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Tooth loss and smokeless tobacco use by state Adults who have had any permanent teeth removed because of tooth decay or gum disease, adults aged 65 and over who have lost all their natural teeth, and adults who currently use chewing tobacco, snuff or snus every day or some days. Percent of adults 18 and over (crude prevalence, self-reported) from the Behavioral Risk Factor Surveillance System; states only (CDC publishes a median of states rather than a national estimate in this dataset). Tennessee is not published in the 2024 BRFSS state estimates, so it is not shown.
Reference period 2024 Licence Public domain (U.S. federal government work).
Chart (3 options): Any permanent teeth removed (%) All natural teeth lost, 65 and over (%) Current smokeless tobacco use (%, derived)
Any permanent teeth removed (%) All natural teeth lost, 65 and over (%) Current smokeless tobacco use (%, derived)
Tooth loss and smokeless tobacco use by state: Any permanent teeth removed (%) 50 areas ranked by Any permanent teeth removed (%). Highest: West Virginia (53.1); lowest: District of Columbia (27.6). West Virginia West Virginia: 53.1 53.1 Mississippi Mississippi: 48.4 48.4 Kentucky Kentucky: 47.9 47.9 Arkansas Arkansas: 47.6 47.6 Alabama Alabama: 46.6 46.6 Louisiana Louisiana: 46.3 46.3 Florida Florida: 45.3 45.3 Maine Maine: 44.7 44.7 Pennsylvania Pennsylvania: 44.7 44.7 Oklahoma Oklahoma: 44.3 44.3 South Dakota South Dakota: 44.2 44.2 Missouri Missouri: 43.6 43.6 North Carolina North Carolina: 43.6 43.6 Ohio Ohio: 43.5 43.5 Indiana Indiana: 43.3 43.3 New York New York: 43.2 43.2 South Carolina South Carolina: 43.1 43.1 Nevada Nevada: 42.5 42.5 Michigan Michigan: 42.0 42.0 Delaware Delaware: 41.9 41.9 Georgia Georgia: 41.4 41.4 New Jersey New Jersey: 40.9 40.9 New Mexico New Mexico: 40.6 40.6 Illinois Illinois: 40.0 40.0 Arizona Arizona: 39.9 39.9 New Hampshire New Hampshire: 39.8 39.8 Hawaii Hawaii: 39.7 39.7 Maryland Maryland: 39.3 39.3 Montana Montana: 39.3 39.3 Wisconsin Wisconsin: 39.3 39.3 California California: 39.2 39.2 Kansas Kansas: 39.2 39.2 Oregon Oregon: 39.2 39.2 Texas Texas: 39.1 39.1 Wyoming Wyoming: 38.9 38.9 Alaska Alaska: 38.8 38.8 Connecticut Connecticut: 38.6 38.6 Rhode Island Rhode Island: 38.5 38.5 Iowa Iowa: 38.1 38.1 Massachusetts Massachusetts: 37.8 37.8 Virginia Virginia: 37.6 37.6 Vermont Vermont: 37.5 37.5 Nebraska Nebraska: 37.3 37.3 Idaho Idaho: 36.9 36.9 North Dakota North Dakota: 36.7 36.7 Washington Washington: 35.1 35.1 Minnesota Minnesota: 34.7 34.7 Colorado Colorado: 34.5 34.5 Utah Utah: 32.6 32.6 District of Columbia District of Columbia: 27.6 27.6
