Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
3858‌ Cashill Blvd.,‌ Reno,‌ NV‌ ‌89509
Phone‌ 775-626-5008‌‌

Chronic Disease

Oral diseases are increasingly being linked to other chronic diseases such as diabetes, cardiovascular disease and obesity. These connections have relevance for public health activities and oral health programs. Some state oral health programs are administered through the health agency’s chronic disease program. Although some of the following resources don’t address oral health specifically, they should be helpful in educating health officials, policymakers, and others about the chronic nature of oral diseases and in integrating oral health messages into other chronic disease programs.

General Resources

Gooch, BF et al. Promoting Older Adult Oral Health Through the Chronic Disease Model: CDC’s Perspective on What We Still Need to Know. J Dental Education. 69(9):1058-63, Sept 2005. 
View abstract of this paper that summarizes gaps in knowledge on program components, measurement of oral diseases and risk factors, and the effectiveness of clinical interventions for dental caries and oral and pharyngeal cancers.

Healthy Aging Infomation on aging from a chronic disease perspective

National Association of Chronic Disease Directors (NACDD) NACDD provides state-based leadership and expertise for chronic disease prevention and control at the state and national level.

Preventing Chronic Disease. Public Health Research, Practice and Policy. An online peer-reviewed journal.

Promising Practices in Chronic Disease Prevention and Control. A Pubic Health Framework for Action. This is a pdf version of a workbook produced in 2003. It contains a chapter on oral health.

State Success Stories in Chronic Disease. View various success stories by state.  

Cardiovascular Disease

Heart Disease and Oral Health. Webpage from the NIDCR website.

Cardiovascular Health Webpage from the Chronic Disease Directors website


The National Diabetes Education Program (NDEP) has released a newly updated set of materials for dental professionals and other which promote team work and offer action steps.  October 2007 

Diabetes and Oral Health. Webpage from the NIDCR website.

Eke PI, Thornton-Evans GO and Beckles GL. Dental Visits Among Dentate Adults with Diabetes—United States, 1999 ad 2004. MMWR Weekly Report. 54(46);1181-1183, November 25, 2005. Analysis of data shows that states have not reached the targets set by the national health objectives for 2010 or rates have not increased from estimates in 1999. The authors call for diabetes education in states, particularly emphasizing non-Hispanic blacks, persons with lower education and income, and those who lack health insurance.

National Diabetes Information Clearinghouse.

Diabetes Prevention and Control from Chronic Disease Directors web site

Overweight and Obesity

Magliocca, KR et al. Knowledge, Beliefs, and Attitudes of Dental and Dental Hygiene Students Toward Obesity. J Dental Education. 69(12): 1332-1339, 2005. View an abstract of this article that calls for obesity education and training to be integrated into dental education and to raise public health awareness within dentistry.

Obesity section from the Chronic Disease Directors web site