Oral health
CORE: Oral health
The next questions ask about your oral health status and related behaviours.
Question
Response
Code
No natural teeth
1 If no natural teeth,
go to O4
1 to 9 teeth 2
10 to 19 teeth 3
20 teeth or more 4
1 How many natural teethdo you have?
Don't know 77
O1
Excellent 1
Very Good 2
Good 3
Average 4
Poor 5
Very Poor 6
2 How would you describe the state of your teeth?
Don't Know 77
O2
Excellent 1
Very Good 2
Good 3
Average 4
Poor 5
Very Poor 6
3 How would you describe the state of your gums?
Don't know 77
O3
Yes 1
4 Do you have any removable dentures?
No 2 If No, go to O6
O4
Which of the following removable dentures do you have?
(RECORD FOR EACH)
Yes 1
An upper jaw denture
No 2
O5a
Yes 1
5
A lower jaw denture
No 2
O5b
Yes 1
6
During the past 12 months, did your teeth or mouth
cause any pain or discomfort? No 2
O6
Less than 6 months 1
6-12 months 2
More than 1 year but less than 2 years 3
2 or more years but less than 5 years 4
5 or more years 5
7 How long has it been since you last sawa dentist?
Never received dental care 6 If Never, go to O9
O7
Consultation / advice 1
Pain or trouble with teeth, gums or mouth 2
Treatment / Follow-up treatment 3
Routine check-up treatment 4
Other 5 If Other, go to O8other
O8
8
What was the mainreason for your last visitto the
dentist?
Other (please specify)
O8other
WHO STEPwise approach to chronic disease risk factor surveillance- Oral health module 5-4A-1
CORE: Oral health,Continued
Question
Response
Code
Never 1 If Never, go to O13a
Once a month 2
2-3 times a month 3
Once a week 4
2-6 times a week 5
Once a day 6
9 How often do you clean your teeth?
Twice or more a day 7
O9
Yes 1
10 Do you use toothpasteto clean your teeth?
No 2 If No, go to O12a
O10
Yes 1
No 2
11 Do you use toothpastecontaining fluoride?
Don't know 77
O11
Do you use any of the following to clean your teeth?
(RECORD FOR EACH)
Yes 1
Toothbrush
No 2
O12a
Yes 1
Wooden toothpicks
No 2
O12b
Yes 1
Plastic toothpicks
No 2
O12c
Yes 1
Thread (dental floss)
No 2
O12d
Yes 1
Charcoal
No 2
O12e
Yes 1
Chewstick / miswak
No 2
O12f
Yes
1 If Yes, go to
O12other Other
No 2
O12g
12
Other (please specify)
O12other
Have you experienced any of the following problems during
the past 12 months because of the state of your teeth?
(RECORD FOR EACH)
Yes 1
Difficulty in chewing foods
No 2
O13a
Yes 1
Difficulty with speech/trouble pronouncing words
No 2
O13b
Yes 1
Felt tense because of problems with teeth or mouth
No 2
O13c
Yes 1
Embarrassed about appearance of teeth
No 2
O13d
Yes 1
Avoid smiling because of teeth
No 2
O13e
Yes 1
Sleep is often interrupted
No 2
O13f
Yes 1
Days not at work because of teeth or mouth
No 2
O13g
Yes 1
Difficulty doing usual activities
No 2
O13h
Yes 1
Less tolerant of spouse or people close to you
No 2
O13i
Yes 1
13
Reduced participation in social activities
No 2
O13j
WHO STEPwise approach to chronic disease risk factor surveillance- Oral health module 5-4A-2