Tooth loss and smokeless tobacco use by state: Any permanent teeth removed (%) 50 areas ranked by Any permanent teeth removed (%). Highest: West Virginia (53.1); lowest: District of Columbia (27.6). West Virginia West Virginia: 53.1 53.1 Mississippi Mississippi: 48.4 48.4 Kentucky Kentucky: 47.9 47.9 Arkansas Arkansas: 47.6 47.6 Alabama Alabama: 46.6 46.6 Louisiana Louisiana: 46.3 46.3 Florida Florida: 45.3 45.3 Maine Maine: 44.7 44.7 Pennsylvania Pennsylvania: 44.7 44.7 Oklahoma Oklahoma: 44.3 44.3 South Dakota South Dakota: 44.2 44.2 Missouri Missouri: 43.6 43.6 North Carolina North Carolina: 43.6 43.6 Ohio Ohio: 43.5 43.5 Indiana Indiana: 43.3 43.3 New York New York: 43.2 43.2 South Carolina South Carolina: 43.1 43.1 Nevada Nevada: 42.5 42.5 Michigan Michigan: 42.0 42.0 Delaware Delaware: 41.9 41.9 Georgia Georgia: 41.4 41.4 New Jersey New Jersey: 40.9 40.9 New Mexico New Mexico: 40.6 40.6 Illinois Illinois: 40.0 40.0 Arizona Arizona: 39.9 39.9 New Hampshire New Hampshire: 39.8 39.8 Hawaii Hawaii: 39.7 39.7 Maryland Maryland: 39.3 39.3 Montana Montana: 39.3 39.3 Wisconsin Wisconsin: 39.3 39.3 California California: 39.2 39.2 Kansas Kansas: 39.2 39.2 Oregon Oregon: 39.2 39.2 Texas Texas: 39.1 39.1 Wyoming Wyoming: 38.9 38.9 Alaska Alaska: 38.8 38.8 Connecticut Connecticut: 38.6 38.6 Rhode Island Rhode Island: 38.5 38.5 Iowa Iowa: 38.1 38.1 Massachusetts Massachusetts: 37.8 37.8 Virginia Virginia: 37.6 37.6 Vermont Vermont: 37.5 37.5 Nebraska Nebraska: 37.3 37.3 Idaho Idaho: 36.9 36.9 North Dakota North Dakota: 36.7 36.7 Washington Washington: 35.1 35.1 Minnesota Minnesota: 34.7 34.7 Colorado Colorado: 34.5 34.5 Utah Utah: 32.6 32.6 District of Colum… District of Columbia: 27.6 27.6
Any permanent teeth removed (%), 2024, sorted high to low. 50 areas ranked by Any permanent teeth removed (%). Highest: West Virginia (53.1); lowest: District of Columbia (27.6). Full data in the table below.Source: CDC, Behavioral Risk Factor Surveillance System (BRFSS). Tooth loss and smokeless tobacco use by state: All natural teeth lost, 65 and over (%) 50 areas ranked by All natural teeth lost, 65 and over (%). Highest: Kentucky (21.4); lowest: Hawaii (5.4). Kentucky Kentucky: 21.4 21.4 West Virginia West Virginia: 19.8 19.8 Arkansas Arkansas: 19.7 19.7 Oklahoma Oklahoma: 17.7 17.7 Alabama Alabama: 17.3 17.3 Louisiana Louisiana: 16.7 16.7 Missouri Missouri: 16.1 16.1 Mississippi Mississippi: 16.0 16.0 Indiana Indiana: 15.5 15.5 Ohio Ohio: 15.4 15.4 South Dakota South Dakota: 14.8 14.8 South Carolina South Carolina: 14.6 14.6 Georgia Georgia: 13.8 13.8 Maine Maine: 13.6 13.6 North Carolina North Carolina: 13.6 13.6 New Mexico New Mexico: 12.9 12.9 Kansas Kansas: 12.8 12.8 Idaho Idaho: 12.7 12.7 Texas Texas: 12.3 12.3 Florida Florida: 11.9 11.9 Wyoming Wyoming: 11.9 11.9 Michigan Michigan: 11.7 11.7 Montana Montana: 11.4 11.4 Nevada Nevada: 11.4 11.4 Pennsylvania Pennsylvania: 11.2 11.2 North Dakota North Dakota: 11.1 11.1 Oregon Oregon: 10.9 10.9 Alaska Alaska: 10.8 10.8 Arizona Arizona: 10.5 10.5 New York New York: 10.2 10.2 Virginia Virginia: 10.2 10.2 Iowa Iowa: 10.1 10.1 Nebraska Nebraska: 10.0 10.0 New Hampshire New Hampshire: 10.0 10.0 Illinois Illinois: 9.6 9.6 Vermont Vermont: 9.5 9.5 Wisconsin Wisconsin: 9.5 9.5 Colorado Colorado: 9.0 9.0 Massachusetts Massachusetts: 8.8 8.8 District of Columbia District of Columbia: 8.7 8.7 Delaware Delaware: 8.4 8.4 Maryland Maryland: 8.4 8.4 New Jersey New Jersey: 8.3 8.3 Washington Washington: 8.2 8.2 Minnesota Minnesota: 7.8 7.8 Utah Utah: 7.7 7.7 California California: 7.3 7.3 Connecticut Connecticut: 7.1 7.1 Rhode Island Rhode Island: 6.4 6.4 Hawaii Hawaii: 5.4 5.4
