You may brush, but your neighbor might not

The report ranks the cities with the worst teeth. Baltimore came up as No. 4. Only St. Louis, Philadephia and Newark, N.J. were worse.

Considered for the rankings were the cities' community water fluoridation, the percentage of people who saw a dentist in the past year or have had their teeth extracted, the percentage of households using dental floss, money spent on oral hygiene products and the number of dentist offices per capita.

The best teeth were found in San Jose, Calif.; Fargo, N.D.; and Boise, Idaho.

The ranking may be surprising because the state really began paying more attention to the lack of care for poor urban kids in 2007, when 12-year-old Deamonte Driver from Prince George's County died after an infection in an untreated tooth spread to his brain.

Academic, industry and government leaders banded together to win aid for local health centers,  streamline the Medicaid program and send hygienists into the community to provide screenings. They won agreements from dentists to treat poor children.

But perhaps the adults aren't getting the messages, or the care they need? Maybe it'll take another generation of education and care? Maybe the economy has ended money for programs?

Maybe flossing just isn't Baltimore's thing?

See the full rankings, featured in the November issue of Men's Health on newstands Oct. 19, on the next page.

1.) St. Louis, MO F

2.) Philadelphia, PA F

3.) Newark, NJ F

4.) Baltimore, MD F

5.) New Orleans, LA F

6.) Jackson, MS F

7.) Jersey City, NJ F

8.) Milwaukee, WI D-

9.) Kansas City, MO D-

10.) Dallas, TX D-

11.) El Paso, TX D

12.) Detroit, MI D

13.) Lubbock, TX D

14.) Miami, FL D

15.) Buffalo, NY D

16.) Chicago, IL D

17.) Memphis, TN D

18.) Montgomery, AL D

19.) Pittsburgh, PA D

20.) Birmingham, AL D

21.) Tucson, AZ D

22.) Tampa, FL D+

23.) Los Angeles, CA D+

24.) Jacksonville, FL D+

25.) Cleveland, OH D+

26.) Louisville, KY D+

27.) Fort Wayne, IN D+

28.) Tulsa, OK D+

29.) Oklahoma City, OK D+

30.) Corpus Christi, TX D+

31.) Fort Worth, TX D+

32.) Providence, RI D+

33.) Rochester, NY D+

34.) Oakland, CA C-

35.) Houston, TX C-

36.) Toledo, OH C-

37.) Charleston, WV C-

38.) Orlando, FL C-

39.) New York, NY C-

40.) Lexington, KY C-

41.) San Antonio, TX C-

42.) Denver, CO C-

43.) St. Petersburg, FL C-

44.) Cincinnati, OH C

45.) Hartford, CT C

46.) Fresno, CA C

47.) Boston, MA C

48.) Richmond, VA C

49.) Las Vegas, NV C

50.) Columbia, SC C

51.) Durham, NC C

52.) Billings, MT C+

53.) Bakersfield, CA C+

54.) Sacramento, CA C+

55.) Phoenix, AZ C+

56.) Washington, DC C+

57.) Indianapolis, IN C+

58.) Arlington, TX C+

59.) Columbus, OH C+

60.) Atlanta, GA C+

61.) Reno, NV C+

62.) Nashville, TN C+

63.) Madison, WI C+

64.) Little Rock, AR C+

65.) Albuquerque, NM C+

66.) Modesto, CA C+

67.) Wichita, KS C+

68.) Wilmington, DE B-

69.) Spokane, WA B-

70.) San Diego, CA B-

71.) Riverside, CA B-

72.) St. Paul, MN B-

73.) Grand Rapids, MI B-

74.) Minneapolis, MN B

75.) Austin, TX B

76.) Cheyenne, WY B

77.) Aurora, CO B

78.) Charlotte, NC B

79.) Salt Lake City, UT B

80.) Honolulu, HI B

81.) Manchester, NH B

82.) Portland, OR B

83.) Yonkers, NY B

84.) San Francisco, CA B

85.) Burlington, VT B

86.) Greensboro, NC B+

87.) Des Moines, IA B+

88.) Omaha, IA B+

89.) Portland, ME B+

90.) Seattle, WA B+

91.) Colorado Springs, CO A-

92.) Anchorage, AK A-

93.) Raleigh, NC A-

94.) Anaheim, CA A-

95.) Virginia Beach, VA A-

96.) Sioux Falls, SD A

97.) Lincoln, NE A

98.) Boise, ID A

99.) Fargo, ND A+

100.) San Jose, CA A+