Health, Continued Response
Question
Yes No Yes No Don't know
Do you use toothpaste to clean your teeth? Do you use toothpaste containing fluoride?
Code 1 2 If No, go to O12a 1 2 77
O10 O11
Do you use any of the following to clean your teeth? (RECORD FOR EACH) Yes No Yes No Yes No Yes No Yes No Yes No
1 2 1 2 1 2 1 2 1 2 1 2 1 If Yes, go to O12other 2
O12a O12b O12c O12d O12e O12f O12g O12other
└─┴─┴─┴─┴─┴─┴─┘
Have you experienced any of the following problems during the past 12 months because of the state of your teeth? (RECORD FOR EACH) Difficulty in chewing foods Difficulty with speech/trouble pronouncing words Felt tense because of problems with teeth or mouth Embarrassed about appearance of teeth Avoid smiling because of teeth Sleep is often interrupted Days not at work because of teeth or mouth Difficulty doing usual activities Less tolerant of spouse or people close to you Reduced participation in social activities
WHO STEPwise approach to surveillance- Oral Health module
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