Tooth loss and smokeless tobacco use by state: All natural teeth lost, 65 and over (%) 50 areas ranked by All natural teeth lost, 65 and over (%). Highest: Kentucky (21.4); lowest: Hawaii (5.4). Kentucky Kentucky: 21.4 21.4 West Virginia West Virginia: 19.8 19.8 Arkansas Arkansas: 19.7 19.7 Oklahoma Oklahoma: 17.7 17.7 Alabama Alabama: 17.3 17.3 Louisiana Louisiana: 16.7 16.7 Missouri Missouri: 16.1 16.1 Mississippi Mississippi: 16.0 16.0 Indiana Indiana: 15.5 15.5 Ohio Ohio: 15.4 15.4 South Dakota South Dakota: 14.8 14.8 South Carolina South Carolina: 14.6 14.6 Georgia Georgia: 13.8 13.8 Maine Maine: 13.6 13.6 North Carolina North Carolina: 13.6 13.6 New Mexico New Mexico: 12.9 12.9 Kansas Kansas: 12.8 12.8 Idaho Idaho: 12.7 12.7 Texas Texas: 12.3 12.3 Florida Florida: 11.9 11.9 Wyoming Wyoming: 11.9 11.9 Michigan Michigan: 11.7 11.7 Montana Montana: 11.4 11.4 Nevada Nevada: 11.4 11.4 Pennsylvania Pennsylvania: 11.2 11.2 North Dakota North Dakota: 11.1 11.1 Oregon Oregon: 10.9 10.9 Alaska Alaska: 10.8 10.8 Arizona Arizona: 10.5 10.5 New York New York: 10.2 10.2 Virginia Virginia: 10.2 10.2 Iowa Iowa: 10.1 10.1 Nebraska Nebraska: 10.0 10.0 New Hampshire New Hampshire: 10.0 10.0 Illinois Illinois: 9.6 9.6 Vermont Vermont: 9.5 9.5 Wisconsin Wisconsin: 9.5 9.5 Colorado Colorado: 9.0 9.0 Massachusetts Massachusetts: 8.8 8.8 District of Colum… District of Columbia: 8.7 8.7 Delaware Delaware: 8.4 8.4 Maryland Maryland: 8.4 8.4 New Jersey New Jersey: 8.3 8.3 Washington Washington: 8.2 8.2 Minnesota Minnesota: 7.8 7.8 Utah Utah: 7.7 7.7 California California: 7.3 7.3 Connecticut Connecticut: 7.1 7.1 Rhode Island Rhode Island: 6.4 6.4 Hawaii Hawaii: 5.4 5.4
All natural teeth lost, 65 and over (%), 2024, sorted high to low. 50 areas ranked by All natural teeth lost, 65 and over (%). Highest: Kentucky (21.4); lowest: Hawaii (5.4). Full data in the table below.Source: CDC, Behavioral Risk Factor Surveillance System (BRFSS). Tooth loss and smokeless tobacco use by state: Current smokeless tobacco use (%, derived) 49 areas ranked by Current smokeless tobacco use (%, derived). Highest: Wyoming (8.3); lowest: Connecticut (1.4). Wyoming Wyoming: 8.3 8.3 West Virginia West Virginia: 7.6 7.6 Alabama Alabama: 6.5 6.5 Mississippi Mississippi: 6.4 6.4 Montana Montana: 6.2 6.2 North Dakota North Dakota: 6.1 6.1 Alaska Alaska: 6.0 6.0 Oklahoma Oklahoma: 5.8 5.8 South Dakota South Dakota: 5.8 5.8 Kentucky Kentucky: 5.7 5.7 Arkansas Arkansas: 5.4 5.4 Idaho Idaho: 4.9 4.9 Nebraska Nebraska: 4.9 4.9 Missouri Missouri: 