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Millions in U.S. Lack Access to Dentists

Study Shows Geography, Economics, and Shortage of Dentists Limit Dental Care
By
WebMD Health News
Reviewed by Laura J. Martin, MD

Young boy brushing teeth

July 13, 2011 -- Fewer than half of Americans see a dentist each year and millions live in areas where access to dental care is severely limited, a new analysis from the health policy group Institute of Medicine (IOM) finds.

A severe shortage of dentists, especially those serving rural and minority groups, is contributing to the "persistent and systemic" barriers to oral health care, the report noted.

According to the report:

  • 33 million Americans live in areas that are underserved by dental health professionals.
  • 4.6 million children went without dental checkups in 2008 because their families could not afford them.
  • In 2006, almost two-thirds of retirees (62%) did not have adequate dental coverage.

The IOM committee concluded that around 9,600 additional dentists would be needed to meet the needs of underserved populations in the United States.

"We have the lowest ratio of dentists to population that we have had in 100 years," says Shelly Gehshan, who directs the Pew Children's Dental Campaign. "This is a serious problem that leaves 40 to 50 million people out of reach of a dentist at any given moment."

Dental Care Lacking for Children, Elderly, and Poor

Gehshan tells WebMD that millions of Americans lack dental coverage or the ability to pay for dental care.

She served on the IOM committee that issued the report.

Committee chairman Frederick P. Rivara, MD, tells WebMD that barriers to dental services disproportionately affect children, the elderly, and minorities.

Rivara is a professor of pediatrics at the University of Washington School of Medicine in Seattle.

"As the nation struggles to address the larger systemic issues of access to health care, we need to ensure that oral health is recognized as a basic component of overall health," he says in a news release.

The IOM report included recommendations to federal and state policy makers to improve access to dental care.

Boosting Access to Dental Care

To address the shortage of dentists in underserved inner city and rural areas, the report calls for dental professional education programs aimed at increasing enrollment of African-Americans, Latinos, and people from rural areas into dental schools.

"Most dentists are white men," Gehshan says. "Research shows that dental students from rural or underserved areas are more likely to go back to these areas to practice."

The committee also called on the Health Resources and Services Administration to expand opportunities for dental residencies in underserved areas.

The IOM also addressed major limitations in oral care among economically disadvantaged people receiving Medicaid. States must provide dental benefits for children enrolled in the Children's Health Insurance Program (CHIP), they are not required to provide benefits to adults.

Gehshan says while the committee members agreed that dental benefits should be available to all Medicaid recipients, the group recognized that this is not likely to happen in the current economic climate.

How Do I Measure Up? Get the Facts Fast!

Number of Days Per Week I Floss

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Only 18.5% of Americans never floss. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Floss removes food trapped between the teeth and removes the film of bacteria that forms there before it turns to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Try flossing just one tooth to get started.

You are one of 31% of Americans who don't floss daily. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for 3 more days!

You are one of 31% of Americans who don't floss daily, but you're well on your way to making a positive impact on your teeth and gums. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for all 7 days!

Only 50.5% of Americans floss daily, and good for you that you are one of them! Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Congratulations on your good oral health habit!

SOURCES:

American Dental Association, Healthy People 2010

This tool is intended only for adults 18 and older.

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