4.7 4.7 Kansas Kansas: 4.6 4.6 Louisiana Louisiana: 4.6 4.6 Iowa Iowa: 4.5 4.5 Ohio Ohio: 4.1 4.1 Virginia Virginia: 3.9 3.9 Oregon Oregon: 3.6 3.6 Colorado Colorado: 3.5 3.5 Indiana Indiana: 3.5 3.5 Minnesota Minnesota: 3.5 3.5 Wisconsin Wisconsin: 3.5 3.5 New Mexico New Mexico: 3.4 3.4 Illinois Illinois: 3.3 3.3 North Carolina North Carolina: 3.3 3.3 Pennsylvania Pennsylvania: 3.2 3.2 Texas Texas: 3.2 3.2 Georgia Georgia: 3.1 3.1 South Carolina South Carolina: 3.1 3.1 Arizona Arizona: 2.8 2.8 Delaware Delaware: 2.8 2.8 Nevada Nevada: 2.8 2.8 Hawaii Hawaii: 2.6 2.6 Michigan Michigan: 2.6 2.6 Utah Utah: 2.6 2.6 Washington Washington: 2.6 2.6 Vermont Vermont: 2.5 2.5 Florida Florida: 2.2 2.2 Maine Maine: 2.2 2.2 California California: 2.1 2.1 New Hampshire New Hampshire: 1.7 1.7 New York New York: 1.7 1.7 Maryland Maryland: 1.6 1.6 New Jersey New Jersey: 1.6 1.6 Rhode Island Rhode Island: 1.5 1.5 Connecticut Connecticut: 1.4 1.4 Massachusetts Massachusetts: 1.4 1.4
Tooth loss and smokeless tobacco use by state: Current smokeless tobacco use (%, derived) 49 areas ranked by Current smokeless tobacco use (%, derived). Highest: Wyoming (8.3); lowest: Connecticut (1.4). Wyoming Wyoming: 8.3 8.3 West Virginia West Virginia: 7.6 7.6 Alabama Alabama: 6.5 6.5 Mississippi Mississippi: 6.4 6.4 Montana Montana: 6.2 6.2 North Dakota North Dakota: 6.1 6.1 Alaska Alaska: 6.0 6.0 Oklahoma Oklahoma: 5.8 5.8 South Dakota South Dakota: 5.8 5.8 Kentucky Kentucky: 5.7 5.7 Arkansas Arkansas: 5.4 5.4 Idaho Idaho: 4.9 4.9 Nebraska Nebraska: 4.9 4.9 Missouri Missouri: 4.7 4.7 Kansas Kansas: 4.6 4.6 Louisiana Louisiana: 4.6 4.6 Iowa Iowa: 4.5 4.5 Ohio Ohio: 4.1 4.1 Virginia Virginia: 3.9 3.9 Oregon Oregon: 3.6 3.6 Colorado Colorado: 3.5 3.5 Indiana Indiana: 3.5 3.5 Minnesota Minnesota: 3.5 3.5 Wisconsin Wisconsin: 3.5 3.5 New Mexico New Mexico: 3.4 3.4 Illinois Illinois: 3.3 3.3 North Carolina North Carolina: 3.3 3.3 Pennsylvania Pennsylvania: 3.2 3.2 Texas Texas: 3.2 3.2 Georgia Georgia: 3.1 3.1 South Carolina South Carolina: 3.1 3.1 Arizona Arizona: 2.8 2.8 Delaware Delaware: 2.8 2.8 Nevada Nevada: 2.8 2.8 Hawaii Hawaii: 2.6 2.6 Michigan Michigan: 2.6 2.6 Utah Utah: 2.6 2.6 Washington Washington: 2.6 2.6 Vermont Vermont: 2.5 2.5 Florida Florida: 2.2 2.2 Maine Maine: 2.2 2.2 California California: 2.1 2.1 New Hampshire New Hampshire: 1.7 1.7 New York New York: 1.7 1.7 Maryland Maryland: 1.6 1.6 New Jersey New Jersey: 1.6 1.6 Rhode Island Rhode Island: 1.5 1.5 Connecticut Connecticut: 1.4 1.4 Massachusetts Massachusetts: 1.4 1.4
Current smokeless tobacco use (%, derived), 2024, sorted high to low. 49 areas ranked by Current smokeless tobacco use (%, derived). Highest: Wyoming (8.3); lowest: Connecticut (1.4). Not shown (no value in the source): District of Columbia. Full data in the table below.Source: CDC, Behavioral Risk Factor Surveillance System (BRFSS). Click a column header to sort; the national total stays pinned at the top.
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State Any permanent teeth removed (%) All natural teeth lost, 65 and over (%) Current smokeless tobacco use (%, derived) Alabama 46.6 17.3 6.5 Alaska 38.8 10.8 6 Arizona 39.9 10.5 2.8 Arkansas 47.6 19.7 5.4 California 39.2 7.3 2.1 Colorado 34.5 9 3.5 Connecticut 38.6 7.1 1.4 Delaware 41.9 8.4 2.8 District of Columbia 27.6 8.7 Florida 45.3 11.9 2.2 Georgia 41.4 13.8 3.1 Hawaii 39.7 5.4 2.6 Idaho 36.9 12.7 4.9 Illinois 40 9.6 3.3 Indiana 43.3 15.5 3.5 Iowa 38.1 10.1 4.5 Kansas 39.2 12.8 4.6 Kentucky 47.9 21.4 5.7 Louisiana 46.3 16.7 4.6 Maine 44.7 13.6 2.2 Maryland 39.3 8.4 1.6 Massachusetts 37.8 8.8 1.4 Michigan 42 11.7 2.6 Minnesota 34.7 7.8 3.5 Mississippi 48.4 16 6.4 Missouri 43.6 16.1 4.7 Montana 39.3 11.4 6.2 Nebraska 37.3 10 4.9 Nevada 42.5 11.4 2.8 New Hampshire 39.8 10 1.7 New Jersey 40.9 8.3 1.6 New Mexico 40.6 12.9 3.4 New York 43.2 10.2 1.7 North Carolina 43.6 13.6 3.3 North Dakota 36.7 11.1 6.1 Ohio 43.5 15.4 4.1 Oklahoma 44.3 17.7 5.8 Oregon 39.2 10.9 3.6 Pennsylvania 44.7 11.2 3.2 Rhode Island 38.5 6.4 1.5 South Carolina 43.1 14.6 3.1 South Dakota 44.2 14.8 5.8 Texas 39.1 12.3 3.2 Utah 32.6 7.7 2.6 Vermont 37.5 9.5 2.5 Virginia 37.6 10.2 3.9 Washington 35.1 8.2 2.6 West Virginia 53.1 19.8 7.6 Wisconsin 39.3 9.5 3.5 Wyoming 38.9 11.9 8.3
Source: CDC, Behavioral Risk Factor Surveillance System, BRFSS Prevalence Data (2011 to present), data.cdc.gov dataset dttw-5yxu . Reference period: 2024.
Cite this table Source agency CDC, Behavioral Risk Factor Surveillance System (BRFSS) Dataset BRFSS Prevalence Data (2011 to present), data.cdc.gov dataset dttw-5yxu Table Tooth loss and smokeless tobacco use by state Data last updated 2026-11-03 Page https://quadranac.com/tables/us-tooth-loss-tobacco/ Tooth loss and smokeless tobacco use by state (United States, 2024). Data: CDC, Behavioral Risk Factor Surveillance System (BRFSS), BRFSS Prevalence Data (2011 to present), data.cdc.gov dataset dttw-5yxu. Retrieved 2026-11-03 via Quadranac, https://quadranac.com/tables/us-tooth-loss-tobacco/
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